FDA Adverse Event
Injury
Summary report: N
INFINION? CX
MDR report key: 23873915
·
Received December 22, 2025
Report
- Report Number
- 3006630150-2025-11611
- Event Type
- Injury
- Date Received
- December 22, 2025
- Date of Event
- December 3, 2025
- Report Date
- December 22, 2025
- Manufacturer
- BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
- Product Code
- LGW
- UDI-DI
- 08714729861614
- PMA / PMN Number
- P030017
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TN, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
BLOCK D2B: PRO CODE (PRODUCT CODE): QRB ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS UPN: M365SC2317500 MODEL: SC-2317-50 SERIAL: (B)(6) BATCH: 5041863 UDI: (B)(4).
Description of Event or Problem · 0
IT WAS REPORTED THAT THE LEAD MIGRATED WHICH WAS CONFIRMED THROUGH FLUOROSCOPY. THE PATIENT UNDERWENT LEAD REMOVAL PROCEDURE. PATIENT IS DOING WELL POSTOPERATIVELY. THE EXPLANTED DEVICE WAS NOT RETURNED DUE TO FACILITY POLICY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2711125 | INFINION? CX | STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF | LGW | BOSTON SCIENTIFIC NEUROMODULATION CORPORATION | SC-2317-50 | 5042815 | 08714729861614 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 67 YR | Male | Required Intervention |