inforMED
InjuryOSH

RESPONSE 5.5 SPINE SYSTEM

Received Sep 6, 2016

Report 3006460162-2016-00001 · MDR key 5930751

Device

Generic name

Pedicle Screw Spinal System

Catalog number

00-1003-4001

Product problems

  • Material Separation
  • Material Separation

Patient

Not reported

  • Congenital Defect/Deformity
  • Congenital Defect/Deformity

Narrative

Additional Manufacturer Narrative

SURGEON INFORMED MANUFACTURER THAT THE SET SCREW ON THE LEFT SIDE (MOST DISTAL) WAS PROBABLY CROSS THREADED. THE 6-MONTH FOLLOW UP X-RAYS SHOW THAT THE ROD HAD SLIPPED IN THE AXIALLY DIRECTION AND THE SURGEON CONFIRMED THIS IN THE REVISION SURGERY. ADDITIONALLY, THE NEXT LEVEL UP ON THE LEFT SIDE FROM THE MOST DISTAL SCREW ALSO SHOWED SLIP ALONG THE ROD. THE SURGEON ALSO NOTED SLIPPAGE ON THE SAME TWO MOST DISTAL SCREWS ON THE RIGHT SIDE. THE SURGEON STATED HE WAS UNSURE IF HE USED THE CORRECT TORQUE LIMITER UPON FINAL TIGHTENING. DEVICE NOT RETURNED FOR EVALUATION

Description of Event or Problem

BOTH COCR RODS FOUND TO BE DISASSOCIATED FROM THE DISTAL PEDICLE SCREWS IN CONSTRUCT, VIA X-RAY AT 6-MONTH FOLLOW UP.