FDA Adverse Event
Injury
Summary report: N
LINEAR? 3-4
MDR report key: 23639323
·
Received November 24, 2025
Report
- Report Number
- 3006630150-2025-10768
- Event Type
- Injury
- Date Received
- November 24, 2025
- Date of Event
- October 6, 2025
- Report Date
- November 24, 2025
- Manufacturer
- BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
- Product Code
- LGW
- UDI-DI
- 08714729789581
- PMA / PMN Number
- P030017
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AS
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: MODEL NUMBER/CATALOG NUMBER: SC-2352-70 SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 7083582 MODEL/CATALOG DESCRIPTION: LINEAR 3-4 LEAD 70 CM UNIQUE IDENTIFIER (UDI): (B)(4).
Description of Event or Problem · 0
IT WAS REPORTED THAT THE PATIENT DEVELOPED EDEMA AT THE DISTAL TIP OF ONE OF THE LEADS, ACCOMPANIED BY TENDERNESS, SWELLING LOCATED AT THE LEFT EYEBROW OUTER CORNER. DRAINAGE WAS SUCCESSFULLY PERFORMED, AND THE PATIENT WAS DOING WELL. IT IS SUSPECTED THAT THE CAUSE OF LEAD EDEMA WAS FRICTION/IRRITATION FROM THE TIP OF THE LEAD.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 313674 | LINEAR? 3-4 | STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF | LGW | BOSTON SCIENTIFIC NEUROMODULATION CORPORATION | SC-2352-70 | 7083662 | 08714729789581 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 88 YR | Female | Required Intervention |