FDA Adverse Event Malfunction Summary report: N

LINEAR? ST

MDR report key: 24851368 · Received April 11, 2026

Report

Report Number
3006630150-2026-02264
Event Type
Malfunction
Date Received
April 11, 2026
Date of Event
March 18, 2026
Report Date
April 11, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729767749
PMA / PMN Number
P030017
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
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 COMPONENT INVOLVED IN THE EVENT: MODEL NUMBER/CATALOG NUMBER: SC-2218-70. SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 7111267. MODEL/CATALOG DESCRIPTION: LINEAR ST LEAD KIT 70 CM. UNIQUE IDENTIFIER (UDI) #: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT HAD FRACTURED CONTACTS. IT WAS NOTED THAT THE PATIENT SUFFERED A FALL THAT MAY HAVE IMPACTED THE SPINAL CORD STIMULATOR (SCS) LEADS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
239891 LINEAR? ST STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2218-70 7109642 08714729767749

Patients

Seq Age Sex Outcome Treatment
1 43 YR Female