FDA Adverse Event
Injury
Summary report: N
INFINION? 16
MDR report key: 25308334
·
Received May 27, 2026
Report
- Report Number
- 3006630150-2026-03539
- Event Type
- Injury
- Date Received
- May 27, 2026
- Date of Event
- January 22, 2026
- Report Date
- May 27, 2026
- Manufacturer
- BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
- Product Code
- LGW
- UDI-DI
- 08714729837145
- PMA / PMN Number
- P030017
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: MODEL NUMBER/CATALOG NUMBER: SC-2316-70E. SERIAL NUMBER: (B)(6). BATCH/LOT NUMBER: 7092728. MODEL/CATALOG DESCRIPTION: 1X16 PERC LEAD TRIAL KIT, 70 CM. UNIQUE IDENTIFIER (UDI) #: (B)(4).
Description of Event or Problem · 0
IT WAS REPORTED THAT THE PATIENT WAS EXPERIENCING LOSS OF CONSCIOUSNESS (SYNCOPE). THE PATIENT UNDERWENT TRIAL PROCEDURE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 429125 | INFINION? 16 | STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF | LGW | BOSTON SCIENTIFIC NEUROMODULATION CORPORATION | SC-2316-70E | 7092879 | 08714729837145 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |