FDA Adverse Event Malfunction Summary report: N

MAGEC SPINAL BRACING AND DISTRACTION SYSTEM

MDR report key: 11886880 · Received May 26, 2021

Report

Report Number
3006179046-2021-00283
Event Type
Malfunction
Date Received
May 26, 2021
Report Date
May 26, 2021
Manufacturer
NUVASIVE SPECIALIZED ORTHOPEDICS, INC.
Product Code
PGN
PMA / PMN Number
K171791
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS NOT BEEN RETURNED FOR EVALUATION. THE ROOT CAUSE IS UNABLE TO BE DETERMINED AT THIS TIME. IF ANY ADDITIONAL INFORMATION HAS BEEN PROVIDED, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem · 1

INFORMATION WAS RECEIVED THAT A REVISION PROCEDURE IS PLANNED FOR (B)(6) 2021. AS PER THE REPORTER, THE ROD IS JAMMED AND WON'T LENGTHEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
787702 MAGEC SPINAL BRACING AND DISTRACTION SYSTEM GROWING ROD SYSTEM - MAGNETIC ACTUATION PGN NUVASIVE SPECIALIZED ORTHOPEDICS, INC. UNKNOWN UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1