FDA Adverse Event Injury Summary report: N

CD HORIZON SPINAL SYSTEM

MDR report key: 4051854 · Received September 2, 2014

Report

Report Number
1030489-2014-03603
Event Type
Injury
Date Received
September 2, 2014
Date of Event
August 7, 2014
Report Date
August 7, 2014
Manufacturer
MEDTRONIC SOFAMOR DANEK
Product Code
NKB
PMA / PMN Number
UNK
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

ALTHOUGH IT IS UNKNOWN IF ANY OF THE DEVICES CONTRIBUTED TO THE REPORTED EVENT, WE ARE FILING THIS MDR FOR NOTIFICATION PURPOSES. (B)(4). NEITHER THE DEVICE NOR APPLICABLE IMAGING FILMS WERE RETURNED TO THE MANUFACTURER FOR EVALUATION, THEREFORE, THE CAUSE OF THE EVENT CANNOT BE DETERMINED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT UNDERWENT A POSTERIOR LUMBAR INTERBODY FUSION AT T5-T11. AFTER PLACEMENT OF THE RODS AND FINAL TIGHTENING OF THE SCREWS, THE PATIENT¿S MEP VALUES DROPPED. THE SURGEON CONSIDERED IT TRANSIENT AND THE INCISION WAS CLOSED. HOWEVER, THE MEP VALUES DID NOT IMPROVE, SO THE SURGEON DECIDED TO OPEN THE INCISION AGAIN TO REMOVE AND RE-CONTOUR RODS. THEREAFTER, A WAKE-UP TEST WAS PERFORMED AND BOTH OF THE PATIENT¿S LEGS MOVED. THE INCISION WAS THEN CLOSED; HOWEVER, THE MEP VALUES DID NOT CHANGE. IT WAS REPORTED THAT THE PATIENT RECOVERED AND HER CLINICAL COURSE WAS WELL THEREAFTER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
532738 CD HORIZON SPINAL SYSTEM ORTHOSIS, SPINAL PEDICLE FIXATION, FOR DEGENERATIVE DISC DISEASE NKB MEDTRONIC SOFAMOR DANEK NA UNK

Patients

Seq Age Sex Outcome Treatment
1 00040 YR Other BONE SCREW, SET SCREW