FDA Adverse Event Other Summary report: N

OPTIMESH

MDR report key: 1239143 · Received November 17, 2008

Report

Report Number
2135156-2008-00002
Event Type
Other
Date Received
November 17, 2008
Date of Event
October 21, 2008
Report Date
October 17, 2008
Manufacturer
SPINEOLOGY, INC.
Product Code
EZX
PMA / PMN Number
K014200
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

REVIEW OF CT SCAN PRIOR TO REVISION DID NOT INDICATE OBVIOUS COMPROMISE OF DEVICE, BUT BONE WAS NOTED IN THE FORAMEN. DR. IS CONCERNED THAT NERVE ROOT MAY HAVE BEEN STRETCHED/IRRITATED BY RETRACTION DURING THE SECOND SURGERY.

Description of Event or Problem · 1

PT REPORTED LEG AND GROIN PAIN FOLLOWING INTERBODY FUSION SURGERY. SURGEON WAS CONCERNED THAT CONTAINMENT MESH MAY HAVE BEEN COMPROMISED. DEVICE AND BONE GRAFT WERE EXPLANTED ONE WEEK AFTER ORIGINAL SURGERY AND A NEW DEVICE WAS PLACED FROM THE CONTRALATERAL SIDE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OPTIMESH GRAFT CONTAINMENT MESH EZX SPINEOLOGY, INC. 1500E S08005

Patients

Seq Age Sex Outcome Treatment
1 55 YR Hospitalization| O