FDA Adverse Event Injury Summary report: N

INFUSE BONE GRAFT

MDR report key: 3091958 · Received May 3, 2013

Report

Report Number
1030489-2013-01529
Event Type
Injury
Date Received
May 3, 2013
Report Date
February 9, 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

PRODUCTS FROM MULTIPLE MANUFACTURERS WERE USED 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. IMPLANTED DATE: (B)(6) 2003. (B)(6). (B)(4). NEITHER THE DEVICE NOR FILMS OF APPLICABLE IMAGING STUDIES OR MEDICAL RECORDS WERE RETURNED TO THE MANUFACTURER FOR EVALUATION. THEREFORE, WE ARE UNABLE TO DETERMINE THE DEFINITIVE CAUSE OF THE REPORTED EVENT.

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT ALLEGEDLY SUSTAINED UNSPECIFIED INJURIES RESULTING FROM A SPINAL FUSION SURGERY USING RHBMP-2/ACS. NO ADDITIONAL INFORMATION HAS BEEN PROVIDED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT WAS PRE-OPERATIVELY DIAGNOSED WITH ISTHMIC SPONDYLOLISTHESIS, L5-S1 WITH SEVERE SPINAL STENOSIS AND INSTABILITY AND UNDERWENT THE FOLLOWING PROCEDURES: 1) LUMBAR DECOMPRESSION AT L4-5 AND L5-S1 WITH DECOMPRESSION OF THE L5 AND S1 N ERVE ROOTS. 2) POSTERIOR LUMBAR INTERBODY FUSION WITH SHADOW MESH CAGES, 26 X 10 MM, PACKED WITH LOCAL BONE GRAFT, AS WELL AS ANTERIORLY IN THE DISC SPACE PACKING BMP-SOAKED GELFOAM SPONGES. 3) POSTERIOR INSTRUMENTED SPINAL FUSION FROM L5 TO S1 WAS ALSO PERFORMED UTILIZING 3D INSTRUMENTATION, 50 X 7.5 MM SCREWS WERE USED AT L5 AND S1. BICORTICAL PURCHASE WAS OBTAINED AT S1. 4) LOCAL BONE GRAFT FOR AN INTERTRANSVERSE PROCESS FUSION WAS ALSO PERFORMED. AS PER OP-NOTES,¿ A SMALL AMOUNT OF LOCAL BONE GRAFT WAS PLACED ANTERIORLY AROUND THE ANTERIOR ASPECT OF THE ANNULUS AND THEN A PIECE OF GELFOAM SOAKED IN BMP WAS ALSO PLACED ANTERIORLY. ONCE THIS WAS DONE, THE CANCELLOUS LOCAL BONE WAS PACKED INTO THE SHADOW MESH CAGES WHICH WERE THEN PLACED, FIRST ON THE LEFT SIDE. BEFORE PLACING THE RIGHT SIDE, ADDITIONAL LOCAL BONE GRAFT WAS PACKED, AS WELL AS ANOTHER SPONGE INTO THE RIGHT SIDE OF THE DISC SPACE. THE FINAL SHADOW MESH CAGE WAS THEN PLACED. ABUNDANT BONE GRAFT HAD BEEN PACKED INTO THE INTERSPACE.¿ THE PATIENT TOLERATED THE PROCEDURE WELL WITHOUT ANY INTRAOPERATIVE COMPLICATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
193760 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