POLYMETHYLMETHACRYLATE BONE CEMENT
Report
- Report Number
- 3000270450-2017-10163
- Event Type
- Injury
- Date Received
- May 12, 2017
- Report Date
- April 24, 2017
- Manufacturer
- SYNTHES SELZACH
- Product Code
- NDN
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER
Narratives
DEVICE USED FOR TREATMENT, NOT FOR DIAGNOSIS. BROSSARD, P; ET AL (2016) ABSTRACTS FOR SFCR ¿ AUGUST: COMPARATIVE RADIOLOGICAL STUDY OF KYPHOPLASTY VERSUS STENTOPLASTY IN NON-OSTEOPOROTIC FRACTURES OF THE THORACOLUMBAR JOINT: SERIES OF 48 CASES. THE INVESTIGATION COULD NOT BE COMPLETED; NO CONCLUSION COULD BE DRAWN, AS NO DEVICE WAS RETURNED AND NO LOT NUMBER OR PART NUMBER WAS PROVIDED. (B)(4). IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.
THE REPORT IS BEING FILED AFTER SUBSEQUENT REVIEW OF THE FOLLOWING LITERATURE ARTICLE: BROSSARD, P; ET AL (2016) ABSTRACTS FOR SFCR ¿ AUGUST: COMPARATIVE RADIOLOGICAL STUDY OF KYPHOPLASTY VERSUS STENTOPLASTY IN NON-OSTEOPOROTIC FRACTURES OF THE THORACOLUMBAR JOINT: SERIES OF 48 CASES. EUR SPINE J, 25:2317-2342. THIS IS A PROSPECTIVE, SINGLE CENTRE AND CONTINUOUS STUDY OF 48 PATIENTS (AVERAGE AGE OF 47.3 YEARS) WAS CARRIED OUT BETWEEN OCTOBER 2011 AND NOVEMBER 2014. THE MAIN INCLUSION CRITERION WAS A RECENT NON-OSTEOPOROTIC FRACTURE OF THE THORACOLUMBAR JOINT. ONE GROUP WAS TREATED BY KYPHOPLASTY (KYPHON_ - MEDTRONIC) AND THE OTHER BY STENTOPLASTY (VBS_ ¿ SYNTHES). FILLING WAS CARRIED OUT USING HIGH-VISCOSITY PMMA CEMENT, RESPECTIVELY BIOMET BONE CEMENT V (BIOMET) AND VERTECEM V+ (SYNTHES). THE MAIN CRITERION WAS THE CORRECTION OF VERTEBRAL KYPHOSIS (VK) POST-SURGERY AND AT 3 MONTHS. THE AVERAGE REDUCTION IN VK AT 3 MONTHS WAS 4.73 DEGREE ± 4.8 DEGREE AFTER KYPHOPLASTY AND 4.63 DEGREE ± 2.7 DEGREE AFTER STENTOPLASTY (P = 0.9393). THERE WAS NO DIFFERENCE BETWEEN THE TWO TECHNIQUES FOR THE RESTORATION OF VERTEBRAL HEIGHT; THE FARCY AND BECK INDICES AND THE SETTLEMENT PERCENTAGE. THE CEMENT LEAKS WERE SIGNIFICANTLY MORE NUMEROUS (P = 0.00233) IN KYPHOPLASTY (41.7 %) THAN IN STENTOPLASTY (4.2 %). IN THE KYPHOPLASTY GROUP, WE FOUND A HIGHER RATE OF CEMENT LEAKS WITH A POTENTIAL IMPACT ON THE DISK. THIS HIGHLY SIGNIFICANT DIFFERENCE MAY BE EXPLAINED BY A POTENTIAL DIFFERENCE IN VISCOSITY BETWEEN THE 2 CEMENTS AND BY THE SINGULARITY OF THE STENT, RESPONSIBLE FOR A BRAKE ON POURING. THIS IS 1 OF 1 FOR (B)(4). THIS REPORT IS FOR AN UNKNOWN VERTECEM V+ CEMENT AND REFERS TO THE SERIOUS INJURY / REPORTABLE MALFUNCTION OF UNKNOWN PATIENTS WHO EXPERIENCED CEMENT LEAKAGE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 344592 | POLYMETHYLMETHACRYLATE BONE CEMENT | NDN | SYNTHES SELZACH |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |