FDA Adverse Event Injury Summary report: N

INFUSE BONE GRAFT

MDR report key: 2032855 · Received March 29, 2011

Report

Report Number
1030489-2011-00347
Event Type
Injury
Date Received
March 29, 2011
Date of Event
February 26, 2011
Report Date
March 4, 2011
Manufacturer
MEDTRONIC SOFAMOR DANEK
Product Code
NEK
PMA / PMN Number
P000058
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

LITERATURE ARTICLE CITATION: HAMILTON, DK, ET AL. SAFETY EFFICACY AND DOSING OF RECOMBINANT HUMAN BONE MORPHOGENETIC PROTEIN-2 (RHBMP-2) FOR POSTERIOR CERVICAL AND CERVICO-THORACIC INSTRUMENTED FUSION WITH A MINIMUM TWO YEAR FOLLOW UP. NEUROSURGERY 2011(10.1227/ (B)(4)) AUTOGRAFT/ALLOGRAFT INSTRUMENTATION (DETAILS NOT PROVIDED). (B)(4). MULTIPLE PRODUCTS WERE IMPLANTED DURING THE PROCEDURE. ALTHOUGH IT IS UNKNOWN IF ANY OF THE DEVICES CONTRIBUTED TO THE REPORTED EVENT, WE ARE FILING THIS MDR FOR NOTIFICATION PURPOSES. NEITHER THE DEVICE NOR MEDICAL RECORDS WERE RETURNED TO THE MANUFACTURER FOR EVALUATION. THEREFORE, WE ARE UNABLE TO DETERMINE THE DEFINITIVE CAUSE OF THE REPORTED EVENT. A REVIEW OF THE CERTIFICATES OF ANALYSIS AND PACKING LIST FOR THE INFUSE BONE GRAFT WAS NOT POSSIBLE WITHOUT ADDITIONAL DEVICE INFORMATION.

Description of Event or Problem · 1

PERI-OPERATIVE COMPLICATIONS WERE REPORTED IN A RETROSPECTIVE LITERATURE ARTICLE OF PATIENTS THAT UNDERWENT POSTERIOR CERVICAL INSTRUMENTED FUSION FROM AUGUST 2003 TO MARCH 2008, INCLUDING OCCIPITO-CERVICAL, CERVICAL AND CERVICO-THORACIC FUSIONS, USING RECOMBINANT HUMAN MORPHONGENETIC PROTEIN (RHBMP-2). THE AVERAGE DOSE OF RHBMP-2 WAS 1.8 MG/LEVEL WITH A TOTAL OF 282 LEVELS TREATED (AVERAGE 5.3 LEVELS). NO CASES OF DYSPHAGIA OR NECK SWELLING REQUIRING TREATMENT WERE IDENTIFIED. AT LAST FOLLOW-UP, ALL PATIENTS HAD ACHIEVED FUSION. ONE PATIENT DEVELOPED A SUPERFICIAL WOUND INFECTION. NO FURTHER DETAILS WERE PROVIDED.

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 NA NA

Patients

Seq Age Sex Outcome Treatment
1 00055 YR