FDA Adverse Event
Injury
Summary report: N
M6-C
MDR report key: 15424102
·
Received September 14, 2022
Report
- Report Number
- 3004987282-2022-00062
- Event Type
- Injury
- Date Received
- September 14, 2022
- Date of Event
- December 6, 2021
- Report Date
- September 14, 2022
- Manufacturer
- SPINAL KINETICS LLC
- Product Code
- MJO
- PMA / PMN Number
- P170036
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
THE BUILD LHR FOR FG 0031-14 1944 ACF744 WERE EXAMINED INCLUDING THE FINAL INSPECTION RECORDS AND THE IN-PROCESS MEASUREMENTS. THERE WERE NO RELEVANT NCMRS ASSOCIATED WITH THIS LOT. THE DEVICES MET THE M6-C PRODUCT SPECIFICATION INCLUDING THE AXIAL STIFFNESS AND FLEXURAL RESISTANCE SPECIFICATIONS.
Description of Event or Problem · 0
INFORMATION PROVIDED STATES A PATIENT HAD 3-LEVEL M6-C SURGERY IN 2014. A COMPLETE DESTRUCTION OF THE IMPLANTS WAS DETERMINED DURING RADIOLOGICAL CHECK-UPS AND HAD TO AND COULD BE AT LEAST PARTIALLY REMOVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2474858 | M6-C | ARTIFICIAL CERVICAL DISC | MJO | SPINAL KINETICS LLC | 1944 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Female | Other |