FDA Adverse Event Injury Summary report: N

LINEAR? ST

MDR report key: 25084083 · Received May 5, 2026

Report

Report Number
3006630150-2026-02894
Event Type
Injury
Date Received
May 5, 2026
Date of Event
April 13, 2026
Report Date
May 5, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729767749
PMA / PMN Number
P030017
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, 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 COMPONENTS INVOLVED IN THE EVENT: MODEL NUMBER/CATALOG NUMBER: SC-2218-70. SERIAL NUMBER: (B)(4). BATCH/LOT NUMBER: 7093853 MODEL/CATALOG DESCRIPTION: LINEAR ST LEAD KIT 70 CM. UNIQUE IDENTIFIER (UDI) #: (B)(4). MODEL NUMBER/CATALOG NUMBER: SC-1416. BATCH/LOT NUMBER: 223290. SERIAL NUMBER: (B)(6) MODEL/CATALOG DESCRIPTION: WAVEWRITER ALPHA PRIME 16 IPG KIT UNIQUE IDENTIFIER (UDI) #: (B)(4)

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENTS LEAD WAS MIGRATED. THE PATIENT UNDERWENT A LEAD AND IPG EXPLANT PROCEDURE. NO FURTHER INFORMATION HAS BEEN OBTAINED DESPITE GOOD FAITH EFFORTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
91384 LINEAR? ST STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2218-70 7097307 08714729767749

Patients

Seq Age Sex Outcome Treatment
1 59 YR Female Required Intervention