MAUDE MDR 9289682

MDR report key
9289682
Report number
0002242816-2019-00037
Event key
0
Event type
3
Date received
2019-11-07
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
3
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
SARA DAILEY
Address
399 JEFFERSON ROAD PARSIPPANY NJ 07054 US
Phone
973-973-9732
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1SPF-XL IIB 2/DMSTIMULATOR, INVASIVE BONE GROWTHEBI, LLC.LOEN/A10-1335MN/AR N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-11-0701. H; 2. R

Event Narratives#

N

Patient 1

ZIMMER BIOMET COMPLAINT (B)(4). THE EVENT OCCURRED SOMETIME IN (B)(6) 2019. CUSTOMER HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION, AS IT IS STILL IMPLANTED. THE INVESTIGATION IS IN PROGRESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.

D

Patient 1

IT WAS REPORTED THAT THE PATIENT WAS EXPERIENCING SHARP PAIN IN HIS LOWER BACK. THE PAIN INTENSIFIED AND THE PATIENT WAS UNABLE TO MOVE. THE PATIENT WAS ADMITTED TO THE HOSPITAL FOR THREE DAYS. THE DOCTORS AT THE HOSPITAL TOLD THE PATIENT THAT IT WAS A SEVERE MUSCLE SPASM. THE PATIENT WAS GIVEN PAIN MEDICATION. THE PATIENT WAS PRESCRIBED MEDICATIONS UPON RELEASE. THE PATIENT HAS FOLLOWED UP WITH HIS GENERAL PRACTITIONER AND STATES THAT HE IS IN GOOD HEALTH AND HAS NOT HAD ANY PROBLEMS. NO ADDITIONAL PATIENT CONSEQUENCES HAVE BEEN REPORTED.