FDA Adverse Event Injury Summary report: N

WAVEWRITER ALPHA? PRIME

MDR report key: 23534368 · Received November 12, 2025

Report

Report Number
3006630150-2025-10310
Event Type
Injury
Date Received
November 12, 2025
Date of Event
October 10, 2025
Report Date
December 2, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729985075
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-PADDLE LEADS UPN: M365SC8336500 MODEL: SC-8336-50 SERIAL: (B)(6). BATCH: 7092527 UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENTS IMPLANTABLE PULSE GENERATOR (IPG) INCISION SITE IS NOT HEALING. PATIENT HAD HIS STAPLES REMOVED AND STERI-STRIPS APPLIED. THERE ARE NO SIGNS OR SYMPTOMS OF INFECTION, BUT HE HAS BEEN PLACED ON AN ORAL ANTIBIOTIC. BLOOD CULTURES WERE NEGATIVE FOR INFECTION. THE PATIENT UNDERWENT SPINAL CORD STIMULATION (SCS) REMOVAL PROCEDURE. PATIENT IS DOING WELL POSTOPERATIVELY. NOTHING WILL BE RETURNED. THE HOSPITAL DISPOSED OF THE EXPLANATION DEVICE. NO DEVICE MALFUNCTION IS SUSPECTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENTS IMPLANTABLE PULSE GENERATOR (IPG) INCISION SITE IS NOT HEALING. PATIENT HAD HIS STAPLES REMOVED AND STERI-STRIPS APPLIED. THERE ARE NO SIGNS OR SYMPTOMS OF INFECTION, BUT HE HAS BEEN PLACED ON AN ORAL ANTIBIOTIC. BLOOD CULTURES WERE NEGATIVE FOR INFECTION. THE PATIENT UNDERWENT SPINAL CORD STIMULATION (SCS) REMOVAL PROCEDURE. PATIENT IS DOING WELL POSTOPERATIVELY. NOTHING WILL BE RETURNED. THE HOSPITAL DISPOSED OF THE EXPLANATION DEVICE. NO DEVICE MALFUNCTION IS SUSPECTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2592861 WAVEWRITER ALPHA? PRIME STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1432 239929 08714729985075

Patients

Seq Age Sex Outcome Treatment
1 76 YR Male Required Intervention