LAMINOPLASTY FIXATION SYSTEM 7650108 N/A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2015-09-22 for LAMINOPLASTY FIXATION SYSTEM 7650108 N/A manufactured by Nuvasive, Inc..

Event Text Entries

[26424649] No radiographs were received and the event could not be confirmed. The implants were discarded by the hospital, no product information given and no further product investigation can be completed at this time. It is unknown if the patient complied with post-operative care instructions. The patient reportedly fell prior to the event, but it is unknown if this contributed to the event. Root cause has not been determined, no conclusion can be drawn. Product labeling indicates: "potential risks identified with the use of this device system, which may require additional surgery, include: device component fracture, loss of fixation, fracture of the vertebra, and vascular or visceral injury. If healing is delayed, or does not occur, the implant may eventually loosen, bend or break. Loads on the device produced by load bearing and by the patient's activity level will dictate the longevity of the implant". Implants were discarded by the hospital.
Patient Sequence No: 1, Text Type: N, H10


[26424650] Laminoplasty fixation system was implanted on (b)(6) 2015 in a (b)(6) female at c3. On (b)(6) 2015 the patient sustained a fall and was revised on (b)(6) 2015 for a lamina fracture. Patient is stable and is doing well post-revision. Implants were discarded by the hospital. No malfunction of the construct occurred.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2031966-2015-00053
MDR Report Key5094001
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2015-09-22
Date of Report2015-09-22
Date of Event2015-09-02
Date Mfgr Received2015-09-01
Date Added to Maude2015-09-22
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. DEBORAH SILVA
Manufacturer Street7475 LUSK BLVD
Manufacturer CitySAN DIEGO CA 92121
Manufacturer CountryUS
Manufacturer Postal92121
Manufacturer Phone8589091830
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameLAMINOPLASTY FIXATION SYSTEM
Generic NameORTHOSIS, SPINE, PLATE. LAMINOPLSTY METAL
Product CodeNQW
Date Received2015-09-22
Model Number7650108
Catalog NumberN/A
OperatorPHYSICIAN
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerNUVASIVE, INC.
Manufacturer Address7475 LUSK BLVD SAN DIEGO CA 92121 US 92121


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2015-09-22

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