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BOSTON SCIENTIFIC NEUROMODULATION CORPORATION Linear? ST; Stimulator, Spinal-Cord, Totally Implanted For Pain Relief
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| Model Number |
SC-2218-70 |
| Medical Device Problem Codes |
High impedance (1291); Nonstandard Device (1420); Unexpected Therapeutic Results (1631)
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| Health Effect - Clinical Code |
Pain (1994)
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| Date of Event |
03/01/2026
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Type of Reportable Event
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Serious Injury
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Event or Problem Description
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It was reported that a patient implanted with a spinal cord stimulation (scs) system experienced a loss of therapy attributed to high impedance and damage to the leads.Troubleshooting efforts, including reprogramming, were performed but were not successful.As a result, the patient underwent a revision procedure during which the leads and clik anchors were replaced.It was noted that the clik anchors had been significantly trimmed by the surgeon.Postoperatively, the patient was evaluated for device programming and subsequently achieved effective coverage of the painful area.
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Additional Manufacturer Narrative
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Block b3: exact date unknown, it was stated it happened on spring.Additional suspect medical device components involved in the event: model number/catalog number: sc-2218-70, serial number: (b)(6), batch/lot number: 5000427, model/catalog description: linear st lead kit 70 cm, unique identifier (udi) #: (b)(4), model number/catalog number: sc-4318, serial number: n/a, batch/lot number: 21504057, model/catalog description: clik x anchor sterile kit, unique identifier (udi) #: (b)(4), model number/catalog number: sc-4318, serial number: n/a, batch/lot number: 21504057, model/catalog description: clik x anchor sterile kit, unique identifier (udi) #: (b)(4).
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Event or Problem Description
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It was reported that a patient implanted with a spinal cord stimulation (scs) system experienced a loss of therapy attributed to high impedance and damage to the leads.Troubleshooting efforts, including reprogramming, were performed but were not successful.As a result, the patient underwent a revision procedure during which the leads and clik anchors were replaced.It was noted that the clik anchors had been significantly trimmed by the surgeon.Postoperatively, the patient was evaluated for device programming and subsequently achieved effective coverage of the painful area.Additional information was received stating that the patient had a follow up appointment and stated that the therapy is better than it was.
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Additional Manufacturer Narrative
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Block b3: exact date unknown, it was stated it happened on spring
additional suspect medical device components involved in the event:
model number/catalog number: sc-2218-70
serial number: (b)(6)
batch/lot number: 5000427
model/catalog description: linear st lead kit 70 cm
unique identifier (udi) #: (b)(4)
model number/catalog number: sc-4318
serial number: n/a
batch/lot number: 21504057
model/catalog description: clik x anchor sterile kit
unique identifier (udi) #: (b)(4)
model number/catalog number: sc-4318
serial number: n/a
batch/lot number: 21504057
model/catalog description: clik x anchor sterile kit
unique identifier (udi) #: (b)(4)
correction to the initial mdr in block: d8 and g2.The leads and one anchor have returned for analysis; however, the investigation only has been completed for the leads.Visual and x-ray inspection of the lead revealed that multiple cables were completely broken at the bent/kinked location of the lead.The bent/kinked location is near the set screw mark of the clik x anchor.There are no exposed cables at the fracture location.The possible flexing of the lead at the exit point of the clik x anchor has resulted in the reported complaint.A labeling review did not reveal any anomalies as it states system failure, which can occur at any time due to random failure(s) of the components or the battery.These events, which may include device failure, lead breakage, hardware malfunctions, loose connections, electrical shorts or open circuits and lead insulation breaches, can result in ineffective pain control and undesirable stimulation may occur over time due to cellular changes in tissue around the electrodes, changes in electrode position, loose electrical connections and/or lead failure are a known risks of implanting a pulse generator as part of a system to deliver spinal cord stimulation.A review of the device history record (dhr) confirmed that the device met specifications prior to shipping.No manufacturing deviations were noted that could have contributed to the event reported.The reported allegations of high impedance, loss of therapy, and lead damage were confirmed.The findings of analyzing the returned leads are consistent with the reported high impedance condition, loss of therapeutic effectiveness and lead damage.The damage of multiple cable fractures resulted in the reported high impedance condition and inadequate stimulation.Therefore, the investigation is assigned the conclusion code of cause traced to component failure.
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