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 |