FDA Adverse Event Injury Summary report: N

WAVEWRITER ALPHA?

MDR report key: 24539539 · Received March 6, 2026

Report

Report Number
3006630150-2026-01356
Event Type
Injury
Date Received
March 6, 2026
Date of Event
February 17, 2026
Report Date
May 11, 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
IL, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: MODEL NUMBER/CATALOG NUMBER: SC-2218-50, SERIAL NUMBER: (B)(6), BATCH/LOT NUMBER: 7131689, MODEL/CATALOG DESCRIPTION: LINEAR ST LEAD KIT 50 CM, UNIQUE IDENTIFIER (UDI) #: (B)(4) MODEL NUMBER/CATALOG NUMBER: SC-2218-50 SERIAL NUMBER: 7132512 BATCH/LOT NUMBER: 7132512, MODEL/CATALOG DESCRIPTION: LINEAR ST LEAD KIT 50 CM, UNIQUE IDENTIFIER (UDI) #: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT WAS EXPERIENCING INADEQUATE PAIN RELIEF. PROGRAM OPTIMIZATION WAS ATTEMPTED AND WAS NOT SUCCESSFUL. THE PATIENT UNDERWENT IMPLANTABLE PULSE GENERATOR (IPG) EXPLANT PROCEDURE. PATIENT IS DOING FINE POSTOPERATIVELY. FACILITY DOES NOT ALLOW RETURN OF IMPLANTED DEVICES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
153358 WAVEWRITER ALPHA? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1232 577521 08714729985099

Patients

Seq Age Sex Outcome Treatment
1 63 YR Female Required Intervention