MAUDE MDR 4466466

MDR report key
4466466
Report number
MW5040477
Event key
0
Event type
3
Date of event
2012-02-29
Date received
2015-01-21
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
305
Health professional
0
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Report source
P
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1GRAFTONGRAFTONOSTEOTECHMBP

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12015-01-2101. H; 2. L; 3. O; 4. R; 5. S

Event Narratives#

D

Patient 1

ON (B)(6) 2012, I UNDERWENT C5, C6 CERVICAL INTERBODY FUSION PERFORMED BY DR (B)(6). DEVICES UTILIZED INCLUDE: AMEDICA VALEO CERVICAL CAGE (2) PACKED WITH (IN COMBINATION WITH) OSTEOTECH GRAFTON PUTTY. VALEO IS ONLY CLEARED FOR ONE-LEVEL CERVICAL INTERBODY FUSION. GRAFTON NOT APPROVED OR CLEARED TO BE USE FOR INTENDED USES IN CERVICAL SPINE OR FOR INDICATIONS REQUIRING LOAD BEARING, STABILITY OF BONEY STRUCTURES. THE SURGEON, DR (B)(6) FAILED TO DISCLOSE THAT DEVICES WOULD BE USED IN MANNER NOT APPROVED OR CLEARED BY FDA OR THAT HE HAD FINANCIAL TIES TO MEDTRONIC, PARENT COMPANY OF OSTEOTECH. POST-OP COMPLICATIONS INCLUDE BUT NOT LIMITED TO, WORSENING OF PRE-OP SYMPTOMS, DYSPHAGIA, DYSPHONIA, TUMOR AND BONEY OVERGROWTH. REVISION POSTERIOR CERVICAL FUSION PERFORMED ON (B)(6) 2014 BY DR (B)(6), WHO ALSO DID NOT DISCLOSE CONFLICT WITH MEDTRONIC. I AM RENDERED FULLY DISABLED AND IN CONSTANT PAIN. HAVE BEEN RECOMMENDED FOR SPINAL STIMULATOR IMPLANT.