FDA Adverse Event Injury Summary report: N

TRANSLACE SPINAL TETHERING SYSTEM

MDR report key: 8531075 · Received April 19, 2019

Report

Report Number
1030489-2019-00442
Event Type
Injury
Date Received
April 19, 2019
Report Date
April 19, 2019
Manufacturer
MEDTRONIC SOFAMOR DANEK USA, INC
Product Code
OWI
UDI-DI
00763000108380
PMA / PMN Number
K163181
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

PRODUCT CODE: OWI: BONE FIXATION CERCLAGE, SUBLAMINAR. NEITHER THE DEVICE NOR FILMS OF APPLICABLE IMAGING STUDIES WERE RETURNED TO THE MANUFACTURER FOR EVALUATION. THEREFORE, WE ARE UNABLE TO DETERMINE THE DEFINITIVE CAUSE OF THE REPORTED EVENT. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT UNDERWENT POSTERIOR LUMBAR FUSION AND FIXATION AT T6-L3 DUE TO KYPHOSIS. AFTER APPROXIMATELY ONE WEEK POST-OP, PATIENT HAD FEVER. WHEN EVALUATION WAS PERFORMED, INFECTION WAS FOUND. HENCE, A REVISION SURGERY WAS PERFORMED FOR THE REMOVAL OF ALL IMPLANTS ON (B)(6) 2019. DURING THE REVISION SURGERY, IT WAS FOUND THAT THE CONNECTORS WERE VERY TIGHT AND IT WAS DIFFICULT TO REMOVE THE CONNECTORS. THE REMOVAL WAS CARRIED OUT BY GRASPING THE ROD WITH A ROD GRIPPER. NO TENSIONER WAS USED. THE SEVERITY OF THE INFECTION WAS DETERMINED TO BE NOT SERIOUS. ALLEGEDLY, THE PATIENT HAS STILL NOT RECOVERED. THE RELATEDNESS OF THE INFECTION WITH THE IMPLANTS OR SURGICAL PROCEDURE COULD NOT BE DETERMINED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
324534 TRANSLACE SPINAL TETHERING SYSTEM OWI MEDTRONIC SOFAMOR DANEK USA, INC NA CT17F019 00763000108380

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention