FDA Adverse Event Injury Summary report: N

INDUCTOS

MDR report key: 2303095 · Received October 21, 2011

Report

Report Number
1030489-2011-01353
Event Type
Injury
Date Received
October 21, 2011
Report Date
September 21, 2011
Manufacturer
MEDTRONIC SOFAMOR DANEK
Product Code
NEK
PMA / PMN Number
N/A
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THIS PRODUCT IS NOT APPROVED FOR USE IN THE UNITED STATES; HOWEVER, A LIKE DEVICE CATALOG # 7510400, PRODUCT CODE NEK WAS CLEARED IN THE UNITED STATES. (B)(4). THIS PART IS NOT APPROVED FOR USE IN THE UNITED STATES; HOWEVER, A LIKE DEVICE CATALOG # 7510400, PMA# P000058 WAS CLEARED IN THE UNITED STATES. 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 DEVICE HISTORY RECORDS FOR THIS PRODUCT WAS NOT POSSIBLE WITHOUT ADDITIONAL DEVICE INFORMATION.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT UNDERWENT A LUMBAR FUSION USING RHBMP-2/ACS. THE PATIENT COMPLAINED OF PAIN TEN DAYS AFTER THE OPERATION. THE REPORTER CONSIDERED THE PAIN TO BE NEUROGENIC. HOWEVER, MRI SCANS HAVE NOT REVEALED A PHYSICAL REASON FOR THE PAIN. NO ADDITIONAL INFORMATION HAS BEEN PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INDUCTOS NEK MEDTRONIC SOFAMOR DANEK UNK

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention