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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC NEUROMODULATION CORPORATION Linear? ST; Stimulator, Spinal-Cord, Totally Implanted For Pain Relief

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BOSTON SCIENTIFIC NEUROMODULATION CORPORATION Linear? ST; Stimulator, Spinal-Cord, Totally Implanted For Pain Relief Back to Search Results
Model Number SC-2218-70
Medical Device Problem Codes Fracture (1260); High impedance (1291); Off-Label Use (1494)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/31/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Additional suspect medical device component involved in the event: model number/catalog number: sc-2218-70, serial number: (b)(6), batch/lot number: 18493340, model/catalog description: linear st lead kit 70 cm, unique identifier (udi): (b)(4).
 
Event or Problem Description
It was reported that during an implantable pulse generator (ipg) revision procedure (mfr 3006630150-2026-06185), the remote control indicated high impedances across the entire lead.Following completion of the procedure, the physician reviewed the patient's chart and identified that one of the leads was fractured and completely severed.No additional information was available.
 
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Brand Name
Linear? ST
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 (Section G)
Boston Scientific Corporation
25155 rye canyon loop
valencia CA 91355
Manufacturer Contact
ricardo amaro castro
25155 rye canyon loop
valencia, CA 91355
+1(320)800-7570
MDR Report Key50942036
Report Number3006630150-2026-06211
Device Sequence Number13446715
Product Code LGW
UDI-Device Identifier08714729767749
UDI-Public(01)08714729767749(17)161013(10)17336949
Combination Product (Y/N)N
Initial Reporter StateTX
Initial Reporter CountryUS
PMA/510(K) Number
P030017
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2015
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 09/29/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Lay User/Patient
Device Expiration Date10/13/2016
Device Model NumberSC-2218-70
Device Catalogue NumberSC-2218-70
Device Lot Number17336949
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 07/31/2026
Initial Report FDA Received Date09/30/2026
Date Device Manufactured10/13/2014
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
Patient Age53 YR
Patient SexFemale
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