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 |