FDA Adverse Event Injury Summary report: N

WAVEWRITER ALPHA?

MDR report key: 24282960 · Received February 6, 2026

Report

Report Number
3006630150-2026-00761
Event Type
Injury
Date Received
February 6, 2026
Date of Event
October 13, 2025
Report Date
April 30, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729985099
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED FOUR MONTHS PRIOR TO THE DATE THE MANUFACTURER BECAME AWARE. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-PADDLE LEADS-MRI. MODEL: SC-8436-50. SERIAL: (B)(6). BATCH: 7073640. UPN: M365SC8436500 UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT EXPERIENCED RIB STIMULATION WITH THE SPINAL CORD STIMULATOR (SCS) PADDLE LEAD. THE PATIENT UNDERWENT AN SCS REVISION, WAS DOING WELL POSTOPERATIVELY AND THE EXPLANTED DEVICES WERE KEPT BY THE FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
370389 WAVEWRITER ALPHA? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1232 506862 08714729985099

Patients

Seq Age Sex Outcome Treatment
1 74 YR Female Required Intervention