FDA Adverse Event Injury Summary report: N

MAGEC® SPINAL BRACING AND DISTRACTION SYSTEM

MDR report key: 5283270 · Received December 9, 2015

Report

Report Number
3006179046-2015-00044
Event Type
Injury
Date Received
December 9, 2015
Report Date
November 9, 2015
Manufacturer
ELLIPSE TECHNOLOGIES, INC.
Product Code
PGN
PMA / PMN Number
K140178
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE PATIENT'S MAGEC ROD WAS REMOVED AND THE PATIENT WAS IMPLANTED WITH A NEW MAGEC ROD, WITHOUT INCIDENT. TO DATE, THE PATIENT IS DOING FINE AND CONTINUING THEIR TREATMENT WITH MAGEC; NO NEGATIVE OUTCOMES WERE REPORTED. A DHR REVIEW REVEALED THAT THERE WERE NO DEVIATIONS FROM THE MANUFACTURING PROCESS AND THAT THE DEVICE WAS RELEASED WITHIN SPECIFICATIONS. THIS IS NOT AN UNUSUAL EVENT FOR GROWING ROD PATIENTS. IN THE LITERATURE, GROWING RODS HAVE BEEN REPORTED TO BREAK IN APPROXIMATELY 25% OF CASES (BESS S, ET.AL., "COMPLICATIONS OF GROWING-ROD TREATMENT FOR EARLY ONSET SCOLIOSIS: ANALYSIS OF ONE HUNDRED AND FORTY PATIENTS", J BONE JOINT SURG AM. 2010; 92: 1-11.).

Description of Event or Problem · 1

A DISTRIBUTOR ALLEGED THAT A PATIENT'S MAGEC ROD APPEARED TO HAVE HAD SEPARATED AT A SOLID SECTION AFTER ONE (1) YEAR OF IMPLANTATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
811511 MAGEC® SPINAL BRACING AND DISTRACTION SYSTEM GROWING ROD SYSTEM-MAGNETIC ACTUATION PGN ELLIPSE TECHNOLOGIES, INC. RA002-4545SL A140122-01

Patients

Seq Age Sex Outcome Treatment
1 12 YR Hospitalization