NVM5 SYSTEM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a other report with the FDA on 2017-05-10 for NVM5 SYSTEM manufactured by Nuvasive, Inc.

Event Text Entries

[74887870] At this time it is unknown if there was a product malfunction or which product was used at the time of the event. No product has been returned for evaluation, therefore root cause cannot be identified. Patient has alleged a permanent injury.
Patient Sequence No: 1, Text Type: N, H10


[74887871] A report was received indicating that following surgery the patient exhibited paraplegia secondary to a hematoma that impinged on the spinal cord. Allegation was made that the neuromonitoring device contributed to the injury. Additionally, information was also received in which there was alleged failure to perform instrumented fusion and to provide adequate hemostasis; a dural tear was also reportedly sustained, as well as failure to operate on correct anatomy.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2031966-2017-00040
MDR Report Key6559311
Report SourceOTHER
Date Received2017-05-10
Date of Event2015-04-25
Date Mfgr Received2017-04-11
Date Added to Maude2017-05-10
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationATTORNEY
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. YOBANA SANCHEZ
Manufacturer Street7475 LUSK BLVD
Manufacturer CitySAN DIEGO CA 92121
Manufacturer CountryUS
Manufacturer Postal92121
Manufacturer Phone8589093383
Manufacturer G1NUVASIVE, INC
Manufacturer Street7475 LUSK BLVD
Manufacturer CitySAN DIEGO CA 92121
Manufacturer CountryUS
Manufacturer Postal Code92121
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNVM5 SYSTEM
Generic NameNEUROSURGICAL NERVE LOCATOR
Product CodePDQ
Date Received2017-05-10
Model NumberNVM5
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerNUVASIVE, INC
Manufacturer Address7475 LUSK BLVD SAN DIEGO CA 92121 US 92121


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2017-05-10

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