FDA Adverse Event Injury Summary report: N

OPTIMESH

MDR report key: 18385110 · Received December 22, 2023

Report

Report Number
2135156-2023-00008
Event Type
Injury
Date Received
December 22, 2023
Report Date
December 22, 2023
Manufacturer
SPINEOLOGY INC.
Product Code
OQB
UDI-DI
M74030034400
PMA / PMN Number
K230927
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE INFORMATION CONTAINED IN THIS REPORT IS BEING PROVIDED TO THE FDA TO COMPLY WITH MEDICAL DEVICE REPORTING REGULATIONS AND IS BASED ON INFORMATION SUBMITTED BY OTHERS THAT MAY NOT BE FACTUALLY CORRECT. THIS SUBMISSION DOES NOT CONSTITUTE A DETERMINATION OF ADMISSION THAT A DEVICE HAS MALFUNCTIONED OR THAT A DEVICE IS RELATED TO AN INJURY OR DEATH.

Description of Event or Problem · 0

THE PATIENT UNDERWENT AN INTERBODY FUSION PROCEDURE WITH PLACEMENT OF AN OPTIMESH DEVICE WITHOUT INCIDENT. APPROXIMATELY SIX (6) WEEKS LATER, THE PATIENT RETURNED AND REPORTED EXPERIENCING A HARD FALL AT APPROXIMATELY FIVE (5) WEEKS POST-OPERATIVELY. IMAGING SHOWED ANTERIOR MIGRATION OF THE IMPLANT. MEDICAL INTERVENTION MAY BE NECESSITATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2264719 OPTIMESH INTERVERTEBRAL BODY GRAFT CONTAINMENT OQB SPINEOLOGY INC. S25353 M74030034400

Patients

Seq Age Sex Outcome Treatment
1 67 YR Female Other