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