FDA Adverse Event Injury Summary report: N

MOBI-C IMPLANT M"STANDARD" SIZE UNKNOWN

MDR report key: 21969361 · Received May 6, 2025

Report

Report Number
3004788213-2025-00025
Event Type
Injury
Date Received
May 6, 2025
Date of Event
January 14, 2025
Report Date
August 3, 2025
Manufacturer
LDR MEDICAL
Product Code
MJO
PMA / PMN Number
SEEH10
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

D4 UDI NUMBER: THE UDI NUMBER IS UNKNOWN BECAUSE THE PART AND LOT NUMBERS ARE NOT AVAILABLE. G4: THIS DEVICE IS NOT CLEARED FOR USE IN OR MARKETED WITHIN THE US, HOWEVER IT IS A SIMILAR PRODUCT TO THOSE CLEARED BY P110009 UNDER PRODUCT CODE MJO. WITHOUT A PRODUCT RETURN, NO PRODUCT EVALUATION IS ABLE TO BE CONDUCTED. THE LOT NUMBER IS UNKNOWN; THEREFORE, THE DEVICE HISTORY RECORDS ARE UNABLE TO BE REVIEWED. CURRENT INFORMATION IS INSUFFICIENT TO PERMIT A VALID CONCLUSION ABOUT THE CAUSE OF THIS EVENT. IF ADDITIONAL INFORMATION IS OBTAINED THAT ADDS VALUE TO THE RELEVANT CONTENT OF THIS REPORT AND/OR A CONCLUSION CAN BE DRAWN, A FOLLOW-UP REPORT WILL BE SENT. REFERENCE REPORT 3004788213-2025-00024.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION IN H6: INVESTIGATION TYPE, FINDINGS, AND CONCLUSIONS. DEVICE EVALUATION: THE DEVICE WAS NOT RETURNED AND NO PHOTOS WERE PROVIDED, SO AN EVALUATION IS UNABLE TO BE PERFORMED. ROOT CAUSE: A DEFINITIVE ROOT CAUSE CANNOT BE DETERMINED BECAUSE OF THE LACK OF INFORMATION PROVIDED. THIS EVENT COULD POSSIBLY BE ATTRIBUTED TO THE REPORTED FAILURE OF THE IMPLANT HOLDER, CAUSING THE PROSTHESIS TO BE PUSHED PAST POSTERIOR WALL OF THE VERTEBRAL BODY AND COMPRESSING THE SPINAL CORD. THIS EVENT COULD ALSO POSSIBLY BE ATTRIBUTED TO UNKNOWN PATIENT OR SURGICAL FACTORS. DHR REVIEW: THE DEVICE WAS NOT RETURNED AND THE LOT NUMBER WAS NOT REPORTED, THEREFORE A DHR IS UNABLE TO BE LOCATED FOR REVIEW. DEVICE USAGE: THIS DEVICE IS USED FOR TREATMENT. IF ADDITIONAL INFORMATION IS OBTAINED THAT ADDS VALUE TO THE RELEVANT CONTENT OF THIS REPORT, A FOLLOW-UP REPORT WILL BE SENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT A PATIENT UNDERWENT A C5-C6 ANTERIOR CERVICAL SPINE DECOMPRESSION DISCECTOMY WITH PLANS TO UTILIZE THE MOBI-C ARTIFICIAL CERVICAL DISC REPLACEMENT. AS THE SURGEON ATTEMPTED TO CAREFULLY INTRODUCE THE PROTHESIS, THE UNIVERSAL INSERTER (IMPLANT INSERTER) FAILED, CAUSING THE PROTHESIS TO BE PUSHED PAST THE POSTERIOR WALL OF THE VERTEBRAL BODY AND COMPRESSING THE SPINAL CORD. THE PROTHESIS WAS REMOVED FROM THE DISC SPACE AND A COMPETITIVE INTERBODY CAGE WAS UTILIZED INSTEAD. THE PATIENT IS NOW PARTIALLY PARALYZED. THIS IS REPORT TWO OF TWO FOR THIS EVENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT A PATIENT UNDERWENT A C5-C6 ANTERIOR CERVICAL SPINE DECOMPRESSION DISCECTOMY WITH PLANS TO UTILIZE THE MOBI-C ARTIFICIAL CERVICAL DISC REPLACEMENT. AS THE SURGEON ATTEMPTED TO CAREFULLY INTRODUCE THE PROTHESIS, THE UNIVERSAL INSERTER (IMPLANT INSERTER) FAILED, CAUSING THE PROTHESIS TO BE PUSHED PAST THE POSTERIOR WALL OF THE VERTEBRAL BODY AND COMPRESSING THE SPINAL CORD. THE PROTHESIS WAS REMOVED FROM THE DISC SPACE AND A COMPETITIVE INTERBODY CAGE WAS UTILIZED INSTEAD. THE PATIENT IS NOW PARTIALLY PARALYZED. THIS IS REPORT TWO OF TWO FOR THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
67636 MOBI-C IMPLANT M"STANDARD" SIZE UNKNOWN PROSTHESIS, INTERVERTEBRAL DISC MJO LDR MEDICAL NA NI

Patients

Seq Age Sex Outcome Treatment
1 44 YR Female Disability