inforMED
InjuryNKB

5.5 STRAIGHT RODS, TI ALLOY 300MM

Received Jul 21, 2026 · Event occurred Oct 10, 2024

Report 3012447612-2026-00186 · MDR key 25893301

Device

Generic name

Thoracolumbosacral Pedicle Screw System

Model number

NA

Catalog number

07.02013.001

Lot number

NI

Product problems

  • Loss of Osseointegration
  • Migration

Patient

51 YR · Male

  • Failure of Implant
  • Inadequate Osseointegration

Narrative

Additional Manufacturer Narrative

D4: THE REMAINDER OF THE UDI NUMBER IS UNKNOWN BECAUSE THE LOT NUMBER IS NOT AVAILABLE. D10: TWO PEDICLE SCREWS WITH SET SCREWS, UNKNOWN MANUFACTURER FROM PRIOR SURGERY ON UNKNOWN DATE. WITHOUT A PRODUCT RETURN, NO PRODUCT EVALUATION IS ABLE TO BE CONDUCTED. THE LOT NUMBER IS UNKNOWN; THEREFORE THE DEVICE HISTORY RECORDS ARE UNABLE TO BE REVIEWED. CURRENT INFORMATION IS INSUFFICIENT TO PERMIT A VALID CONCLUSION ABOUT THE CAUSE OF THIS EVENT. IF ADDITIONAL INFORMATION IS OBTAINED THAT ADDS VALUE TO THE RELEVANT CONTENT OF THIS REPORT AND/OR A CONCLUSION CAN BE DRAWN, A FOLLOW-UP REPORT WILL BE SENT.

Description of Event or Problem

IT WAS REPORTED THAT A REVISION SURGERY WAS PERFORMED TO ADDRESS DISENGAGEMENT OF THE RODS FROM THE SCREWS AT S1, APPARENT PSEUDARTHROSIS AT L5-S1, AND LIMITED FUSION AT OTHER LUMBAR LEVELS. THE POST-OPERATIVE DIAGNOSIS INCLUDED HARDWARE FAILURE WITH FRACTURE OF THE LEFT L1 SCREW AND DISLODGEMENT OF THE RODS BILATERALLY AT S1. THIS IS REPORT ONE OF THREE FOR THIS EVENT.