FDA Adverse Event Injury Summary report: N

INFINION? CX

MDR report key: 23287176 · Received October 15, 2025

Report

Report Number
3006630150-2025-08735
Event Type
Injury
Date Received
October 15, 2025
Date of Event
September 3, 2025
Report Date
January 30, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
QRB
UDI-DI
08714729861638
PMA / PMN Number
P030017
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. BLOCK D2B: PRO CODE (PRODUCT CODE): QRB.

Additional Manufacturer Narrative · 0

BLOCK B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. BLOCK D2B: PRO CODE (PRODUCT CODE): QRB.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENTS SPINAL CORD STIMULATOR (SCS) LEADS HAD HIGH IMPEDANCES. THE PATIENT UNDERWENT A REVISION PROCEDURE WHEREIN ONE OF THE SCS LEADS WAS REPLACED. ADDITIONAL INFORMATION WAS RECEIVED THAT THE PATIENT WAS DOING WELL POSTOPERATIVELY AND ONE OF THE EXPLANTED SCS LEADS WAS NOT RETURNED AS IT WAS DISCARDED BY THE MEDICAL FACILITY.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENTS SPINAL CORD STIMULATOR (SCS) LEADS HAD HIGH IMPEDANCES. THE PATIENT UNDERWENT A REVISION PROCEDURE WHEREIN ONE OF THE SCS LEADS WAS REPLACED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
77620 INFINION? CX STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF QRB BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2317-70 5140816 08714729861638

Patients

Seq Age Sex Outcome Treatment
1 58 YR Female Required Intervention