Additional Manufacturer Narrative · 1
AFTER EXAMINING THE AVAILABLE EVIDENCE, THE LIKELIHOOD OF ORTHOVITA'S DEVICE BEING THE CAUSATIVE AGENT IN THIS EVENT IS REMOTE. ALTHOUGH ORTHOVITA DOES NOT BELIEVE THIS EVENT IS DEVICE-RELATED, WE ARE FILING THIS REPORT FOR CLARIFICATION. THERE IS PEER-REVIEWED LITERATURE THAT SUPPORTS THE OCCURRENCE OF THESE SYMPTOMS WITH THE USE OF BMPS (SHIELDS LBE, RAQUE GH, GLASSMAN SD. ADVERSE EFFECTS ASSOCIATED WITH HIGH-DOSE RECOMBINANT HUMAN BONE MORPHOGENIC PROTIEN-2 USE IN ANTERIOR CERVICAL SPINE FUSION. SPINE 2006; 31:542-7 AND SMUCKER JD, RHEE JM, SINGH D ET AL. INCREASED SWELLING COMPLICATIONS ASSOCIATED WITH OFF-LABEL USAGE OF RHBMP-2 IN THE ANTERIOR CERVICAL SPINE. SPINE 2006;31:2813-9. THERE ARE NO MDRS OR PUBLISHED LITERATURE TO SUPPORT THE OCCURRENCE OF THESE SYMPTOMS WHEN VITOSS IS USED WITHOUT BMPS.