MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-01-03 for MEDTRONIC SCREW EXTENDER 7578302 manufactured by Medtronic, Inc..
[173950054]
Pt went posterior thoracic decompression, t 8-10 instrumentation, fusion, during the surgery while using the medtronic screw extender, 2 pieces broke off the main body and were immediately recovered. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5092025 |
| MDR Report Key | 9552546 |
| Date Received | 2020-01-03 |
| Date of Report | 2020-01-02 |
| Date of Event | 2019-12-27 |
| Date Added to Maude | 2020-01-06 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | RISK MANAGER |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | MEDTRONIC SCREW EXTENDER |
| Generic Name | PEDICLE SCREW SPINAL SYSTEM ADOLESCENT IDIOPATHIC SCOLIOSIS |
| Product Code | OSH |
| Date Received | 2020-01-03 |
| Model Number | 7578302 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | MEDTRONIC, INC. |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-01-03 |