UNKNOWN_SPINE_PRODUCT UNK_SPN

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2015-11-16 for UNKNOWN_SPINE_PRODUCT UNK_SPN manufactured by Stryker Spine-us.

Event Text Entries

[31270525] It was reported that in (b)(6) 2015, es2 primary surgery was performed. After that, neurological symptoms appeared due to the protrusion of l5 left side screw to medial. Therefore revision surgery is planned in the near future.
Patient Sequence No: 1, Text Type: D, B5


[36489446] Method: risk assessment; results: additional information such as xrays from the original surgery and the patient's health and lifestyle were not reported. Conclusion: the most likely cause of the reported event is not determined and multifactorial.
Patient Sequence No: 1, Text Type: N, H10


[36489447] It was reported that in (b)(6) 2015, es2 primary surgery was performed. After that, neurological symptoms appeared due to the protrusion of l5 left side screw to medial. Therefore revision surgery is planned in the near future.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3004024955-2015-00092
MDR Report Key5225276
Report SourceHEALTH PROFESSIONAL
Date Received2015-11-16
Date of Report2015-10-21
Date of Event2015-10-21
Date Mfgr Received2015-10-21
Date Added to Maude2015-11-16
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. CHRISTA MARROW
Manufacturer Street2 PEARL COURT
Manufacturer CityALLENDALE NJ 07401
Manufacturer CountryUS
Manufacturer Postal07401
Manufacturer Phone2017608000
Manufacturer G1STRYKER SPINE-US
Manufacturer Street2 PEARL COURT
Manufacturer CityALLENDALE NJ 07401
Manufacturer CountryUS
Manufacturer Postal Code07401
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNKNOWN_SPINE_PRODUCT
Generic NameUNK
Product CodeJDN
Date Received2015-11-16
Catalog NumberUNK_SPN
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER SPINE-US
Manufacturer Address2 PEARL COURT ALLENDALE NJ 07401 US 07401


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2015-11-16

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