inforMED
MalfunctionNKB

UCENTUM

Received Apr 28, 2022 · Event occurred Mar 28, 2022

Report 9612420-2022-00004 · MDR key 14241912

Device

Generic name

Screw, Polyaxial, Cannulated, Fenestrated

Model number

CS 3802-065-050

Catalog number

CS 3802-065-050

Lot number

U0020814

Product problems

  • Fracture
  • Fracture

Patient

Prefer Not To Disclose

  • Failure of Implant
  • Failure of Implant

Narrative

Description of Event or Problem

UCENTUM PEDICLE SCREW: WHEN UNSCREWING THE PEDICLE SCREW, THE SCREW TIP BROKE OFF IMMEDIATELY AT THE CEMENT PERFORATIONS. THE RESIDUAL SCREW REMAINED IN THE PATIENT.