FDA Adverse Event Injury Summary report: N

VADER® PEDICLE SYSTEM

MDR report key: 25344876 · Received May 31, 2026

Report

Report Number
3012602431-2026-00047
Event Type
Injury
Date Received
May 31, 2026
Date of Event
February 11, 2026
Report Date
May 31, 2026
Manufacturer
ICOTEC AG
Product Code
NKB
UDI-DI
07640140431994
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

NO INFORMATION REGARDING A POTENTIAL CAUSE HAS BEEN RECEIVED FROM THE HEALTH PROFESSIONAL. ICOTEC ATTEMPTED TO OBTAIN THE RETRIEVED DEVICES FOR INVESTIGATION. TO DATE, THESE HAVE NOT BEEN MADE AVAILABLE. ANALYSIS OF THE RELEVANT PRODUCTION RECORDS OF THE DEVICES DID NOT IDENTIFY ANY ANAMOLIES THAT COULD BE A CAUSE OF THE EVENT. INVESTIGATION OF HISTORICAL ADVERSE EVENT DATA DETERMINED THAT ICOTEC HAS BECOME AWARE OF FIVE SIMILAR EVENTS WITH ITS PEDICLE SYSTEM TO DATE. THE TORQUE WRENCH USED IN INITIAL SURGERY FOR FINAL TIGHTENING THE NUT SCREWS COULD BE TESTED. IT IS WITHIN ITS SPECIFICATIONS AND FUNCTIONS AS INTENDED. IT CAN THEREFORE BE CONCLUDED THAT THE TORQUE WRENCH DID NOT CAUSE THE ADVERSE EVENT. CURRENT INFORMATION IS INSUFFICIENT TO PERMIT A VALID CONCLUSION OF THE CAUSE OF THIS EVENT. BASED ON THE INFORMATION AVAILABLE, NO CORRECTIVE ACTIONS ARE PROPOSED. A FOLLOW-UP REPORT WILL BE SUBMITTED IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN. DATA RELATING TO MANUFACTURING DATE IS NOT ON THE LABEL AS UDI-PI.

Description of Event or Problem · 0

MFR REPORT #: 3006493760-2026-00001. A PATIENT WAS IMPLANTED WITH AN ICOTEC PEDICLE SCREW SYSTEM ((B)(6) 2025). POST-SURGERY THREE NUT SCREWS (SET SCREWS) LOOSENED (EXACT DATE WERE NOT REPORTED). X-RAY IMAGING SHOWS THAT THE PEDICLE SYSTEM WAS USED TOGETHER WITH TWO ILIAC SCREWS (FROM AN UNKNOWN MANUFACTURER). A REVISION SURGERY WAS PERFORMED AND IMPLANTS WERE REPLACED ((B)(6) 2026).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
352591 VADER® PEDICLE SYSTEM VADER® PEDICLE SYSTEM, NUT SCREW, PRODUCT CODE: NKB NKB ICOTEC AG 24/01, 24/05 07640140431994

Patients

Seq Age Sex Outcome Treatment
1