FDA Adverse Event Injury Summary report: N

WAVEWRITER ALPHA?

MDR report key: 25224999 · Received May 19, 2026

Report

Report Number
3006630150-2026-03301
Event Type
Injury
Date Received
May 19, 2026
Date of Event
October 30, 2024
Report Date
May 19, 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
NC, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL SUSPECTS MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: MODEL NUMBER/CATALOG NUMBER: SC-2366-50 SERIAL NUMBER: (B)(6) BATCH/LOT NUMBER: 7071180 MODEL/CATALOG DESCRIPTION: LINEAR 3-6 LEAD 50 CM UNIQUE IDENTIFIER (UDI) #: (B)(4) MODEL NUMBER/CATALOG NUMBER: SC-2366-50 SERIAL NUMBER: (B)(6) BATCH/LOT NUMBER: 7071105 MODEL/CATALOG DESCRIPTION: LINEAR 3-6 LEAD 50 CM UNIQUE IDENTIFIER (UDI) #: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT WAS EXPERIENCING INADEQUATE PAIN RELIEF AND NO PAIN RELIEF. THE PATIENT UNDERWENT A SPINAL CORD STIMULATOR (SCS) SYSTEM EXPLANT PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
104585 WAVEWRITER ALPHA? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1232 528021 08714729985099

Patients

Seq Age Sex Outcome Treatment
1