FDA Adverse Event Injury Summary report: N

INFUSE BONE GRAFT

MDR report key: 2863288 · Received December 10, 2012

Report

Report Number
1030489-2012-02704
Event Type
Injury
Date Received
December 10, 2012
Report Date
May 25, 2018
Manufacturer
MEDTRONIC SOFAMOR DANEK USA, INC
Product Code
NEK
PMA / PMN Number
P000058
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
ATTORNEY

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Additional Manufacturer Narrative · 1

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Additional Manufacturer Narrative · 1

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Additional Manufacturer Narrative · 1

(B)(6). (B)(4). 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. PRODUCTS FROM MULTIPLE MANUFACTURERS WERE IMPLANTED DURING THE PROCEDURE. ALTHOUGH IT IS UNKNOWN IF ANY OF THE DEVICES CONTRIBUTED TO THE REPORTED EVENT, WE ARE FILING THIS MDR FOR NOTIFICATION PURPOSES.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT SUSTAINED UNSPECIFIED INJURIES FOLLOWING THE USE OF RHBMP-2/ACS IN AN UNSPECIFIED SPINAL FUSION SURGERY. NO ADDITIONAL INFORMATION WAS REPORTED.

Description of Event or Problem · 1

REPORTEDLY, THE PATIENT HAS "CONSTANT AND EXTREME PAIN, AS WELL CONSTANTLY WORRYING ABOUT [PATIENT'S] CONDITION GETTING WORSE."

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT PRESENTED WITH THE FOLLOWING PRE-OP DIAGNOSIS: MULTIPLIED FAILED BACK WITH L5 RADICULOPATHY, SURGERY WITH SEVERE PAIN IN THE RIGHT LEG BULGING DISC L4-L5, RECURRENT DISC. THE PATIENT UNDERWENT THE FOLLOWING PROCEDURES: BILATERAL DECOMPRESSION LAMINECTOMY L4 WITH BILATERAL FACETECTOMY; BILATERAL PEDICLE SCREWS, L4 AND L5; RADICAL DISCECTOMY AND TRANSFORAMINAL LUMBAR INTERBODY FUSION USING CAGE WITH BMP AND LOCAL BONE GRAFT; BILATERAL PEDICLE SCREWS L4-L5; BILATERAL PREBENT RODS WITH SET SCREWS; LOCAL BONE GRAFT HARVESTING; BILATERAL POSTEROLATERAL FUSION WITH BMP AND LOCAL BONE GRAFT. AS PER OPERATIVE NOTES, ¿ONCE THE DISCECTOMY AND THE END PLATES WERE PREPARED AND CLEANED, WE PLACED RHBMP-2, 6 ML OF LOCAL BONE GRAFT AND THEN A CAGE 12 X 30. WE THEN RELEASED THE DISTRACTION AND PLACED PRESSURE ON THEM AND THEN WE BROKE OF THE SET SCREWS. DECORTICATION OF THE POSTERIOR ELEMENTS WAS ACHIEVED. BMP AND LOCAL BONE GRAFT WAS PLACED BILATERALLY.¿ NO INTRA-OPERATIVE COMPLICATIONS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INFUSE BONE GRAFT FILLER, RECOMBINANT HUMAN BONE MORPHOGENETIC PROTEIN, COLLAGEN SCAFFOLD WITH MET NEK MEDTRONIC SOFAMOR DANEK USA, INC NA UNK

Patients

Seq Age Sex Outcome Treatment
1 Other| R