BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CD HORIZON SPINAL SYSTEM

    MDR report key: 3285868 · Received August 14, 2013

    Report

    Report Number
    1030489-2013-03515
    Event Type
    Injury
    Date Received
    August 14, 2013
    Date of Event
    July 14, 2012
    Report Date
    July 15, 2013
    Manufacturer
    MEDTRONIC SOFAMOR DANEK
    Product Code
    KWP
    PMA / PMN Number
    UNK
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    HEALTH PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4): NEITHER THE DEVICE NOR APPLICABLE IMAGING FILMS WERE RETURNED TO THE MANUFACTURER FOR EVALUATION, THEREFORE, THE CAUSE OF THE EVENT CANNOT BE DETERMINED. LITERATURE CITATION: STEVEN M. KURTZ, ET AL. RETRIEVAL ANALYSIS OF PEEK RODS FOR POSTERIOR FUSION AND MOTION PRESERVATION. EUROPEAN SPINE JOURNAL. 2013; ISSUE#: DOI 10.1007/S00586-013-2920-4. (B)(4)

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE PATIENT UNDERWENT A POSTERIOR SPINAL FUSION AT L4/5-L5/S1 TO TREAT DISC DEGENERATION. IT WAS REPORTED THAT APPROXIMATELY 1 YEAR POST-OP THE PATIENT UNDERWENT A REVISION SURGERY DUE TO ADJACENT (PREEXISTING) STENOSIS L3¿4, FACET ARTHRITIS, PSEUDOARTHROSIS

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    390062 CD HORIZON SPINAL SYSTEM APPLIANCE, FIXATION, SPINAL INTERLAMINAL KWP MEDTRONIC SOFAMOR DANEK NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 00064 YR Other