FDA Adverse Event Injury Summary report: N

MAGEC SPINAL BRACING AND DISTRACTION SYSTEM

MDR report key: 3825850 · Received May 21, 2014

Report

Report Number
3006179046-2014-00015
Event Type
Injury
Date Received
May 21, 2014
Report Date
April 21, 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

A DISTRIBUTOR REPORTED THAT A PATIENT'S MAGEC ROD BROKE. THE PATIENT WAS IMPLANTED WITH DUAL MAGEC RODS IN 2012. THE EXACT DATE OF IMPLANTATION WAS IS UNKNOWN; THIS IS NOT AN UNUSUAL EVENT FOR GROWING ROD PATIENTS. A REVISION SURGERY WAS PERFORMED ON (B)(6) 2014 TO REMOVE THE ALLEGED BROKEN. 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.). AN EVALUATION OF THE RETURNED DEVICE IS IN PROCESS. A DHR REVIEW REVEALED THAT THERE WERE NO DEVIATIONS FROM THE MANUFACTURING PROCESS AND THAT THE DEVICE WAS RELEASED WITHIN SPECIFICATIONS. THE DEVICE INVOLVED IN THE ALLEGED INCIDENT IS A PRIOR VERSION OF THE DEVICE CLEARED UNDER K140178 AND IS NO LONGER COMMERCIALLY AVAILABLE IN THE US OR OUS. OUT OF AN ABUNDANCE OF CAUTION A REPORT IS BEING SUBMITTED WITH REGARD TO THE ALLEGED SERIOUS INJURY.

Description of Event or Problem · 1

A DISTRIBUTOR REPORTED THAT A PATIENT'S MAGEC ROD BROKE. THE PATIENT WAS IMPLANTED WITH DUAL MAGEC RODS IN 2012.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
303086 MAGEC SPINAL BRACING AND DISTRACTION SYSTEM GROWING ROD SYSTEM- MAGNETIC ACTUATION PGN ELLIPSE TECHNOLOGIES, INC. RA002-4545SL 110124-004

Patients

Seq Age Sex Outcome Treatment
1 8 YR Hospitalization| O