FDA Adverse Event Injury Summary report: N

NUVASIVE RELINE SYSTEM

MDR report key: 8081726 · Received November 16, 2018

Report

Report Number
2031966-2018-00169
Event Type
Injury
Date Received
November 16, 2018
Date of Event
October 17, 2018
Report Date
November 16, 2018
Manufacturer
NUVASIVE
Product Code
NKB
UDI-DI
00887517552853
PMA / PMN Number
K132014
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

NO PRODUCT HAS BEEN RETURNED FOR EVALUATION. IT IS UNKNOWN IF ALLEGED EVENT IS RELATED TO PRODUCT. LABELING REVIEW: POTENTIAL ADVERSE EVENTS AND COMPLICATIONS- "...AS WITH ANY MAJOR SURGICAL PROCEDURES, THERE ARE RISKS INVOLVED IN ORTHOPEDIC SURGERY. INFREQUENT OPERATIVE AND POSTOPERATIVE COMPLICATIONS THAT MAY RESULT IN THE NEED FOR ADDITIONAL SURGERIES INCLUDE: EARLY OR LATE INFECTION;..." "...POTENTIAL RISKS IDENTIFIED WITH THE USE OF THIS SYSTEM, WHICH MAY REQUIRE ADDITIONAL SURGERY, INCLUDE: INFECTION ..." RELATED MDR 2031966 -2018 -00155. NO PRODUCT RETURNED.

Description of Event or Problem · 1

POST REVISION SURGERY, PATIENT WAS REPORTED TO HAVE AN INFECTION. AS PER REPORTER PATIENT WAS PROVIDED ANTIBIOTICS AND UNDERWENT A SALINE WASHOUT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
916641 NUVASIVE RELINE SYSTEM THORACOLUMBOSACRAL PEDICLE SCREW SYSTEM NKB NUVASIVE 16014540 00887517552853

Patients

Seq Age Sex Outcome Treatment
1 Other