FDA Adverse Event Injury Summary report: N

PRODISC CERVICAL IMPLANT

MDR report key: 2831942 · Received November 14, 2012

Report

Report Number
2520274-2012-03121
Event Type
Injury
Date Received
November 14, 2012
Date of Event
October 17, 2012
Report Date
October 17, 2012
Product Code
MJO
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NJ
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE WAS USED FOR TREATMENT. INITIAL IMPLANT DATE UNKNOWN. INVESTIGATION COULD NOT BE COMPLETED, NO CONCLUSION COULD BE DRAWN AS NO DEVICE WAS RETURNED AND NO LOT NUMBER WAS PROVIDED.

Description of Event or Problem · 1

A REPORT WAS RECEIVED REGARDING A PROCEDURE TO EXPLANT A PRODISC C (C5-C6) DUE TO OSTEOPHYTES GROWING OVER THE DISC, RESULTING IN LOSS OF MOBILITY. THE INITIAL IMPLANTATION DATE IS UNKNOWN. THE PRODISC C WAS REMOVED AND THE PATIENT WAS REVISED WITH A NON-SYNTHES PLATE. THIS IS REPORT #2 OF 2 FOR THE SAME EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PRODISC CERVICAL IMPLANT PRODISC CERVICAL IMPLANT MJO

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention