inforMED
MalfunctionKWQ

ABC SELF-LOCKING CERVICAL SCREW 4. 0X16MM

Received Jul 18, 2014 · Event occurred Jun 16, 2014

Report 3005673311-2014-00061 · MDR key 4030898

Device

Generic name

Implants Cervical Stabilisation

Model number

FJ933T

Catalog number

FJ933T

Lot number

51685473

Product problems

  • Migration or Expulsion of Device

Patient

Not reported

  • No Information

Narrative

Additional Manufacturer Narrative

SIX FJ933T WERE RETURNED FOR EVALUATION; LOT NUMBERS: 51685473 (1), XXX85473 (1), UNKNOWN (4), (TOO DAMAGED TO DETERMINED). CERVICAL PLATE WAS RETURNED FOR EVALUATION AS A COMPONENT: FJ758T/AC CERVICAL PLATE 6 HOLD TA 37MM, LOT NUMBER 51095813.

Description of Event or Problem

SCREW REMOVAL CASE BECAUSE THE LOCKING MECHANISM ON THE SCREWS FLIPPED. ORIGINALLY IMPLANTED IN (B)(4).