FDA Adverse Event Injury Summary report: N

MAGEC SPINAL BRACING AND DISTRACTION SYSTEM

MDR report key: 3729040 · Received April 7, 2014

Report

Report Number
3006179046-2014-00007
Event Type
Injury
Date Received
April 7, 2014
Report Date
March 5, 2014
Manufacturer
ELLIPSE TECHNOLOGIES, INC.
Product Code
PGN
PMA / PMN Number
K140178
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TU
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS IS NOT AN UNUSUAL EVENT FOR GROWING ROD PATIENTS. A REVISION SURGERY WAS PERFORMED ON (B)(6) 2014 TO REPLACE THE EXISTING ROD; THE PATIENT WAS IMPLANTED WITH A NEW MAGEC ROD, WITHOUT INCIDENT. TO DATE, THE PATIENT IS DOING FINE AND NO NEGATIVE OUTCOMES HAVE BEEN NOTED. 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.). 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

A DISTRIBUTOR REPORTED THAT A PATIENT'S MAGEC ROD BROKE. THE PATIENT HAD BEEN IMPLANTED WITH THE MAGEC ROD FOR OVER ONE (1) YEAR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
206860 MAGEC SPINAL BRACING AND DISTRACTION SYSTEM GROWING ROD SYSTEM- MAGNETIC ACTUATION PGN ELLIPSE TECHNOLOGIES, INC. RA002-4545SL 120409-003

Patients

Seq Age Sex Outcome Treatment
1 7 YR Hospitalization| O