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 |