FDA Adverse Event Injury Summary report: N

LANX PEEK INTERVERTEBRAL BODY FUSION DEVICE

MDR report key: 20609893 · Received November 4, 2024

Report

Report Number
MW5162133
Event Type
Injury
Date Received
November 4, 2024
Date of Event
February 1, 2020
Report Date
November 4, 2024
Manufacturer
LANX / HIGHRIDGE MEDICAL, LLC.
Product Code
MAX
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
IL, US
Reporter Occupation
PATIENT
Health Professional
*

Narratives

Description of Event or Problem · 0

CALLER STATED THAT SHE JUST FOUND OUT THAT THERE IS NICKLE IN THE LANX PEEK FUSION DEVICE THAT WAS IMPLANTED IN HER AND SHE IS ALLERGIC TO NICKLE. REF REPORTS: MW5162134, MW5162135.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1429774 LANX PEEK INTERVERTEBRAL BODY FUSION DEVICE INTERVERTEBRAL FUSION DEVICE WITH BONE GRAFT, LUMBAR MAX LANX / HIGHRIDGE MEDICAL, LLC.

Patients

Seq Age Sex Outcome Treatment
1 35 YR Female Required Intervention