FDA Adverse Event Injury Summary report: N

PRECISION? MONTAGE? MRI

MDR report key: 24991739 · Received April 25, 2026

Report

Report Number
3006630150-2026-02629
Event Type
Injury
Date Received
April 25, 2026
Date of Event
March 30, 2026
Report Date
April 25, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GA, 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-8416-50. SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 7073481. MODEL/CATALOG DESCRIPTION: ARTISAN MRI PADDLE LEAD 50 CM. UNIQUE IDENTIFIER (UDI) #: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENTS IMPLANTABLE PULSE GENERATOR (IPG) HAD MIGRATED AND THE PATIENT EXPERIENCED A DISCOMFORT DUE TO ITS POSITION AND HAD AN INADEQUATE STIMULATION. ALL COMPONENTS WERE EXPLANTED AND DISCARDED PER HOSPITAL POLICY. THE PATIENT WAS DOING WELL POSTOPERATIVELY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
542466 PRECISION? MONTAGE? MRI STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1200 374842

Patients

Seq Age Sex Outcome Treatment
1