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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDTRONIC SOFAMOR DANEK UNKNOWN MEDTRONIC IMPLANT; INTERVERTEBRAL FUSION DEVICE WITH BONE GRAFT, LUMBAR

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MEDTRONIC SOFAMOR DANEK UNKNOWN MEDTRONIC IMPLANT; INTERVERTEBRAL FUSION DEVICE WITH BONE GRAFT, LUMBAR Back to Search Results
Device Problem Crack (1135)
Patient Problems Neuropathy (1983); Spinal Cord Injury (2432); No Code Available (3191)
Event Type  Injury  
Manufacturer Narrative
(b)(6).(b)(4).The device was not returned to the manufacturer for evaluation; therefore, the cause of the event cannot be determined.
 
Event Description
It was reported that on an unknown date, post-op, the allograft spacers at levels c5-6, c6-7, and c7-t1 had cracked in situ.During revision surgery , after removing the artificial hardware, the surgeon removed the cracked allograft spacers and the cracked shards of bone from the disc space and replaced each with a peek spacer filled with putty.The old plate was replaced with a new plate and new variable angle self drilling screws were used to lock down the construct.The following patient complications were reported as a result of this event: myelopathy and radiculopathy.Reportedly there were no post-op infection, or immunological or inflammatory response.
 
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Brand Name
UNKNOWN MEDTRONIC IMPLANT
Type of Device
INTERVERTEBRAL FUSION DEVICE WITH BONE GRAFT, LUMBAR
Manufacturer (Section D)
MEDTRONIC SOFAMOR DANEK
1800 pyramid place
memphis TN 38132
Manufacturer (Section G)
MEDTRONIC SOFAMOR DANEK
1800 pyramid place
memphis TN 38132
Manufacturer Contact
greg anglin
1800 pyramid place
memphis, TN 38132
9013963133
MDR Report Key5158613
MDR Text Key28563318
Report Number1030489-2015-02716
Device Sequence Number1
Product Code MAX
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
UNK
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,health
Reporter Occupation Physician
Report Date 09/22/2015
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received Not provided
Initial Date FDA Received10/19/2015
Was Device Evaluated by Manufacturer? No
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
Patient Age00053 YR
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