FDA Adverse Event
Malfunction
Summary report: N
TILINK-P SI JOINT FUSION SYSTEM
MDR report key: 20333376
·
Received September 30, 2024
Report
- Report Number
- 3012495575-2024-00003
- Event Type
- Malfunction
- Date Received
- September 30, 2024
- Date of Event
- September 25, 2024
- Manufacturer
- SURGENTEC, LLC
- Product Code
- OUR
- PMA / PMN Number
- K230857
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
NA.
Description of Event or Problem · 0
THE SURGEON WAS PERFORMING A TILINK-P (POSTERIOR) 25MM PROCEDURE AND AFTER THE SCREW WAS IMPLANTED, THEY NOTICED IN THE OUTER OBLIQUE X-RAY THAT THE ANCHOR WAS SPLAYED OUTWARD. FROM THE IMAGES, THEY ARE UNABLE TO IDENTIFY AND CONFIRM IF THE ANCHOR IS BENT OR BROKEN. HOWEVER THE SURGERY WAS SUCESSFULLY COMPLETED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2602687 | TILINK-P SI JOINT FUSION SYSTEM | SACROILIAC JOINT FIXATION | OUR | SURGENTEC, LLC | NA | A004 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |