FDA Adverse Event Injury Summary report: N

SPECTRA WAVEWRITER?

MDR report key: 24565030 · Received March 10, 2026

Report

Report Number
3006630150-2026-01406
Event Type
Injury
Date Received
March 10, 2026
Date of Event
February 12, 2026
Report Date
May 15, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729951254
PMA / PMN Number
P030017
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS. UPN: M365SC2317500. MODEL: SC-2317-50. SERIAL: (B)(6). BATCH: 7070732. UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENTS IMPLANTABLE PULSE GENERATOR (IPG) WAS NO LONGER WORKING AS INTENDED. THE PATIENT UNDERWENT AN IPG REPLACEMENT PROCEDURE. THE PHYSICIAN PLUGGED THE SPINAL CORD STIMULATION (SCS) LEAD INTO THE NEW BATTERY AND LEARNED THAT THE INFINION LEAD HAD HIGH IMPEDANCES. THE LEAD WAS REMOVED AND REPLACED WITH TWO LINEAR LEADS. THE PATIENT WAS DOING WELL POSTOPERATIVELY. NO DEVICE WILL BE RETURNED DUE TO FACILITY POLICY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
424787 SPECTRA WAVEWRITER? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1160 362162 08714729951254

Patients

Seq Age Sex Outcome Treatment
1 65 YR Male Required Intervention