FDA Adverse Event Malfunction Summary report: N

NUVASIVE OCT SYSTEM

MDR report key: 8626306 · Received May 20, 2019

Report

Report Number
2031966-2019-00196
Event Type
Malfunction
Date Received
May 20, 2019
Date of Event
February 1, 2019
Report Date
April 26, 2019
Manufacturer
NUVASIVE INC.
Product Code
MNI
UDI-DI
00887917176196
PMA / PMN Number
K071435
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

NO PRODUCT LOT INFORMATION PROVIDED AND NO DEVICE RETURNED FOR EVALUATION. NO RADIOGRAPHS OR CT IMAGES RECEIVED THEREFORE ALLEGED MALFUNCTION COULD NOT BE CONFIRMED. NO ROOT CAUSE CAN BE DETERMINED AT THIS TIME. NO PATIENT INJURY REPORTED. LABELING REVIEW: "CARE SHOULD BE USED IN THE HANDLING AND STORAGE OF THE IMPLANTS. THE IMPLANTS SHOULD NOT BE SCRATCHED OR DAMAGED. IMPLANTS AND INSTRUMENTS SHOULD BE PROTECTED DURING STORAGE AND FROM CORROSIVE ENVIRONMENTS. ALL NON-STERILE PARTS SHOULD BE CLEANED AND STERILIZED BEFORE USE. DEVICES SHOULD BE INSPECTED FOR DAMAGE PRIOR TO IMPLANTATION. CARE SHOULD BE USED DURING SURGICAL PROCEDURES TO PREVENT DAMAGE TO THE DEVICE(S) AND INJURY TO THE PATIENT". "POTENTIAL RISKS IDENTIFIED WITH THE USE OF THIS SYSTEM, WHICH MAY REQUIRE ADDITIONAL SURGERY, INCLUDE: BENDING, FRACTURE OR LOOSENING OF IMPLANT COMPONENT(S), LOSS OF FIXATION". "PREOPERATIVE INSTRUCTIONS TO THE PATIENT ARE ESSENTIAL. THE PATIENT SHOULD BE MADE AWARE OF THE LIMITATIONS OF THE IMPLANT AND POTENTIAL RISKS OF THE SURGERY. THE PATIENT SHOULD BE INSTRUCTED TO LIMIT POSTOPERATIVE ACTIVITY, AS THIS WILL REDUCE THE RISK OF BENT, BROKEN OR LOOSE IMPLANT COMPONENTS. THE PATIENT MUST BE MADE AWARE THAT IMPLANT COMPONENTS MAY BEND, BREAK OR LOOSEN EVEN THOUGH RESTRICTIONS IN ACTIVITY ARE FOLLOWED". "ALL IMPLANTS SHOULD BE USED ONLY WITH THE APPROPRIATELY DESIGNATED INSTRUMENT (REFERENCE SURGICAL TECHNIQUE)".

Description of Event or Problem · 1

ON AN UNKNOWN DATE PATIENT UNDERWENT A POSTERIOR FIXATION PROCEDURE WITHOUT ANY REPORTED ISSUES. ON (B)(6) 2019 A REVISION PROCEDURE WAS PERFORMED TO REPLACE A BACKED OUT LOCK SCREW. NO ADDITIONAL INFORMATION PROVIDED. NO PATIENT INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
416107 NUVASIVE OCT SYSTEM THORACOLUMBOSACRAL PEDICLE SCREW SYSTEM. MNI NUVASIVE INC. 7903006 00887917176196

Patients

Seq Age Sex Outcome Treatment
1