FDA Adverse Event Injury Summary report: N

WAVEWRITER ALPHA? PRIME 16

MDR report key: 24283304 · Received February 6, 2026

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

Additional Manufacturer Narrative · 0

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).

Additional Manufacturer Narrative · 0

BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED SINCE IMPLANT PRIOR TO THE DATE THE MANUFACTURER BECAME AWARE.

Description of Event or Problem · 0

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.

Description of Event or Problem · 0

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