FDA Adverse Event Injury Summary report: N

WAVEWRITER ALPHA?

MDR report key: 24200893 · Received January 28, 2026

Report

Report Number
3006630150-2026-00572
Event Type
Injury
Date Received
January 28, 2026
Date of Event
September 29, 2025
Report Date
May 25, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729985099
PMA / PMN Number
P030017
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS UPN: M365SC2318500 MODEL: SC-2318-50 SERIAL: (B)(6) BATCH: 5001763/5001921 UDI: (B)(4) UDI: (B)(4). PRODUCT FAMILY: SCS-RC-R UPN: M365SC557210 MODEL: SC-5572-1 SERIAL: (B)(6) BATCH: 547328 UDI: (B)(4). PRODUCT FAMILY: SCS-CHARGERS UPN: M365SC641230 MODEL: SC-6412-3 SERIAL: (B)(6) BATCH: 523230 UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT WAS EXPERIENCING DIFFICULTY CHARGING THE IMPLANTABLE PULSE GENERATOR (IPG). THE PATIENT UNDERWENT AN EXPLANT PROCEDURE AND WAS DOING WELL POSTOPERATIVELY. THE EXPLANTED DEVICE WAS NOT RETURNED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
371799 WAVEWRITER ALPHA? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1232 796893 08714729985099

Patients

Seq Age Sex Outcome Treatment
1