FDA Adverse Event
Injury
Summary report: N
LINEAR? ST
MDR report key: 23625009
·
Received November 21, 2025
Report
- Report Number
- 3006630150-2025-10702
- Event Type
- Injury
- Date Received
- November 21, 2025
- Date of Event
- June 1, 2025
- Report Date
- November 21, 2025
- Manufacturer
- BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
- Product Code
- LGW
- UDI-DI
- 08714729767725
- PMA / PMN Number
- P030017
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UT, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED WITHIN THE LAST FEW WEEKS PRIOR TO THE DATE THE MANUFACTURER BECAME AWARE. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS, UPN: M365SC2218500, MODEL: SC-2218-50, SERIAL: (B)(6), BATCH: 7163137, UDI: (B)(4).
Description of Event or Problem · 0
IT WAS REPORTED THAT THE PATIENT WAS EXPERIENCING INADEQUATE PAIN RELIEF DESPITE OF OPTIMIZING THE PROGRAM. IMAGING CONFIRMS RIGHT LEAD MIGRATION. THE PATIENT UNDERWENT SPINAL CORD STIMULATION (SCS) PROCEDURE. PATIENT DOING WELL POSTOPERATIVELY. EXPLANTED PRODUCTS WILL NOT BE RETURNED DUE TO FACILITY PREFERENCE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2117921 | LINEAR? ST | STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF | LGW | BOSTON SCIENTIFIC NEUROMODULATION CORPORATION | SC-2218-50 | 7164219 | 08714729767725 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 57 YR | Male | Required Intervention |