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
Manufacturer
Highridge Medical, LlcModel number
NACatalog 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.