2520274-2013-06499
Report
- Report Number
- 2520274-2013-06499
- Event Type
- Injury
- Date Received
- September 26, 2013
- Date of Event
- April 5, 2013
- Report Date
- August 15, 2013
- Manufacturer
- SYNTHES USA
- Product Code
- MDI
- PMA / PMN Number
- H030009
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MA
- Reporter Occupation
- HEALTH PROFESSIONAL
Narratives
INVESTIGATION COULD NOT BE COMPLETED AND NO CONCLUSION COULD BE DRAWN AS NO DEVICE WAS RETURNED AND NO LOT NUMBER OR PART NUMBER PROVIDED THIS DEVICE USED FOR TREATMENT AND NOT DIAGNOSIS.
A JOURNAL ARTICLE ENTITLED: NON-FUSION AND GROWING INSTRUMENTATION IN THE CORRECTION OF CONGENITAL SPINAL DEFORMITY ASSOCIATED WITH SPLIT SPINAL CORD MALFORMATION: AN EARLY FOLLOW-UP OUTCOME. HUI H., LUO Z.J., YAN M., YE Z.X., TAO H.R. AND WANG H.Q; EUROPEAN SPINE JOURNAL. REPORTED: A RETROSPECTIVE CASE REVIEW BETWEEN 2007 AND 2010 TO EVALUATE THE SAFETY AND EFFICACY OF THE NON-FUSION TECHNIQUE IN ACHIEVING AND MAINTAINING THE PROPER CORRECTION FOR CONGENITAL SPINAL DEFORMITY (CSD) AND ALLOWING NORMAL SPINAL GROWTH IN PATIENTS WITH SPLIT SPINAL CORD MALFORMATION (SSCM). THERE WERE SEVEN PATIENTS: SIX FEMALE AND ONE MALE PATIENT WITH A DIAGNOSIS OF CSD ASSOCIATED WITH SSCM AND A MEAN AGE OF 8 YEARS. ALL PATIENTS IN THIS STUDY RECEIVED HALO-GRAVITY TRACTION (HGT) PRIOR TO EXPANSION OF THE SPINE AND INSTRUMENTATION WITH VERTICAL EXPANDABLE TITANIUM PROSTHETIC RIB (VEPTR), GROWING ROD OR THEIR HYBRID. FIVE OF THE PATIENTS UNDERWENT OPENING WEDGE THORACOPLASTY SIMULTANEOUSLY. ALL PATIENTS WERE FOLLOWED UP WITH AN AVERAGE OF 32.6 MONTHS. THERE WERE NO COMPLICATIONS REPORTED FOR ANY OF THE PATIENTS REGARDING THE COURSE OF TRACTION AND ONLY THREE OF THE SEVEN PATIENTS EXPERIENCED COMPLICATIONS FROM THE SURGERY. THIS COMPLAINT REGARDS TWO PATIENTS WHO EXPERIENCED ASYMPTOMATIC PROXIMAL MIGRATION OF THE RIB CRADLE A TOTAL OF FOUR TIMES. THE FIRST PATIENT EXPERIENCED COMPLETE MIGRATION OF THE VEPTR RIB CRADLE THROUGH THE OSSEOUS RIB AT 1, 1.5 AND 2 YEARS AFTER IMPLANT SURGERY AND THE SECOND PATIENT EXPERIENCED COMPLETE MIGRATION 6 MONTHS AFTER SURGERY. ALL EVENTS OF MIGRATION WERE DIAGNOSED ON PREOPERATIVE RADIOGRAPHS OF SCHEDULED VEPTR EXPANSION PROCEDURES AND THE RIB CRADLES WERE RESEATED DURING THE SCHEDULED PROCEDURES. THIS REPORT IS 1 OF 1 FOR COMPLAINT (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 487763 | MDI | SYNTHES USA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |