FDA Adverse Event Injury Summary report: N

INFUSE BONE GRAFT

MDR report key: 3140423 · Received May 31, 2013

Report

Report Number
1030489-2013-02027
Event Type
Injury
Date Received
May 31, 2013
Report Date
October 25, 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 ON (B)(6) 2008, THE PATIENT UNDERWENT FUSION SURGERY IN WHICH RH-BMP2/ACS WAS USED. AS PER OP-NOTES, ¿THE CARTILAGINOUS END PLATES OF L3 AND L4 WERE DECORTICATED WITH A SMALL RASP. THE DEPTH AND HEIGHT OF THE DISK SPACE WAS MEASURED BY INSERTING VARIOUS TRIAL INTERBODY SPACERS AND A 10 MM LORDOTIC INTERBODY CAGE WAS CHOSEN AS THE OPTIMAL FIT. THIS WAS PACKED WITH A COMBINATION OF RHBMP-2 AND GRAFT SUBSTITUTE, WHICH WAS THEN INSERTED INTO THE CAGE. THE CAGE WAS THEN IMPACTED INTO THE L3-L4 DISK SPACE UNDER FLUOROSCOPIC GUIDANCE. THE LOCATION OF THE CAGE WAS EXCELLENT IN BOTH SAGITTAL AND CORONAL PLANES.¿ THE PATIENT TOLERATED THE PROCEDURE WELL AND THERE WERE NO INTRA-OPERATIVE COMPLICATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
241952 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