A complete manufacturing records review conducted by intrinsic showed that the product was manufactured to specification.The provided ct imaging showed clear evidence of the anchor head fracture.Based on the immediate post-operative image, the barricaid device was well-implanted.A comparison of the immediate post-op image and the image with the fractured anchor shows a marked decrease in posterior disc height.This decrease in disc height likely brought the opposing endplate in contact with the anchor head, providing the driving force for the eventual fracture.Anchor fracture is a known inherent risk identified in the device ifu with occurrence rates lower than those stated in our device ifu which are determined and based upon the pivotal superiority study.
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Male patient with a primary lumbar disc herniation at 4/5 left side underwent disc surgery on (b)(6) 2016, including barricaid implantation.A couple days later, he was discharged from the hospital, almost free of symptoms.(b)(4) therapy ended on (b)(6).Patient returned in (b)(6) 2017 with increasing leg and back pain.Conservative treatment led to significant improvement patient was active again.Same patient returned in (b)(6) 2019 with severe back and leg pain including paraesthesia without neurological malfunction.Reoperation was performed on (b)(6) 2019 to retrieve the fractured portion of the device.Surgery time: 1h35min.Some extensive scarring apart from those just normal parameters.Anchor head was found first mesh second, detached from the anchor head.
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