MAUDE Adverse Event Report: DEPUY SYNTHES SPINE PEEK POLYAXIAL ANTERIOR CERVICAL PLATE; APPLIANCE, FIXATION, SPINAL INTERVERTEBRAL BODY

Catalog Number UNK ? SPINAL IMPLANT

Device Problem Device Slipped (1584)

Patient Problem Injury (2348)

Event Type  Injury  

Event Description

Literature article review: early failures following cervical corpectomy reconstruction with titanium mesh cages and anterior plating.(b)(6).Publication date: jul 2004.N=1: harms cage migration, 2 screws pulled out, plate pull out.

Manufacturer Narrative

This complaint was generated from literature review conducted in post market surveillance (pms) for health authority reporting purposes.The complaint product is not available for the investigation.A supplemental report is not anticipated unless the results of the pms identify a corrective action or additional relevant information.Should the product become available, a physical evaluation will be conducted and a supplemental report filed with the results.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.Sample not available for investigation.

• Brand Name: PEEK POLYAXIAL ANTERIOR CERVICAL PLATE
• Type of Device: APPLIANCE, FIXATION, SPINAL INTERVERTEBRAL BODY
• Manufacturer (Section D): DEPUY SYNTHES SPINE; 325 paramount drive; raynham MA 02767
• Manufacturer (Section G): MEDOS INTERNATIONAL SARL; chemin blanc 38; le locle CH-2 400; SZ CH-2400
• Manufacturer Contact: michael jacene ; 325 paramount drive; raynham, MA 02767 ; 5089776485
• MDR Report Key: 4756864
• MDR Text Key: 19807876
• Report Number: 1526439-2015-10392
• Device Sequence Number: 1
• Product Code: KWQ
• Combination Product (y/n): N
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Literature
• Type of Report: Initial
• Report Date: 04/08/2015

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 05/07/2015
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: Yes
• Device Operator: Other
• Device Catalogue Number: UNK ? SPINAL IMPLANT
• Was Device Available for Evaluation?: No
• Date Manufacturer Received: 04/08/2015
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1
• Patient Outcome(s): Other