FDA Adverse Event Injury Summary report: N

VIPER2 X-TAB POLY SCREW

MDR report key: 6129668 · Received November 28, 2016

Report

Report Number
1526439-2016-10882
Event Type
Injury
Date Received
November 28, 2016
Report Date
November 3, 2016
Manufacturer
DEPUY SYNTHES SPINE
Product Code
NKB
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

UDI: PRODUCT INFORMATION NOT AVAILABLE. SEVEN (7) CASES OF WOUND INFECTION REPORTED IN LITERATURE ARTICLE. NO PRODUCT FAILURE INDICTED. IN CASE OF INFECTION AS IN THIS INSTANCE, INFECTION REQUIRING REVISION OF THE SURGICAL SITE IS ASSESSED AS A SERIOUS INJURY RESULTING IN THE NEED FOR MEDICAL OR SURGICAL INTERVENTION IN ORDER TO PRECLUDE PERMANENT INJURY, DAMAGE, OR DEATH. NO PATIENT SPECIFIC IDENTIFIERS PROVIDED. THREE REQUESTS FOR ADDITIONAL INFORMATION SENT TO AUTHOR AND NO RESPONSE RETURNED. ONE MEDWATCH WILL BE SENT FOR 7 CASES. THIS COMPLAINT WAS GENERATED FROM LITERATURE REVIEW FOR HEALTH AUTHORITY REPORTING PURPOSES. THE COMPLAINT PRODUCT IS NOT AVAILABLE FOR THE INVESTIGATION. A SUPPLEMENTAL REPORT IS NOT ANTICIPATED UNLESS THE RESULTS OF THE PMS IDENTIFY A CORRECTIVE ACTION OR ADDITIONAL RELEVANT INFORMATION. SHOULD THE PRODUCT BECOME AVAILABLE, A PHYSICAL EVALUATION WILL BE CONDUCTED AND A SUPPLEMENTAL REPORT FILED WITH THE RESULTS. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE. SAMPLE NOT AVAILABLE.

Description of Event or Problem · 1

THIS REPORT IS BEING FILED AFTER THE SUBSEQUENT REVIEW OF THE FOLLOWING LITERATURE ARTICLE: KERIC ET AL: EVALUATION OF SURGICAL STRATEGY OF CONVENTIONAL VS. PERCUTANEOUS ROBOT-ASSISTED SPINAL TRANS-PEDICULAR INSTRUMENTATION IN SPONDYLODISCITIS RECEIVED: 6 FEBRUARY 2016 / ACCEPTED: 26 APRIL 2016. N=2 REVISION MISPLACED SCREW. N=4 REVISION LOOSENED SCREW. N=7 WOUND INFECTION. N=4 SURGICAL WOUND REVISION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
779131 VIPER2 X-TAB POLY SCREW ORTHOSIS, SPINAL PEDICLE FIXATION, FOR DEGENERATIVE DISC DISEASE NKB DEPUY SYNTHES SPINE

Patients

Seq Age Sex Outcome Treatment
1 Other| R