FDA Adverse Event Injury Summary report: N

WAVEWRITER ALPHA?

MDR report key: 24897258 · Received April 16, 2026

Report

Report Number
3006630150-2026-02388
Event Type
Injury
Date Received
April 16, 2026
Date of Event
October 1, 2025
Report Date
April 16, 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
TX, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED ABOUT A MONTH AGO PRIOR TO THE DATE THE MANUFACTURER BECAME AWARE. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: MODEL NUMBER/CATALOG NUMBER: SC-2318-70. SERIAL NUMBER:(B)(6). BATCH/LOT NUMBER: 5002178. MODEL/CATALOG DESCRIPTION: INFINION PRO LEAD KIT, 16 CONTACT, 70CM. UNIQUE IDENTIFIER (UDI) #: (B)(4). MODEL NUMBER/CATALOG NUMBER: SC-2318-70. SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 5002307. MODEL/CATALOG DESCRIPTION: INFINION PRO LEAD KIT, 16 CONTACT, 70CM UNIQUE IDENTIFIER (UDI) #: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT WAS EXPERIENCING INADEQUATE PAIN RELIEF. THE PATIENT UNDERWENT SPINAL CORD STIMULATION (SCS) EXPLANT PROCEDURE. PATIENT STATUS WAS GOOD POSTOPERATIVELY. PRODUCT WAS RETAINED BY FACILITY AND WILL NOT BE RELEASED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
553107 WAVEWRITER ALPHA? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1232 765634 08714729985099

Patients

Seq Age Sex Outcome Treatment
1