FDA Adverse Event Injury Summary report: N

INFUSE BONE GRAFT

MDR report key: 2221502 · Received August 24, 2011

Report

Report Number
1030489-2011-01095
Event Type
Injury
Date Received
August 24, 2011
Date of Event
August 1, 2011
Report Date
August 1, 2011
Manufacturer
MEDTRONIC SOFAMOR DANEK USA, INC.
Product Code
NEK
PMA / PMN Number
P000058
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

LITERATURE ARTICLE CITATION: MURTAGH ET AL. NEW TECHNIQUES IN LUMBAR SPINAL INSTRUMENTATION: WHAT THE RADIOLOGIST NEEDS TO KNOW. RADIOLOGY 2011; VOL 260: NUMBER 2. (B)(6). 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 A PATIENT UNDERWENT A TRANSFORAMINAL LUMBER INTERBODY FUSION WITH RHBMP-2/ACS. THE PATIENT PRESENTED AT 6-MONTH FOLLOW UP WITH PERSISTENT BACK PAIN. SAGITTAL CT IMAGES SHOW MARKED CYSTIC RESORPTION ALONG THE ENDPLATES THAT EXTENDS INTO THE ENDPLATES. CLINICAL FINDINGS AND LABORATORY VALUES SUPPORTED A DIAGNOSIS OF BMP-INDUCED OSTEOLYSIS. BIOPSY WAS PERFORMED, AND CULTURES WERE NEGATIVE.

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. NA UNK

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention