FDA Adverse Event Injury Summary report: N

PRESTIGE CERVICAL DISC SYSTEM

MDR report key: 4244048 · Received November 11, 2014

Report

Report Number
1030489-2014-04332
Event Type
Injury
Date Received
November 11, 2014
Date of Event
February 8, 2013
Report Date
October 14, 2014
Manufacturer
WARSAW ORTHOPEDICS
Product Code
MJO
PMA / PMN Number
P090029
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

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.

Description of Event or Problem · 1

IT WAS REPORTED IN A LITERATURE PUBLICATION THAT THIRTY-ONE PATIENTS WITH SINGLE-LEVEL CERVICAL DISC DISEASE RECEIVED THE PRESTIGE LP DISC REPLACEMENT FROM JUNE 2008 TO DECEMBER 2009. PATIENTS WERE ASSESSED AT 24 MONTHS FOLLOW-UP. STUDY INCLUDED 18 MALES, 13 FEMALES. AVERAGE AGE AT OPERATION WAS 42 YEARS (RANGE 29-54). CERVICAL ARTHROPLASTY INCLUDED C3-C4 IN 1 CASE, C4-5 IN 2 CASES AND C5-C6 IN 28 CASES. STUDENT¿S TWO-SIDED T TEST WAS USED TO ASSESS THE JOA, NDI AND VAS OF EACH PATIENT PRE-OPERATIVELY AND POST-OPERATIVELY AT 24 MONTHS. CLINICAL VALUES ARE PROVIDED IN TABLE 1. ALL PATIENTS SHOWED STATISTICALLY SIGNIFICANT IMPROVEMENT IN ALL MEASUREMENTS ABOVE AT 24 MONTHS. THE NECK PAIN DISAPPEARED COMPLETELY IN 9 PATIENTS, AND THE ARM PAIN ENTIRELY SUBSIDED IN 17 PATIENTS. THERE WAS NO CASE OF LOOSENING, MIGRATION OR SUBSIDENCE OF THE PROSTHESIS, AND NO PATIENT WAS RE-OPERATED AT AN ADJACENT LEVEL. ALL THE 19 PATIENTS WITH LORDOTIC ALIGNMENT PRE-OPERATIVE MAINTAINED THE LORDOTIC CURVATURE, EXCEPT ONE PATIENT BECAME KYPHOTIC POST-OPERATIVELY. IN SEVEN PATIENTS WITH PRE-OPERATIVE STRAIGHT ALIGNMENT, THE SPINAL ALIGNMENT IN TWO PATIENTS REMAINED STRAIGHT, FOUR PATIENTS BECAME LORDOTIC AND ONE PATIENT BECAME KYPHOTIC. IN FIVE PATIENTS WITH PRE-OPERATIVE KYPHOTIC ALIGNMENT THE SPINAL ALIGNMENT IN TWO PATIENTS BECAME LORDOTIC AND THREE PATIENTS REMAINED KYPHOTIC.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
726370 PRESTIGE CERVICAL DISC SYSTEM MJO WARSAW ORTHOPEDICS NA UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 00042 YR Other