FDA Adverse Event Other Summary report: N

SLIMFUSE SYSTEM

MDR report key: 1172662 · Received September 12, 2008

Report

Report Number
1833824-2008-00001
Event Type
Other
Date Received
September 12, 2008
Manufacturer
PIONEER LABORATORIES
Product Code
JDN
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

ONE SCREW OF A TWO LEVEL CERVICAL CASE WAS TAKEN OUT OF THE PATIENT AFTER IT WAS IDENTIFIED THAT A SCREW HAD BACKED OUT POST OP AND THAT THE PATIENT WAS EXPERIENCING A SENSATION IN HER THROAT WHEN SWALLOWING. THE PATIENT WAS FUSING SO THE SYSTEM WAS LEFT IN WITHOUT A SCREW AT THE LOWER LEVEL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SLIMFUSE SYSTEM CERVICAL PLATING SYSTEM JDN PIONEER LABORATORIES UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention