inforMED
MalfunctionOSH

RESPONSE UNIAXIAL SCREW 6.0MM X 45MM

Received Mar 22, 2019

Report 3006460162-2019-00010 · MDR key 8445519

Device

Generic name

Pedicle Screw Spinal System

Model number

N/A

Catalog number

00-1003-4390

Lot number

M54988-B

Product problems

  • Fracture
  • Fracture

Patient

14 YR

  • No Information
  • No Information

Narrative

Additional Manufacturer Narrative

(B)(4). THE PRODUCT HAS NOT BEEN RETURNED TO ORTHOPEDIATRICS AS IT REMAINS 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 THE PLACEMENT OF A RESPONSE SPINE CONSTRUCT, A SET SCREW WAS FOUND TO BE LOOSE. A FRACTURED SCREW WAS ALSO REPORTED. ATTEMPTS HAVE BEEN MADE AND ADDITIONAL INFORMATION ON THE REPORTED EVENT IS UNAVAILABLE AT THIS TIME.