RESPONSE 5.5/6.0 UNIAXIAL PEDICLE SCREW 6.0MM X 40MM
Received Jan 10, 2019 · Event occurred Oct 31, 2018
Report 3006460162-2019-00002 · MDR key 8237875
Device
Generic name
Pedicle Screw Spinal System, Adolescent Idiopathic Scoliosis
Manufacturer
Orthopediatrics, IncModel number
N/ACatalog number
00-1300-0640
Lot number
UNKNOWN
Product problems
- Fracture
- Fracture
Patient
Not reported
- No Information
- No Information
Narrative
Additional Manufacturer Narrative
THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION. REPORTED EVENT WAS UNABLE TO BE CONFIRMED AS LOT NUMBER OF DEVICE INVOLVED IN THE INCIDENT IS UNKNOWN. DHR REVIEW WAS UNABLE TO BE PERFORMED AS THE LOT NUMBER OF THE DEVICE INVOLVED IN THE EVENT IS UNKNOWN. ROOT CAUSE WAS UNABLE TO BE DETERMINED AS THE NECESSARY INFORMATION TO ADEQUATELY INVESTIGATE THE REPORTED EVENT WAS NOT PROVIDED.
Additional Manufacturer Narrative
REFERENCE: (B)(4). REPORT SOURCE: (B)(6). 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 HAS BEEN REPORTED THAT FOLLOWING A POSTERIOR SPINAL FUSION, THE PATIENT UNDERWENT A REVISION PROCEDURE DUE TO A FRACTURED PEDICLE SCREW. ATTEMPTS HAVE BEEN MADE AND ADDITIONAL INFORMATION ON THE REPORTED EVENT IS UNAVAILABLE AT THIS TIME.