This report is being filed after the subsequent review of the following literature article; (may 31, 2005) the treatment of spine and chest wall deformities with fused ribs by expansion thorasoctomy and insertion of vertical expandable prosthetic titanium rib.Emans: issue: volume 30(17s) supplement, 1 september 2005, pp s58-s68.This article reports complications that were reported in studies and prospective clinical trial of vertical expandable prosthetic titanium rib (veptr) in patients with combined spine and chest wall deformity with scoliosis and fused ribs.Also, report the efficacy and safety of expansion thoracostomy and veptr surgery in the treatment of thoracic insufficiency syndrome (tis) associated with fused ribs.The results reported concerning thirty-one patients with fused ribs and tis were treated, 4 of whom had undergone prior spinal arthrodesis at other institutions with continued progression of deformity.In 30 patients, the spinal deformity was controlled and growth continued in the thoracic spine during treatment at rates similar to normals.Increased volume of the constricted hemithorax and total lung volumes obtained during expansion thoracostomy were maintained at follow-up.Technique related complications included: patient 19-((b)(6)) was (b)(6) at the time of the event.Patient 1¿s primary diagnosis was deformity diagnosis fused ribs, congenital scoliosis and jarcho-levin.Veptr construct at 1 rib-to-pelvis with device migration at superior and inferior levels.Product complications: post operatively device migration at superior and inferior levels this report is for 18 of 18 for (b)(4).This part date is for unknown veptr implant, unknown quantity, item and lot number.
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Device was used for treatment, not diagnosis.This report is for unknown veptr implant, unknown quantity, unknown item number, unknown lot number.(b)(4).The investigation could not be completed and no conclusion could be drawn, as no device was returned and no lot and part number was provided.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
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