FDA Adverse Event Injury Summary report: N

BRYAN CERVICAL DISC SYSTEM

MDR report key: 1770354 · Received July 21, 2010

Report

Report Number
1030489-2010-00941
Event Type
Injury
Date Received
July 21, 2010
Date of Event
January 18, 2008
Report Date
June 21, 2010
Manufacturer
MEDTRONIC SOFAMOR DANEK
Product Code
MJO
PMA / PMN Number
P060023
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). LITERATURE CITATION: V. HEIDECK, ET AL. INTERVERTEBRAL DISC REPLACEMENT FOR CERVICAL DEGENERATIVE DISEASE - CLINICAL RESULTS AND FUNCTIONAL OUTCOME AT TWO YEARS IN PATIENTS IMPLANTED WITH THE BRYAN CERVICAL DISK PROSTHESIS. ACTA NEUROCHIRUGICA (2008)150:453-459. A REVIEW OF THE DEVICE RECORDS IS NOT POSSIBLE WITHOUT ADD'L DEVICE INFO. NEITHER THE DEVICE NOR (TEST RESULTS OR IMAGING FILMS) WERE RETURNED TO THE MANUFACTURER FOR EVAL. THEREFORE, WE ARE UNABLE TO DETERMINE THE DEFINITIVE CAUSE OF THE REPORTED EVENT.

Description of Event or Problem · 1

IT WAS REPORTED THAT A FEW DAYS AFTER STANDARD ANTERIOR CERVICAL DISCECTOMY AND CERVICAL DISC PROSTHESIS IMPLANT, THE PT HAD A RETROPHARYNGEAL HEMATOMA THAT WARRANTED SURGICAL EVACUATION. NO OTHER COMPLICATIONS ARE NOTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BRYAN CERVICAL DISC SYSTEM CERVICAL DISK MJO MEDTRONIC SOFAMOR DANEK NA UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK Hospitalization