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 |