FDA Adverse Event Injury Summary report: N

PROSTHESIS INTERVERTEBRAL DISC

MDR report key: 4304807 · Received December 8, 2014

Report

Report Number
2520274-2014-15191
Event Type
Injury
Date Received
December 8, 2014
Date of Event
August 28, 2014
Report Date
November 10, 2014
Manufacturer
SYNTHES BRANDYWINE
Product Code
MJO
PMA / PMN Number
PP050010
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. LITERATURE CITATION: VERUVA, S.Y., LANMAN, T.H., HANZLIK, J.A., KURTZ, S.M., AND STEINBECK, M.J. (2014). CASE REPORT: RARE COMPLICATIONS OF OSTEOLYSIS AND PERIPROSTHETIC TISSUE REACTIONS AFTER HYBRID AND NON-HYBRID TOTAL DISC REPLACEMENT. EUROPEAN SPINE JOURNAL, DOI 10.1007/S00586-014-3535-0. THIS REPORT IS FOR AN UNKNOWN QUANTITY FOR SUPERIOR ENDPLATE FOR PRODISC-L WITH UNKNOWN PART AND LOT NUMBERS. (B)(6). THE INVESTIGATION COULD NOT BE COMPLETED AND NO CONCLUSION COULD BE DRAWN AS NO DEVICE WAS RETURNED AND NO LOT NUMBER OR PART NUMBER WAS PROVIDED. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Description of Event or Problem · 1

THIS REPORT IS BEING FILED AFTER THE SUBSEQUENT REVIEW OF THE FOLLOWING JOURNAL ARTICLE: VERUVA, S.Y., LANMAN, T.H., HANZLIK, J.A., KURTZ, S.M., AND STEINBECK, M.J. (2014). CASE REPORT: RARE COMPLICATIONS OF OSTEOLYSIS AND PERIPROSTHETIC TISSUE REACTIONS AFTER HYBRID AND NON-HYBRID TOTAL DISC REPLACEMENT. EUROPEAN SPINE JOURNAL, DOI 10.1007/S00586-014-3535-0. THIS WAS A RETROSPECTIVE REVIEW OF A STUDY IN WHICH THE PURPOSE WAS TO REPORT 2 OSTEOLYSIS CASES AFTER PRODISC-L LUMBAR DISC REPLACEMENT. THE STUDY POPULATION INCLUDED 2 MALE PATIENTS. THEY SUFFERED FROM LUMBAR DISC HERNIATION AND RADICULOPATHY. ONE PATIENT REQUIRED A MULTI-LEVEL TREATMENT AND CHOSE A HYBRID FIXATION WITH PRODISC-L TOTAL DISC REPLACEMENT (TDR) AND FUSION. THE OTHER PATIENT RECEIVED 1 LEVEL OF PRODISC-L TDR. BOTH PATIENTS HAD REVISION SURGERY IN WHICH THE TDRS WERE REMOVED. PERIPROSTHETIC TISSUE SPECIMENS SELECTED FROM REGIONS ADJACENT TO THE IMPLANT WERE OBTAINED. BOTH PATIENTS DEVELOPED OSTEOLYTIC LESIONS IN VERTEBRAE ADJACENT TO THE IMPLANT. PATIENT 2 IS A 56 YEAR OLD MALE WHO HAD A 1 LEVEL PRODISC-L TDR DUE TO A HERNIATED DISC AND RADICULOPATHY AT L4-5. HE IS REFERRED TO AS THE NON-HYBRID CASE AND HIS IMPLANT SHOWED SIGNS OF ABRASION AND IMPINGEMENT AND INFLAMMATION WAS OBSERVED IN TISSUE LESIONS WITH METAL AND POLYETHYLENE WEAR DEBRIS: (AKA, PAIN, OSTEOLYTIC CYSTS, WEAR DEBRIS AND INFLAMMATION. THIS IS REPORT 4 OF 6 FOR (B)(4). THIS REPORT IS FOR AN UNKNOWN PRODISC-L, SUPERIOR ENDPLATE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
790586 PROSTHESIS INTERVERTEBRAL DISC MJO SYNTHES BRANDYWINE

Patients

Seq Age Sex Outcome Treatment
1 56 YR Required Intervention