FDA Adverse Event Injury Summary report: N

WAVEWRITER ALPHA? 16

MDR report key: 25084763 · Received May 5, 2026

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

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-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).

Description of Event or Problem · 0

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