inforMED
MalfunctionODP

THREADED INNER SHAFT

Received Jul 7, 2026 · Event occurred Jun 12, 2026

Report 3011795235-2026-00038 · MDR key 25729418

Device

Generic name

Intervertebral Fusion Device With Bone Graft,

Manufacturer

Msd Deggendorf Mfg

Model number

6213010

Catalog number

6213010

Lot number

UNKNOWN

Product problems

  • Break

Patient

NA · Female

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Description of Event or Problem

INFORMATION WAS RECEIVED FROM USER FACILITY VIA MANUFACTURING REPRESENTATIVE REGARDING A PRODUCT IDENTIFIED DURING AN EVENT. IT WAS REPORTED THAT UPON PREPARING THE IMPLANT AWAY FROM THE PATIENT, THE INNER SHAFT OF THE CORNERSTONE SET WAS BROKEN, THIS DID NOT AFFECT THE PATIENT OR THE IMPLANT. THE TYPE OF PROCEDURE OR TECHNIQUE USED ACDF. LEVELS IMPLANTED CERVICAL SPINE LEVELS: C4/5 C5/6 C6/7. NO PATIENT SYMPTOMS WERE REPORTED. NO FURTHER COMPLICATIONS WERE REPORTED/ANTICIPATED.