FDA Adverse Event
Injury
Summary report: N
LINEAR? ST
MDR report key: 25053307
·
Received April 30, 2026
Report
- Report Number
- 3006630150-2026-02786
- Event Type
- Injury
- Date Received
- April 30, 2026
- Date of Event
- April 1, 2026
- Report Date
- April 30, 2026
- Manufacturer
- BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
- Product Code
- LGW
- UDI-DI
- 08714729784067
- 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-2218-50E SERIAL NUMBER: (B)(6) BATCH/LOT NUMBER: 7180761 MODEL/CATALOG DESCRIPTION: LINEAR ST TRIAL LEAD KIT 50 CM UNIQUE IDENTIFIER (UDI #): (B)(4).
Description of Event or Problem · 0
IT WAS REPORTED THAT THE PATIENT EXPERIENCED A LOSS OF STIMULATION DUE TO SPINAL CORD STIMULATOR (SCS) TRIAL LEAD MIGRATION. THE PATIENT UNDERWENT AN EARLY LEAD PULL PROCEDURE. THE EXPLANTED DEVICES WERE NOT RETURNED AS THEY WERE DISCARDED BY THE MEDICAL FACILITY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 135173 | LINEAR? ST | STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF | LGW | BOSTON SCIENTIFIC NEUROMODULATION CORPORATION | SC-2218-50E | 7180749 | 08714729784067 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 73 YR | Female | Required Intervention |