FDA Adverse Event
Injury
Summary report: N
MOTUS
MDR report key: 20036256
·
Received August 21, 2024
Report
- Report Number
- MW5158688
- Event Type
- Injury
- Date Received
- August 21, 2024
- Date of Event
- July 12, 2024
- Report Date
- August 13, 2024
- Manufacturer
- 3SPINE INC.
- Product Code
- MJO
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- TX, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PATIENT HAD DEVICE PLACED AT AN OUTSIDE FACILITY. PATIENT HAD PREVIOUS SURGERIES IN OUR HOSPITAL AND FOLLOWING UP. PATIENT ENDORSES PERSISTENT BACK PAIN RADIATING TO HER LEFT GROIN AD WELL AS BILATERAL SCIATICA. SHE WAS CONSIDERING SURGICAL INTERVENTION TO FIX HER DISC REPLACEMENT WHICH SHE'S CONCERNING MAY HAVE SLIPPED CAUSING SPINAL STENOSIS OR NERVE ROOT COMPRESSION. SHE NOW PRESENTS WITH PROGRESSIVE CALF PAIN AND NUMBNESS, AS WELL AS BILATERAL BACK AND HIP PAIN. LATERAL SUBSIDENCE OF THE SUPERIOR PLATES TOWARDS THE LEFT OF THE DEVICE BILATERALLY. POSTERIOR DISPLACEMENT OF THE RIGHT SUPERIOR PLATE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1363727 | MOTUS | PROSTHESIS, INTERVERTEBRAL DISC | MJO | 3SPINE INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 60 YR | Female | Disability |