WAVEWRITER ALPHA? 16
Report
- Report Number
- 3006630150-2026-02905
- 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
- 08714729985082
- PMA / PMN Number
- P030017
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AL, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
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-9208-55. SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 7070742. MODEL/CATALOG DESCRIPTION: PRECISION S8 ADAPTER, 55CM. UNIQUE IDENTIFIER (UDI) #: (B)(4). MODEL NUMBER/CATALOG NUMBER: SC-9208-55. BATCH/LOT NUMBER: 7070715. SERIAL NUMBER: (B)(6). MODEL/CATALOG DESCRIPTION: PRECISION S8 ADAPTER, 55CM. UNIQUE IDENTIFIER (UDI) #: (B)(4).
IT WAS REPORTED THAT THE PATIENT DEVELOPED AN INFECTION AT THE BATTERY INCISION LEFT FLANK. SYMPTOMS OF CHILLS, PAIN, WARM TO TOUCH WERE NOTED. THE PHYSICIAN CONFIRMED THAT THE INFECTION WAS NOT DEVICE OR PROCEDURE RELATED. THE PATIENT WAS ADMINISTERED WITH ANTIBIOTICS AND UNDERWENT A SPINAL CORD STIMULATOR (SCS) SYSTEM EXPLANT PROCEDURE. THE EXPLANTED DEVICE COMPONENTS WERE NOT RETURNED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 97454 | WAVEWRITER ALPHA? 16 | STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF | LGW | BOSTON SCIENTIFIC NEUROMODULATION CORPORATION | SC-1216 | 815373 | 08714729985082 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |