FDA Adverse Event Injury Summary report: N

WAVEWRITER ALPHA?

MDR report key: 24616569 · Received March 17, 2026

Report

Report Number
3006630150-2026-01558
Event Type
Injury
Date Received
March 17, 2026
Date of Event
January 1, 2022
Report Date
March 17, 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
US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: EXACT DATE APPROXIMATED, EVENT OCCURRED IN 2022. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: MODEL NUMBER/CATALOG NUMBER: SC-8336-70. SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 7072315. MODEL/CATALOG DESCRIPTION: COVEREDGE 32 SURGICAL LEAD KIT 70 CM. UNIQUE IDENTIFIER (UDI)#: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT UNDERWENT A PROCEDURE WHEREIN THE IPG AND SPINAL CORD STIMULATOR (SCS) PADDLE LEAD WERE EXPLANTED DUE TO AN UNKNOWN REASON. NO FURTHER INFORMATION HAS BEEN OBTAINED DESPITE GOOD FAITH EFFORTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
678919 WAVEWRITER ALPHA? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1232 536188 08714729985099

Patients

Seq Age Sex Outcome Treatment
1 62 YR Male Required Intervention