FDA Adverse Event Malfunction Summary report: N

ROD

MDR report key: 2713268 · Received August 17, 2012

Report

Report Number
2520274-2012-01627
Event Type
Malfunction
Date Received
August 17, 2012
Report Date
July 20, 2012
Product Code
EZP
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

WITHOUT A LOT NUMBER THE DEVICE HISTORY RECORDS REVIEW COULD NOT BE COMPLETED. THE INVESTIGATION COULD NOT BE COMPLETED, NO CONCLUSION COULD BE DRAWN, AS NO PRODUCT WAS RECEIVED.

Description of Event or Problem · 1

A DEVICE REPORT FROM (B)(6) INDICATED A HOSPITAL IN (B)(6) REPORTED: A FEMALE PT EXPERIENCED A COMMINUTED FRACTURE OF TH12 DUE TO OSTEOPOROSIS. CONSERVATIVE TREATMENT WAS GIVEN WITH 3 POINT ORTHOSIS. THE KYPHOSIS ANGLE CHANGED FROM 6 TO 16 GRADE WITH OPERATIVE TREATMENT FOLLOWING, DATE OF SURGERY UNK. PT WAS TREATED WITH DORSAL STABILIZATION TH11 - L1 AND KYPHOPLASTY ON TH12 BE MEANS OF USS FRACTURE MIS HARDWARE. IT WAS NOTED AFTER THE SURGERY THERE WAS A MINIMAL LOSS OF HEIGHT. THE HARDWARE HAS NOT BEEN EXPLANTED AND THERE ARE NO PLANS TO REMOVE THE HARDWARE. NO FURTHER INFO IS AVAILABLE. THIS IS 14 OF 14 REPORTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ROD EZP

Patients

Seq Age Sex Outcome Treatment
1 55 YR