FDA Adverse Event Injury Summary report: N

ZEPHIR

MDR report key: 3113730 · Received May 15, 2013

Report

Report Number
1030489-2013-01705
Event Type
Injury
Date Received
May 15, 2013
Date of Event
April 17, 2013
Report Date
April 17, 2013
Manufacturer
MEDTRONIC SOFAMOR DANEK
Product Code
KWQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

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. (B)(4). THIS PART IS NOT APPROVED FOR USE IN THE UNITED STATES; HOWEVER A LIKE DEVICE CATALOG # 8799132, 510K # K994239 WAS CLEARED IN THE UNITED STATES. DEVICES OF MULTIPLE PART/LOT NUMBERS WERE IMPLANTED DURING THE PROCEDURE INCLUDING: PART: G8799132 / LOT: UNKNOWN PART: G8792113 / LOT: UNKNOWN. ALTHOUGH IT IS UNKNOWN IF ANY OF THESE DEVICES CONTRIBUTED TO THE REPORTED EVENT, WE ARE FILING THIS MDR FOR NOTIFICATION PURPOSES.

Description of Event or Problem · 1

IT WAS REPORTED THAT A PATIENT UNDERWENT AN ANTERIOR CERVICAL PROCEDURE AT C6-C7 TO TREAT CERVICAL DISC HERNIATION. IT WAS REPORTED THAT IMMEDIATELY POST-OP, "THE PATIENT LEFT LEG WAS PARALYZED. A REVISION SURGERY WAS PERFORMED. THE SURGEON REMOVED THE AUTOGRAFT FROM THE PATIENT AND RE-INSERTED IT IN THE PATIENT AFTER THE SURGEON MAKE THE AUTOGRAFT SMALLER, BUT THE PATIENT SYMPTOM WAS STILL THE SAME. AS A RESULT, A LAMINOPLASTY WAS PERFORMED VIA POSTERIOR APPROACH. THE SURGEON COMMENTED THAT THE SIZE OF THE AUTOGRAFT MIGHT HAVE BEEN TOO BIG." ACCORDING TO THE REPORT, IT WAS SUSPECTED THAT THE PATIENT'S NERVE MAY HAVE BEEN DAMAGED DURING THE DECOMPRESSION. NO FURTHER PATIENT COMPLICATIONS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
214052 ZEPHIR APPLIANCE, FIXATION, SPINAL INTERVERTEBRAL BODY KWQ MEDTRONIC SOFAMOR DANEK NA UNK

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention SELF-TAPPING CERVICAL SCREWS, AUTOGRAFT