FDA Adverse Event Injury Summary report: N

T2 ALTITUDE¿ EXPANDABLE CORPECTOMY SYSTEM

MDR report key: 3870937 · Received June 12, 2014

Report

Report Number
1030489-2014-02744
Event Type
Injury
Date Received
June 12, 2014
Report Date
August 15, 2014
Manufacturer
MEDTRONIC SOFAMOR DANEK USA, INC
Product Code
MQP
PMA / PMN Number
K100976
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

ANALYSIS OF THE RETURNED DEVICE SHOWS THAT VISUAL AND OPTICAL INSPECTION OF RETAINING FEATURES IDENTIFIED ASYMMETRICAL WITNESS MARKS NOTED AT RETAINING FEATURE. MANUAL FUNCTIONAL EVALUATION OF IMPLANT FOUND IMPLANT ABLE TO BE PROPERLY EXTENDED, AND THE LOCKING FUNCTION AUTOMATICALLY ENGAGING. EVALUATION OF IMPLANT WITH 200LBF COMPRESSIVE LOAD CELL AT HIGHEST AND LOWEST SETTING FOUND IMPLANT DID NOT RELEASE OR COLLAPSE. UNABLE TO REPLICATE CUSTOMER CONCERN; AFTER VISUAL, OPTICAL AND FUNCTIONAL EVALUATION, NO EVIDENCE WAS FOUND THAT WOULD SUGGEST A DEFECT IN MANUFACTURING OR PROCESSING OF THE IMPLANT OR ASSOCIATED COMPONENTS. THE IMPLANT APPEARS TO BE CAPABLE OF PERFORMING ITS INTENDED FUNCTION.

Additional Manufacturer Narrative · 1

(B)(6). (B)(4) THE DEVICE HAS BEEN RETURNED TO THE MANUFACTURER FOR EVALUATION. ANALYSIS RESULTS ARE NOT AVAILABLE AT THE TIME OF THIS REPORT. A FOLLOW-UP REPORT WILL BE SENT WHEN THE ANALYSIS IS COMPLETE.

Description of Event or Problem · 1

IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN SPINAL PROCEDURE. IT WAS REPORTED AT AN UNKNOWN TIME THAT THE "IMPLANT IS COLLAPSED." NO FURTHER DETAILS ARE KNOWN AT THIS TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
347487 T2 ALTITUDE¿ EXPANDABLE CORPECTOMY SYSTEM SPINAL VERTEBRAL BODY REPLACEMENT DEVICE MQP MEDTRONIC SOFAMOR DANEK USA, INC UM12D280

Patients

Seq Age Sex Outcome Treatment
1