FDA Adverse Event Injury Summary report: N

WAVEWRITER ALPHA?

MDR report key: 24864059 · Received April 13, 2026

Report

Report Number
3006630150-2026-02304
Event Type
Injury
Date Received
April 13, 2026
Date of Event
March 17, 2026
Report Date
April 13, 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
TN, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: MODEL NUMBER/CATALOG NUMBER: SC-2218-70 SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 7091794 MODEL/CATALOG DESCRIPTION: LINEAR ST LEAD KIT 70 CM UNIQUE IDENTIFIER (UDI) #: (B)(4). MODEL NUMBER/CATALOG NUMBER: SC-2218-70 SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 7081432 MODEL/CATALOG DESCRIPTION: LINEAR ST LEAD KIT 70 CM UNIQUE IDENTIFIER (UDI) #: (B)(4). MODEL NUMBER/CATALOG NUMBER: SC-2218-70 SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 7089712 MODEL/CATALOG DESCRIPTION: LINEAR ST LEAD KIT 70 CM UNIQUE IDENTIFIER (UDI) #: (B)(4). MODEL NUMBER/CATALOG NUMBER: SC-2218-70 SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 7090374 MODEL/CATALOG DESCRIPTION: LINEAR ST LEAD KIT 70 CM UNIQUE IDENTIFIER (UDI) #: (B)(4). MODEL NUMBER/CATALOG NUMBER: SC-4318 BATCH/LOT NUMBER: 27975156 MODEL/CATALOG DESCRIPTION: CLIK X ANCHOR STERILE KIT UNIQUE IDENTIFIER (UDI) #: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT DEVELOPED AN INFECTION AT THE BATTERY SITE WITH SYMPTOMS OF INCREASING PAIN, HEADACHE, SWELLING AND A PINK RASH. THE PHYSICIAN TRIED TO ASPIRATE, FIRST 3 NEEDLE POKES HE GOT NOTHING OUT AND SWITCHED TO A BIGGER NEEDLE AND WAS ABLE TO PULL OUT ONLY 1CC OF BLOODY STUFF. THE PATIENT WAS SENT TO THE EMERGENCY ROOM (ER) AND BLOOD WORK. COMPUTED TOMOGRAPHY (CT) CONFIRMED AN ABSCESS. THE THORACIC LEADS AND BATTERY SITE HAD FLUIDS. THE PATIENT UNDERWENT SPINAL CORD STIMULATION (SCS) EXPLANT PROCEDURE. CULTURES CAME BACK POSITIVE FOR STAPHYLOCOCCUS 4+. PATIENT WAS GIVEN ANTIBIOTICS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
518509 WAVEWRITER ALPHA? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1232 766705 08714729985099

Patients

Seq Age Sex Outcome Treatment
1 44 YR Female Required Intervention