PRESTIGE CERVICAL DISC SYSTEM
Report
- Report Number
- 1824199-2026-00022
- Event Type
- Malfunction
- Date Received
- February 17, 2026
- Report Date
- April 3, 2026
- Manufacturer
- WARSAW ORTHOPEDIC, INC.
- Product Code
- MJO
- UDI-DI
- 00613994714831
- PMA / PMN Number
- P090029
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WA, US
- Reporter Occupation
- 003
Narratives
H3: PRODUCT ANALYSIS OF PRODUCT:6973050, LOT:EM17H003 VISUAL AND OPTICAL INSPECTION CONFIRMED THE INNER SHAFT INSERTER IS WORN FROM 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.
B3: EVENT DATE IS UNKNOWN D4: LOT NUMBER IS UNKNOWN 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 INFORMATION WAS RECEIVED THAT THE ACTUAL ALLEGATION WAS THE BENT RAIL CUTTER WILL NOT CUT STRAIGHT AND BENT INSERTER WILL NOT INSERT.
INFORMATION WAS RECEIVED FROM USER FACILITY VIA A MANUFACTURER REPRESENTATIVE REGARDING THE DEVICES USED FOR CERVICAL ARTHROPLASTY P ROCEDURE. IT WAS REPORTED THAT THERE WAS A LOSS OF ELASTICITY IN THE INSERTER SHAFT, RESULTING IN INABILITY TO GRAB THE IMPLANT, AND SLIGHT DAMAGE TO ONE OF THE BLADES OF THE RAIL PUNCH, CAUSING ISSUES WHEN CREATING KEELS IN THE VERTEBRAE. INSTRUMENT BREAKAGE WAS IDENTIFIED FOR BOTH THE INSERTER SHAFT AND RAIL PUNCH. THERE WAS NO PATIENT INVOLVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 423117 | PRESTIGE CERVICAL DISC SYSTEM | PROSTHESIS, INTERVERTEBRAL DISC | MJO | WARSAW ORTHOPEDIC, INC. | 6973050 | EM17H003 | 00613994714831 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |