MAUDE Adverse Event Report: NUVASIVE SPECIALIZED ORTHOPEDICS MAGEC SPINAL BRACING AND DISTRACTION SYSTEM; GROWING ROD SYSTEM - MAGNETIC ACTUATION

Model Number RA002-5555SL70

Device Problems Break (1069); Corroded (1131); Mechanical Jam (2983); Naturally Worn (2988); Scratched Material (3020)

Patient Problem Failure of Implant (1924)

Event Type  malfunction  

Manufacturer Narrative

Complaint 1 of 2.No product has been returned for evaluation.Evaluation was performed by london implant retrieval centre (lirc).The root cause is unable to be determined at this time.If any additional information is provided, a supplemental report will be submitted.A review of the attached dhr documents indicated that the rod was manufactured by the specified requirements and met all of the required quality inspections prior to shipment.

Event Description

An investigation report from an implant retrieval center was received and reported that during examination of the rod, the retrieval center found a pin fracture and the rod was jammed.Additionally, wear, corrosion, scratching, discoloration and other surface damage were noted.Also, debris was found inside the housing tube.It was reported that the rod was removed as part of a planned removal procedure after the rod had fully extended; there was no adverse patient or user impact associated with this report.No additional information is available.

• Brand Name: MAGEC SPINAL BRACING AND DISTRACTION SYSTEM
• Type of Device: GROWING ROD SYSTEM - MAGNETIC ACTUATION
• Manufacturer (Section D): NUVASIVE SPECIALIZED ORTHOPEDICS; 101 enterprise #100; aliso viejo CA 92656
• Manufacturer (Section G): NUVASIVE SPECIALIZED ORTHOPEDICS; 101 enterprise #100; aliso viejo 92656
• Manufacturer Contact: geoff gannon ; 101 enterprise #100; aliso viejo, CA 92656 ; 8583448112
• MDR Report Key: 14780388
• MDR Text Key: 299008632
• Report Number: 3006179046-2022-00215
• Device Sequence Number: 1
• Product Code: PGN
• UDI-Device Identifier: 00856719002152
• UDI-Public: 856719002152
• Combination Product (y/n): N
• Reporter Country Code: UK
• PMA/PMN Number: K161751
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Other,Foreign
• Reporter Occupation: Biomedical Engineer
• Type of Report: Initial
• Report Date: 06/22/2022

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 06/22/2022
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Model Number: RA002-5555SL70
• Device Lot Number: A151214-20
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Was the Report Sent to FDA?: No
• Date Manufacturer Received: 05/27/2022
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Date Device Manufactured: 12/14/2015
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1
• Patient Age: 9 YR
• Patient Sex: Male
• Patient Weight: 30 KG