FDA Adverse Event Malfunction Summary report: N

CATALYFT PL EXPANDABLE INTERBODY SYSTEM

MDR report key: 21352935 · Received February 11, 2025

Report

Report Number
1030489-2025-00680
Event Type
Malfunction
Date Received
February 11, 2025
Date of Event
January 29, 2025
Report Date
May 4, 2025
Manufacturer
MEDTRONIC SOFAMOR DANEK USA, INC
Product Code
MAX
UDI-DI
00763000253554
PMA / PMN Number
K210425
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NE, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H3: PRODUCT ANALYSIS: PART # 6061002; LOT # K23D1368 VISUAL INSPECTION CONFIRMED THE TIP OF THE CATALYFT INSERTER HAS BROKEN. OPTICAL INSPECTION REVEALED A FLAT FRACTURE SURFACE WITH CIRCULAR MATERIAL FLOW. THE DAMAGE TO THE INSTRUMENT IS CONSISTENT WITH OVERLOAD. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Additional Manufacturer Narrative · 0

MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Description of Event or Problem · 0

INFORMATION WAS RECEIVED FROM HEALTHCARE PROVIDER (HCP) VIA A MANUFACTURER REPRESENTATIVE REGARDING A PATIENT HAVING SPINAL THERAPY FOR LUMBAR 3-5 SPONDY AND STENOSIS. IT WAS REPORTED THAT DURING A TRANSFORAMINAL LUMBAR INTERBODY FUSION (TLIF) PROCEDURE FOR LUMBAR 3-5 SPONDYLOLISTHESIS AND STENOSIS, SEVERAL ISSUES OCCURRED WITH THE SURGICAL INSTRUMENTS. THE TIP OF THE CATALYFT DRIVER BROKE WHILE EXPANDING THE IMPLANT, AND ALTHOUGH THE TIP WAS RETRIEVED, IT WAS DISCARDED ON THE FIELD AND NOT RECOVERED. ADDITIONALLY, THE NAV TAP COLD WELDED INTO ONE OF THE NAV LOCKS, AND IT WAS DISCOVERED THAT THE TAP ITSELF WAS BENT, ALTHOUGH OTHER INSTRUMENTS WERE ABLE TO BE USED WITH THE NAV LOCK WITHOUT ISSUES. THE TRIM LINE BLADES WERE ALSO DAMAGED, SHOWING SEVERAL MARKINGS AND SCRUFFS FROM HIGH-SPEED BURRS. THERE WERE NO PATIENT SYMPTOMS OR COMPLICATIONS ASSOCIATED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1625499 CATALYFT PL EXPANDABLE INTERBODY SYSTEM INTERVERTEBRAL FUSION DEVICE WITH BONE GRAFT, MAX MEDTRONIC SOFAMOR DANEK USA, INC 6061002 K23D1368 00763000253554

Patients

Seq Age Sex Outcome Treatment
1 49 YR Unknown