FDA Adverse Event Injury Summary report: N

PROSTHESIS, SPINOUS PROCESS SPACER/PLATE

MDR report key: 2490398 · Received March 13, 2012

Report

Report Number
2953769-2012-00030
Event Type
Injury
Date Received
March 13, 2012
Report Date
December 5, 2011
Manufacturer
MEDTRONIC SPINE LLC.
Product Code
NQO
PMA / PMN Number
P040001
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE DATE OF THE EVENT IS UNKNOWN. (B)(4) (INFECTION), (B)(4) (NO KNOWN DEVICE PROBLEM). ALTHOUGH IT IS UNKNOWN IF THE DEVICE CONTRIBUTED TO THE REPORTED EVENT, WE ARE FILING THIS MDR FOR NOTIFICATION PURPOSES. 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.

Additional Manufacturer Narrative · 1

A GOOD FAITH EFFORT WILL BE MADE TO OBTAIN THE APPLICABLE INFORMATION RELEVANT TO THE REPORT. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

IT WAS REPORTED IN AN ARTICLE THAT A REVIEW OF 512 PATIENTS WHO UNDERWENT INTERSPINOUS SPACER IMPLANTATIONS BETWEEN 2006 AND 2010 AT AN INSTITUTION WAS CONDUCTED. THE INTERSPINOUS SPACER DEVICE WAS USED IN PATIENTS WITHOUT SYNOVIAL CYSTS, WITH SYNOVIAL CYSTS, AND CYSTS 3MM. DATA WAS INCLUDED ONLY FOR 285 PATIENTS WITH AT LEAST 6 MONTHS OF CLINICAL FOLLOW-UP. AS COMPLICATIONS, IT WAS REPORTED ONE PATIENT EXPERIENCED A WOUND INFECTION. NO FURTHER PATIENT INFORMATION WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PROSTHESIS, SPINOUS PROCESS SPACER/PLATE NQO MEDTRONIC SPINE LLC. N/A

Patients

Seq Age Sex Outcome Treatment
1 Other