(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.Products from multiple manufacturers were implanted during the procedure.Although it is unknown if any of the devices contributed to the reported event, we are filing this mdr for notification purposes.
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It was reported that on (b)(6) 2010 the patient underwent the following procedures: posterior spinal fusion, 3-4 and l4-5, exploration of fusion l4-l5, segmental instrumentation l3-l5, removal of hardware at l4-l5 to treat the following pre-op diagnosis: herniated disk, l4-l5 status post fusion, possible pseudoarthrosis l4-l5, transition syndrome l3-4 with bulging disk.Post-op diagnosis: herniated disk, l4-l5 status post fusion, possible pseudoarthrosis l4-l5, transition syndrome l3-4 with bulging disk, pseudoarthrosis l4-l5.Intraoperative findings: ".He was noted to have loose hardware at the l4-l5 level and motion and the l4-l5 consistent with pseudoarthrosis."operative notes: ".Morcellized autograft as well as bone graft with rhbmp-2/acs sponge.One large kit was placed in the posterolateral gutters bilaterally.7.5 pedicle screws were then placed at l4 and l5 bilaterally.Screws were independent stimulated and found to have good impedance.Two long rods were applied to the pedicle screws and secured." the patient was returned to the supine position, awakened, extubated and transferred to the recovery room having tolerated the above procedure well and in stable condition.
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