ATLANTIS ANTERIOR CERVICAL PLATE SYSTEM
Report
- Report Number
- 1030489-2013-00281
- Event Type
- Death
- Date Received
- January 29, 2013
- Date of Event
- October 1, 2010
- Report Date
- January 2, 2013
- Manufacturer
- WARSAW ORTHOPEDIC, INC.
- Product Code
- KWQ
- PMA / PMN Number
- K081038
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- PHYSICIAN
Narratives
LITERATURE ARTICLE CITATION: VINCENT C. TRAYNELIS, M.D., TOTAL SUBAXIAL RECONSTRUCTION. J NEUROSURG SPINE, 2010, VOLUME 13. DATE OF DEATH UNKNOWN.(B)(4). NEITHER DEVICE NOR APPLICABLE IMAGING STUDIES WERE RETURNED TO THE MANUFACTURER.
IT WAS REPORTED IN A LITERATURE PUBLICATION THAT THE AUTHOR PERFORMED A REVIEW OF DATA PROSPECTIVELY COLLECTED IN 27 CONSECUTIVE PATIENTS UNDERGOING COMPLETE ANTERIOR DECOMPRESSION AND RECONSTRUCTION OF THE ANTERIOR CERVICAL SPINE AND FOLLOWED BY POSTERIOR INSTRUMENTED ARTHRODESIS WITH OR WITHOUT DECOMPRESSION. THERE WERE 16 MEN AND 11 WOMEN WHOSE MEAN AGE WAS (B)(6). THE MINIMUM FOLLOW-UP WAS 12 MONTHS AND THE MEAN FOLLOW-UP PERIOD FOR ALL PATIENTS WAS 26 MONTHS. ONE PATIENT UNDERWENT C2-7 SURGERY, AND IN ALL OTHERS THE PROCEDURE CROSSED THE CERVICOTHORACIC JUNCTION. DESPITE THE PRECONCEIVED TREATMENT PLAN TO PERFORM ONLY INTERSEGMENTAL DECOMPRESSION AND FUSION, IT WAS NECESSARY TO PERFORM CORPECTOMIES IN 2 PATIENTS. OVERALL, THE PATIENTS HAD THE TYPICAL COMORBIDITIES ONE WOULD EXCEPT FROM SUCH A TREATMENT POPULATION. TEN PATIENTS WERE SMOKERS. CUSTOM PLATES UP TO 130 MM IN LENGTH WERE USED IN MOST OF THE PATIENTS. SOME PATIENTS WERE TREATED WITH 2 PLATES DUE TO SIZE OR ANATOMICAL CONSTRAINTS. IN CONCLUSION, SEGMENTAL ANTERIOR DECOMPRESSION AND RECONSTRUCTION OF THE ENTIRE SUBAXIAL CERVICAL SPINE, COMBINED WITH AN INSTRUMENTED POSTEROLATERAL FUSION, CAN BE PERFORMED WITH ACCEPTABLE MORBIDITY AND IS OF SIGNIFICANT BENEFIT IN SELECTED PATIENTS. ONE PATIENT DIED 6 WEEKS FOLLOWING AN UNEVENTFUL SURGERY. PT. HAD A 43 DEGREE KYPHOSIS AND SIGNIFICANT MYELOPATHY. PT. HAD A HISTORY OF PULMONARY EMBOLI AND A SUPRAVENTRICULAR TACHYCARDIA. SHE WAS DISCHARGED ON POSTOPERATIVE DAY 3 AND UNDERWENT A BRIEF COURSE OF INTENSE THERAPY AT A REHABILITATION CENTER. NO AUTOPSY WAS PERFORMED AND THE CAUSE OF DEATH IS UNCLEAR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 39335 | ATLANTIS ANTERIOR CERVICAL PLATE SYSTEM | APPLIANCE, FIXATION, SPINAL INTERVERTEBRAL BODY | KWQ | WARSAW ORTHOPEDIC, INC. | NA | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 00063 YR | Death |