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 |