FDA Adverse Event Injury Summary report: N

SIMPLIFY® CERVICAL ARTIFICIAL DISC

MDR report key: 13361945 · Received January 26, 2022

Report

Report Number
2031966-2022-00018
Event Type
Injury
Date Received
January 26, 2022
Date of Event
December 16, 2021
Report Date
September 15, 2022
Manufacturer
NUVASIVE, INC.
Product Code
MJO
UDI-DI
00843285101952
PMA / PMN Number
P200022
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THERE WAS NO PRODUCT RETURNED AND THERE WAS NO PRODUCT PROBLEM IDENTIFIED. THE DEVICES REMAIN IN-SITU WITH NO REPORTED PLANS TO REMOVE OR REVISE, AND NO OTHER TREATMENTS OR ACTIONS HAVE BEEN TAKEN IN RELATION TO THE REPORTED EVENT. A DEFINITIVE CAUSE OF THE REPORTED OSSIFICATION CANNOT BE DETERMINED. LABEL REVIEW: "THERE IS A RISK OF HETEROTOPIC OSSIFICATION ASSOCIATED WITH ARTIFICIAL CERVICAL DISCS WHICH COULD LEAD TO REDUCED CERVICAL MOTION OR FUSION AT EITHER THE TREATED LEVEL(S) OR ADJACENT LEVELS." IF ADDITIONAL INFORMATION BECOMES AVAILABLE, A SUPPLEMENTAL REPORT WILL BE FILED.

Additional Manufacturer Narrative · 0

DUPLICATE OF MFR: 2031966-2021-00170. ALL INFORMATION PREVIOUSLY RECORDED ON MFR: 2031966- 2021-00170.

Description of Event or Problem · 0

VIA CLINICAL STUDY, IT WAS REPORTED THAT THE PATIENT WAS EXPERIENCING HETEROTOPIC OSSIFICATION AT THE INDEX LEVELS 36 MONTHS AFTER THEIR INDEX PROCEDURE AT C4/5 AND C5/6 WITH SIMPLIFY IMPLANTS. THERE HAS BEEN NO REPORTED TREATMENT FOR THE REPORTED CONDITION AND THERE ARE NO REPORTED PLANS TO REMOVE OR REVISE THE IMPLANTS. NO ADDITIONAL INFORMATION IS AVAILABLE.

Description of Event or Problem · 0

INFORMATION WAS RECEIVED VIA SIMPLIFY DISC LEVEL 2 RETROSPECTIVE STUDY REVIEW THAT AN INDEX CERVICAL PROCEDURE WAS COMPLETED AT INDEX LEVEL OF C4/6 FOR PATIENT (B)(6) ON AN UNKNOWN DATE. ON THEIR 36 MONTH ON (B)(6) 2021 IT WAS REPORTED THAT THERE WAS HETEROTOPIC OSSIFICATION WAS OBSERVED. THERE WAS NO TREATMENT PLAN GIVEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
44498 SIMPLIFY® CERVICAL ARTIFICIAL DISC PROSTHESIS, INTERVERTEBRAL DISC MJO NUVASIVE, INC. 2-4-CE 3451 00843285101952

Patients

Seq Age Sex Outcome Treatment
1 Prefer Not To Disclose Other