Magnetic growing rods were implanted (b)(6) 2018 without complication.Rods have subsequently been lengthened in the clinic without difficulty using the external remote controller.On (b)(6) 2019, an abnormality was noted on ultrasound and x-ray.The rods lengthened normally.Surgeon discussed with the company; they describe that it is consistent with an "endcap migration" from the actuator.They have seen this one other time.The endcap appears to be a ring and is constrained by the rod and not free floating.The concern is that this may lead to greater degree of titanium wear particles being released - unk health affects also may lead to premature cessation of magnetic lengthening function.The mfr recommended considering replacing the magnetic rod.Fda safety report id# (b)(4).
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