M.U.S.T. POLYAXIAL PEDICLE SCREW
Report
- Report Number
- 3005180920-2025-01088
- Event Type
- Injury
- Date Received
- November 10, 2025
- Date of Event
- October 20, 2025
- Report Date
- November 10, 2025
- Manufacturer
- MEDACTA INTERNATIONAL SA
- Product Code
- NKB
- UDI-DI
- 07630030857577
- PMA / PMN Number
- K141988
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
CLINICAL EVALUATION PERFORMED BY MEDACTA MEDICAL AFFAIRS MANAGER: THE AVAILABLE IMAGES CONSIST OF ONLY TWO CT SCAN SLICES, WHICH MAKES IT QUITE CHALLENGING TO CONFIRM THE REPORTED SCREW MOBILIZATION OR TO IDENTIFY ANY SIGNS OF INFECTION. HOWEVER, DELAYED INFECTION FOLLOWING SPINAL FUSION SURGERY IS A WELL-DOCUMENTED ADVERSE EVENT DESCRIBED IN THE LITERATURE. AT PRESENT, THERE IS NO REASON TO SUSPECT THAT THE CAUSE IS RELATED TO THE IMPLANTED DEVICES. BATCH REVIEWS PERFORMED ON 27 OCTOBER 2025: PEDICLE SCREW 03.52.322 ENH. CANN. PEDICLE SCREW 6X35MM + NUT (1X) STERILE (K141988) LOT 2324078: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 21-JUN-2023. EXPIRATION DATE: 2028-JUN-05. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENT DURING THE PERIOD OF REVIEW. PEDICLE SCREW 03.52.322 ENH. CANN. PEDICLE SCREW 6X35MM + NUT (1X) STERILE (K141988) LOT 2323578: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 14-JUN-2023. EXPIRATION DATE: 2028-MAY-21. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENT DURING THE PERIOD OF REVIEW. PEDICLE SCREW 03.52.324 ENH. CANN. PEDICLE SCREW 6X45MM + NUT (1X) STERILE (K141988) LOT 2321377: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 03-MAY-2023. EXPIRATION DATE: 2028-APR-04. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENT DURING THE PERIOD OF REVIEW. PEDICLE SCREW 03.52.324 ENH. CANN. PEDICLE SCREW 6X45MM + NUT (1X) STERILE (K141988) LOT 2325799: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 21-SEP-2023. EXPIRATION DATE: 2028-AUG-30. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENT DURING THE PERIOD OF REVIEW. PEDICLE SCREW 03.50.450 BENT ROD TI 5.5 X 35MM - STERILE (K121115) LOT 2126659: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 12-JAN-2022. EXPIRATION DATE: 2026-DEC-21. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENT DURING THE PERIOD OF REVIEW. PEDICLE SCREW 03.50.451 BENT ROD TI 5.5 X 40MM - STERILE (K121115) LOT 2323419: (B)(4) ITEMS MANUFACTURED AND RELEASED ON 07-JUN-2023. EXPIRATION DATE: 2028-MAY-15. NO ANOMALIES FOUND RELATED TO THE PROBLEM. TO DATE, (B)(4) ITEMS OF THE SAME LOT HAVE BEEN SOLD WITH NO SIMILAR REPORTED EVENT DURING THE PERIOD OF REVIEW. ROOT CAUSE: INFECTION IS A KNOWN POSSIBLE COMPLICATION OF ANY SURGERY. ALTHOUGH NO ROOT CAUSE CAN BE ESTABLISHED, THERE IS NO INDICATION THAT ANY ISSUE WITH THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT, AND THE DOCUMENT REVIEW DOES NOT INDICATE ANY POTENTIAL MANUFACTURING RELATED CAUSE.
THE PATIENT HAD AN INFECTION AND THE PATHOGEN IS UNKNOWN. AT ABOUT 5 MONTHS POST PRIMARY THE SURGEON OBSERVED THAT THE SCREWS WERE LOOSE DUE TO THE INFECTION. THE SURGEON REVISED THE SCREWS AND THE RODS. THE SURGERY WAS COMPLETED SUCCESSFULLY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2616116 | M.U.S.T. POLYAXIAL PEDICLE SCREW | ENH. CANN. PEDICLE SCREW 6X35MM + NUT (1X) STERILE | NKB | MEDACTA INTERNATIONAL SA | 03.52.322 | 2323578 | 07630030857577 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 75 YR | Female | Required Intervention |