FDA Adverse Event
Malfunction
Summary report: N
SCREW
MDR report key: 2982838
·
Received February 28, 2013
Report
- Report Number
- 2520274-2013-01224
- Event Type
- Malfunction
- Date Received
- February 28, 2013
- Report Date
- June 16, 2011
- Manufacturer
- SYNTHES
- Product Code
- JDN
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
WITHOUT LOT NUMBER THE DEVICE HISTORY RECORDS REVIEW COULD NOT BE COMPLETED. THE INVESTIGATION COULD NOT BE COMPLETED; NO CONCLUSION COULD BE DRAWN, AS NO PRODUCT WAS RECEIVED.
Description of Event or Problem · 1
IT WAS REPORTED THAT, SCREW WAS BROKEN HOWEVER, THEY ARE NOT SURE IF THEY ARE N-SPINE OR PANGEA SCREWS. THERE IS NO ADDITIONAL INFORMATION AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 86061 | SCREW | JDN | SYNTHES |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |