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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDTRONIC SOFAMOR DANEK; PROSTHESIS, SPINOUS PROCESS SPACER/PLATE

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MEDTRONIC SOFAMOR DANEK; PROSTHESIS, SPINOUS PROCESS SPACER/PLATE Back to Search Results
Catalog Number KY_UNK_XSTOP
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Bone Fracture(s) (1870); Osteolysis (2377)
Event Type  Injury  
Manufacturer Narrative
Literature citation: atsufumi nagahama, misao nishikawa, seiya masamura, yuki ohata, toshiyuki kawashima, hiromichi ikuno"patient outcomes of spinal stabilization (x-stop insertion) for lumbar canal stenosis".Mean age: 74.5 years.Pt gender: 5 females, 30 male.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.A good faith effort will be made to obtain the applicable information relevant to the report.If information is provided in the future, a supplemental report will be issued.
 
Event Description
It was reported in an abstract that total of 35 patients underwent spacer surgery for lumbar spinal canal stenosis.As postoperative complications, five patients had fracture or osteolysis at the spinous process where spacer was inserted,.
 
Manufacturer Narrative
If information is provided in the future, a supplemental report will be issued.
 
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Type of Device
PROSTHESIS, SPINOUS PROCESS SPACER/PLATE
Manufacturer (Section D)
MEDTRONIC SOFAMOR DANEK
1800 pyramid place
memphis TN 38132
Manufacturer (Section G)
MEDTRONIC SOFAMOR DANEK
1800 pyramid place
memphis TN 38132
Manufacturer Contact
greg anglin
1800 pyramid place
memphis, TN 38132
9013963133
MDR Report Key5777803
MDR Text Key49020336
Report Number1030489-2016-02015
Device Sequence Number1
Product Code NQO
Combination Product (y/n)N
Reporter Country CodeJA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,literature
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 06/09/2016
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? Yes
Device Operator Health Professional
Device Catalogue NumberKY_UNK_XSTOP
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 06/09/2016
Initial Date FDA Received07/08/2016
Supplement Dates Manufacturer Received06/09/2016
Supplement Dates FDA Received09/23/2017
Was Device Evaluated by Manufacturer? No
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage N
Patient Sequence Number1
Patient Outcome(s) Other;
Patient Age74 YR
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