FDA Adverse Event Injury Summary report: N

WAVEWRITER ALPHA?

MDR report key: 23727729 · Received December 5, 2025

Report

Report Number
3006630150-2025-11218
Event Type
Injury
Date Received
December 5, 2025
Date of Event
November 12, 2022
Report Date
December 5, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729985099
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED THREE YEARS PRIOR TO THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS UPN: M365SC2218500 MODEL: SC-2218-50 SERIAL: (B)(6) BATCH: 7110257 UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT WAS FEELING STIMULATION STRONGLY AND PAINFULLY EVEN AFTER LETTING THE IMPLANTABLE PULSE GENERATOR (IPG) DISCHARGE COMPLETELY AND THE REMOTE CONTROL WOULD NOT CONNECT. IT WAS ALSO NOTED THAT THE PATIENT WAS FEELING STIMULATION IN A NON-TARGET AREA AND STIMULATION WAS NO LONGER ADEQUATE. IT WAS FURTHER MENTIONED THAT THE PATIENT WAS EXPERIENCING WEIRD ELECTRICAL PULSES IN THE UPPER BACK ABOVE THE SPINAL CORD STIMULATOR (SCS) LEADS AND IPG AND HAD AN ALLERGY TO LATEX OR PLASTICS. THE PATIENT WAS ADMITTED TO THE HOSPITAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2850893 WAVEWRITER ALPHA? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1232 551817 08714729985099

Patients

Seq Age Sex Outcome Treatment
1 49 YR Female Hospitalization| R