FDA Adverse Event Injury Summary report: N

INFERIOR END PLATE MEDIUM-STERILE

MDR report key: 2944936 · Received February 6, 2013

Report

Report Number
2530088-2013-00118
Event Type
Injury
Date Received
February 6, 2013
Report Date
October 2, 2012
Manufacturer
SYNTHES BRANDYWINE
Product Code
MJO
PMA / PMN Number
P050010
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. THE INVESTIGATION COULD NOT BE COMPLETED; NO CONCLUSION COULD BE DRAWN, AS NO PRODUCT WAS RECEIVED. A REVIEW OF THE DEVICE HISTORY RECORDS HAS BEEN REQUESTED.

Additional Manufacturer Narrative · 1

DEVICE USED FOR TREATMENT AND NOT DIAGNOSIS. THE DEVICE HISTORY RECORDS WERE REVIEWED AND THE PARTS MET SPECIFICATIONS. INSPECTION SHEET (B)(4) SHOWS ALL PARTS PASSED VISUAL AND DIMENSIONAL REQUIREMENTS. INSPECTION SHEET (B)(4) SHOWED ALL PARTS PASSED VISUAL AND DIMENSIONAL INSPECTION REQUIREMENTS. INSPECTION SHEET (B)(4) SHOWED ALL PARTS PASSED VISUAL AND DIMENSIONAL INSPECTION REQUIREMENTS.

Description of Event or Problem · 1

ON (B)(6) 2007, THE PATIENT WAS TRAINING AS A JUVENILE PROBATION OFFICER WHEN SHE WAS DROPPED INTO A SITTING POSITION AND BEGAN HAVING SEVERE LOW BACK PAIN. SHE THEN DEVELOPED THORACIC PAIN AND CERVICAL PAIN. PATIENT WAS TREATED WITH PHYSICAL THERAPY, STIMULATION, MASSAGE THERAPY INTERVENTIONS AND ACUPUNCTURE. ON (B)(6) 2010, THE PATIENT WAS IMPLANTED WITH PRODISC-L AT L4-5 AND L5-S1 FOR L4-5 AND L5-S1 DEGENERATIVE DISC DISEASE. AT THE TIME OF THE IMPLANTATION, THE PATIENT, WHO WAS (B)(6), WAS EXPERIENCING SEVERE BACK PAIN, 7-10 OUT OF 10 IN THE LOW BACK, SEVERE IN THE LUMBOSACRAL AREA RADIATING DOWN BOTH LEGS ... AND RIGHT-SIDED RADICULOPATHY. SHE ALSO HAD LEFT-SIDED SYMPTOMS WHICH WERE MORE SIGNIFICANT AND WALKING WAS DIFFICULT FOR HER. SHE HAD NOT RETURNED WORK AND WAS TAKING WELLBUTRIN FOR DEPRESSION AND VICODIN AND FLEXERIL AS NEEDED. IN ADDITION, SHE HAS A HISTORY OF SMOKING A COUPLE OF CIGARETTES A DAY, A RECENT MISCARRIAGE, AND A 25-POUND WEIGHT GAIN. A SYNTHES REPRESENTATIVE WAS PRESENT FOR THE IMPLANTATION PROCEDURE. THERE WERE NO COMPLICATIONS DURING THE IMPLANTATION PROCEDURE AND RADIOLOGY FILMS SHOWED ADEQUATE PLACEMENT OF THE INSTRUMENTATION. THE PATIENT HAD A PANIC ATTACK ON POSTOPERATIVE DAY 2, BUT WAS SUBSEQUENTLY DISCHARGED ON (B)(6) 2010 IN STABLE CONDITION. THE PATIENT CLAIMS THAT ON (B)(6) 2010, SHE BECAME AWARE THAT THE SURGERY HAD FAILED. ACCORDING TO THE PATIENT, THE ARTIFICIAL DISC AT L4-5 MOVED AND FAILED CAUSING THE PATIENT CONSTANT PAIN AND REQUIRED FURTHER SURGERY AND IN-HOME SUPPORT SERVICES. THE PATIENT ASSERTS AFTER THE SURGERY FAILED, THE SURGEON FIRST TESTED HER FOR OSTEOPENIA, AN ALLEGED CONTRAINDICATION FOR SURGERY. SHE ALSO CLAIMS THAT SHE SUFFERED FROM BONY LUMBAR SPINAL STENOSIS AND ISOLATED RADICULAR COMPRESSION SYNDROMES, WHICH SHE ASSERTS WERE CONTRAINDICATIONS FOR THE PROCEDURE. THIS IS 6 OF 6 REPORTS FOR THE SAME EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
50470 INFERIOR END PLATE MEDIUM-STERILE INFERIOR END PLATE MJO SYNTHES BRANDYWINE 5739950

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention