FDA Adverse Event
Injury
Summary report: N
NAVIGATED PEDICLE ACCESS KIT
MDR report key: 17868417
·
Received October 3, 2023
Report
- Report Number
- MW5146484
- Event Type
- Injury
- Date Received
- October 3, 2023
- Report Date
- September 29, 2023
- Manufacturer
- IZI MEDICAL PRODUCTS LLC
- Product Code
- OLO
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MN, US
- Reporter Occupation
- OTHER
- Health Professional
- *
Narratives
Description of Event or Problem · 0
DESCRIPTION OF EVENT: BECAUSE THE NEEDLES BEND AS SOON AS THE FIRST MALLET IS STRUCK (ESPECIALLY THE OUTER SHEATH). BRAND ILUMARK REF MP6001 (B)(6) DISPOSABLE PASSIVE ARRAY - PEDICLE ACCESS KIT COMPATIBLE. USE OF SINGLE-USE EQUIPMENT HIGH COST FOR THE HOSPITAL. LOSS OF TIME FOR THE CARE TEAM. LOSS OF CHANCE FOR THE PATIENT, WHO HAS TO BE PUT TO SLEEP FOR LONGER. ECOLOGICAL PROBLEM. CONSEQUENCE : USE OF ANOTHER KIT. REFERENCE REPORT: MW5146483. 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 |
|---|---|---|---|---|---|---|---|
| 1342750 | NAVIGATED PEDICLE ACCESS KIT | ORTHOPEDIC STEREOTAXIC INSTRUMENT | OLO | IZI MEDICAL PRODUCTS LLC | MP6001 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | NAVIGATION MARKER, REFLECTIVE MARKER SPHERES. |