FDA Adverse Event Injury Summary report: N

WAVEWRITER ALPHA? PRIME 16

MDR report key: 24340060 · Received February 13, 2026

Report

Report Number
3006630150-2026-00898
Event Type
Injury
Date Received
February 13, 2026
Date of Event
February 1, 2025
Report Date
February 13, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729985068
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED TWO MONTHS AFTER IMPLANT PRIOR TO THE DATE THE MANUFACTURER BECAME AWARE. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS, MODEL: SC-2218-70, SERIAL: (B)(6), BATCH: 7097949, UPN: M365SC2218700, UDI: (B)(4). PRODUCT FAMILY: SCS-LINEAR LEADS, MODEL: SC-2218-70, SERIAL: (B)(6), BATCH: 7092348, UPN: M365SC2218700, UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT EXPERIENCED BOTH INADEQUATE AND OVER STIMULATION CAUSING THE PATIENT TO FURTHER EXPERIENCE DIFFERENT SYMPTOMS SUCH AS PAIN AT THE POCKET SITE, TINGLING SENSATION, WEAKNESS AND HYPERSENSITIVITY. THE PATIENT UNDERWENT A SCS EXPLANT PROCEDURE, WAS DOING WELL POSTOPERATIVELY AND THE EXPLANTED DEVICES WERE KEPT BY THE FACILITY. NO DEVICE MALFUNCTION WAS SUSPECTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
401072 WAVEWRITER ALPHA? PRIME 16 STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1416 225825 08714729985068

Patients

Seq Age Sex Outcome Treatment
1 68 YR Male Required Intervention