FDA Adverse Event Injury Summary report: N

INFUSE BONE GRAFT

MDR report key: 2182922 · Received July 28, 2011

Report

Report Number
1030489-2011-00962
Event Type
Injury
Date Received
July 28, 2011
Report Date
June 29, 2011
Manufacturer
MEDTRONIC SOFAMOR DANEK USA, INC
Product Code
NEK
PMA / PMN Number
P000058
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
DC, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

LITERATURE ARTICLE CITATION: HELGESON ET AL. ADJACENT VERTEBRAL BODY OSTEOLYSIS WITH BONE MORPHOGENETIC PROTEIN USE IN TRANSFORAMINAL LUMBAR INTERBODY FUSION. THE SPINE JOURNAL 2011; 11:507-510. (B)(4). NEITHER THE DEVICE NOR FILMS OF APPLICABLE IMAGING STUDIES 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

IT WAS REPORTED IN A LITERATURE PUBLICATION THAT THE PATIENT UNDERWENT AN L5-S1 TRANSFORAMINAL LUMBAR INTERBODY FUSION WITH RHBMP-2/ACS AND AN INTERBODY DEVICE. POST-OPERATIVELY, THE PATIENT DEVELOPED OSTEOLYSIS SEEN ON AXIAL, SAGITTAL, AND CORONAL COMPUTER TOMOGRAPHY SCANS PERFORMED AT 5 MONTHS. ADDITIONALLY, THERE WAS NO EVIDENCE OF BRIDGING BONE OR INTERBODY FUSION AT THIS TIME. AT THE MOST RECENT FOLLOW-UP, THERE WAS EVIDENCE OF POSTEROLATERAL FUSION. THE PATIENT REMAINS ASYMPTOMATIC.

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 USA, INC UNK

Patients

Seq Age Sex Outcome Treatment
1 00048 YR