inforMED
InjuryOSH

UNKNOWN RESPONSE PEDICLE SCREW

Received Jul 7, 2019 · Event occurred Jun 6, 2019

Report 3006460162-2019-00032 · MDR key 8766133

Device

Generic name

Pedicle Screw Spinal System

Model number

N/A

Catalog number

UNKNOWN

Lot number

UNKNOWN

Product problems

  • Fracture
  • Fracture

Patient

16 YR

  • No Information
  • No Information

Narrative

Additional Manufacturer Narrative

(B)(4). THE PRODUCT HAS 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 RESPONSE SPINE CONSTRUCT, THE PATIENT WAS REVISED DUE TO FRACTURED PEDICLE SCREWS. THE PATIENT HAD THREE PEDICLE SCREWS REVISED. NO OTHER PATIENT CONSEQUENCES WERE REPORTED.