FDA Adverse Event Injury Summary report: N

PROSTHESIS, INTERVERTEBRAL DISC

MDR report key: 4747280 · Received May 5, 2015

Report

Report Number
2530088-2015-10132
Event Type
Injury
Date Received
May 5, 2015
Date of Event
September 10, 2013
Report Date
April 20, 2015
Manufacturer
SYNTHES BRANDYWINE
Product Code
MJO
PMA / PMN Number
PP070001
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

LEHMAN RONALD AND ET AL (2013): OUTCOMES OF SINGLE-LEVEL CERVICAL DISC ARTHROPLASTY VERSUS ANTERIOR DISCECTOMY AND FUSION: A SINGLE CENTER, RETROSPECTIVE REVIEW. THE SPINE JOURNAL, VOLUME 13, ISSUE 9, PAGE 5S. THIS REPORT IS FOR UNKNOWN PRODIISC-C/UNKNOWN QUANTITY/UNKNOWN LOT. (B)(4). 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 SUBSEQUENT REVIEW OF THE FOLLOWING ABSTRACT: LEHMAN RONALD AND ET AL (2013): OUTCOMES OF SINGLE-LEVEL CERVICAL DISC ARTHROPLASTY VERSUS ANTERIOR DISCECTOMY AND FUSION: A SINGLE CENTER, RETROSPECTIVE REVIEW. THE SPINE JOURNAL, VOLUME 13, ISSUE 9, PAGE 5S. A TOTAL OF ONE HUNDRED AND NINETY EIGHT PATIENTS UNDERWENT SURGERIES FOR EITHER SINGLE-LEVEL CERVICAL DISC ARTHROPLASTY (CDA) OR SINGLE-LEVEL ANTERIOR DISCECTOMY AND FUSION (ACDF) FOR THE TREATMENT OF CERVICAL RADICULOPATHY AND MYELOPATHY FROM AUGUST 2008 TO AUGUST 2012. THE CDA GROUP CONTAINED 110 PATIENTS AND THE ACDF GROUP HAD 88 PATIENTS. AVERAGE FOLLOW-UP TIME WAS 9.7 (±8.8) MONTHS. DURING THE STUDY, THE CDA AND ACDF GROUPS DEMONSTRATED 90.9% AND 86.4% RATES OF SYMPTOM RELIEF, RESPECTIVELY. 93.6% OF PATIENTS WHO UNDERWENT CDA WERE ABLE TO RETURN TO FULL ACTIVITY, COMPARED TO 88.6% IN THE ACDF GROUP. THE RATES FOR RECURRENT LARYNGEAL NERVE (RLN) INJURY AND DYSPHAGIA WERE 3.6% AND 5.5%, RESPECTIVELY, IN THE CDA GROUP. THE ACDF GROUP HAD NO RLN INJURIES AND 3.4% OF PATIENTS REPORTED DYSPHAGIA. THE CDA GROUP HAD A 16.4% RATE OF PERSISTENT POSTERIOR NECK PAIN. THE ACDF GROUP HAD 11 PATIENTS (12.5%) WITH PERSISTENT POSTERIOR NECK PAIN, AND A RATE OF SYMPTOMATIC PSEUDOARTHROSIS REQUIRING REOPERATION OF 2.3%. THE DATA SUGGEST THAT BOTH CDA AND ACDF RESULT IN APPROXIMATELY 90% (93.6% CDA AND 88.6% ACDF) OF PATIENTS WITH COMPLETE SYMPTOM RELIEF AND A RELATIVELY LOW COMPLICATION RATE. PATIENTS WHO UNDERWENT CDA HAD A HIGHER RATE OF PERSISTENT POSTERIOR NECK PAIN, AND PATIENTS WHO UNDERWENT ACDF WERE AT RISK FOR SYMPTOMATIC PSEUDOARTHROSIS. THIS IS REPORT 1 OF 1 FOR (B)(4) THIS REPORT IS FOR UNKNOWN PRODISC-C A COPY OF THE LITERATURE ARTICLE IS BEING SUBMITTED WITH THIS MEDWATCH. THIS REPORT IS FOR 1 DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
292778 PROSTHESIS, INTERVERTEBRAL DISC MJO SYNTHES BRANDYWINE

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention