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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDTRONIC SOFAMOR DANEK USA, INC INFUSE BONE GRAFT; FILLER, RECOMBINANT HUMAN BONE MORPHOGENETIC PROTEIN, COLLAGEN SCAFFOLD WITH MET

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MEDTRONIC SOFAMOR DANEK USA, INC INFUSE BONE GRAFT; FILLER, RECOMBINANT HUMAN BONE MORPHOGENETIC PROTEIN, COLLAGEN SCAFFOLD WITH MET Back to Search Results
Catalog Number 7510400
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Neuropathy (1983); Pain (1994); Tingling (2171); Numbness (2415); Sleep Dysfunction (2517); Ambulation Difficulties (2544)
Event Type  Injury  
Manufacturer Narrative
(b)(4).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.
 
Event Description
Procedure: transforaminal lumbar interbody fusion and posterior fusion surgery.Levels implanted: l5-s1 it was reported that on (b)(6) 2008, the patient underwent spine fusion surgery from vertebrae l5-s1 wherein rhbmp-2/acs was implanted with transforaminal approach.The rhbmp-2 collagen sponge was placed outside a cage (i.E.In the disc space, facet joint and over the lamina).Post-op, the patient complained of increasing low back pain, and associated radiculopathy in her lower extremities.The patient continued to experience chronic lower back pain, with pain radiating to her tailbone and right side.The patient experienced numbness and tingling in right leg and feet, had difficulty in walking and sleeping.
 
Manufacturer Narrative
If information is provided in the future, a supplemental report will be issued.
 
Manufacturer Narrative
If information is provided in the future, a supplemental report will be issued.
 
Event Description
It was reported that the patient presented with the following pre operative diagnosis: l5-s1 lumbar disk herniation and lumbar degenerative disease and lumbar radiculopathy.She underwent the following procedures: l5-s1 transforaminal lumbar interbody fusion with prosthetic interbody vertebral device, infused bone grafting and posterior instrumentation.As per the operative notes,¿ the disk space was irrigated, trial interbody spacers were placed and then removed and a medium bmp has been prepared and sponge of bmp was placed in the left-hand side of the disk space.Matrix was placed behind this.Two sustain interbody implants, 9 mm in height * 12 mm in width * 30 mm in length, each filled with two-thirds of a sponge of bmp the first interbody implant was placed and then tamped over to the left-hand side and a third sponge of bmp was placed in the anterior aspect of the disk space.¿ no intra operative complications were reported.
 
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Brand Name
INFUSE BONE GRAFT
Type of Device
FILLER, RECOMBINANT HUMAN BONE MORPHOGENETIC PROTEIN, COLLAGEN SCAFFOLD WITH MET
Manufacturer (Section D)
MEDTRONIC SOFAMOR DANEK USA, INC
4340 swinea rd
memphis TN 38118
Manufacturer (Section G)
MEDTRONIC SOFAMOR DANEK USA, INC
4340 swinea rd
memphis TN 38118
Manufacturer Contact
greg anglin
1800 pyramid place
memphis, TN 38132
9013963133
MDR Report Key5562464
MDR Text Key42145369
Report Number1030489-2016-01030
Device Sequence Number1
Product Code NEK
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
P000058
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer
Reporter Occupation Attorney
Type of Report Initial,Followup,Followup
Report Date 06/06/2018
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? No
Device Operator Health Professional
Device Expiration Date07/01/2010
Device Catalogue Number7510400
Device Lot NumberM110705AAC
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 03/10/2016
Initial Date FDA Received04/08/2016
Supplement Dates Manufacturer Received03/10/2016
05/07/2018
Supplement Dates FDA Received09/21/2017
06/06/2018
Was Device Evaluated by Manufacturer? No
Date Device Manufactured03/31/2008
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) Other;
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