FDA Adverse Event Injury Summary report: N

MID-C 125

MDR report key: 12954650 · Received December 7, 2021

Report

Report Number
3013461531-2021-00042
Event Type
Injury
Date Received
December 7, 2021
Date of Event
October 28, 2021
Report Date
December 7, 2021
Manufacturer
APIFIX LTD
Product Code
QGP
PMA / PMN Number
H170001
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AU
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION: PRODUCTION PROCESS ANALYSIS: A REVIEW OF THE DHR DEMONSTRATED THAT THE MID-C SYSTEM WAS MANUFACTURED, TESTED, AND RELEASED ACCORDING TO SPECIFICATION. USER (SURGEON AND PATIENT) INFORMATION ANALYSIS: THE LORDOSIS CHANGED FROM 62 AT PRE-OP TO 54 AT POST-OP WHICH IS REASONABLE. THE CURVE LB BENDING WAS 33. THE LOWER SCREW IS SUSPECTED TO BE OUT OF THE PEDICLE, ONLY A CT CAN CONFIRM. RISK ASSESSMENT: THE CURRENT DEVICE SCREW MISPLACEMENT /MIGRATION RATE DUE TO ANY REASON IS 1.62% AND IS IN LINE WITH THE RATE REPORTED IN THE LITERATURE FOR THIS TYPE OF COMPLICATION AS DESCRIBED IN THE COMPANY'S CLINICAL EVALUATION REPORT (B)(4). THE RISK OF THE SCREW MISPLACEMENT /MIGRATION HAS BEEN ASSESSED AND FOUND TO BE ACCEPTABLE (B)(4).

Additional Manufacturer Narrative · 0

THE RISK OF SPINE IMBALANCE IS A KNOWN RISK. THE CURRENT SPINE IMBALANCE COMPLAINT RATE IS (B)(4) AND HAS BEEN ASSESSED AND FOUND TO BE ACCEPTABLE PER THE COMPANY CER. (DMS-727 REV T). THE EVENT OF SPINE IMBALANCE IS ADDRESSED IN THE IFU AS POTENTIAL RISKS ASSOCIATED WITH THE MID-C SYSTEM 1. CURVE PROGRESSION ABOVE OR BELOW THE IMPLANT 2. LORDOSIS/KYPHOSIS CHANGES.

Description of Event or Problem · 0

THE SURGEON, ASKD APIFIX'S OPINION ABOUT THE PAITENT FLAT BACK IN THE LUMBAR SPINE, AND AN OVERCORRECTION OF THE LUMBAR SCOLIOSIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1855651 MID-C 125 POSTERIOR RATCHETING ROD SYSTEM,,, QGP APIFIX LTD MID-C 125 AF-01-069-21

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention