FDA Adverse Event
Injury
Summary report: N
WAVEWRITER ALPHA?
MDR report key: 25095772
·
Received May 6, 2026
Report
- Report Number
- 3006630150-2026-02926
- Event Type
- Injury
- Date Received
- May 6, 2026
- Date of Event
- April 10, 2026
- Report Date
- May 6, 2026
- Manufacturer
- BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
- Product Code
- LGW
- UDI-DI
- 08714729985099
- PMA / PMN Number
- P030017
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
BLOCK B3: EXACT DATE UNKNOWN, EXPLANT DATE USED AS THE APPROXIMATED DATE OF EVENT. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: MODEL NUMBER/CATALOG NUMBER: SC-8352-50. SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 7070887. MODEL/CATALOG DESCRIPTION: COVEREDGE X 32 SURGICAL LEAD KIT 50 CM. UNIQUE IDENTIFIER (UDI)#: (B)(4).
Description of Event or Problem · 0
IT WAS REPORTED THAT THE PATIENT HAD DEVELOPED AN INFECTION AT THE MIDLINE INCISION WHICH CAUSED DRAINAGE, FEVER AND PAIN. THE PATIENT WAS PROVIDED WITH ANTIBIOTICS. THE PATIENT UNDERWENT A SPINAL CORD STIMULATOR (SCS) EXPLANT PROCEDURE, WAS DOING WELL POSTOPERATIVELY AND THE EXPLANTED DEVICES WERE DISPOSED OF BY THE FACILITY. CULTURES WERE TAKEN AND THE RESULTS REVEALED POSITIVE FOR INFECTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 499901 | WAVEWRITER ALPHA? | STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF | LGW | BOSTON SCIENTIFIC NEUROMODULATION CORPORATION | SC-1232 | 816637 | 08714729985099 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 32 YR | Female | Required Intervention |