FDA Adverse Event Injury Summary report: N

MECTALIF POSTERIOR (TI PEEK) POSTERIOR INTERBODY FUSION DEVICE PEEK/TI

MDR report key: 10553056 · Received September 18, 2020

Report

Report Number
3005180920-2020-00616
Event Type
Injury
Date Received
September 18, 2020
Date of Event
August 21, 2020
Report Date
September 18, 2020
Manufacturer
MEDACTA INTERNATIONAL SA
Product Code
MAX
UDI-DI
07630030831881
PMA / PMN Number
K133192
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 1

BATCH REVIEW PERFORMED ON (B)(6) 2020. LOT 1822005: 70 ITEMS MANUFACTURED AND RELEASED ON (B)(6) 2019. EXPIRATION DATE: 29-JAN-2024. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, 13 ITEMS OF THE SAME LOT HAVE BEEN ALREADY SOLD WITHOUT ANY OTHER SIMILAR REPORTED EVENT. IN THIS COMPLAINT TWO CAGES OF THE SAME LOT ARE INVOLVED IN THE EVENT. CLINICAL EVALUATION PERFORMED BY MEDICAL AFFAIRS DIRECTOR FEW WEEKS AFTER TWO-LEVEL LUMBAR STABILIZATION SURGERY, THE INTERBODY CAGES WERE FOUND TO BE MOBILE AND THEREFORE REPLACED WITH OBLIQUE ONES. THIS CAN BE DUE TO INSUFFICIENT INTERFERENCE OF THE CAGES WITH THE BONE OR TO EXCESSIVE DISTRACTION BETWEEN THE VERTEBRAL BODIES. THERE IS NO INDICATION LEADING TO SUSPECT A FAULTY DEVICE AS RESPONSIBLE FOR THE NEED TO REOPERATE.

Description of Event or Problem · 1

REVISION SURGERY PERFORMED DUE TO CAGES MOBILIZATION 1 MONTH AFTER THE PRIMARY SURGERY. THE POSTERIOR CAGES WERE REPLACED WITH AN OBLIQUE CAGE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1017911 MECTALIF POSTERIOR (TI PEEK) POSTERIOR INTERBODY FUSION DEVICE PEEK/TI INTERVERTEBRAL CAGE MAX MEDACTA INTERNATIONAL SA 03.27.046 1822005 07630030831881

Patients

Seq Age Sex Outcome Treatment
1 80 YR Required Intervention