Case guide

Spinal Cord Stimulator Fixed or Taken Out? Records That Show Why

If your stimulator was fixed, moved or taken out, your records can show what happened. Here is what to ask for and how to get copies.

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Updated Oct 5, 202630 sources

This may apply to you if

  • You have or had a Boston Scientific, Abbott or Nevro spinal cord stimulator.
  • You had a problem such as shocks, burns, a lead that moved, nerve injury or loss of pain relief.
  • You can get records that show the device and your care.

What the public record says

These are cited sources. Their inclusion does not imply that they endorse People’s Justice or reviewed this page.

Jason E. Pope · Summit Pain Alliance, Santa Rosa, California · First author of a 2017 multicenter study of neurostimulator removals

Finding: In 352 patients whose devices were removed at 18 U.S. centers, lack or loss of efficacy was the most common reason (43.9%), and 18% were explanted by a different physician than the one who implanted the device.

Pope et al., Neuromodulation, 2017 (opens in a new tab) · Jul 17, 2017 · Checked Oct 5, 2026

U.S. Food and Drug Administration · Publisher of the MAUDE database description

Finding: Medical device reports are not meant to evaluate rates of adverse events or compare devices, and a causal link is especially hard to establish when the device has not been directly evaluated.

FDA: About the MAUDE database (opens in a new tab) · Dec 8, 2025 · Checked Oct 5, 2026

The evidence and its limits

Summit Pain Alliance (first author); 18 U.S. centers · Neuromodulation · 2017

Multicenter Retrospective Study of Neurostimulation With Exit of Therapy by Explant

Design:
Cohort
Participants:
352 patients whose neurostimulators were removed at 18 U.S. centers.
Finding:
Lack or loss of pain relief was the most common reason for removal (43.9%), followed by complications (20.2%); 18% were removed by a different doctor.
Main limitation
Looks back only at patients whose devices were removed, so it cannot give a removal rate; reasons are as written in charts.

Read the source: Multicenter Retrospective Study of Neurostimulation With Exit of Therapy by Explant (opens in a new tab) · Checked Oct 5, 2026

Montefiore Medical Center (first author) · Journal of Pain Research · 2025

Spinal Cord Stimulation Explantation and Chronic Pain: A Systematic Review and Technology Recommendations

Design:
Other study design
Participants:
25 studies with 13,026 patients who had a permanent stimulator.
Finding:
About 9.8% had the device removed; poor pain relief (38%), lead failure (15%) and infection (14%) were the leading reasons.
Main limitation
It pools many kinds of studies over 40 years and was read at abstract level. Several authors are paid by stimulator makers, including Boston Scientific and Abbott. It cannot explain why any one person’s device was removed.

Read the source: Spinal Cord Stimulation Explantation and Chronic Pain: A Systematic Review and Technology Recommendations (opens in a new tab) · Checked Oct 5, 2026

Mayo Clinic (first author) · Neuromodulation · 2023

Incidence of Lead Migration With Loss of Efficacy or Paresthesia Coverage After Spinal Cord Stimulator Implantation

Design:
Meta-analysis
Participants:
53 prospective studies and trials with 2,932 patients.
Finding:
Leads moved in about 10% of patients; in the 24 studies that said, 96% of reported moved leads needed a revision or removal.
Main limitation
Patients were not routinely scanned, so leads that moved without symptoms are not counted; fewer than half the studies reported what happened next.

Read the source: Incidence of Lead Migration With Loss of Efficacy or Paresthesia Coverage After Spinal Cord Stimulator Implantation (opens in a new tab) · Checked Oct 5, 2026

University of Milano-Bicocca (first author) · Neuromodulation · 2026

Complication Rates of Spinal Cord Stimulation: A Systematic Review and Meta-Analysis

Design:
Meta-analysis
Participants:
33 studies with 3,445 patients.
Finding:
Revisions (6.31 per 100 patient-years) were more common than removals (2.93); lead migration was more common than infection.
Main limitation
Studies varied widely. The authors say study design, follow-up time and how problems were reported likely explain much of it.

Read the source: Complication Rates of Spinal Cord Stimulation: A Systematic Review and Meta-Analysis (opens in a new tab) · Checked Oct 5, 2026

The short answer

What is a revision or a removal?
A revision is surgery to fix, move or replace part of a stimulator. A removal, also called an explant, takes it out. FDA says any implant can move, break or stop working, and more surgery may follow. [17]
Why are stimulators fixed or taken out?
In studies, the most common reason for removal is pain relief that faded or never came. Lead problems and infection come next. Your surgeon’s notes may say why yours was done. [18]
Which records show what happened?
Ask for the surgery report, the device label or ID, X-rays or scans, and visit notes. Billing records help too, because they show dates. Your legal right to copies covers these when the office or hospital keeps them in your record. [19]
How do I get copies of my records?
Ask each provider in writing. They normally have up to 30 days to respond. You can usually get copies in the form you want, such as by email. [20]

What rules a case out

Not covered by this case

  • This page does not say whether you need surgery. Only your doctor can help you decide that.
  • It does not judge whether a device problem caused your injury.

The process

What happens next

  1. 01

    You answer a few questions

    About two minutes. Nothing is sent until you agree on the last step and press submit.

  2. 02

    A lawyer looks at it

    A lawyer at the firm reads your answers and checks them against the current case criteria.

  3. 03

    The firm decides and gets in touch

    If the firm takes your case, you get the terms in writing to read before you sign. You can always say no.

What is a revision or a removal?

A revision is surgery to fix, move or replace part of a stimulator. A removal, also called an explant, takes it out. FDA says any implant can move, break or stop working, and more surgery may follow.

In one large 2026 review of 33 studies, revisions were more common than removals. It counted about 6 revisions and 3 removals for every 100 years of patient follow-up. About 1 in 10 patients had a lead move in a 2023 review.

A recall can mean a device is checked, adjusted or fixed. When an implant may fail, FDA says the company often asks doctors to talk with patients about the risks of taking it out and of leaving it in. Talk with your doctor before any change.

Why are stimulators fixed or taken out?

In studies, the most common reason for removal is pain relief that faded or never came. Lead problems and infection come next. Your surgeon’s notes may say why yours was done.

A study of 352 nerve stimulator removals at 18 U.S. centers found that 44% were for lack or loss of pain relief. Another 20% were for complications. A 2025 review of 25 studies found 38% for poor pain relief, 15% for lead failure and 14% for infection.

In one U.S. study of 1,014 implant surgeries over 10 years, about 1 in 10 needed another operation. A lead that moved or was placed wrong was the most common reason for a revision.

These studies describe groups of patients. They cannot tell you why your own device was fixed or removed.

Which records show what happened?

Ask for the surgery report, the device label or ID, X-rays or scans, and visit notes. Billing records help too, because they show dates. Your legal right to copies covers these when the office or hospital keeps them in your record.

Under HIPAA, the federal privacy law, your record set includes medical records, billing records, lab results and images such as X-rays. Ask for the unique device identifier, or UDI, of each part taken out or put in. It shows the model, and often the lot or serial number.

Records may sit with more than one doctor. In one study, 18% of patients had their device removed by a different doctor than the one who placed it. Ask each office and hospital that treated you.

Also keep your own notes. Write down when each problem began, what was done and who did it.

How do I get copies of my records?

Ask each provider in writing. They normally have up to 30 days to respond. You can usually get copies in the form you want, such as by email.

A provider may take up to 30 more days, one time. To do that, it must tell you in writing within the first 30 days why, and when you will get your records. If your records are kept electronically, a per-page fee is not allowed. You do not have a right to see a provider’s psychotherapy notes.

If you think something in your record is wrong, you can ask for a change. If the provider says no, you can add a written statement of disagreement to your record.

What happens to a device that is taken out?

If you and your doctor have already planned surgery, ask what will happen to any part that is taken out. FDA says device reports alone rarely prove what caused a problem. It is even harder when no one has examined the device.

In the Boston Scientific case, the parties told the court that devices are being removed while the case goes on. The people suing and Boston Scientific said they will soon start work on an order to save removed devices. As of September 30, 2026, no such order had been entered.

You can report a device problem to FDA through MedWatch yourself; your doctor does not have to do it. Patients can use a simpler form, called Form FDA 3500B. Device makers must tell FDA when they learn their device may have caused or added to a death or serious injury.

Find out where you stand.

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Sources

  1. JPML transfer order, MDL 3181, June 5, 2026JPML transfer order, MDL 3181, June 5, 2026 · court
  2. JPML transfer order, MDL 3194, October 2, 2026JPML transfer order, MDL 3194, October 2, 2026 · court
  3. JPML transfer order, MDL 3195, October 2, 2026JPML transfer order, MDL 3195, October 2, 2026 · court
  4. JPML pending MDL report by actions, October 1, 2026JPML pending MDL report by actions, October 1, 2026 · court
  5. JPML pending MDL report by MDL number, October 1, 2026JPML pending MDL report by MDL number, October 1, 2026 · court
  6. FDA letter to health care providers on spinal cord stimulators, 2020 (FDA archive)FDA letter to health care providers on spinal cord stimulators, 2020 (FDA archive) · regulator
  7. FDA recall notice: Boston Scientific Infinion CX leadFDA recall notice: Boston Scientific Infinion CX lead · regulator
  8. FDA: What is a medical device recall?FDA: What is a medical device recall? · regulator
  9. FDA: Premarket approval (PMA)FDA: Premarket approval (PMA) · regulator
  10. Riegel v. Medtronic, 552 U.S. 312 (2008)Riegel v. Medtronic, 552 U.S. 312 (2008) · regulator
  11. Traeger et al., Cochrane review, 2023Traeger et al., Cochrane review, 2023 · study
  12. Dhruva et al., JAMA Neurology, 2023Dhruva et al., JAMA Neurology, 2023 · study
  13. Eldabe et al., Pain Medicine, 2016Eldabe et al., Pain Medicine, 2016 · study
  14. HHS: Your medical recordsHHS: Your medical records · regulator
  15. ABA Model Rule 1.5: feesABA Model Rule 1.5: fees
  16. S.D.N.Y.: How long do I have to file?S.D.N.Y.: How long do I have to file? · court
  17. FDA: Implants and prosthetics
  18. Pope et al., Neuromodulation, 2017
  19. HHS guidance: Right of access under HIPAA (archived copy)
  20. HHS: Right to access
  21. FDA: About the MAUDE database
  22. Raccagni et al., Neuromodulation, 2026Raccagni et al., Neuromodulation, 2026 · study
  23. West et al., Neuromodulation, 2023West et al., Neuromodulation, 2023 · study
  24. Wahezi et al., Journal of Pain Research, 2025Wahezi et al., Journal of Pain Research, 2025 · study
  25. Papadopoulos et al., Global Spine Journal, 2025Papadopoulos et al., Global Spine Journal, 2025 · study
  26. eCFR: 45 CFR 164.501eCFR: 45 CFR 164.501 · regulator
  27. FDA: UDI basicsFDA: UDI basics · regulator
  28. MDL 3181 joint status report (Sept. 30, 2026)MDL 3181 joint status report (Sept. 30, 2026) · court
  29. FDA: Reporting serious problems to FDA (MedWatch)FDA: Reporting serious problems to FDA (MedWatch) · regulator
  30. FDA: How to report medical device problemsFDA: How to report medical device problems · regulator

Checked against 28 primary sources by People's Justice editors · Updated

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People's Justice research team · Updated Oct 5, 2026