FDA Adverse Event Injury Summary report: N

EXPEDIUM OR MOSS MIAMI SCREW

MDR report key: 4122092 · Received September 26, 2014

Report

Report Number
1526439-2014-11931
Event Type
Injury
Date Received
September 26, 2014
Report Date
September 18, 2014
Manufacturer
DEPUY SYNTHES SPINE
Product Code
NKB
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS NOT RETURNED FOR EVALUATION. A DEVICE HISTORY RECORD REVIEW AND COMPLAINT TREND ANALYSIS COULD NOT BE CONDUCTED AS THE PRODUCT CODE AND LOT NUMBER ARE UNKNOWN. AN EVENT DESCRIPTION SEARCH ON POST MARKET SURVEILLANCE LITERATURE ASSOCIATED WITH REVISION SURGERY FOR INADEQUATE RESTORATION AND STRESS FRACTURE WAS PERFORMED INDICATED THAT THERE WERE NO REPORTED COMPLAINTS OTHER THAN THIS ONE FOR ISSUES OF THIS NATURE. THE ROOT CAUSE UNKNOWN. NO PRODUCT FAILURES HAVE BEEN IDENTIFIED. NO CORRECTIVE ACTION/PREVENTIVE ACTION IS NECESSARY AT THIS TIME AS THERE WERE NO PRODUCT FAILURES INDICATED AND NO SYSTEMATIC TREND HAS BEEN IDENTIFIED. THEREFORE, THIS COMPLAINT FILE WILL CLOSED WITH NO FURTHER ACTION REQUIRED. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE. NOT RETURNED.

Description of Event or Problem · 1

MEDICAL SAFETY REPORTED COMPLAINTS FROM LITERATURE THAT WAS REVIEWED AS PART OF POST MARKET SURVEILLANCE REPORTING. LITERATURE ARTICLE 10: PRELIMINARY RESULTS OF THE EFFECT OF PROPHYLACTIC VERTEBROPLASTY ON THE INCIDENCE OF PROXIMAL JUNCTIONAL COMPLICATIONS AFTER POSTERIOR SPINAL FUSION TO THE LOW THORACIC SPINE (MARTIN, C.) PUBLICATION DATE JAN 2013. CLINICAL FINDINGS DETERMINED BY MEDICAL SAFETY AND COMPLAINT MANAGEMENT: N=2 REVISION SURGERY. YES FOR INADEQUATE RESTORATION AND STRESS FRACTURE THE FOLLOWING MFG. MEDWATCH REPORTS ARE BEING FILED FOR THE TWO EVENTS INVOLVING INADEQUATE RESTORATION AND STRESS FRACTURE: 1526439-2014-11931. 1526439-2014-11932.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
600763 EXPEDIUM OR MOSS MIAMI SCREW ORTHOSIS, SPINAL PEDICLE FIXATION, FOR DEGENERATIVE DISC DISEASE NKB DEPUY SYNTHES SPINE

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention