inforMED
InjuryOSH

ORTHOPEDIATRICS RESPONSE LARGE SET SCREW

Received Nov 7, 2018 · Event occurred Oct 5, 2018

Report 3006460162-2018-00071 · MDR key 8048365

Device

Generic name

Pedicle Screw Spinal System

Model number

N/A

Catalog number

00-1003-4001

Lot number

M86486-B

Product problems

  • Migration
  • Migration

Patient

14 YR

  • No Information
  • No Information

Narrative

Additional Manufacturer Narrative

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

Description of Event or Problem

IT WAS REPORTED THAT FOLLOWING THE PLACEMENT OF A RESPONSE SPINE CONSTRUCT, TWO SET SCREWS WERE DISCOVERED TO BE DISENGAGED. THE PATIENT WAS SUCCESSFULLY REVISED. NO ADDITIONAL PATIENT CONSEQUENCES WERE REPORTED.