FDA Adverse Event Injury Summary report: N

PROSTHESIS INTERVERTEBRAL DISC

MDR report key: 4847466 · Received June 16, 2015

Report

Report Number
2520274-2015-14430
Event Type
Injury
Date Received
June 16, 2015
Date of Event
March 15, 2008
Report Date
June 2, 2015
Manufacturer
SYNTHES BRANDYWINE
Product Code
MJO
PMA / PMN Number
PP050010
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. THIS REPORT IS FOR UNKNOWN PRODISL POLYETHYLENE INLAY, UNKNOWN QUANTITY, UNKNOWN ITEM NUMBER AND UNKNOWN LOT NUMBER. UDI # UNKNOWN PART NUMBER, UDI IS UNAVAILABLE. (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 LITERATURE ARTICLE; WIRBELSÄULENCHIRURGIE, A (2008) ¿REVISION SURGERY AFTER IMPLANTATION OF A VERTEBRAL DISC PROSTHESIS¿; ORTHOPADE. 2008 - 37:339-346. DOI 10.1007/S00132-008-1229-1 SPRINGER MEDIZIN VERLAG 2008 (EU GERMANY ARTICLE) THIS ABSTRACT ARTICLE REPORTS ON THE ASSESSMENT OF THE REVISABILITY OF SURGERY AFTER THE ENDOPROSTHETIC REPLACEMENT OF VERTEBRAL DISCS SHOWS THAT THE SURGICAL APPROACH DEPENDS ON THE TIME OF REVISION SURGERY AND THE REASON WHY IT IS CARRIED OUT. EXPERIENCE IS BASED ON NINE REVISION OPERATIONS OUT OF 152 CERVICAL VERTEBRA PROSTHESES OF THE BRYAN AND PRODISC C TYPES IMPLANTED FROM 2003 TO 2007 AND 312 ENDOPROSTHESES OF THE CHARITÉ AND PRODISC TYPES IMPLANTED FROM 1999 TO 2007. RESULTS SHOW DIFFERING APPROACHES IN PERIOPERATIVE OR LATE POSTOPERATIVE REVISION OPERATIONS. OPERATIONS TO EXCHANGE IMPLANTS WERE NOT POSSIBLE, WHEREAS A CHANGE OF SURGICAL PROCEDURE IS THE RULE. THE SAME ACCESS ROUTE CAN USUALLY BE SELECTED IN THE CERVICAL SPINE, BUT IN THE LUMBAR SPINE THIS CAN ONLY BE DONE PERIOPERATIVELY; IF REVISION SURGERY IS CARRIED OUT AT A LATER DATE, AN ALTERNATIVE ACCESS ROUTE MUST BE USED. USING STRICT INDICATIONS FOR THE PRIMARY IMPLANT IS THE ONLY WAY TO PREVENT POSTOPERATIVE REVISION SURGERY THAT IS DUE TO AN INACCURATE PRIMARY ASSESSMENT AND NOT TO THE VERTEBRAL ENDOPROSTHESIS. THE NEXT GENERATION OF VERTEBRAL DISC ENDOPROSTHESES MUST INCORPORATE REDUCED LOAD OF THE ZYGAPOPHYSEAL JOINTS AND IMPROVED REVISABILITY COMPLICATIONS FROM THIS ARTICLE INCLUDE (9) REVISION OPERATIONS OUT OF 464 PATIENTS HAVING CERVICAL PROSTHESES FROM 1999 TO 2007, WITH COMPETITORS PRODUCT AND SYNTHES PRODISC C IMPLANTS. THIS REPORTED COMPLICATION IS FOR REVISION SURGERY DUE TO PATIENT PAIN AND IMPLANT DISLOCATION. (RM-SI) THIS IS REPORT 6 OF 12 ITEMS FOR COMPLAINT COM-(B)(4). UDI # UNKNOWN PART NUMBER, UDI IS UNAVAILABLE THIS UNKNOWN ITEM IF FOR A PRO DISC L IMPLANT, POLYETHYLENE INLAY ITEM AND LOT NUMBER ARE UNKNOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
392171 PROSTHESIS INTERVERTEBRAL DISC MJO SYNTHES BRANDYWINE

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention