FDA Adverse Event Injury Summary report: N

ST360 SPINAL FIXATION SYSTEM

MDR report key: 1231843 · Received November 11, 2008

Report

Report Number
2184052-2008-00030
Event Type
Injury
Date Received
November 11, 2008
Date of Event
March 10, 2008
Report Date
October 8, 2008
Manufacturer
ZIMMER SPINE, INC.
Product Code
KWP
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE REMAINS IN THE PT. PART NUMBERS AND LOT NUMBERS UNK.

Description of Event or Problem · 1

ORIGINAL SURGERY PERFORMED IN 2007, TO IMPLANT ST360 FIXATION SYSTEM. A REVISION SURGERY WAS PERFORMED THE FOLLOWING YEAR, TO RE-TIGHTEN THE SCREWS AND NUTS BECAUSE THE SCREWS LOOSENED AND THE RODS MIGRATED, CAUSING PAIN AN DISCOMFORT TO THE PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ST360 SPINAL FIXATION SYSTEM SPINAL FIXATION SYSTEM KWP ZIMMER SPINE, INC.

Patients

Seq Age Sex Outcome Treatment
1 Other