FDA Adverse Event
Injury
Summary report: N
CAVUX CERVICAL CAGE
MDR report key: 20055709
·
Received August 23, 2024
Report
- Report Number
- 3009394448-2024-00003
- Event Type
- Injury
- Date Received
- August 23, 2024
- Date of Event
- July 31, 2024
- Report Date
- August 23, 2024
- Manufacturer
- PROVIDENCE MEDICAL TECHNOLOGY, INC
- Product Code
- ODP
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
ON 07/31/2024 PMT WAS NOTIFIED THAT A REVISION SURGERY WAS INTENDED TO TAKE PLACE FOR CAGE REMOVAL. THERE WAS NO EVIDENCE OF DEVICE MALFUNCTION, IT WAS STATED THAT THE IMPLANT MAY BE CONTRIBUTING TO SOME RADICULAR SYMPTOMS IN THE PATIENT. MULTIPLE ATTEMPTS WERE MADE TO OBTAIN ADDITIONAL INFORMATION, OFFER EXPLANTATION SUPPORT, AND SEEK PATIENT UPDATES, BUT PMT HAS NOT RECEIVED ANY ADDITIONAL INFORMATION. AS SUCH, PROVIDENCE IS FILING THIS INITIAL REPORT AND WILL SUPPLEMENT IT AS ANY ADDITIONAL INFORMATION BECOMES AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1743521 | CAVUX CERVICAL CAGE | Intervertebral fusion device with bone graft, cervical | ODP | PROVIDENCE MEDICAL TECHNOLOGY, INC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |