MAUDE Adverse Event Report: CENTINEL SPINE, LLC. PRODISC L SUPERIOR END PLATE MEDIUM 3-STERILE; PROSTHESIS, INTERVERTEBRAL DISC

Model Number	PDL-M-SP03S
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code	Movement Disorder (4412)
Date of Event	07/29/2025
Type of Reportable Event	Serious Injury
Event or Problem Description
It was reported that a patient was implanted with two prodisc l devices at l4-5 and l5-s1 on (b)(6) 2025.The surgery went well and without concern, the patient was fully decompressed at both levels and implants were well placed.The pre-op patient complaints were resolved but the patient presented 24 hours after surgery with a new left foot drop.A post-op mri was completed to assess the canal and the assumption that the foot drop is a stretch injury or a retractor injury.The surgeon treated the patient with steroids and the patient is slowly regaining some function.Surgeon requested a peer-to-peer discussion to ensure that he is treating properly.Discussion out of the peer-to-peer meeting resulted in the following conclusions.1) there is no concern with the implant or the implant placement, 2) this is an uncommon but potential complication for which there are no reliable pre-operative tests or indicators, 3) patient will have a ct myelogram done to rule out any compression unable to be identified with the existing post op mri, and 4) patient will continue medication and therapy in hopes of regaining function in the foot.
Additional Manufacturer Narrative
An mdr is indicated for this complaint.It was reported that a patient was implanted with two prodisc l devices at l4-5 and l5-s1 on (b)(6) 2025.The surgery went well and without concern, the patient was fully decompressed at both levels and implants were well placed.The pre-op patient complaints were resolved but the patient presented 24 hours after surgery with a new left foot drop.A post-op mri was completed to assess the canal and the assumption that the foot drop is a stretch injury or a retractor injury.The surgeon treated the patient with steroids and the patient is slowly regaining some function.A dhr review found no anomalies associated with the complaint.Complaint trending found that the rate of complaints is at the lowest possible level of improbable.A review of the risk documentation found that the harms associated with the complaint were identified and mitigated to a level where the clinical benefits outweigh the risks.However, the calculated p2 value is higher than the p2 value listed in the risk documentation and will need to be updated.There are no previous capas or issues related to the complaint.The pdl devices remain implanted within the patient therefore no device evaluation could be completed.A peer to peer discussion reviewed imaging and confirmed that the implant was well placed and there was no malfunction.There were no anomalies identified during the complaint investigation.The peer-to-peer discussion stated that this is an uncommon but potential complication for which there are no reliable pre-operative tests or indicators, the cause is unknown.This report is for 4 of 6 devices involved in this event.

• Brand Name: PRODISC L SUPERIOR END PLATE MEDIUM 3-STERILE
• Common Device Name: PROSTHESIS, INTERVERTEBRAL DISC
• Manufacturer (Section D): CENTINEL SPINE, LLC.; 900 airport road; suite 3b; west chester, pa 19380 ; SZ 19380
• Manufacturer (Section G): FRUH VERPACKUNGSTECHNIK AG; allmendstrasse 47; fehraltorf, 8320 ; SZ 8320
• Manufacturer Contact: erin ward ; 900 airport road; suite 3b; west chester, PA 19380 ; 4848878894
• MDR Report Key: 23008495
• Report Number: 3007494564-2025-00080
• Device Sequence Number: 10559516
• Product Code: MJO
• UDI-Device Identifier: 00843193114983
• UDI-Public: (01)00843193114983(17)300430(10)2024-1218
• Combination Product (Y/N): N
• Initial Reporter State: PA
• Initial Reporter Country: US
• PMA/510(K) Number: P050010
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2025
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Company Representative
• Initial Reporter Occupation: Non-Healthcare Professional
• Type of Report: Initial
• Report Date (Section B): 09/08/2025

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
• Operator of Device: Health Professional
• Device Model Number: PDL-M-SP03S
• Device Catalogue Number: N/A
• Device Lot Number: 2024-1218
• Was Device Available for Evaluation?: No
• Type of Report(Section G): Initial
• Initial Date Received by Manufacturer: 08/14/2025
• Initial Report FDA Received Date: 09/09/2025
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 05/27/2025
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Required Intervention
• Patient Age: 37 YR
• Patient Sex: Female