FDA Adverse Event
Death
Summary report: N
NUVASIVE PRECEPT SPINAL SYSTEM
MDR report key: 6638670
·
Received June 13, 2017
Report
- Report Number
- 2031966-2017-00070
- Event Type
- Death
- Date Received
- June 13, 2017
- Date of Event
- May 17, 2017
- Report Date
- June 13, 2017
- Manufacturer
- NUVASIVE, INC
- Product Code
- NKB
- PMA / PMN Number
- K122352
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
NO ALLEGATION OF PRODUCT MALFUNCTION REPORTED. ALTHOUGH ROOT CAUSE CANNOT BE DETERMINED, INFORMATION SUGGEST THAT PATIENT'S PRE-EXISTING CONDITION MAY BE A CONTRIBUTING CAUSE. NO RADIOGRAPHS NOR PRODUCT HAVE BEEN RETURNED FOR EVALUATION.
Description of Event or Problem · 1
ON (B)(6) 2017, A (B)(6) Y/O FEMALE PATIENT UNDERWENT A POSTERIOR SPINAL FUSION AT THE T12-S1 LEVELS. IT WAS REPORTED THE SURGERY WENT WELL; HOWEVER, THE PATIENT'S CONDITION WORSENED AFTER SURGERY AND LATER EXPIRED. NO ALLEGATION OF PRODUCT MALFUNCTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 417098 | NUVASIVE PRECEPT SPINAL SYSTEM | ORTHOSIS, SPINAL PEDICLE FIXATION, FOR DEGENERATIVE DISC DISEASE | NKB | NUVASIVE, INC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 70 YR | Death |