FDA Adverse Event Injury Summary report: N

MECTALIF TRANSFORAMINAL CAGE 12X30X9 L5

MDR report key: 4878425 · Received June 26, 2015

Report

Report Number
3005180920-2015-00135
Event Type
Injury
Date Received
June 26, 2015
Report Date
October 1, 2015
Manufacturer
MEDACTA INTERNATIONAL, SA
Product Code
MAX
PMA / PMN Number
K131671
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

BATCH REVIEW PERFORMED ON 24 JUNE 2015: LOT 111748: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 14 DEC 2011. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE LOT HAVE BEEN SOLD WITHOUT ANY SIMILAR REPORTED ISSUE. ON 15 JUNE 2015 IT WAS REPORTED THAT: FOR THAT CASE, THE SURGEON HAD TO PERFORM A 2 LEVELS TRANSFORAMINAL CASE. FOR THE 1ST LEVEL, HE MANAGED TO INSERT THE CAGE BUT COULDN'T DO IT IN A SATISFACTORY MANNER. AFTER PARTIAL INSERTION, THE PRESSURE ON THE CAGE MADE IT NOT POSSIBLE TO BE MOVED OR ROTATED ANYMORE. THE SURGEON DECIDED TO LEFT THE CAGE IN PLACE BUT WAS NOT TOTALLY SATISFIED WITH ITS FINAL POSITION. FOR THE 2ND LEVEL, HE DECIDED TO USE A CAGE OF A COMPETITOR.

Additional Manufacturer Narrative · 1

ON 01 SEPTEMBER 2015 IT WAS PREPARED A FINAL REPORT WITH THE INFORMATION ALREADY SUBMITTED IN THE INITIAL REPORT. ON THE SAME DAY THE REPORT WAS SENT TO THE INITIAL REPORTER AND THE CASE WAS CLOSED.

Description of Event or Problem · 1

(B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
415727 MECTALIF TRANSFORAMINAL CAGE 12X30X9 L5 TRANSFORAMINAL PEEK CAGE MAX MEDACTA INTERNATIONAL, SA

Patients

Seq Age Sex Outcome Treatment
1