SPECTRA WAVEWRITER?
Report
- Report Number
- 3006630150-2026-01979
- Event Type
- Injury
- Date Received
- April 1, 2026
- Date of Event
- December 16, 2025
- Report Date
- April 1, 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 SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: MODEL NUMBER/CATALOG NUMBER: SC-9208-15. SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 7027288. MODEL/CATALOG DESCRIPTION: PRECISION S8 ADAPTER 15CM. UNIQUE IDENTIFIER (UDI):(B)(4). MODEL NUMBER/CATALOG NUMBER: SC-9208-15. SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 7070134. MODEL/CATALOG DESCRIPTION: PRECISION S8 ADAPTER 15CM. UNIQUE IDENTIFIER (UDI): (B)(4).
IT WAS REPORTED THAT DESPITE OF OPTIMIZING THE PROGRAM, THE PATIENT EXPERIENCED INADEQUATE STIMULATION, BURNING SENSATION AND PAIN AT THE LOWER BACK. THREE ELEVATED IMPEDANCES WERE NOTED AND THE PHYSICIAN SUSPECTED IT WAS DUE TO S8 ADAPTER CONNECTION SITE. THE PATIENT UNDERWENT A REVISION PROCEDURE WHEREIN IMPLANTABLE PULSE GENERATOR (IPG) WAS REPLACED WITH MRI CAPABLE DEVICE AND ONE OF THE ADAPTERS WAS REPLACED TO CLEAR IMPEDANCES. THE PATIENT WAS DOING WELL POSTOPERATIVELY. ALL EXPLANTED DEVICE COMPONENTS WILL NOT BE RETURNED PER FACILITY POLICY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 816349 | SPECTRA WAVEWRITER? | STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF | LGW | BOSTON SCIENTIFIC NEUROMODULATION CORPORATION | SC-1160 | 367314 | 08714729951254 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 65 YR | Male | Required Intervention |