FDA Adverse Event Other Summary report: N

LANX SPINAL FIXATION SYSTEM

MDR report key: 3216979 · Received July 5, 2013

Report

Report Number
3004485144-2013-00020
Event Type
Other
Date Received
July 5, 2013
Date of Event
June 17, 2013
Report Date
June 17, 2013
Manufacturer
LANX, INC.
Product Code
MNI
PMA / PMN Number
120399
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE IFU WAS REVIEWED (IFU7721-0112.01) AND FOUND TO SUFFICIENTLY PROVIDE INSTRUCTIONS ON MAINTAINING CONTROL OF THE GUIDE WIRE DURING THE PROCEDURE.

Description of Event or Problem · 1

A GUIDE WIRE WAS PREMATURELY REMOVED DURING A SURGERY WHICH LED TO A 30 MINUTE SURGICAL EXTENSION WHILE THE GUIDE WIRE WAS REPLACED TO COMPLETE THE CASE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
308012 LANX SPINAL FIXATION SYSTEM PEDICLE SCREW SPINAL SYSTEM MNI LANX, INC. 7706-1010

Patients

Seq Age Sex Outcome Treatment
1 Other (B)(4)