{
  "meta": {
    "disclaimer": "Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. We may limit or otherwise restrict your access to the API in line with our Terms of Service.",
    "terms": "https://open.fda.gov/terms/",
    "license": "https://open.fda.gov/license/",
    "last_updated": "2026-09-08",
    "results": {
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  "results": [
    {
      "manufacturer_contact_zip_ext": "",
      "manufacturer_g1_address_2": "",
      "event_location": "",
      "report_to_fda": "",
      "manufacturer_contact_t_name": "MR.",
      "manufacturer_contact_state": "PA",
      "manufacturer_link_flag": "Y",
      "manufacturer_contact_address_2": "",
      "manufacturer_g1_city": "AUDUBON",
      "manufacturer_contact_address_1": "2560 GENERAL ARMISTEAD AVENUE",
      "manufacturer_contact_pcity": "61093018",
      "event_type": "Injury",
      "report_number": "3004142400-2024-00507",
      "type_of_report": [
        "Initial submission"
      ],
      "product_problem_flag": "N",
      "date_received": "20250129",
      "manufacturer_address_2": "",
      "pma_pmn_number": "K171651",
      "date_of_event": "20231011",
      "reprocessed_and_reused_flag": "N",
      "manufacturer_address_1": "",
      "exemption_number": "",
      "manufacturer_contact_zip_code": "19403",
      "reporter_occupation_code": "003",
      "manufacturer_contact_plocal": "6109301800",
      "noe_summarized": "1",
      "manufacturer_contact_l_name": "PAUL",
      "source_type": [
        "Company representation"
      ],
      "distributor_zip_code_ext": "",
      "manufacturer_g1_postal_code": "19403",
      "manufacturer_g1_state": "PA",
      "reporter_country_code": "US",
      "manufacturer_contact_area_code": "610",
      "date_added": "20250129",
      "manufacturer_contact_f_name": "DANIEL",
      "previous_use_code": "R",
      "device": [
        {
          "device_event_key": "",
          "implant_flag": "",
          "date_removed_flag": "",
          "device_sequence_number": "633036",
          "implant_date_year": "2023",
          "date_removed_year": "",
          "serviced_by_3rd_party_flag": "U",
          "date_received": "20250129",
          "brand_name": "EXCELSIUS GPS",
          "generic_name": "SYSTEM, EXCELSIUS GPS, 120V",
          "manufacturer_d_name": "GLOBUS MEDICAL, INC.",
          "manufacturer_d_address_1": "2560 GENERAL ARMISTEAD AVENUE",
          "manufacturer_d_address_2": "",
          "manufacturer_d_city": "AUDUBON",
          "manufacturer_d_state": "PA",
          "manufacturer_d_zip_code": "19403",
          "manufacturer_d_zip_code_ext": "",
          "manufacturer_d_country": "US",
          "manufacturer_d_postal_code": "19403",
          "device_operator": "HEALTH PROFESSIONAL",
          "model_number": "6143.1001",
          "catalog_number": "",
          "lot_number": "GPS-0329",
          "other_id_number": "",
          "device_availability": "No",
          "device_report_product_code": "OLO",
          "device_age_text": "",
          "device_evaluated_by_manufacturer": "N",
          "combination_product_flag": "N",
          "udi_di": "00889095481297",
          "udi_public": "00889095481297",
          "openfda": {
            "device_name": "Orthopedic Stereotaxic Instrument",
            "medical_specialty_description": "Neurology",
            "regulation_number": "882.4560",
            "device_class": "2"
          }
        }
      ],
      "product_problems": [
        "Human-Device Interface Problem",
        "Human-Device Interface Problem"
      ],
      "reporter_state_code": "PA",
      "manufacturer_zip_code": "",
      "suppl_dates_mfr_received": "",
      "mfr_report_type": "Initial",
      "manufacturer_contact_country": "US",
      "date_changed": "20250825",
      "health_professional": "",
      "summary_report_flag": "N",
      "manufacturer_g1_zip_code_ext": "",
      "manufacturer_contact_extension": "",
      "manufacturer_city": "",
      "manufacturer_contact_phone_number": "6109",
      "patient": [
        {
          "patient_sequence_number": "1",
          "date_received": "20250129",
          "sequence_number_treatment": [
            ""
          ],
          "sequence_number_outcome": [
            "Other"
          ],
          "patient_age": "NA",
          "patient_sex": "Unknown",
          "patient_weight": "",
          "patient_ethnicity": "",
          "patient_race": "",
          "patient_problems": [
            "Spinal Column Injury",
            "Spinal Column Injury"
          ]
        }
      ],
      "distributor_city": "",
      "date_report": "20250128",
      "initial_report_to_fda": "",
      "distributor_state": "",
      "event_key": "",
      "manufacturer_g1_country": "US",
      "manufacturer_contact_city": "AUDUBON",
      "mdr_report_key": "21263272",
      "removal_correction_number": "",
      "number_devices_in_event": "",
      "date_manufacturer_received": "20250127",
      "manufacturer_name": "",
      "report_source_code": "Manufacturer report",
      "remedial_action": [
        ""
      ],
      "manufacturer_g1_zip_code": "19403",
      "report_to_manufacturer": "",
      "manufacturer_zip_code_ext": "",
      "manufacturer_g1_name": "GLOBUS MEDICAL, INC.",
      "adverse_event_flag": "Y",
      "distributor_address_1": "",
      "manufacturer_state": "",
      "distributor_address_2": "",
      "manufacturer_postal_code": "",
      "single_use_flag": "N",
      "manufacturer_country": "",
      "mdr_text": [
        {
          "mdr_text_key": "362393566",
          "text_type_code": "Additional Manufacturer Narrative",
          "patient_sequence_number": "0",
          "text": "THIS IS BEING REPORTED FOR A PROBLEM FOUND EARLIER. INVESTIGATION REVEALED THAT THERE WAS NO SYSTEM MALFUNCTION. ENGINEERING EVALUATION DID NOT FIND A SYSTEM MALFUNCTION. INVESTIGATION OF THE LOGS AND EVALUATION OF THE LEAD PLACEMENT DID SHOW LEADS WERE PLACED APPROXIMATELY 2MM SUPERFICIAL FROM THE PLAN AS REPORTED BY THE USER. HOWEVER, THE LOGS DID NOT INDICATE ANY ISSUES WITH THE MERGE, REGISTRATION, OR PATIENT MOVEMENT WHICH COULD EFFECT ACCURACY IN THIS CASE. FURTHER INFORMATION PROVIDED BY THE CLINICAL TEAM FOUND THAT THE IGEE HEIGHT OR TOP TO TARGET CALCULATION WAS INCORRECT ON THE AO-DRIVE RESULTING IN THIS SUPERFICIAL LEAD PLACEMENT. FOR FUTURE CASES, IT IS ALWAYS RECOMMENDED TO PERFORM ANATOMICAL LANDMARK CHECKS TO ENSURE NAVIGATIONAL INTEGRITY THROUGHOUT A PROCEDURE AND TO ALWAYS DOUBLE CHECK TOP TO TARGET CALCULATIONS TO VERIFY THEY ARE ACCURATE. ULTIMATELY, THERE WAS NO REPORTED ADVERSE EFFECT TO THE PATIENT IN THIS CASE. THE CAUSE OF THE REPORTED ISSUE CAN BE TRACED TO USER TECHNIQUE."
        },
        {
          "mdr_text_key": "362393567",
          "text_type_code": "Description of Event or Problem",
          "patient_sequence_number": "0",
          "text": "DURING AN INTRA-OP DBS CASE AT (B)(6) MEDICAL CENTER, A 2ND O-ARM EVALUATION SPIN SHOWED THAT THE LEAD WAS ~2 MM SUPERFICIAL TO THE PLANNED DEPTH. THE PLANNED DEPTH WAS 2 MM PAST THE TARGET BASED ON THE BURNED IN BRAINLAB LEFT VIM TRAJECTORY. FROM THE FIRST EVALUATION SPIN, THE LEAD WAS 6.5 MM ABOVE THE PLANNED DEPTH AND 4.5 MM ABOVE THE BURNED IN TARGET. AFTER OBSERVING THE RESULTS FROM THIS FIRST SPIN, DR. (B)(6) STATED THAT HE MAY HAVE PULLED BACK ON THE LEAD WHEN REMOVING THE CANNULA. HE WENT BACK IN AND MANUALLY ADVANCED THE LEAD 6.5 MM FURTHER TO ACCOUNT FOR THE DEPTH DISCREPANCY WHILE HAVING HIS PA PERFORM LFPS ON THE PATIENT. AFTER HE ADVANCED THE LEAD TO HIS DESIRED DEPTH, A 2ND EVALUATION SPIN WAS PERFORMED. THE RESULT OF THIS SPIN SHOWED THAT THE LEAD WAS EXACTLY TO TARGET DEPTH, WHICH IS 2 MM SUPERFICIAL FROM HIS PLANNED DEPTH."
        }
      ],
      "number_patients_in_event": "",
      "distributor_name": "",
      "manufacturer_g1_address_1": "2560 GENERAL ARMISTEAD AVENUE",
      "distributor_zip_code": "",
      "manufacturer_contact_postal_code": "19403",
      "manufacturer_contact_exchange": "610",
      "manufacturer_contact_pcountry": "",
      "suppl_dates_fda_received": ""
    }
  ]
}