FDA Adverse Event Injury Summary report: N

LINEAR? ST

MDR report key: 25173534 · Received May 14, 2026

Report

Report Number
3006630150-2026-03139
Event Type
Injury
Date Received
May 14, 2026
Date of Event
April 21, 2026
Report Date
May 14, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729767725
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, 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-2218-50. SERIAL NUMBER:(B)(6) BATCH/LOT NUMBER: 14500983. MODEL/CATALOG DESCRIPTION: LINEAR ST LEAD KIT 50 CM. UNIQUE IDENTIFIER (UDI) #: (B)(4). MODEL NUMBER/CATALOG NUMBER: SC-1110-02. SERIAL NUMBER: (B)(6) BATCH/LOT NUMBER: 212428. MODEL/CATALOG DESCRIPTION: PRECISION IPG KIT. UNIQUE IDENTIFIER (UDI) #: (B)(4). MODEL NUMBER/CATALOG NUMBER: SC-4316. BATCH/LOT NUMBER: 14312621. MODEL/CATALOG DESCRIPTION: CLIK ANCHOR. UNIQUE IDENTIFIER (UDI) #: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE LEADS MIGRATED WHICH WAS CONFIRMED IMAGING. PATIENT ALSO WAS EXPERIENCING INADEQUATE PAIN RELIEF. THE PATIENT UNDERWENT LEAD EXPLANT PROCEDURE. PATIENT HAS FULLY RECOVERED POSTOPERATIVELY. THE EXPLANTED DEVICE WAS DISPOSED BY FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
139821 LINEAR? ST STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-2218-50 14500984 08714729767725

Patients

Seq Age Sex Outcome Treatment
1