SPHERX DEFORMITY SYSTEM 8252004 NA

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06,07 report with the FDA on 2014-11-21 for SPHERX DEFORMITY SYSTEM 8252004 NA manufactured by Nuvasive, Inc..

Event Text Entries

[5081413] Following the initial surgery at l1-s1 (date unk) the patient underwent adjacent segment fixation (asf) surgery (date unk) to extend the construct from l1 cranially to t6. Radiographic evaluation noted a bilateral fractured rod at t12. Event radiograph also noted a suspected compression fracture of the vertebral body (no bone screw present) at t12. It is unk if the suspected vertebral fracture was the prior to implantation of the asf. The fractured asf rod was revised on (b)(6) 2014. The patient is reportedly doing well post revision surgery. Patient's activity level and compliance with post-surgical instructions are unk.
Patient Sequence No: 1, Text Type: D, B5


[12508126] Nuvasive reference (b)(4). Radiographs received confirmed the event. Rods were discarded by hosp. No product info was given and no further evaluation of the product can be completed. The construct was a large moment arm (two points supporting 7 levels above and 5 fused levels below) focusing forces at one level - t12. It is unk if fusion has occurred t6-t12. It is unk if the patient sustained some impact or fall. The root cause of this reported event has not been determined; no conclusion can be drawn. Discarded by the hosp.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2031966-2014-00078
MDR Report Key4305709
Report Source05,06,07
Date Received2014-11-21
Date of Report2014-11-21
Date of Event2014-10-21
Date Facility Aware2014-10-21
Report Date2014-11-21
Date Mfgr Received2014-10-23
Date Added to Maude2014-12-09
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 ContactPETER PERHACH
Manufacturer Street7475 LUSK BLVD
Manufacturer CitySAN DIEGO CA 92121
Manufacturer CountryUS
Manufacturer Postal92121
Manufacturer Phone8589093347
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSPHERX DEFORMITY SYSTEM
Generic NameSPINAL PEDICLE SCREW SYSTEM
Product CodeMCV
Date Received2014-11-21
Model Number8252004
Catalog NumberNA
Lot NumberUNK
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerNUVASIVE, INC.
Manufacturer AddressSAN DIEGO CA US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2014-11-21

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