FDA Adverse Event Injury Summary report: N

WAVEWRITER ALPHA?

MDR report key: 23816197 · Received December 16, 2025

Report

Report Number
3006630150-2025-11460
Event Type
Injury
Date Received
December 16, 2025
Date of Event
November 17, 2025
Report Date
January 26, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729985099
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT. PRODUCT FAMILY SCS-LINEAR LEADS; UPN M365SC2318700; MODEL SC-2318-70; SERIAL-LOT (B)(6); BATCH 5006482; UDI (B)(4). PRODUCT FAMILY SCS-LINEAR LEADS; UPN M365SC2318700; MODEL SC-2318-70; SERIAL-LOT (B)(6); BATCH 5003583; UDI (B)(4).

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY SCS-LINEAR LEADS: UPN M365SC2318700, MODEL SC-2318-70, SERIAL-LOT (B)(6), BATCH 5006482, UDI (B)(4). PRODUCT FAMILY SCS-LINEAR LEADS: UPN M365SC2318700, MODEL SC-2318-70, SERIAL-LOT (B)(6), BATCH 5003583, UDI (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT EXPERIENCED A MACULOPAPULAR, PRURITIC RASH OVER THE SPINAL CORD STIMULATION (SCS) IMPLANTABLE PULSE GENERATOR (IPG) SITE AND SCS LEAD SITES. THE RASH WAS ALSO PRESENT ON THE PATIENTS ENTIRE RIGHT LOW BACK THAT EXTENDED INTO HIS RIGHT ABDOMEN. NOTHING HAPPENED DURING THE IMPLANT PROCEDURE THAT MAY HAVE CAUSED OR CONTRIBUTED TO THE INFECTION. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED. THE PATIENT WAS ADMINISTERED ANTIBIOTICS AND UNDERWENT A PROCEDURE IN WHICH THE ENTIRE SCS SYSTEM WAS EXPLANTED, CULTURES WERE TAKEN WHICH CONFIRMED STAPHYLOCOCCUS AUREUS INFECTION. THE INFECTION WAS ASSESSED AS POSSIBLY RELATED TO THE DEVICE AND-OR STIMULATION. THE PATIENT WAS IN STABLE CONDITION POSTOPERATIVELY AND THE EVENT IS RESOLVING. THE EXPLANTED DEVICES WILL NOT BE RETURNED AS THEY WERE DISCARDED BY THE MEDICAL FACILITY. ADDITIONAL INFORMATION WAS RECEIVED THAT THE EVENT HAS RESOLVED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT EXPERIENCED A MACULOPAPULAR, PRURITIC RASH OVER THE SPINAL CORD STIMULATION (SCS) IMPLANTABLE PULSE GENERATOR (IPG) SITE AND SCS LEAD SITES. THE RASH WAS ALSO PRESENT ON THE PATIENTS ENTIRE RIGHT LOW BACK THAT EXTENDED INTO HIS RIGHT ABDOMEN. NOTHING HAPPENED DURING THE IMPLANT PROCEDURE THAT MAY HAVE CAUSED OR CONTRIBUTED TO THE INFECTION. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED. THE PATIENT WAS ADMINISTERED ANTIBIOTICS AND UNDERWENT A PROCEDURE IN WHICH THE ENTIRE SCS SYSTEM WAS EXPLANTED, THE INFECTION WAS ASSESSED AS POSSIBLY RELATED TO THE DEVICE AND-OR STIMULATION. THE PATIENT WAS IN STABLE CONDITION POSTOPERATIVELY AND THE EVENT IS RESOLVING. THE EXPLANTED DEVICES WILL NOT BE RETURNED AS THEY WERE DISCARDED BY THE MEDICAL FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1662072 WAVEWRITER ALPHA? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1232 802736 08714729985099

Patients

Seq Age Sex Outcome Treatment
1 76 YR Male Required Intervention