FDA Adverse Event Injury Summary report: N

CEMENT, BONE, VERTEBROPLASTY

MDR report key: 6510532 · Received April 21, 2017

Report

Report Number
1030489-2017-00958
Event Type
Injury
Date Received
April 21, 2017
Report Date
April 27, 2017
Manufacturer
MEDTRONIC SOFAMOR DANEK
Product Code
NDN
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

LITERATURE CITATION: MAX MARKMILLER; " PERCUTANEOUS BALLOON KYPHOPLASTY OF MALIGNANT LESIONS OF THE SPINE: A PROSPECTIVE CONSECUTIVE STUDY IN 115 PATIENTS" . MEAN PATIENT AGE: 68.7± 11.04 YEARS, GENDER: FEMALE (MEN 42, 74 WOMEN) 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.

Additional Manufacturer Narrative · 1

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

PROCEDURE: BALLOON KYPHOPLASTY (BKP) IT WAS REPORTED THAT ON AN UNKNOWN DATE, OVERALL, 115 PATIENTS (52.2 % WITH VERTEBRAL FRACTURES) RECEIVED BKP. THE MAJORITY (82.6 %) OF PATIENTS RECEIVED BKP AS A STAND-ALONE PROCEDURE. BKP TREATMENT PROVIDED SIGNIFICANT IMPROVEMENTS IN VISUAL ANALOGUE SCALE (VAS)-PAIN (MEDIAN CHANGE: -4), OSWESTRY DISABILITY INDEX (ODI; MEAN CHANGE: -53.2), AND KARNOFSKY PERFORMANCE STATUS (KPS; MEDIAN CHANGE: 15) SCORES AT 6 AND 12 MONTHS. IN TOTAL, 23 % OF PATIENTS ACHIEVED INCREASED VERTEBRAL HEIGHT (7.4 % MEAN IMPROVEMENT IN ANGLE INDEX). THE PRESENCE OF HEIGHT RESTORATION AND THE NUMBER OF LEVELS TREATED DID NOT AFFECT VAS OR ODI SCORES; IMPROVEMENTS IN KPS SCORES WERE NUMERICALLY HIGHER IN PATIENTS WHO RECEIVED BKP PLUS ADDITIONAL SURGERY (15¿20) COMPARED WITH STAND-ALONE BKP (10¿15). MEAN HOSPITAL TIMES WERE 7.2 ± 6.5 DAYS. THE MAJORITY (97.4 %) OF PATIENTS SHOWED NO COMPLICATIONS RELATED TO THE PROCEDURE BUT THREE PATIENTS (2.6 %) HAD A TEMPORARY RADICULOPATHY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
295034 CEMENT, BONE, VERTEBROPLASTY CEMENT, BONE, VERTEBROPLASTY NDN MEDTRONIC SOFAMOR DANEK NA UNK

Patients

Seq Age Sex Outcome Treatment
1 68 YR Other