FDA Adverse Event Injury Summary report: N

KYPHX® HV-R¿ BONE CEMENT

MDR report key: 5149638 · Received October 14, 2015

Report

Report Number
2953769-2015-00140
Event Type
Injury
Date Received
October 14, 2015
Date of Event
September 15, 2015
Report Date
September 15, 2015
Manufacturer
MDT KYPHON NEUCHATEL MFG
Product Code
NDN
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THIS PART IS NOT APPROVED FOR USE IN THE UNITED STATES; HOWEVER, THE CATALOG # C01A AND 510K # K041584 OF 'LIKE DEVICES' WAS CLEARED IN THE UNITED STATES. 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 THAT PATIENT UNDERWENT BALLOON KYPHOPLASTY (BKP) TO TREAT COMPRESSION FRACTURE AT LEVEL T11. CEMENT WAS INJECTED EACH 3 MM ON THE BOTH SIDE ALTERNATELY. CEMENT LEAKAGE INTO THE SPINAL CANAL WAS OBSERVED DURING SECOND RIGHT INJECTION. CT INSPECTION WAS CONDUCTED AFTER CLOSING INCISION AND DECOMPRESSION SURGERY WAS OPERATED. CEMENT PROBABLY LEAKED FROM THE POSTERIOR WALL NEAR THE CENTER OF THE VERTEBRAL BODY. REVISION SURGERY WAS CONDUCTED AT THE SAME DAY AS INITIAL SURGERY. NO FURTHER INFORMATION WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
680352 KYPHX® HV-R¿ BONE CEMENT CEMENT, BONE, VERTEBROPLASTY NDN MDT KYPHON NEUCHATEL MFG NA EL50614

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention BKP KIT