FDA Adverse Event Malfunction Summary report: N

METRX(TM) SYSTEM

MDR report key: 24483259 · Received March 2, 2026

Report

Report Number
3003120897-2026-00333
Event Type
Malfunction
Date Received
March 2, 2026
Report Date
March 2, 2026
Manufacturer
MEDTRONIC SOFAMOR DANEK USA, INC.
Product Code
LXH
UDI-DI
00673978085456
PMA / PMN Number
K993021
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

B3: DATE OF EVENT IS UNKNOWN. H3: PRODUCT ANALYSIS OF PRODUCT NO: 9560101, LOT NO: 945295 DURING THE INSPECTION AT THE TIME OF ACCEPTANCE, IT WAS OBSERVED THAT THERE WERE SCRATCHES ON THE OUTER TUBE AND THERE WAS IMAGE FAILURE. 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 PATIENT HAVING SPINAL THERAPY. IT WAS REPORTED THAT THE DEVICE HAS POOR VISIBILITY. THERE WAS NO PATIENT SYMPTOM REPORTED. THERE WERE NO FURTHER COMPLICATIONS REPORTED REGARDING THE EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
549489 METRX(TM) SYSTEM ORTHOPEDIC MANUAL SURGICAL INSTRUMENT LXH MEDTRONIC SOFAMOR DANEK USA, INC. 9560101 945295 00673978085456

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown