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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 7510050
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Dysphagia/ Odynophagia (1815); Dyspnea (1816); Headache (1880); Neuropathy (1983); Pain (1994); Loss of Range of Motion (2032); Tingling (2171); Neck Pain (2433)
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
It was reported that on (b)(6) 2011, the patient underwent anterior cervical discectomy and fusion surgery on the cervical region of his spine from vertebrae c5 to c7.Allegedly, patient was implanted with rhbmp-2/acs in this surgery.Reportedly, "patient's post-operative period was marked by a period of improvement, followed by increasing neck pain and radiculopathy in his upper extremities." reportedly, "patient continues to experience constant neck pain, with pain radiating to his shoulders and upper to mid back, headaches, limited range of motion in his neck, and tingling in his fingers.He is unable to hold head up for extended periods, turn his head, or raise his shoulders.He experiences difficulty swallowing and breathing.Patient is no longer able to drive.".
 
Manufacturer Narrative
A good faith effort will be made to obtain the applicable information relevant to the report.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 following pre-op diagnosis: upper extremity radiculopathy with neck pain and c5-6 and c6-7 herniated disks.He underwent following procedures: c5-6 and c6-7 anterior cervical discectomies; c5-6 and c6-7 fusion; use of peek spacers at c5-6 and c6-7; use of plate with instrumentation from c5 to c6 to c7; use of allograft; use of bone morphogenic protein; use of operating microscope.As per operative notes,"good decompression was obtained of both nerve roots and confirmed with a blunt nerve hook.The end-plates were then rasped and sized up for a #7 peek interbody spacer packed with bone morphogenic protein and allograft.The end-plates were rasped and sized up for a #7 peek interbody spacer packed with bone morphogenic protein and allograft¿.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 Key6019916
MDR Text Key57052731
Report Number1030489-2016-02839
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 05/11/2018
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 Date08/01/2012
Device Catalogue Number7510050
Device Lot NumberM111102AAA
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 09/19/2016
Initial Date FDA Received10/12/2016
Supplement Dates Manufacturer Received09/19/2016
04/30/2018
Supplement Dates FDA Received09/25/2017
05/11/2018
Was Device Evaluated by Manufacturer? No
Date Device Manufactured07/06/2011
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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