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