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 |