FDA Adverse Event Injury Summary report: N

WAVEWRITER ALPHA? 16

MDR report key: 23663200 · Received November 26, 2025

Report

Report Number
3006630150-2025-10890
Event Type
Injury
Date Received
November 26, 2025
Date of Event
October 28, 2025
Report Date
January 6, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729985082
PMA / PMN Number
P030017
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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. UPN: M365SC2218500. MODEL: SC-2218-50. SERIAL: (B)(6). BATCH: (B)(6). UDI: (B)(4).

Additional Manufacturer Narrative · 0

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 UPN: M365SC2218500 MODEL: SC-2218-50 SERIAL: (B)(6). BATCH: 7103338 UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THESE SPINAL CORD STIMULATION (SCS) DEVICES WERE REPLACED DUE TO AN UNKNOWN REASON. THE LOCATION OF THE DEVICES IS UNKNOWN. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED. ADDITIONAL INFORMATION WAS RECEIVED STATING THAT THE SCS PATIENT UNDERWENT THE REPLACEMENT PROCEDURE OF THE IMPLANTABLE PULSE GENERATOR (IPG) AND LEADS DUE TO INADEQUATE STIMULATION, ALTHOUGH THE EXACT CAUSE REMAINS UNKNOWN, IT IS SUSPECTED THAT THE LEAD PLACEMENT MAY HAVE CONTRIBUTED TO THE PROBLEM. IT WAS ALSO NOTED THAT THE PATIENT HAD TROUBLE CHARGING THE IPG. ELECTROCAUTERY WAS USED. THE DEVICES WERE RETAINED BY THE HOSPITAL AND WILL NOT BE RETURNED FOR ANALYSIS. POSTOPERATIVELY, THE PATIENT WAS DOING WELL AND REPORTED THAT THE STIMULATION WAS FUNCTIONING PROPERLY.

Description of Event or Problem · 0

IT WAS REPORTED THAT THESE SPINAL CORD STIMULATION (SCS) DEVICES WERE REPLACED DUE TO AN UNKNOWN REASON. THE LOCATION OF THE DEVICES IS UNKNOWN. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2802102 WAVEWRITER ALPHA? 16 STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1216 528796 08714729985082

Patients

Seq Age Sex Outcome Treatment
1 66 YR Female Required Intervention