FDA Adverse Event Injury Summary report: N

MAGEC® SPINAL BRACING AND DISTRACTION SYSTEM

MDR report key: 5820403 · Received July 25, 2016

Report

Report Number
3006179046-2016-00024
Event Type
Injury
Date Received
July 25, 2016
Report Date
June 28, 2016
Manufacturer
NUVASIVE SPECIALIZED ORTHOPEDICS, INC.
Product Code
PGN
PMA / PMN Number
K140178
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE PATIENT WAS IMPLANTED WITH DUAL MAGEC RODS (MS1-5590S, LOT# A120521-09-10-01U AND MS1-5590R, LOT# A140807-04-00-01U) ON (B)(6) 2014, AND IT WAS ALLEGED THAT DURING THE FIRST TWO (2) DISTRACTION SESSIONS, THE RODS APPEARED TO NOT BE DISTRACTING; HOWEVER, BOTH RODS DISTRACTED AND FUNCTIONED AS EXPECTED WHEN TESTED PRIOR TO IMPLANTATION. BOTH RODS WERE REMOVED ON (B)(6) 2016; THE PATIENT UNDERWENT A FINAL FUSION PROCEDURE, AND WAS NOT IMPLANTED WITH NEW RODS. TO DATE, THE PATIENT IS DOING FINE AND NO NEGATIVE OUTCOMES HAVE BEEN REPORTED. A DHR REVIEW REVEALED THAT THERE WERE NO DEVIATIONS FROM THE MANUFACTURING PROCESS, AND THE DEVICE WAS RELEASED WITHIN SPECIFICATIONS.

Description of Event or Problem · 1

A DISTRIBUTOR REPORTED THAT A SURGEON ALLEGED THAT DURING THE FIRST TWO (2) DISTRACTION SESSIONS, A PATIENT'S DUAL MAGEC RODS APPEARED TO NOT BE DISTRACTING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
473678 MAGEC® SPINAL BRACING AND DISTRACTION SYSTEM GROWING ROD SYSTEM-MAGNETIC ACTUATION PGN NUVASIVE SPECIALIZED ORTHOPEDICS, INC. MS1-5590S, MS1-5590R

Patients

Seq Age Sex Outcome Treatment
1 10 YR Hospitalization