FDA Adverse Event
Injury
Summary report: N
MAGEC® SPINAL BRACING AND DISTRACTION SYSTEM
MDR report key: 6424430
·
Received March 22, 2017
Report
- Report Number
- 3006179046-2017-00006
- Event Type
- Injury
- Date Received
- March 22, 2017
- Report Date
- January 8, 2017
- Manufacturer
- NUVASIVE SPECIALIZED ORTHOPEDICS, INC.
- Product Code
- PGN
- PMA / PMN Number
- K140178
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IS
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
THE RODS (LOT# A121017-01, MANUFACTURE DATE 10/01/2012, EXPIRATION DATE 10/01/2014 AND LOT# A130116-02, MANUFACTURE DATE 01/02/2013, EXPIRATION DATE 01/02/2015) WERE REMOVED AND THE PATIENT WAS IMPLANTED WITH NEW DUAL MAGEC RODS WITHOUT FURTHER INCIDENT. TO DATE, THE PATIENT IS DOING FINE AND NO NEGATIVE OUTCOMES HAVE BEEN REPORTED. TO DATE, THE DEVICES HAVE NOT BEEN RETURNED; THEREFORE, NO EVALUATION CAN BE CONDUCTED. A DHR REVIEW REVEALED THAT THE DEVICES MET ALL OF THE REQUIRED QUALITY INSPECTIONS AND WERE RELEASED WITHIN SPECIFICATIONS.
Additional Manufacturer Narrative · 1
(B)(4).
Description of Event or Problem · 1
A DISTRIBUTOR REPORTED THAT A SURGEON ALLEGED THAT A PATIENT'S DUAL MAGEC RODS APPEAR TO NOT BE DISTRACTING AFTER OVER THREE (3) YEARS OF IMPLANTATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 206568 | MAGEC® SPINAL BRACING AND DISTRACTION SYSTEM | GROWING ROD SYSTEM-MAGNETIC ACTUATION | PGN | NUVASIVE SPECIALIZED ORTHOPEDICS, INC. | RA002-4545SLR, RA002-4545SL | A121017-01, A130116-02 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 11 YR | Hospitalization |