FDA Adverse Event
Malfunction
Summary report: N
ZAVATION EZSPAND SYSTEM
MDR report key: 21877724
·
Received April 21, 2025
Report
- Report Number
- 3008583793-2025-00001
- Event Type
- Malfunction
- Date Received
- April 21, 2025
- Date of Event
- January 30, 2025
- Report Date
- February 26, 2025
- Manufacturer
- ZAVATION MEDICAL PRODUCTS, LLC
- Product Code
- MAX
- UDI-DI
- 00842166126480
- PMA / PMN Number
- K191339
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
ORIGINAL SURGERY WAS (B)(6) 2025. SURGEON REVIEWED 3 MONTHS POST OP IMAGES AND NOTICED THAT THE CAGE IS HAS BACKED OUT OF THE DISC SPACE 1CM APPROXIMATELY. CAGE DOES NOT LOOK COLLAPSED IN IMAGE. PATIENT HAD SUBSEQUENT RADICULAR LEG PAIN DUE TO CAGE POSITION. THE PATIENT REQUIRED EXPLANT SURGERY TO REMOVE CAGE. SURGERY TOOK PLACE ON (B)(6) 2025. SURGEON IS MONITORING 2 OTHER PATIENTS WHERE CAGES LOOK TO BE POSTERIOR BACKING OUT OF DISK SPACE BUT NOT COLLAPSED. BOTH PATIENTS ARE ASSYMPTOMATIC.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1518777 | ZAVATION EZSPAND SYSTEM | PLIF / TPLIF 9 X 27 X 0DEGREES | MAX | ZAVATION MEDICAL PRODUCTS, LLC | 360-H02700 | 00842166126480 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 71 YR | Male | Required Intervention |