FDA Adverse Event Injury Summary report: N

MAGEC® SPINAL BRACING AND DISTRACTION SYSTEM

MDR report key: 5880164 · Received August 16, 2016

Report

Report Number
3006179046-2016-00028
Event Type
Injury
Date Received
August 16, 2016
Report Date
July 21, 2016
Manufacturer
NUVASIVE SPECIALIZED ORTHOPEDICS, INC.
Product Code
PGN
PMA / PMN Number
K140613
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE PATIENT WAS IMPLANTED WITH DUAL MAGEC RODS (LOT# A150128-11; MANUFACTURE DATE 01/02/2015, EXPIRATION DATE 01/02/2017, AND LOT# A150319-22; MANUFACTURE DATE 03/01/2015, EXPIRATION DATE 03/01/2017), AND IT WAS ALLEGED THAT THE RODS APPEARED TO NOT BE DISTRACTING. THE RODS WERE REMOVED ON (B)(6) 2016, AND THE PATIENT WAS IMPLANTED WITH NEW DUAL MAGEC RODS WITHOUT INCIDENT. 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 DEVICES WERE RELEASED WITHIN SPECIFICATIONS.

Description of Event or Problem · 1

A DISTRIBUTOR REPORTED THAT A SURGEON ALLEGED THAT A PATIENT'S DUAL MAGEC RODS APPEARED TO NOT BE DISTRACTING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
532570 MAGEC® SPINAL BRACING AND DISTRACTION SYSTEM GROWING ROD SYSTEM-MAGNETIC ACTUATION PGN NUVASIVE SPECIALIZED ORTHOPEDICS, INC. MS1-4590R, MS1-4590S A150128-11, A150319-22

Patients

Seq Age Sex Outcome Treatment
1 6 YR Hospitalization