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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDTRONIC SOFAMOR DANEK USA, INC INFUSE BONE GRAFT; FILLER, RECOMBINANT HUMAN BONE MORPHOGENETIC PROTEIN, COLLAGEN SCAFFOLD WITH MET

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MEDTRONIC SOFAMOR DANEK USA, INC INFUSE BONE GRAFT; FILLER, RECOMBINANT HUMAN BONE MORPHOGENETIC PROTEIN, COLLAGEN SCAFFOLD WITH MET Back to Search Results
Catalog Number 7510400
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Neuropathy (1983); Loss of Range of Motion (2032); Weakness (2145); Burning Sensation (2146); Tingling (2171); Inadequate Pain Relief (2388); Ambulation Difficulties (2544); Nerve Proximity Nos (Not Otherwise Specified) (2647)
Event Type  Injury  
Manufacturer Narrative
(b)(6).(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.
 
Event Description
It was reported that on (b)(6) 2008, the patient underwent spine fusion surgery from vertebrae l4-s1 wherein rhbmp-2/acs was implanted with posterior approach.The rhbmp-2 collagen sponge was used to fuse more than one level of the spine.The rhbmp-2 collagen sponge was placed outside a cage (i.E.In the posterolateral elements).Post-op, the patient complained of increasingly severe low back and right leg pain, burning pain in her buttocks, and bilateral groin pain.Patient symptoms necessitated spinal injections and eventual implantation of a spinal cord stimulator.Severe pain and symptoms led the patient to undergo revision surgery on (b)(6) 2013.The patient continued to experience chronic and severe lower back pain, with pain radiating down both legs, sciatic nerve pain, numbness and tingling in her lower back and down her legs, and weakness in her legs.Patient must constantly move positions, spends much of her time in bed, and suffered from depression as a result of pain and limitations.The patient experienced difficulty in sitting, standing and walking, and required use of a cane and a walker for assistance.These injuries prevent patient from practicing and enjoying the activities of daily life.
 
Manufacturer Narrative
If information is provided in the future, a supplemental report will be issued.
 
Manufacturer Narrative
If information is provided in the future, a supplemental report will be issued.
 
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Brand Name
INFUSE BONE GRAFT
Type of Device
FILLER, RECOMBINANT HUMAN BONE MORPHOGENETIC PROTEIN, COLLAGEN SCAFFOLD WITH MET
Manufacturer (Section D)
MEDTRONIC SOFAMOR DANEK USA, INC
4340 swinea rd
memphis TN 38118
Manufacturer (Section G)
MEDTRONIC SOFAMOR DANEK USA, INC
4340 swinea rd
memphis TN 38118
Manufacturer Contact
greg anglin
1800 pyramid place
memphis, TN 38132
9013963133
MDR Report Key5549424
MDR Text Key41938184
Report Number1030489-2016-00948
Device Sequence Number1
Product Code NEK
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
P000058
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer
Reporter Occupation Attorney
Type of Report Initial,Followup,Followup
Report Date 06/06/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Expiration Date10/01/2010
Device Catalogue Number7510400
Device Lot NumberM110706AAE
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 03/10/2016
Initial Date FDA Received04/06/2016
Supplement Dates Manufacturer Received03/10/2016
05/07/2018
Supplement Dates FDA Received09/20/2017
06/06/2018
Was Device Evaluated by Manufacturer? No
Date Device Manufactured05/23/2008
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 Outcome(s) Other;
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