FDA Adverse Event Malfunction Summary report: N

CD HORIZON® SPINAL SYSTEM

MDR report key: 24108120 · Received January 19, 2026

Report

Report Number
3003120897-2026-00090
Event Type
Malfunction
Date Received
January 19, 2026
Date of Event
December 24, 2025
Report Date
February 26, 2026
Manufacturer
MEDTRONIC SOFAMOR DANEK USA, INC.
Product Code
KWP
UDI-DI
00643169537736
PMA / PMN Number
K132639
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Additional Manufacturer Narrative · 0

H3: PRODUCT ANALYSIS OF PRODUCT: 9010000849, LOT: K22K1243. VISUAL AND FUNCTIONAL EXAMINATION IDENTIFIED THAT THE LOCKING MECHANISM ON THE LATCH IS WORN FROM WHAT APPEARS TO BE NORMAL REPEATED USE. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Description of Event or Problem · 0

INFORMATION WAS RECEIVED FROM HEALTHCARE PROVIDER (HCP) VIA A MANUFACTURER REPRESENTATIVE REGARDING A INSERTER USED FOR POSTERIOR FIXATION SPINAL THERAPY. IT WAS REPORTED THAT THE INSERTER PERCUTANEOUS ROD WAS NOT FIXED. NO PATIENT WAS INVOLVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
122631 CD HORIZON® SPINAL SYSTEM APPLIANCE, FIXATION, SPINAL INTERLAMINAL KWP MEDTRONIC SOFAMOR DANEK USA, INC. 9010000849 K22K1243 00643169537736

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown