FDA Adverse Event
Injury
Summary report: N
X-STOP IPD SYSTEM
MDR report key: 1162443
·
Received September 16, 2008
Report
- Report Number
- 2953769-2008-00042
- Event Type
- Injury
- Date Received
- September 16, 2008
- Report Date
- August 21, 2008
- Manufacturer
- MEDTRONIC SPINE LLC
- Product Code
- NQO
- PMA / PMN Number
- P040001
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SW
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
METHOD- OTHER; ROUTINE LITERATURE SEARCH. THE FILLING OF THIS REPORT DOES NOT CONSTITUTE AN ADMISSION THAT ANY DEVICE DISCUSSED HEREIN CAUSED OR CONTRIBUTED TO A REPORTABLE EVENT.
Description of Event or Problem · 1
DURING A CLINICAL LITERATURE REVIEW, THERE WAS NO INDICATION OF THE OCCURRENCE OF A SPINOUS PROCESS FRACTURE DURING AN X-STOP PROCEDURE REPORTED. NO OTHER INFO WAS AVAILABLE AT THIS TIME.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | X-STOP IPD SYSTEM | INTERSPINOUS PROCESS SPACER | NQO | MEDTRONIC SPINE LLC | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK | Other |