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 |