FDA Adverse Event Injury Summary report: N

INFUSE BONE GRAFT

MDR report key: 1921615 · Received December 13, 2010

Report

Report Number
1030489-2010-01583
Event Type
Injury
Date Received
December 13, 2010
Date of Event
January 5, 2010
Report Date
November 29, 2010
Manufacturer
MEDTRONIC SOFAMOR DANEK
Product Code
NEK
PMA / PMN Number
P000058
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4): LITERATURE CITATION: ANAND, ET AL. MID-TERM TO LONG-TERM CLINICAL AND FUNCTIONAL OUTCOMES OF MINIMALLY INVASIVE CORRECTION AND FUSION FOR ADULTS WITH SCOLIOSIS. NEUROSURG FOCUS. 2010; 28 (3): RHBPM-2, PEDICLE SCREWS. NO THERAPY OR IMPLANT DATES WERE GIVEN. THE DEVICE REMAINS IMPLANTED: A REVIEW OF THE CERTIFICATES OF ANALYSIS AND PACKING LIST FOR THE INFUSE BONE GRAFT WAS NOT POSSIBLE WITHOUT ADDITIONAL DEVICE INFORMATION. WITHOUT RETURN OF THE DEVICE OR ASSOCIATED RECORDS, IT IS NOT POSSIBLE TO ASCERTAIN A CAUSE FOR THE REPORTED EVENT.

Description of Event or Problem · 1

IN A RETROSPECTIVE STUDY, CLINICAL DATA WAS REVIEWED FOR 28 CONSECUTIVE PATIENTS WHO UNDERWENT FUSION OVER THREE OR MORE LEVELS, AND HAD A MINIMUM OF ONE YEAR OF FOLLOW-UP. ALL PATIENTS HAD SEVERE PREDOMINANTLY LOW- TO MIDDLE-BACK PAIN. ALL PATIENTS HAD PARTICIPATED IN EXTENSIVE CONSERVATIVE THERAPIES WITHOUT ADEQUATE RELIEF OF THEIR SYMPTOMS BEFORE BEING CONSIDERED FOR SURGERY. THE MEAN AGE OF THE PATIENTS IN THE STUDY WAS 67.7 YEARS. THE PATIENTS UNDERWENT A SINGLE OR COMBINATION OF SURGICAL INTERBODY DISC RELEASE AND FUSION PROCEDURES: AXIALIF (AXIAL LUMBAR INTERBODY FUSION), DLIF (DIRECT LATERAL INTERBODY FUSION), OR XLIF (EXTREME LATERAL INTERBODY FUSION). THE AMOUNT OF RHBMP-2/ACS USED VARIED WITH SURGICAL TECHNIQUE AND LEVEL TREATED. FROM THE DATA PRESENTED, IT IS NOT POSSIBLE TO DETERMINE THE SURGICAL TECHNIQUE, LEVELS TREATED, OR RHBMP-2 DOSE FOR A SPECIFIC PATIENT. ALL PATIENTS MAINTAINED CORRECTION OF THEIR DEFORMITY AND WERE NOTED TO HAVE SOLID ARTHRODESIS ON PLAIN RADIOGRAPHS AT ONE YEAR FOLLOW-UP. INTRAOPERATIVELY, THIS PATIENT HAD A RETROCAPSULAR RENAL HEMATOMA THAT WAS CLOSED OFF. THE PATIENT LOST 2000ML OF BLOOD AND RECEIVED APPROPRIATE TRANSFUSIONS, WITH NO UNTOWARD SEQUELAE. NO OTHER DETAILS WERE MENTIONED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INFUSE BONE GRAFT FILLER, RECOMBINANT HUMAN BONE MORPHOGENETIC PROTEIN, COLLAGEN SCAFFOLD WITH MET NEK MEDTRONIC SOFAMOR DANEK UNK

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention