FDA Adverse Event Injury Summary report: N

WAVEWRITER ALPHA? PRIME

MDR report key: 24918035 · Received April 17, 2026

Report

Report Number
3006630150-2026-02441
Event Type
Injury
Date Received
April 17, 2026
Date of Event
March 26, 2026
Report Date
April 17, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729985075
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, 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-8352-70 SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 7003233 MODEL/CATALOG DESCRIPTION: COVEREDGE X 32 SURGICAL LEAD KIT 70 CM UNIQUE IDENTIFIER (UDI)#: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT EXPERIENCED INADEQUATE STIMULATION. THE PATIENT UNDERWENT A SPINAL CORD STIMULATOR (SCS) EXPLANT PROCEDURE. NO FURTHER INFORMATION HAS BEEN OBTAINED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
613510 WAVEWRITER ALPHA? PRIME STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1432 201880 08714729985075

Patients

Seq Age Sex Outcome Treatment
1 53 YR Female Required Intervention