FDA Adverse Event Injury Summary report: N

CD HORIZON SPINAL SYSTEM

MDR report key: 10268100 · Received July 13, 2020

Report

Report Number
1030489-2020-00888
Event Type
Injury
Date Received
July 13, 2020
Report Date
July 14, 2020
Manufacturer
MEDTRONIC SOFAMOR DANEK USA, INC
Product Code
KWQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

INFORMATION WAS RECEIVED FROM A HEALTH CARE PROVIDER VIA A MANUFACTURER REPRESENTATIVE REGARDING A PATIENT WITH LUMBAR SPINAL CANAL STENOSIS FOR POSTERIOR LUMBAR FUSION (PLF) FUSION THERAPY. IT WAS REPORTED THAT L4/5 ADJACENT SEGMENT DISEASE AFTER L3/4 PLF FIXATION OCCURRED. RE OPERATION WAS SCHEDULED FOR JUNE, 23. PS WILL BE ADDED AT L5, DECOMPRESSION AND PLF WILL BE PERFORMED AT L4/5 IF BONE FUSION IS ACHIEVED AFTER OPENING THE PATIENT. THERE WERE PATIENT SYMPTOMS REPORTED. THERE WERE NO FURTHER COMPLICATIONS REPORTED REGARDING THE EVENT. ADDITIONAL INFORMATION WAS RECEIVED FROM MANUFACTURER REPRESENTATIVE REGARDING A PATIENT HAVING PARALYSIS ON THE LATERAL SIDE OF THE RIGHT THIGH AND THE LOWER MEDIAL SIDE OF THE RIGHT KNEE, LEADING TO RE OPERATION. AS TO THE PATIENT'S CONDITION AFTER THE RE OPERATION, POSTOPERATIVE LEG MOVEMENT WAS ALSO GOOD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
726509 CD HORIZON SPINAL SYSTEM KWQ MEDTRONIC SOFAMOR DANEK USA, INC MSB_UK_SOLERA 4.75 UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 79 YR Required Intervention