FDA Adverse Event Injury Summary report: N

PRECISION? MONTAGE? MRI

MDR report key: 23584304 · Received November 18, 2025

Report

Report Number
3006630150-2025-10525
Event Type
Injury
Date Received
November 18, 2025
Date of Event
October 24, 2025
Report Date
November 18, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729905943
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, 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. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS-MRI UPN: M365SC2408560 MODEL: SC-2408-56 SERIAL: (B)(6) BATCH: 7070316 UDI: (B)(4). PRODUCT FAMILY: SCS-LINEAR LEADS-MRI UPN: M365SC2408560 MODEL: SC-2408-56 SERIAL: (B)(6) BATCH: 7070340 UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENTS SPINAL CORD STIMULATION (SCS) SYSTEM HAD MIGRATED. THE PATIENT UNDERWENT AN SCS REPLACEMENT PROCEDURE. THE EXPLANTED DEVICE COMPONENTS WILL NOT BE RETURNED AS PER FACILITY POLICY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2316292 PRECISION? MONTAGE? MRI STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1200 365973 08714729905943

Patients

Seq Age Sex Outcome Treatment
1 52 YR Male Required Intervention