FDA Adverse Event Injury Summary report: N

INFUSE BONE GRAFT

MDR report key: 4130143 · Received September 30, 2014

Report

Report Number
1030489-2014-03772
Event Type
Injury
Date Received
September 30, 2014
Report Date
June 2, 2015
Manufacturer
MEDTRONIC SOFAMOR DANEK USA, INC
Product Code
NEK
PMA / PMN Number
P000058
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
ATTORNEY

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Additional Manufacturer Narrative · 1

(B)(4). NEITHER THE DEVICE NOR FILMS OF APPLICABLE IMAGING STUDIES WERE RETURNED TO THE MANUFACTURER FOR EVALUATION. THEREFORE, WE ARE UNABLE TO DETERMINE THE DEFINITIVE CAUSE OF THE REPORTED EVENT. PRODUCTS FROM MULTIPLE MANUFACTURERS WERE IMPLANTED DURING THE PROCEDURE. ALTHOUGH IT IS UNKNOWN IF ANY OF THE DEVICES CONTRIBUTED TO THE REPORTED EVENT, WE ARE FILING THIS MDR FOR NOTIFICATION PURPOSES.

Description of Event or Problem · 1

IT WAS REPORTED THAT ON (B)(6) 2005 THE PATIENT PRESENTED WITH PRE-OP DIAGNOSIS OF: HERNIATED NUCLEUS PULPOSUS AT C5-6; MYELOPATHY. THE PATIENT UNDERWENT THE FOLLOWING PROCEDURES: ANTERIOR CERVICAL DISKECTOMY AT C5-6; ARTHRODESIS AT C5-6 WITH PEEK CAGE AND AUTOGRAFT AND MORSELIZED ALLOGRAFT; FIXATION AT C5-6 WITH GLOBUS ANTERIOR PLATING SYSTEM. FINDINGS: LARGE CENTRAL DISK HERNIATION. PER OP NOTES, ONCE THE SURGEON WAS DONE WITH THE OVERALL DECOMPRESSION, ARTHRODESIS WAS PERFORMED. THE SURGEON TOOK A 7 LORDOTIC CURVE PEEK CAGE MIXED WITH AUTOGRAFT OBTAINED FROM THE END PLATES AND THE BMP AND MORSELIZED ALLOGRAFT MIXED IN. THE SURGEON THEN GENTLY TAPPED THIS INTO THE DISK SPACE. IT WAS COUNTERSUNK A FEW MM. THE SURGEON THEN TOOK A METAL PLATE AND SECURED IT TO C5 WITH 2 MEDICAL SCREWS AND IN C6 WITH 2 SCREWS. THE WOUND WAS THEN IRRIGATED WITH COPIOUS AMOUNTS OF ANTIBIOTIC. THE PATIENT TOLERATED THE PROCEDURE WELL AND WAS TRANSFERRED TO THE RECOVERY ROOM IN A STABLE CONDITION. NO PATIENT COMPLICATIONS WERE NOTED. ON 11/18/2011 THE PATIENT UNDERWENT CT OF LUMBAR MYELOGRAM WITH MULTI-REFORMATTED 3D IMAGES.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT DEVELOPED UNSPECIFIED INJURIES FOLLOWING THE USE OF RHBMP-2/ACS IN AN UNSPECIFIED SPINAL FUSION SURGERY. NO ADDITIONAL INFORMATION WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
607279 INFUSE BONE GRAFT FILLER, RECOMBINANT HUMAN BONE MORPHOGENETIC PROTEIN, COLLAGEN SCAFFOLD WITH MET NEK MEDTRONIC SOFAMOR DANEK USA, INC NA UNK

Patients

Seq Age Sex Outcome Treatment
1 Other