inforMED
InjuryNKB

ERISMA-LP

Received Dec 11, 2018 · Event occurred Jul 30, 2018

Report 3008992889-2018-00002 · MDR key 8149919

Device

Generic name

Pedicle Screw

Manufacturer

Clariance Sas

Model number

18176550

Catalog number

18176550

Lot number

I265X

Product problems

  • Off-Label Use
  • Off-Label Use

Patient

60 YR

  • Failure of Implant
  • Failure of Implant

Narrative

Additional Manufacturer Narrative

THE PEDICLE SCREW INVOLVED IN THIS FIXATION FAILURE, AS WELL AS THE SET SCREW LOOSENED, HAVE BEEN EXAMINED TO CHECK IF THEY HAVE BEEN DEGRADED DURING THE CONSTRUCT TIGHTENING. THE DIMENSIONAL ANALYSIS CONDUCTED DEMONSTRATES THAT BOTH PEDICLE SCREW AND SET SCREW ARE IN CONFORMITY WITH THE SPECIFICATIONS OF THE TECHNICAL DRAWINGS. THE VISUAL EXAMINATION DOES NOT INDICATE ANY ABNORMAL SURFACE ISSUE OR MATERIAL ISSUE.

Description of Event or Problem

TWO WEEKS POST-OP ON A T10-L3 FUSION CONSTRUCT FOR VERTEBRAL FRACTURE TREATMENT, THE PEDICLE SCREW ON CONTRA-LATERAL SIDE WAS PULLED OUT OF PEDICLE. AS A CONSEQUENCE, THE SET SCREW LOOSENED. THE PATIENT NEEDED A REVISION SURGERY TO RESECURE THE CONSTRUCT. THE CONSTRUCT WAS LENGTHENED TO L4 AND PEDICLE SCREWS WHICH PULLED OUT WERE REPLACED. THE REVISION SURGERY WAS COMPLETED WITHOUT FURTHER COMPLICATIONS.

Remedial action

  • Replace
  • Patient Monitoring