FDA Adverse Event
Injury
Summary report: N
K2M SPINE SCREWS
MDR report key: 17536136
·
Received August 12, 2023
Report
- Report Number
- MW5143026
- Event Type
- Injury
- Date Received
- August 12, 2023
- Date of Event
- December 19, 2012
- Report Date
- February 21, 2013
- Manufacturer
- K2M, INC. 751 MILLER DRIVE SE, LEESBURG, VIRGINIA
- Product Code
- OSH
- Report Source
- Voluntary report
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
EMPIRE MEDICAL; DURING A MAST LUMBAR FUSION THE SURGEON USED A MEDTRONIC NAVLOCK AWL AND TAP, AND THEN ATTEMPTED TO USE A DIFFERENT SPINE COMPANIES SCREWS (K2M). THE SCREWS WOULD NOT THREAD AFTER ATTEMPTING MULTIPLE TIMES. THEREFORE, THE SURGEON BECAME FRUSTRATED WITH THE SPINE REP (NON MEDTRONIC) AND ABORTED NAVIGATION. A C-ARM WAS BROUGHT IN AND USED THE OTHER SPINE COMPANY'S INSTRUMENTS TO SUCCESSFULLY FINISH THE SURGERY WITHOUT NAVIGATION. WE ALL AGREED THAT THE MEDTRONIC TAP WAS NOT COMPATIBLE (DIFFERENT THREADS) WITH THE SPINE COMPANY (K2M). (B)(4) . THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 941527 | K2M SPINE SCREWS | PEDICLE SCREW SPINAL SYSTEM, ADOLESCENT IDIOPATHIC SCOLIOSIS | OSH | K2M, INC. 751 MILLER DRIVE SE, LEESBURG, VIRGINIA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |