FDA Adverse Event Injury Summary report: N

SPECTRA WAVEWRITER?

MDR report key: 25225526 · Received May 19, 2026

Report

Report Number
3006630150-2026-03315
Event Type
Injury
Date Received
May 19, 2026
Date of Event
December 26, 2025
Report Date
May 19, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729951254
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

BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED TWO MONTHS AGO FROM THE DATE THE MANUFACTURER WAS MADE AWARE. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: MODEL NUMBER/CATALOG NUMBER: SC-2317-50 . SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 5042087 / 7072707. MODEL/CATALOG DESCRIPTION: INFINION CX LEAD KIT, 50CM . UNIQUE IDENTIFIER (UDI) #: (B)(4). MODEL NUMBER/CATALOG NUMBER: SC-4318 . BATCH/LOT NUMBER: 25949814 . MODEL/CATALOG DESCRIPTION: CLIK X ANCHOR STERILE KIT . UNIQUE IDENTIFIER (UDI) #: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT ALL COMPONENTS WERE EXPLANTED DUE TO INADEQUATE STIMULATION. THE EXPLANTED PRODUCTS WILL NOT BE RETURNED PER HOSPITAL POLICY, AND PATIENT WAS DOING WELL POSTOPERATIVELY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
358335 SPECTRA WAVEWRITER? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1160 373054 08714729951254

Patients

Seq Age Sex Outcome Treatment
1