FDA Adverse Event Injury Summary report: N

VERTEBRAL BODY SPREADER - ANGLED

MDR report key: 18642323 · Received February 2, 2024

Report

Report Number
MW5151067
Event Type
Injury
Date Received
February 2, 2024
Date of Event
December 6, 2023
Report Date
February 1, 2024
Manufacturer
CENTINEL SPINE LLC.
Product Code
MJO
Adverse Event
Yes
Report Source
Voluntary report
Reporter Occupation
UNKNOWN
Health Professional
*

Narratives

Description of Event or Problem · 0

IT WAS REPORTED THAT ON (B)(6) 2023 DURING THE PROCEDURE THE RATCHET LOCK ON THE SPREADERS WOULD NOT HOLD, MAKING IT DIFFICULT FOR THE SURGEON TO RELEASE THE PLL (POSTERIOR LONGITUDINAL LIGAMENT). THERE WAS NO SURGICAL DELAY. PROCEDURE WAS COMPLETED SUCCESSFULLY. PATIENT OUTCOME IS STABLE. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2085976 VERTEBRAL BODY SPREADER - ANGLED PROSTHESIS, INTERVERTEBRAL DISC MJO CENTINEL SPINE LLC. PDL114

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown