FDA Adverse Event Injury Summary report: N

PROSTHESIS, INTERVERTEBRAL DISC

MDR report key: 3793568 · Received May 6, 2014

Report

Report Number
2530088-2014-10093
Event Type
Injury
Date Received
May 6, 2014
Report Date
April 15, 2014
Manufacturer
SYNTHES BRANDYWINE
Product Code
MJO
PMA / PMN Number
PP050010
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. THE STUDY INCLUDED 173 PATIENTS, AGED 25-55. NINETY-ONE PATIENTS WERE FEMALE. IMAGING- PRE-OPERATIVE MRI, INTRAOPERATIVE FLUOROSCOPY. RELEVANT PMH: THIS WAS A PROSPECTIVE RANDOMISED MULTICENTRE STUDY CONDUCTED AT FIVE UNIVERSITY HOSPITALS IN NORWAY AND INCLUDED PATIENTS WITH LOW BACK PAIN FOR AT LEAST ONE YEAR, OSWESTRY DISABILITY INDEX OF AT LEAST 30 POINTS, AND DEGENERATIVE CHANGES IN ONE OR TWO LOWER LUMBAR SPINE LEVELS (L5/L5 OR L5/S1, OR BOTH). PATIENTS WERE INCLUDED IN THE PERIOD BETWEEN APRIL 2004 AND MAY 2007 AND WERE TREATED WITHIN THREE MONTHS AFTER RANDOMIZATION. THIS REPORT IS FOR 2 UNKNOWN PRODISC-L SUPERIOR ENDPLATES. REPORT SOURCE: HELLUM, C. (2011). SURGERY WITH DISC PROSTHESIS VERSUS REHABILITATION IN PATIENTS WITH LOW BACK PAIN AND DEGENERATIVE DISC: TWO YEAR FOLLOW-UP OF RANDOMISED STUDY. BMJ 2011; 342:D2786, DOI: 10.1136/BMJ.D2786. THE INVESTIGATION COULD NOT BE COMPLETED AND NO CONCLUSION COULD BE DRAWN AS NO DEVICE WAS RETURNED AND NO LOT NUMBER OR PART NUMBER WAS PROVIDED. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Description of Event or Problem · 1

THIS REPORT IS BEING FILED AFTER THE SUBSEQUENT REVIEW OF THE FOLLOWING JOURNAL ARTICLE: ¿SURGERY WITH DISC PROSTHESIS VERSUS REHABILITATION IN PATIENTS WITH LOW BACK PAIN AND DEGENERATIVE DISC: TWO YEAR FOLLOW-UP OF RANDOMISED STUDY¿. THIS WAS A PROSPECTIVE RANDOMISED MULTICENTRE STUDY CONDUCTED AT FIVE UNIVERSITY HOSPITALS IN (B)(6) THAT INCLUDED 173 PATIENTS, AGED 25-55, WITH LOW BACK PAIN FOR AT LEAST ONE YEAR, OSWESTRY DISABILITY INDEX OF AT LEAST 30 POINTS, AND DEGENERATIVE CHANGES IN ONE OR TWO LOWER LUMBAR SPINE LEVELS (L5/L5 OR L5/S1, OR BOTH). PATIENTS WERE INCLUDED IN THE PERIOD BETWEEN APRIL 2004 AND MAY 2007 AND WERE TREATED WITHIN THREE MONTHS AFTER RANDOMIZATION. EIGHTY-SIX PATIENTS (40 NOTED TO BE WOMEN) WERE RANDOMISED TO SURGERY, WHICH CONSISTED OF REPLACEMENT OF THE DEGENERATIVE INTERVERTEBRAL LUMBAR DISC WITH AN ARTIFICIAL LUMBAR DISC, PRODISC II. THE REHABILITATION GROUP, WHICH CONSISTED OF 87 PATIENTS (51 NOTED TO BE WOMEN), RECEIVED OUTPATIENT TREATMENT IN GROUPS AT THE INVOLVED UNIVERSITY HOSPITALS, WHICH LASTED ABOUT 60 HOURS OVER THREE TO FIVE WEEKS. TREATMENT CONSISTED OF LECTURES AND INDIVIDUAL DISCUSSIONS FOCUSED ON RELEVANT TOPICS, DAILY WORKOUTS FOR INCREASED PHYSICAL CAPACITY, AND CHALLENGING PATIENTS¿ THOUGHTS ABOUT, AND PARTICIPATION IN, PHYSICAL ACTIVITIES PREVIOUSLY LABELED AS NOT RECOMMENDED. THIS IS REPORT 2 OF 10 FOR (B)(4) AND IS FOR 2 UNKNOWN PRODISC-L SUPERIOR ENDPLATES, FOR 2 PATIENTS WHO REPORTED NEW RADICULAR PAIN AT THE 2 YEAR FOLLOW-UP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
272514 PROSTHESIS, INTERVERTEBRAL DISC MJO SYNTHES BRANDYWINE

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention