FDA Adverse Event Injury Summary report: N

SPECTRA WAVEWRITER?

MDR report key: 23854879 · Received December 19, 2025

Report

Report Number
3006630150-2025-11564
Event Type
Injury
Date Received
December 19, 2025
Date of Event
January 1, 2022
Report Date
December 19, 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

BLOCK B3: EXACT DATE UNKNOWN, APPROXIMATE EVENT DATE SINCE PATIENT HAS HAD NO PAIN RELIEF OVER THE LAST 2-3 YEARS. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS, UPN: M365SC2366500, MODEL: SC-2366-50, SERIAL: (B)(6), BATCH: 7071827, UDI: (B)(4). PRODUCT FAMILY: SCS-LINEAR LEADS, UPN: M365SC2366500, MODEL: SC-2366-50, SERIAL: (B)(6), BATCH: 7071979, UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE SPINAL CORD STIMULATION (SCS) PATIENT UNDERWENT EXPLANTATION OF THE IPG AND LEADS DUE TO LACK OF PAIN RELIEF. POSTOPERATIVELY, THE PATIENT IS RECOVERING WITHOUT COMPLICATIONS. THE EXPLANTED DEVICES WILL NOT BE RETURNED FOR ANALYSIS, AS THE MEDICAL FACILITY DOES NOT RELEASE CONTAMINATED DEVICES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2345008 SPECTRA WAVEWRITER? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1160 373246 08714729951254

Patients

Seq Age Sex Outcome Treatment
1 65 YR Male Required Intervention