FDA Adverse Event Injury Summary report: N

SPECTRA WAVEWRITER

MDR report key: 23835163 · Received December 17, 2025

Report

Report Number
3006630150-2025-11529
Event Type
Injury
Date Received
December 17, 2025
Date of Event
April 1, 2024
Report Date
December 17, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729951254
PMA / PMN Number
P030017
Adverse Event
Yes
Product Problem
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: PRODUCT FAMILY: SCS-LINEAR LEADS: UPN: M365SC2317700, MODEL: SC-2317-70, SERIAL: (B)(6), BATCH: 3176863, UDI:(B)(4). PRODUCT FAMILY: SCS-LINEAR LEADS: UPN: M365SC2317700, MODEL: SC-2317-70, SERIAL:(B)(6), BATCH: 7070048, UDI: (B)(4). PRODUCT FAMILY: SCS-SPLITTERS: UPN: M365SC3400300, MODEL: SC-3400-30, SERIAL: (B)(6), BATCH: 15136639, UDI: (B)(4). PRODUCT FAMILY: SCS-SPLITTERS: UPN: M365SC3400300, MODEL: SC-3400-30, SERIAL: (B)(6), BATCH: 15398417, UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE SPINAL CORD STIMULATION (SCS) PATIENT EXPERIENCED A STIMULATION TYPE SENSATION DESPITE THE SCS SYSTEM BEING TURNED OFF FOR SEVERAL DAYS. THE SENSATION WAS IN HER STOMACH DOWN TO HER FEET AND MADE HER FEEL NAUSEOUS. THEREFORE, THE PATIENT UNDERWENT AN EXPLANT PROCEDURE DURING WHICH THE FULL SCS SYSTEM WAS REMOVED. THERE WERE NO REPORTED PATIENT COMPLICATIONS POSTOPERATIVELY AND THE PATIENT WAS DISCHARGED FROM THE HOSPITAL. 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
2336498 SPECTRA WAVEWRITER STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1160 366141 08714729951254

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention| H