FDA Adverse Event Injury Summary report: N

COFLEX INTERLAMINAR TEHCNOLOGY

MDR report key: 7141570 · Received December 22, 2017

Report

Report Number
3005725110-2017-00008
Event Type
Injury
Date Received
December 22, 2017
Date of Event
November 28, 2017
Report Date
December 22, 2017
Manufacturer
PARADIGM SPINE GMBH
Product Code
NQO
PMA / PMN Number
P110008
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

COFLEX IMPLANT REMOVAL. THE CAUSE OF REMOVAL WAS DUE TO REOCCURRENCE OF BACKPAIN. MRI SHOWED FLUID BETWEEN THE FACETS. THE FLUID CAN CAUSE INSTABILITY, RESULTING IN BACKPAIN COFLEX WAS REMOVED, REVISION LAMINECTOMY WAS PERFORMED AND A NEW COFLEX IMPLANT IMPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
922869 COFLEX INTERLAMINAR TEHCNOLOGY PROSTHESIS, SPINOUS PROCESS SPACER/PLATE NQO PARADIGM SPINE GMBH

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention