FDA Adverse Event Injury Summary report: N

MAGEC® SPINAL BRACING AND DISTRACTION SYSTEM

MDR report key: 5640811 · Received May 9, 2016

Report

Report Number
3006179046-2016-00011
Event Type
Injury
Date Received
May 9, 2016
Report Date
April 12, 2016
Manufacturer
NUVASIVE SPECIALIZED ORTHOPEDICS, INC.
Product Code
PGN
PMA / PMN Number
K140178
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

IT WAS REPORTED THAT A PATIENT'S DUAL MAGEC RODS WERE REMOVED AFTER OVER ONE (1) YEAR OF IMPLANTATION; THE RODS WERE ALLEGEDLY BROKEN. THE DEVICES (LOT# A140605-01, EXPIRATION DATE 06/01/2016, AND LOT# A140220-03, EXPIRATION DATE 02/01/2016) WERE INITIALLY IMPLANTED IN (B)(6) 2014. NO FURTHER INFORMATION WAS RECEIVED WITH REGARD TO THE PATIENT'S HEALTH AND NO DETAILS SURROUNDING THE PATIENT'S PROCEDURE WAS PROVIDED. NO PATIENT INFORMATION WAS PROVIDED. TO DATE, THE DEVICES HAS NOT BEEN RETURNED; THEREFORE, NO EVALUATION CAN BE CONDUCTED. A DHR REVIEW REVEALED THERE WERE NO DEVIATIONS FROM THE MANUFACTURING PROCESS, AND THE DEVICES WERE RELEASED WITHIN SPECIFICATIONS.

Description of Event or Problem · 1

IT WAS REPORTED THAT A PATIENT'S DUAL MAGEC RODS WERE REMOVED AFTER OVER ONE (1) YEAR OF IMPLANTATION; THE RODS WERE ALLEGEDLY BROKEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
295493 MAGEC® SPINAL BRACING AND DISTRACTION SYSTEM GROWNING ROD SYSTEM-MAGNETIC ACTUATION PGN NUVASIVE SPECIALIZED ORTHOPEDICS, INC. RA002-5555SL, RA002-55555SLR A140605-01, A140220-03

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization