FDA Adverse Event Injury Summary report: N

INFUSE BONE GRAFT

MDR report key: 3112254 · Received May 14, 2013

Report

Report Number
1030489-2013-01698
Event Type
Injury
Date Received
May 14, 2013
Report Date
December 29, 2017
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). 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

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 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

IT WAS REPORTED THAT THE PATIENT UNDERWENT FUSION SURGERY IN WHICH RHBMP2/ACS WAS USED. AS PER OP-NOTES,¿ AFTER THE DISKECTOMY WAS PERFORMED THE WOUND WAS IRRIGATED COPIOUSLY ONCE AGAIN AND BONE GRAFT WAS PLACED. I PLACED ONE SPONGE OF BMP UP ANTERIORLY, THEN I PACKED GROUNDED UP BONE GRAFT FROM THE LAMINECTOMY BONE UP FROM ANTERIORLY AND PACKED IT IN. I PLACED TWO STRUCTURAL GRAFTS; THEY WERE NUVASIVE TRIAD GRAFTS MEASURING 10 MM IN HEIGHT. THEY WERE PLACED, ONE ON THE RIGHT AND ONE ON THE LEFT, THEN ADDITIONAL BONE GRAFT WAS PACKED IN BETWEEN THE GRAFTS.¿ THE PATIENT TOLERATED THE PROCEDURE WELL WITHOUT ANY INTRAOPERATIVE COMPLICATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
212596 INFUSE BONE GRAFT FILLER, RECOMBINANT HUMAN BONE MORPHOGENETIC PROTEIN, COLLAGEN SCAFFOLD WITH MET NEK MEDTRONIC SOFAMOR DANEK USA, INC NA UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Other