inforMED
InjuryOSH

RESPONSE LARGE SET SCREW

Received May 1, 2019 · Event occurred Mar 25, 2019

Report 3006460162-2019-00015 · MDR key 8571189

Device

Generic name

Pedicle Screw Spinal System

Model number

N/A

Catalog number

00-1003-4001

Lot number

M69067-B

Product problems

  • Fracture
  • Fracture

Patient

17 YR

  • Pain
  • Pain

Narrative

Additional Manufacturer Narrative

REFERENCE: (B)(4). CUSTOMER HAS INDICATED THAT THE PRODUCT IS IN PROCESS OF BEING RETURNED TO ORTHOPEDIATRICS FOR INVESTIGATION. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.

Description of Event or Problem

IT WAS REPORTED THAT FOLLOWING A POSTERIOR FUSION SURGERY, THE PATIENT EXPERIENCED BACK PAIN AND CLICKING. IT WAS DISCOVERED DURING THE REVISION PROCEDURE THAT A SET SCREW WAS LOOSE. NO ADDITIONAL PATIENT CONSEQUENCES WERE REPORTED.