FDA Adverse Event Injury Summary report: N

MAGEC SPINAL BRACING AND DISTRACTION SYSTEM

MDR report key: 12012591 · Received June 16, 2021

Report

Report Number
3006179046-2021-00312
Event Type
Injury
Date Received
June 16, 2021
Report Date
June 16, 2021
Manufacturer
NUVASIVE SPECIALIZED ORTHOPEDICS, INC.
Product Code
PGN
PMA / PMN Number
K171791
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WILL 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 PROXIMAL JUNCTIONAL KYPHOSIS (PJK) WAS OBSERVED AT PROXIMAL END OF CONSTRUCT. THE SURGEON WANTS TO CONVERT RIB TO SPINE IN EFFORT TO FIGHT PJK AND REVISE MAGEC RODS. AS PER REPORTER THE ROD WAS WORKING PROPERLY AND WAS MAXED OUT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
905682 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 Other