FDA Adverse Event Injury Summary report: N

INCOMPASS

MDR report key: 865573 · Received June 15, 2007

Report

Report Number
1649384-2007-00058
Event Type
Injury
Date Received
June 15, 2007
Date of Event
May 15, 2007
Report Date
June 13, 2007
Manufacturer
ABBOTT SPINE, INC.
Product Code
LXH
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PRODUCT IS AN INSTRUMENT AND IS NOT IMPLANTABLE. THE INVESTIGATION OF THE PRODUCT WAS COMPLETED BY INSPECTING THE RETURNED DRIVER AND REVIEWING THE DEVICE HISTORY RECORD FOR THE LOT. THE PRODUCT MET SPECIFICATIONS. THE INVESTIGATION CONCLUDED THAT THE TIP OF THE INSTRUMENT IS BENT SUCH THAT IT DOES NOT ALLOW FOR IT TO MATE WITH THE INCOMPASS SCREW HEAD AND THUS, CONTRIBUTED TO THE SURGICAL DELAY. FURTHER INVESTIGATION IS PENDING FOR THIS ISSUE.

Description of Event or Problem · 1

IN 2007, A FEMALE PATIENT UNDERWENT THORACOLUMBAR SURGERY WITH THE INCOMPASS PRODUCT AND THE OPEN MODULAR TI SCREWDRIVER WOULD NOT SEAT ONTO THE SCREW. THIS ISSUE CAUSED A 30 MINUTE SURGICAL DELAY. THERE WAS NO REPORTED INJURY TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INCOMPASS OPEN SCREWDRIVER MODULAR TI LXH ABBOTT SPINE, INC. NA 34XN

Patients

Seq Age Sex Outcome Treatment
1 YR Other