FDA Adverse Event Injury Summary report: N

LINEAR? ST

MDR report key: 24867478 · Received April 13, 2026

Report

Report Number
3006630150-2026-02315
Event Type
Injury
Date Received
April 13, 2026
Date of Event
August 1, 2025
Report Date
May 18, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729767725
PMA / PMN Number
P030017
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: APPROXIMATED DATE IS AUGUST PER GFE RESPONSE ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: MODEL NUMBER/CATALOG NUMBER: SC-1216 SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 781081 MODEL/CATALOG DESCRIPTION: WAVEWRITER ALPHA 16 IPG KIT UNIQUE IDENTIFIER (UDI) : (B)(4). ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: MODEL NUMBER/CATALOG NUMBER: SC-2218-50 SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 7160814 MODEL/CATALOG DESCRIPTION: LINEAR ST LEAD KIT 50 CM UNIQUE IDENTIFIER (UDI): (B)(4).

Description of Event or Problem · 0

A PATIENT IMPLANTED WITH A SPINAL CORD STIMULATION (SCS) SYSTEM EXPERIENCED A MAJOR LEAD MIGRATION, WHICH RESULTED IN INADEQUATE STIMULATION. AS A CONSEQUENCE, A REVISION PROCEDURE WAS PERFORMED AND THE SYSTEM WAS REPLACED. FOLLOWING THE PROCEDURE, THE PATIENT WAS REPORTED TO BE DOING WELL AND RECEIVING ADEQUATE STIMULATION. THE FACILITY RETAINED THE EXPLANTED DEVICES AND INDICATED THEY WILL NOT BE RETURNED FOR ANALYSIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
107671 LINEAR? ST STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2218-50 7160813 08714729767725

Patients

Seq Age Sex Outcome Treatment
1