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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: NUVASIVE SPECIALIZED ORTHOPEDICS, INC. MAGEC GENERATION 1.5 SPINAL BRACING AND DISTRACTION SYSTEM; GROWING ROD SYSTEM- MAGNETIC ACTUATION

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NUVASIVE SPECIALIZED ORTHOPEDICS, INC. MAGEC GENERATION 1.5 SPINAL BRACING AND DISTRACTION SYSTEM; GROWING ROD SYSTEM- MAGNETIC ACTUATION Back to Search Results
Model Number RA002-5555SLR
Device Problems Structural Problem (2506); Failure to Advance (2524); Physical Resistance/Sticking (4012)
Patient Problem Failure of Implant (1924)
Event Type  malfunction  
Manufacturer Narrative
No product has been returned for evaluation.Evaluation was performed by newcastle engineering lab.The root cause is unable to be determined at this time.A review of the device history records (dhr) confirmed the device met all quality inspections and specifications prior to release.If any additional information is provided, a supplemental report will be submitted.
 
Event Description
An investigation report from an implant retrieval center was received and reported that during examination, the rod was tested in a jig with an external remote controller (erc), and it exerted no force.Additionally, the radial bearing was seized to the magnet.The o-ring was very badly damaged.Only two pieces were found inside the groove and no other pieces were able to be retrieved.
 
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Brand Name
MAGEC GENERATION 1.5 SPINAL BRACING AND DISTRACTION SYSTEM
Type of Device
GROWING ROD SYSTEM- MAGNETIC ACTUATION
Manufacturer (Section D)
NUVASIVE SPECIALIZED ORTHOPEDICS, INC.
101 enterprise dr, ste 100
aliso viejo CA 92656
Manufacturer (Section G)
NUVASIVE SPECIALIZED ORTHOPEDICS, INC.
101 enterprise dr, ste 100
aliso viejo CA 92656
Manufacturer Contact
geoff gannon
101 enterprise dr, ste 100
aliso viejo, CA 92656
8583448112
MDR Report Key16381102
MDR Text Key309610217
Report Number3006179046-2023-00144
Device Sequence Number1
Product Code PGN
UDI-Device Identifier00856719002114
UDI-Public856719002114
Combination Product (y/n)N
Reporter Country CodeUK
PMA/PMN Number
K161751
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,Company Representative
Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date 02/15/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/15/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberRA002-5555SLR
Device Lot NumberA151116-26
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Date Manufacturer Received02/01/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured11/16/2015
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 SexPrefer Not To Disclose
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