FDA Adverse Event
Injury
Summary report: N
TILINK-P SI JOINT FUSION SYSTEM
MDR report key: 20333199
·
Received September 30, 2024
Report
- Report Number
- 3012495575-2024-00002
- Event Type
- Injury
- Date Received
- September 30, 2024
- Date of Event
- August 24, 2024
- Report Date
- September 25, 2024
- Manufacturer
- SURGENTEC, LLC
- Product Code
- OUR
- PMA / PMN Number
- K230857
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
PATIENT HAD A POSTERIOR TILINK CASE PERFORMED WITH THE 25MM SCREW AND 5CC OSTEOFLO NANOPUTTY INSERTED ON (B)(6) 2024. THE PATIENT THEN DEVELOPED AN INFECTION AFTER THE SURGERY WAS PERFORMED, TIME OF INFECTION NOT DEFINED. AN EXPLANT OF THE IMPLANTED DEVICE IS SCHEDULED TO TAKE PLACE ON (B)(6) OR (B)(6) 2024.. THERE WAS NO REPORT OF A DEVICE OR ITS RELATED COMPONENTS MALFUNCTION OR FAILURE. IT WAS REPORTED BY TJ SURGEON THAT DUE TO PATIENT NON COMPLIANCE POST SURGERY (REMOVED THE STERI STRIPS AFTER TWO (2) DAYS POST SURGERY) THE INFECTION RESULTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2587968 | TILINK-P SI JOINT FUSION SYSTEM | SACROILIAC JOINT FIXATION | OUR | SURGENTEC, LLC | A003 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |