FDA Adverse Event Malfunction Summary report: N

NA

MDR report key: 25260077 · Received May 22, 2026

Report

Report Number
3006630150-2026-03395
Event Type
Malfunction
Date Received
May 22, 2026
Date of Event
April 28, 2026
Report Date
May 22, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729121732
PMA / PMN Number
P030017
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

D2B: LGW - QRB.

Description of Event or Problem · 0

IT WAS REPORTED THAT THERE WAS A BREAK IN THE STERILE PACKAGING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
574402 NA STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-4206 35307682 08714729121732

Patients

Seq Age Sex Outcome Treatment
1