FDA Adverse Event Injury Summary report: N

UNKNOWN

MDR report key: 3072621 · Received April 23, 2013

Report

Report Number
1030489-2013-01207
Event Type
Injury
Date Received
April 23, 2013
Report Date
July 6, 2015
Manufacturer
MEDTRONIC SOFAMOR DANEK
Product Code
NEK
PMA / PMN Number
UNKNOWN
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
ATTORNEY

Narratives

Additional Manufacturer Narrative · 1

(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.

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT UNDERWENT "MEDICALLY UNNECESSARY, EXPERIMENTAL" SPINE SURGERIES WHERE CERVICAL AND THORACIC RODS, SCREWS, CAGES AND RHBMP-2/ACS WERE IMPLANTED. THE PATIENT HAS SUSTAINED INJURY WITHIN THE PAST FOUR YEARS. THE PATIENT HAS ALLEGEDLY UNDERGONE RELATED FOLLOW UP CARE, PHYSICAL THERAPY, PRESCRIPTIONS, INJECTIONS, AND IMAGE STUDIES.

Description of Event or Problem · 1

IT WAS REPORTED THAT IN 2006, THE PATIENT PRESENTED WITH INTERMITTENT BACK PAIN THAT RADIATED DOWN HER RIGHT LEG. ON (B)(6) 2006, THE SURGEON PERFORMMED AN L4-S1 FUSION SURGERY ON THE PATIENT. RHBMP-2/ACS WAS USED IN THE PATIENT AND TWO RODS WERE INSTALLED IN HER BACK. FURTHER FOLLOWING THE SURGERY, THE PATIENT EXPERIENCED LOWER BACK AND RIGHT LEG PAIN THAT WAS WORSE THAN THE PAIN PRIOR TO SURGERY. PATIENT'S RIGHT LEG HAS NOW BECOME PARALYZED AND GIVES OUT ON HER. PATIENT NOW EXPERIENCES CONSTANT PAIN THAT HAS INCREASED IN INTENSITY AND DURATION SINCE UNDERGOING SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
174222 UNKNOWN FILLER, RECOMBINANT HUMAN BONE MORPHOGENETIC PROTEIN, COLLAGEN SCAFFOLD WITH MET NEK MEDTRONIC SOFAMOR DANEK NA UNK

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention