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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC NEUROMODULATION CORPORATION LINEAR? 3-4; STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF

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BOSTON SCIENTIFIC NEUROMODULATION CORPORATION LINEAR? 3-4; STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF Back to Search Results
Model Number SC-2352-50
Medical Device Problem Codes Unexpected Therapeutic Results (1631); Migration (4003)
Health Effect - Clinical Code Pain (1994)
Date of Event 12/18/2025
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
Block b3: exact date unknown, the lead likely migrated one week before the aware date.Block d.2b; additional applicable product codes: qrb.
 
Event or Problem Description
It was reported that medical imaging confirmed migration of the spinal cord stimulation (scs) lead from the epidural space, resulting in inadequate stimulation and patient pain.Consequently, the lead was replaced, and the implantable pulse generator (ipg) was also electively replaced to mitigate the risk of infection.No adverse patient effects were reported following the procedure.The explanted device will not be returned for analysis, as it was discarded by the medical facility.
 
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Brand Name
LINEAR? 3-4
Common Device Name
STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF
Manufacturer (Section D)
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
25155 rye canyon loop
valencia CA 91355
Manufacturer Contact
erik sherburne
25155 rye canyon loop
valencia, CA 91355
7632920920
MDR Report Key24099524
Report Number3006630150-2026-00383
Device Sequence Number10397479
Product Code LGW
UDI-Device Identifier08714729789550
UDI-Public(01)08714729789550
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
P030017
Number of Events Summarized1
Summary Report (Y/N)N
Device Explanted Year2025
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 01/16/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Operator of Device Lay User/Patient
Device Model NumberSC-2352-50
Device Catalogue NumberSC-2352-50
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 12/25/2025
Initial Report FDA Received Date01/16/2026
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Required Intervention;
Patient Age59 YR
Patient SexMale
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