inforMED
MalfunctionNBK

NUVASIVE RELINE SYSTEM

Received Jul 11, 2017 · Event occurred Sep 8, 2016

Report 2031966-2017-00080 · MDR key 6704687

Device

Generic name

Thoracolumbosacral Pedicle Screw System

Manufacturer

Nuvasive, Inc.

Model number

15455300

Product problems

  • Fracture
  • Fracture

Patient

60 YR

  • Failure of Implant
  • Failure of Implant

Narrative

Additional Manufacturer Narrative

NO PRODUCT WAS RETURNED FOR INVESTIGATION NOR WERE RADIOGRAPHS PROVIDED TO CONFIRM THE EVENT. INFORMATION RECEIVED FROM THE PHYSICIAN INDICATES PATIENT WAS DIAGNOSED WITH PSEUDOARTHROSIS 15 MONTHS POST INITIAL SURGERY. LABELING REVIEW: "...POTENTIAL ADVERSE EVENTS AND COMPLICATIONS; AS WITH ANY MAJOR SURGICAL PROCEDURES, THERE ARE RISKS INVOLVED IN ORTHOPEDIC SURGERY. INFREQUENT OPERATIVE AND POSTOPERATIVE COMPLICATIONS THAT MAY RESULT IN THE NEED FOR ADDITIONAL SURGERIES INCLUDE: BENDING, FRACTURE OR LOOSENING OF IMPLANT COMPONENT(S)..."

Description of Event or Problem

ON (B)(6) 2016, PATIENT HEARD A "POP" AND WAS EXPERIENCING BACK PAIN. PATIENT WAS DIAGNOSED WITH "A BROKEN ROD". IT WAS REPORTED A CT SCAN OF THE SPINE INDICATED A FRACTURE OF THE CONNECTOR RODS. ON (B)(6) 2016, PATIENT UNDERWENT REVISION SURGERY TO REMOVE THE FRACTURED ROD AND REVISE THE INSTRUMENTATION.