FDA Adverse Event
Injury
Summary report: N
WAVEWRITER ALPHA?
MDR report key: 24613070
·
Received March 16, 2026
Report
- Report Number
- 3006630150-2026-01535
- Event Type
- Injury
- Date Received
- March 16, 2026
- Date of Event
- February 20, 2026
- Report Date
- May 15, 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
- CO, 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: MODEL NUMBER/CATALOG NUMBER: SC-2366-70, SERIAL NUMBER: (B)(6), BATCH/LOT NUMBER: 7073369 / 7070925 / 7070937 / 7071020, MODEL/CATALOG DESCRIPTION: LINEAR 3-6 LEAD 70 CM, UNIQUE IDENTIFIER (UDI) #: (B)(4).
Description of Event or Problem · 0
IT WAS REPORTED THAT THE PATIENT DEVELOPED AN INFECTION AT THE IMPLANTABLE PULSE GENERATOR (IPG) AND LEAD SITE. THE PATIENT WAS PRESCRIBED WITH ANTIBIOTICS, AND THE WOUND SITE WAS CLEAN UP HOWEVER IT WAS UNSUCCESSFUL IN TENDING THE INFECTION. NO DEVICE MALFUNCTION WAS SUSPECTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 157355 | WAVEWRITER ALPHA? | STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF | LGW | BOSTON SCIENTIFIC NEUROMODULATION CORPORATION | SC-1232 | 542672 | 08714729985099 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 52 YR | Male | Required Intervention |