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