FDA Adverse Event Death Summary report: N

OARM 1000 IMAGING SYSTEM

MDR report key: 8000504 · Received October 24, 2018

Report

Report Number
1723170-2018-05323
Event Type
Death
Date Received
October 24, 2018
Date of Event
April 10, 2018
Report Date
October 24, 2018
Manufacturer
MEDTRONIC NAVIGATION, INC
Product Code
OXO
PMA / PMN Number
K050996
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DATE OF DEATH WAS NOT REPORTED IN THE ARTICLE. SERIAL NUMBER PROVIDED FOR THE SYSTEM MOST LIKELY TO HAVE BEEN USED IN THE STUDY AT THE HOSPITAL, IT WAS NOT PROVIDED IN THE ARTICLE. THERE WAS NO DEVICE EVALUATION BECAUSE THERE WAS NO ALLEGATION OF A MALFUNCTION OF THE SYSTEM. REFERENCE MDR 1723170-2018-05322 FOR THE NAVIGATION SYSTEM USED IN THE STUDY/ARTICLE. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

SUBJECT: LITERATURE: OULD-SLIMANE EVENT DESCRIPTION: CITATION: OULD-SLIMANE M. FERRACCI F. LE PAPE S. ET AL. POSTERIOR C1C2 HARMS FUSION WITH 3D SURGICAL NAVIGATION. (2018). ORTHOPAEDICS <(>&<)> TRAUMATOLOGY: SURGERY <(>&<)> RESEARCH 104 (2018) 585¿588. HTTPS://DOI.ORG/10.1016/J.OTSR.2018.04.012 ABSTRACT: SEVERAL TYPES OF ATLANTOAXIAL INSTABILITY CAN JUSTIFY SURGICAL FIXATION. THE INSTRUMENTED FUSION PROCEDURE DESCRIBED BY HARMS WITH SCREW FIXATION OF THE C1 LATERAL MASSES AND C2 PEDICLES IS A DEMANDING TECHNIQUE THAT PROVIDES LASTING STABILIZATION. HOWEVER, IT HAS BEEN ASSOCIATED WITH NERVE AND VASCULAR COMPLICATIONS DUE TO THE LOCAL ANATOMICAL CONFIGURATION. SURGICAL NAVIGATION SYSTEMS CAN HELP IMPROVE THE PROCEDURE¿S ACCURACY. WE DESCRIBE A SERIES OF 11 CASES OF C1C2 HARMS FUSION PERFORMED WITH SURGICAL NAVIGATION AND INTRAOPERATIVE 3D IMAGING CHECKS. ALL PROCEDURES WERE CARRIED OUT COMPLETELY WITH SATISFACTORY IMPLANT PLACEMENT. THERE WERE NO ADVERSE EVENTS RELATED TO THE PROCEDURE DURING THE PERI-OPERATIVE PERIOD. NO CORTICAL BREACH WAS DETECTED USING CONE-BEAM CT AT THE END OF THE PROCEDURE. THE TECHNICAL CHALLENGES AND RISKS ASSOCIATED WITH C1C2 HARMS FUSION HAVE LED TO THE USE OF 3D INTRAOPERATIVE IMAGING SYSTEMS, WHEN AVAILABLE. REPORTED ADVERSE EVENT: PATIENT 8 (B)(6) FEMALE DEATH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
843230 OARM 1000 IMAGING SYSTEM IMAGE-INTENSIFIED FLUOROSCOPIC X-RAY SYSTEM, MOBILE OXO MEDTRONIC NAVIGATION, INC BI70000027230

Patients

Seq Age Sex Outcome Treatment
1 65 YR Death