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 |