FDA Adverse Event Injury Summary report: N

MAGEC SPINAL BRACING AND DISTRACTION SYSTEM

MDR report key: 3725810 · Received April 3, 2014

Report

Report Number
3006179046-2014-00010
Event Type
Injury
Date Received
April 3, 2014
Report Date
March 4, 2014
Manufacturer
ELLIPSE TECHNOLOGIES, INC.
Product Code
PGN
PMA / PMN Number
K140178
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

INFORMATION WITH REGARD TO THE PATIENT'S AGE, GENDER, AND WEIGHT WERE NOT PROVIDED. THIS IS NOT AN UNUSUAL EVENT FOR GROWING ROD PATIENTS. THE MAGEC ROD WAS REMOVED ON (B)(6) 2014. NO NEGATIVE OUTCOMES HAVE BEEN REPORTED. IN THE LITERATURE, GROWING RODS HAVE BEEN REPORTED TO BREAK IN APPROXIMATELY 25% OF CASES (BESS S, ET.AL., "COMPLICATIONS OF GROWING-ROD TREATMENT FOR EARLY ONSET SCOLIOSIS: ANALYSIS OF ONE HUNDRED AND FORTY PATIENTS", J BONE JOINT SURG AM. 2010; 92: 1-11.). TO DATE, THE DEVICE INVOLVED IN THE ALLEGED INCIDENT HAS NOT BEEN RETURNED; THEREFORE, NO EVALUATION CAN BE CONDUCTED. A DHR REVIEW REVEALED THAT THERE WERE NO DEVIATIONS FROM THE MANUFACTURING PROCESS AND THAT THE DEVICE WAS RELEASED WITHIN SPECIFICATIONS.

Description of Event or Problem · 1

UPON REVIEWING X-RAY RESULTS, A DOCTOR ALLEGED THAT A PATIENT'S MAGEC ROD APPEARED TO BE BROKEN; THE PATIENT HAD BEEN IMPLANTED WITH DUAL MAGEC RODS FOR APPROXIMATELY FIVE (5) MONTHS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
201911 MAGEC SPINAL BRACING AND DISTRACTION SYSTEM GROWING ROD SYSTEM- MAGNETIC ACTUATION PGN ELLIPSE TECHNOLOGIES, INC. RA002-4545SLR A130520-02

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| O