FDA Adverse Event Injury Summary report: N

SPECTRA WAVEWRITER?

MDR report key: 24756413 · Received April 1, 2026

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 Manufacturer Narrative · 0

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).

Description of Event or Problem · 0

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