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