FDA Adverse Event
Malfunction
Summary report: N
PROSTHESIS, SPINOUS PROCESS SPACER/PLATE
MDR report key: 6201719
·
Received December 23, 2016
Report
- Report Number
- 1030489-2016-03497
- Event Type
- Malfunction
- Date Received
- December 23, 2016
- Report Date
- November 29, 2016
- Manufacturer
- MEDTRONIC SOFAMOR DANEK
- Product Code
- NQO
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
LITERATURE CITATION: KUNOGI JUNICHI, SAKAMOTO RYUJI, MASUDA KAZUHIRO, KAWAMURA NAOHIRO "COMPLICATIONS AND REVISION SURGERY OF MINIMALLY INVASIVE SPINAL SURGERY; COMPLICATIONS AND STRATEGY OF X-STOP FOR LUMBAR SPINAL CANAL STENOSIS" NEITHER THE DEVICE NOR FILMS OF APPLICABLE IMAGING STUDIES WERE RETURNED TO THE MANUFACTURER FOR EVALUATION. THEREFORE, WE ARE UNABLE TO DETERMINE THE DEFINITIVE CAUSE OF THE REPORTED EVENT.
Description of Event or Problem · 1
IT WAS REPORTED IN ABSTRACT THAT TOTAL OF 133 PATIENTS WITH LUMBAR SPINAL STENOSIS UNDERWENT SURGERY TO IMPLANT INTERSPINOUS PROCESS SPACER FROM 2011 DEC TO 2014 MAR. OUT OF THOSE 133 PATIENTS, ONE PATIENT EXPERIENCED SPACER BACK-OUT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 852446 | PROSTHESIS, SPINOUS PROCESS SPACER/PLATE | NQO | MEDTRONIC SOFAMOR DANEK | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |