FDA Adverse Event Injury Summary report: N

EBI VUELOCK ANTERIOR CERVICAL PLATE SYSTEM

MDR report key: 954734 · Received November 27, 2007

Report

Report Number
2242816-2007-00063
Event Type
Injury
Date Received
November 27, 2007
Date of Event
October 8, 2007
Report Date
November 15, 2007
Manufacturer
EBI
Product Code
KWQ
PMA / PMN Number
K023133
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AL, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

PRODUCT LABELING INDICATES NON UNION (PSEUDARTHROSES) AND FRACTURE OF THE IMPLANT AS POSSIBLE ADVERSE EFFECTS. PRODUCT LABELING (WARNINGS) ALSO INDICATES THAT DEVICES ARE NOT DESIGNED TO WITHSTAND THE UNSUPPORTED STRESS OF FULL WEIGHT BEARING OR LOAD BEARING, AND CANNOT WITHSTAND ACTIVITY LEVELS AND/OR LOADS EQUAL TO THOSE PLACED ON NORMAL HEALTHY BONE. IF HEALING IS DELAYED OR DOES NOT OCCUR, THE IMPLANT COULD EVENTUALLY BREAK DUE TO METAL FATIGUE.

Description of Event or Problem · 1

SPINAL SURGERY PERFORMED IN 2006. NON-FUSION AND BROKEN SCREWS WERE OBSERVED. REVISION SURGERY PERFORMED 2007, TO REPLACE PLATE AND SCREWS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 EBI VUELOCK ANTERIOR CERVICAL PLATE SYSTEM KWQ EBI PL332C

Patients

Seq Age Sex Outcome Treatment
1 YR Required Intervention