WAVEWRITER ALPHA? PRIME 16
Report
- Report Number
- 3006630150-2026-00764
- Event Type
- Injury
- Date Received
- February 6, 2026
- Date of Event
- August 1, 2025
- Report Date
- May 18, 2026
- Manufacturer
- BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
- Product Code
- LGW
- UDI-DI
- 08714729985068
- PMA / PMN Number
- P030017
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED SINCE IMPLANT PRIOR TO THE DATE THE MANUFACTURER BECAME AWARE. CORRECTION TO THE INITIAL MDR IN BLOCK H11. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-ADAPTERS UPN: M365SC9218150 MODEL: SC-9218-15 SERIAL: (B)(6) BATCH: 7081805 UDI: (B)(4). PRODUCT FAMILY: SCS-ADAPTERS UPN: M365SC9218150 MODEL: SC-9218-15 SERIAL: (B)(6) BATCH: 7081763 UDI: (B)(4).
BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED SINCE IMPLANT PRIOR TO THE DATE THE MANUFACTURER BECAME AWARE.
IT WAS REPORTED THAT THE IMPLANTABLE PULSE GENERATOR (IPG) WAS LOSING CONNECTION WITH THE PATIENTS TRANSMITTER. PATIENT WAS ALSO EXPERIENCING HEAT, WARMTH AND IRRITATION AT THE BATTERY SITE. THE PATIENT UNDERWENT AN IMPLANTABLE PULSE GENERATOR (IPG) REPLACEMENT PROCEDURE. THE PATIENT IS DOING WELL POSTOPERATIVELY. OLD PRODUCT WAS DISPOSED OF AT THE HOSPITAL.
IT WAS REPORTED THAT THE IMPLANTABLE PULSE GENERATOR (IPG) WAS LOSING CONNECTION WITH THE PATIENTS TRANSMITTER. PATIENT WAS ALSO EXPERIENCING HEAT, WARMTH AND IRRITATION AT THE BATTERY SITE. THE PATIENT UNDERWENT AN IMPLANTABLE PULSE GENERATOR (IPG) REPLACEMENT PROCEDURE. THE PATIENT IS DOING WELL POSTOPERATIVELY. OLD PRODUCT WAS DISPOSED OF AT THE HOSPITAL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 533065 | WAVEWRITER ALPHA? PRIME 16 | STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF | LGW | BOSTON SCIENTIFIC NEUROMODULATION CORPORATION | SC-1416 | 239547 | 08714729985068 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |