FDA Adverse Event Injury Summary report: N

LINEAR? 3-6

MDR report key: 23543242 · Received November 13, 2025

Report

Report Number
3006630150-2025-10354
Event Type
Injury
Date Received
November 13, 2025
Date of Event
September 10, 2025
Report Date
November 13, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729789574
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

D2B: LGW - QRB. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS. UPN: M365SC2366500 MODEL: SC-2366-50 SERIAL: (B)(6) BATCH: 7074875 UDI:(B)(4). PRODUCT FAMILY: SCS-LINEAR LEADS. UPN: M365SC2366700 MODEL: SC-2366-70 SERIAL: (B)(6) BATCH: 7072677/7072413 UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT EXPERIENCED AN INADEQUATE STIMULATION. THE PATIENT UNDERWENT A LEAD EXPLANT PROCEDURE AND WAS DOING WELL POSTOPERATIVELY. THE EXPLANTED LEADS WERE DISCARDED PER HOSPITAL POLICY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2120185 LINEAR? 3-6 STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2366-50 7073782 08714729789574

Patients

Seq Age Sex Outcome Treatment
1 45 YR Male Required Intervention