FDA Adverse Event Death Summary report: N

UNKNOWN BONE MORPHOGENTIC PROTEIN

MDR report key: 2052227 · Received April 12, 2011

Report

Report Number
1030489-2011-00409
Event Type
Death
Date Received
April 12, 2011
Report Date
April 12, 2011
Manufacturer
MEDTRONIC SOFAMOR DANEK
Product Code
NEK
PMA / PMN Number
UNK
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

ALTHOUGH IT IS UNKNOWN IF THE DEVICE CONTRIBUTED TO THE REPORTED EVENT, WE ARE FILING THIS MDR FOR NOTIFICATION PURPOSES.

Additional Manufacturer Narrative · 1

ARTICLE CITATION: WILLIAMS, BRIAN J., ET AL. DOES BMP INCREASE THE INCIDENCE OF PERIOPERATIVE COMPLICATIONS IN SPINAL FUSION? A COMPARISON OF 55,862 CASES OF SPINAL FUSION WITH AND WITHOUT BMP. SPINE 2011; (10.1097/BRS.0B013E318216D825). THE DATE OF DEATH PROVIDED IS AN ESTIMATE; THE DATE OF DEATH IS UNKNOWN. THE DATE OF DEATH WAS PROVIDED FOR EMDR TRANSMISSION PURPOSES. (B)(4). NEITHER THE DEVICE NOR FILMS OF APPLICABLE IMAGING STUDIES WERE RETURNED TO THE MANUFACTURER FOR EVALUATION. ALTHOUGH IT IS UNKNOWN IF THE DEVICE CAUSED OR CONTRIBUTED TO THE REPORTED EVENT, WE ARE FILING THIS MDR FOR NOTIFICATION PURPOSES.

Additional Manufacturer Narrative · 1

IT IS UNKNOWN IF THE DEVICE CAUSED OR CONTRIBUTED TO THE REPORTED EVENT; WE ARE FILING THIS MDR FOR NOTIFICATION PURPOSES.

Description of Event or Problem · 1

POST-OPERATIVE COMPLICATIONS WERE REPORTED FROM A RETROSPECTIVE ANALYSIS OF A MULTI-INSTITUTIONAL, MULTI-SURGEON DATABASE. THE FUSION CASES WERE PERFORMED FROM 2004 TO 2007 USING BMP. A VARIETY OF FUSION METHODS WERE USED (ANTERIOR CERVICAL, ANTERIOR/POSTERIOR, ANTERIOR THORALUMBAR, INTERLAMINAR FACET, POSTEROLATERAL, PLIF AND TILF). THE USE OF TWO DIFFERENT BONE MORPHOGENETIC PROTEINS (BMP) WAS NOTED IN THE LITERATURE ARTICLE (BMP-2 AND BMP-7); HOWEVER THE SUSPECT BMP WAS NOT IDENTIFIED WITH A PARTICULAR PATIENT COMPLICATION. BMP WAS USED IN 11,933 SPINAL FUSION CASES. THE PATIENTS' AVERAGE AGE WAS (B)(6); THE STUDY INCLUDED PEDIATRICS. IT WAS REPORTED THAT ONE PATIENT DIED FROM RESPIRATORY DISTRESS.

Description of Event or Problem · 1

POST-OPERATIVE COMPLICATIONS WERE REPORTED FROM A RETROSPECTIVE ANALYSIS OF A MULTI-INSTITUTIONAL, MULTI-SURGEON DATABASE. THE FUSION CASES WERE PERFORMED FROM 2004 TO 2007 USING BMP. A VARIETY OF FUSION METHODS WERE USED (ANTERIOR CERVICAL, ANTERIOR/POSTERIOR, ANTERIOR THORALUMBAR, INTERLAMINAR FACET, POSTEROLATERAL, PLIF AND TILF). THE USE OF TWO DIFFERENT BONE MORPHOGENETIC PROTEINS (BMP) WAS NOTED IN THE LITERATURE ARTICLE (BMP-2 AND BMP-7); HOWEVER THE SUSPECT BMP WAS NOT IDENTIFIED WITH A PARTICULAR PATIENT COMPLICATION. BMP WAS USED IN 11,933 SPINAL FUSION CASES. THE PATIENTS' AVERAGE AGE WAS (B)(6) YEARS, INCLUDING PEDIATRICS. THE PATIENTS UNDERWENT SPINAL FUSION FOR A VARIETY OF REASONS (DEGENERATIVE SPINAL DISORDER, KYPHOSIS, SCOLIOSIS AND SPONDYLOLISTHESIS). IT WAS REPORTED THAT ONE PATIENT DIED FROM RESPIRATORY DISTRESS. THE PATIENT HAD UNDERGONE ANTERIOR CERVICAL FUSION. NO FURTHER DETAILS WERE PROVIDED.

Description of Event or Problem · 1

POST-OPERATIVE COMPLICATIONS WERE REPORTED FROM A RETROSPECTIVE ANALYSIS OF A MULTI-INSTITUTIONAL, MULTI-SURGEON DATABASE. THE FUSION CASES WERE PERFORMED FROM 2004 TO 2007 USING BMP. A VARIETY OF FUSION METHODS WERE USED (ANTERIOR CERVICAL, ANTERIOR/POSTERIOR, ANTERIOR THORALUMBAR, INTERLAMINAR FACET, POSTEROLATERAL, PLIF AND TILF). THE USE OF TWO DIFFERENT BONE MORPHOGENETIC PROTEINS (BMP) WAS NOTED IN THE LITERATURE ARTICLE (BMP-2 AND BMP-7); HOWEVER THE SUSPECT BMP WAS NOT IDENTIFIED WITH A PARTICULAR PATIENT COMPLICATION. SPECIFIC COMPLICATIONS WERE COLLECTED IN THE DATABASE WITH A FOCUS ON THE INTRA-OPERATIVE AND IMMEDIATE POST-OPERATIVE PERIODS. IT WAS REPORTED THAT ONE PATIENT DIED FROM RESPIRATORY DISTRESS. NO FURTHER DETAILS WERE PROVIDED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 00057 YR Death| R