INFINION? 16
Report
- Report Number
- 3006630150-2026-03452
- Event Type
- Injury
- Date Received
- May 25, 2026
- Date of Event
- October 29, 2020
- Report Date
- May 25, 2026
- Manufacturer
- BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
- Product Code
- LGW
- UDI-DI
- 08714729797814
- PMA / PMN Number
- P030017
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENT INVOLVED IN THE EVENT: MODEL NUMBER/CATALOG NUMBER: SC-2316-50. SERIAL NUMBER:(B)(6). BATCH/LOT NUMBER: 7081323. MODEL/CATALOG DESCRIPTION: INFINION 16 LEAD KIT 50 CM. UNIQUE IDENTIFIER (UDI) #: (B)(4). MODEL NUMBER/CATALOG NUMBER: SC-1432. SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 202953. MODEL/CATALOG DESCRIPTION: WAVEWRITER ALPHA PRIME 32 IPG KIT. UNIQUE IDENTIFIER (UDI) #: (B)(4). MODEL NUMBER/CATALOG NUMBER: SC-2316-50. SERIAL NUMBER:(B)(6). BATCH/LOT NUMBER: 7072118. MODEL/CATALOG DESCRIPTION: INFINION 16 LEAD KIT 50 CM. UNIQUE IDENTIFIER (UDI) #: (B)(4).
THE LEAD WAS REPORTED TO HAVE MIGRATED AND EXHIBITED HIGH IMPEDANCE LEVELS. THE PATIENT EXPERIENCED UNWANTED STIMULATION, INCLUDING BURNING SENSATIONS AND PAIN LOCALIZED AT THE BATTERY SITE. PROGRAMMING OPTIMIZATION WAS ATTEMPTED BUT DID NOT RESOLVE THE ISSUE. PATIENT WAS WORKING WITH THE OFFICE TO GET APPROVAL WITH INSURANCE FOR A REVISION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 74312 | INFINION? 16 | STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF | LGW | BOSTON SCIENTIFIC NEUROMODULATION CORPORATION | SC-2316-50 | 7081317 | 08714729797814 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |