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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDACTA INTERNATIONAL SA MUST LT 03.59.234 MUST LT 25MM LONG - PEDICLE SCREW Ø7X40 CANN

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MEDACTA INTERNATIONAL SA MUST LT 03.59.234 MUST LT 25MM LONG - PEDICLE SCREW Ø7X40 CANN Back to Search Results
Model Number 03.59.234
Device Problem Patient Device Interaction Problem (4001)
Patient Problem Failure of Implant (1924)
Event Date 01/17/2022
Event Type  Injury  
Manufacturer Narrative
Batch review performed on 09 february 2022.Lot 2022558: (b)(4).Expiration date: 2026-02-15.No anomalies found related to the problem.(b)(4).Additional implant involved: batch review performed on 09 february 2022.Must lt 03.59.235 must lt 25mm long - pedicle screw ø7x45 cann (k203482) lot 2120686: (b)(4).Expiration date: 2026-05-18.No anomalies found related to the problem.(b)(4).
 
Event Description
The patient came in for a post-op appointment and it was observed that the must lt pedicle screws had shifted after insertion due to poor bone quality.The surgeon revised the screws with competitor components 2 weeks after primary.The surgery was completed successfully.
 
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Brand Name
MUST LT 03.59.234 MUST LT 25MM LONG - PEDICLE SCREW Ø7X40 CANN
Type of Device
PEDICLE SCREW
Manufacturer (Section D)
MEDACTA INTERNATIONAL SA
strada regina
castel san pietro, 6874
SZ  6874
Manufacturer (Section G)
MEDACTA INTERNATIONAL SA
strada regina
castel san pietro, 6874
SZ   6874
Manufacturer Contact
stefano baj
strada regina
castel san pietro, switzerland 6874
SZ   6874
MDR Report Key13541822
MDR Text Key289894729
Report Number3005180920-2022-00100
Device Sequence Number1
Product Code NKB
UDI-Device Identifier07630971279605
UDI-Public07630971279605
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K203482
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other
Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date 02/16/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Model Number03.59.234
Device Catalogue Number03.59.234
Device Lot Number2022558
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 01/17/2022
Initial Date FDA Received02/16/2022
Was Device Evaluated by Manufacturer? No
Date Device Manufactured03/01/2021
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
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