FDA Adverse Event Injury Summary report: N

LINEAR? ST

MDR report key: 23851295 · Received December 19, 2025

Report

Report Number
3006630150-2025-11561
Event Type
Injury
Date Received
December 19, 2025
Date of Event
December 1, 2024
Report Date
December 19, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729767725
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED OVER A YEAR PRIOR TO THE DATE THE MANUFACTURER BECAME AWARE. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS UPN: M365SC2218500 MODEL: SC-2218-50 SERIAL: (B)(6) BATCH: 220049 UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT UNDERWENT A REVISION PROCEDURE WHEREIN THE SPINAL CORD STIMULATOR (SCS) LEADS WERE MOVED DOWN FROM ITS RECENT POSITION. THE PATIENT WAS DOING WELL POSTOPERATIVELY WITH APPROPRIATE COVERAGE OF PAIN AREAS. THE DEVICES REMAIN IMPLANTED AND IN USE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
257200 LINEAR? ST STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2218-50 220264 08714729767725

Patients

Seq Age Sex Outcome Treatment
1 63 YR Male Required Intervention