FDA Adverse Event Injury Summary report: N

INFUSE BONE GRAFT SMALL KIT

MDR report key: 1402844 · Received June 11, 2009

Report

Report Number
1030489-2009-00486
Event Type
Injury
Date Received
June 11, 2009
Report Date
April 28, 2009
Manufacturer
MEDTRONIC SOFAMOR DANEK USA, INC.
Product Code
NEK
PMA / PMN Number
P000058
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

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.

Description of Event or Problem · 1

IT WAS REPORTED BY BOAKYE ET AL IN A PUBLICATION ENTITLED "ANTERIOR CERVICAL DISCECTOMY AND FUSION INVOLVING A POLYETHERETHERKETONE SPACER AND BONE MORPHOGENETIC PROTEIN" (J. NEUROSURG: SPINE 2: 521-525, 2005) THAT A PATIENT UNDERWENT AN ACDF PROCEDURE USING RHBMP-2/ACS. POSTOPERATIVELY, THE PATIENT DEVELOPED TRANSIENT C5 PARESIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INFUSE BONE GRAFT SMALL KIT INFUSE BONE GRAFT NEK MEDTRONIC SOFAMOR DANEK USA, INC. NA UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK Required Intervention PEEK INTERBODY DEVICE| ATLANTIS CERVICAL PLATE