FDA Adverse Event Injury Summary report: N

COFLEX (R) INTERLAMINAR TECHNOLOGY

MDR report key: 4120859 · Received September 23, 2014

Report

Report Number
3005725110-2014-00004
Event Type
Injury
Date Received
September 23, 2014
Date of Event
November 4, 2013
Report Date
September 22, 2014
Manufacturer
PARADIGM SPINE GMBH
Product Code
NQO
PMA / PMN Number
P110008
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

COFLEX REMOVAL SURGERY TO RELIEVE PERSISTENT INCREASED PAIN AFTER TRAUMA: PT RECEIVED A COFLEX IN L4-L5 ON (B)(6) 2010. PT WAS DOING WELL UNTIL SHE SAT ON A FOLDING CHAIR THAT COLLAPSED ON (B)(6) 2013. SHE THEN HAD ONGOING BACK PAIN AND RADIATING LEG PAIN. SHE DESCRIBED BURNING PAIN IN HER BUTTOCKS BILATERALLY WITH STABBING ON THE RIGHT SIDE, PINS AND NEEDLES SENSATIONS DOWN HER LEGS BILATERALLY BOTH ANTERIORLY AND POSTERIORLY AND SOME STABBING IN HER LEFT FOOT AS WELL. DIAGNOSIS: POST TRAUMA LUMBAR INSTABILITY, LATERAL RECES FORAMINAL STENOSIS, PROGRESSIVE RADICULOPATHY. SHE THEN HAD A REVISION SURGERY: REMOVAL OF COFLEX IMPLANT FOLLOWED BY COMPLETE LAMINECTOMY, FACETECTOMY, FORAMINOTOMY, REDO DECOMPRESSION WITH NONSEGMENTAL PEDICLE SCREW FIXATION INTO L4-L5 INTERBODY FUSION WITH EXPANDABLE CAGES, SPONDYLO REDUCTION, POSTEROLATERAL BILATERAL FUSION WITH LOCALLY HARVESTED MORSELIZED BONE, FROZEN ALLOGRAFT, INTERBODY FUSION, NONSEGMENTAL FIXATION, COMPLETE DECOMPRESSION OF THE SPINAL CANAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
591203 COFLEX (R) INTERLAMINAR TECHNOLOGY PROSTHESIS, SPINOUS PROCESS SPAC NQO PARADIGM SPINE GMBH UAI00010 2006000708

Patients

Seq Age Sex Outcome Treatment
1 62 YR Required Intervention