VERTEX RECONSTRUCTION SYSTEM
Report
- Report Number
- 1030489-2021-01090
- Event Type
- Malfunction
- Date Received
- August 26, 2021
- Date of Event
- January 7, 2021
- Report Date
- August 26, 2021
- Manufacturer
- MEDTRONIC SOFAMOR DANEK USA, INC.
- Product Code
- KWP
- PMA / PMN Number
- UNKNOWN
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- OTHER
Narratives
NEITHER THE DEVICE NOR FILMS OF APPLICABLE IMAGING STUDIES WERE RETURNED TO THE MANUFACTURER FOR EVALUATION. THEREFORE, WE ARE UNABLE TO DETERMINE THE DEFINITIVE CAUSE OF THE REPORTED EVENT. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.
CHRISTOPH SCHOLZ., JAN-HELGE KLINGLER., WASEEM MASALHA., MARC HOHENHAUS., FLORIAN VOLZ., IOANNIS VASILIKOS., ROLAND ROELZ., CHRISTIAN SCHEIWE., ULRICH HUBBE. ¿LONG-TERM RESULTS AFTER MULTILEVEL FUSION OF THE CERVICAL SPINE AND THE CERVICOTHORACIC JUNCTION: TO BRIDGE OR NOT TO BRIDGE?¿ WORLD NEUROSURG. (2021) 148:E556-E564. HTTPS://DOI.ORG/10.1016/J.WNEU.2021.01.025 OBJECTIVE: FOR PATIENTS WITH MULTILEVEL DEGENERATIVE CERVICAL MYELOPATHY, LAMINECTOMY AND FUSION ARE WIDELY ACCEPTED TECHNIQUES FOR AMELIORATING THE DISORDER. HOWEVER, THE IDEA OF WHETHER ONE SHOULD BRIDGE THE CERVICOTHORACIC JUNCTION TO PREVENT INSTRUMENT FAILURE OR ADJACENT SEGMENT DISEASE HAS BEEN A SUBJECT OF CONTROVERSIAL DISCUSSION. IN THE PRESENT STUDY, WE COMPARED THE INCIDENCE OF THESE COMPLICATIONS AND THE REVISION RATES IN MULTILEVEL FUSIONS EXTENDING TO C7 OR T1ET3. METHODS: IN THE PRESENT SINGLE-CENTER, RETROSPECTIVE COHORT STUDY, PATIENTS WITH MULTILEVEL DEGENERATIVE CERVICAL MYELOPATHY TREATED WITH LAMINECTOMY AND FUSION TO C7 OR T1-T3 FROM 2004 TO 2016 WERE INCLUDED FOR EVALUATION. THE PRIMARY OUTCOME MEASURE WAS RADIOLOGICALLY PROVEN COMPLICATIONS AT THE MOST CAUDAL LEVEL OR THE ADJACENT SPINAL FUSION LEVEL. REPORTED EVENTS: THE FOLLOWING SYSTEMS FOR FUSION WERE USED: NEON SYSTEM, 40 TIMES, AND NEON3 SYSTEM, 13 TIMES (BOTH ULRICH MEDICAL, ULM, GERMANY); VERTEX SELECT, 3 TIMES (MEDTRONIC, MINNEAPOLIS, MINNESOTA, USA); AND OASYS, 2 TIMES (STRYKER, KALAMAZOO, MICHIGAN, USA). SCREW BREAKAGE OCCURRED 7 TIMES WITH THE NEON AND 1 TIME EACH WITH THE NEON3 AND THE VERTEX SELECT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1266560 | VERTEX RECONSTRUCTION SYSTEM | APPLIANCE, FIXATION, SPINAL INTERLAMINAL | KWP | MEDTRONIC SOFAMOR DANEK USA, INC. | MSB_UNK_SCRW_VTX | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |