inforMED
MalfunctionOSH

UNKNOWN RESPONSE SPINE 5.5/6.0 UNIAXIAL PEDICLE SCREW

Received Jan 12, 2018 · Event occurred May 22, 2017

Report 3006460162-2018-00003 · MDR key 7186969

Device

Generic name

Pedicle Screw Spinal System

Model number

N/A

Catalog number

UNKNOWN

Lot number

UNKNOWN

Product problems

  • Fracture
  • Fracture

Patient

17 YR

  • No Information
  • No Information

Narrative

Additional Manufacturer Narrative

(B)(4). CUSTOMER HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ORTHOPEDIATRICS FOR INVESTIGATION AS IT IS STILL IMPLANTED. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.

Description of Event or Problem

IT HAS BEEN REPORTED THAT FOLLOWING A SPINAL DEFORMITY CORRECTION PROCEDURE, AN X-RAY TAKEN POST-OPERATIVELY REVEALED A FRACTURED PEDICLE SCREW. THE SHANK OF THE SCREW FRACTURED POST FUSION ON THE BOTTOM OF THE CONSTRUCT. ATTEMPTS HAVE BEEN MADE AND ADDITIONAL INFORMATION ON THE REPORTED EVENT IS UNAVAILABLE AT THIS TIME.