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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MDT PUERTO RICO OPERATIONS CO, MED REL CENTERPIECE¿ 2.0 PLATE FIXATION SYSTEM; ORTHOSIS, SPINE, PLATE, LAMINOPLASTY, METAL

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MDT PUERTO RICO OPERATIONS CO, MED REL CENTERPIECE¿ 2.0 PLATE FIXATION SYSTEM; ORTHOSIS, SPINE, PLATE, LAMINOPLASTY, METAL Back to Search Results
Model Number G8532067
Medical Device Problem Code Break (1069)
Health Effect - Clinical Codes Device Embedded In Tissue or Plaque (3165); No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/09/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
 
Event or Problem Description
Information was received from healthcare provider (hcp) via a manufacturer representative regarding an event which occurred during a c3, c4, c5, c6 laminoplasty procedure for cervical spinal compression.It was reported that upon hand tightening the screw, the 2 screws broke leaving the head part of the screw out and the remaining part of the screw inside the patient. there was no symptom reported.There were no further complications reported regarding the event.
 
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Brand Name
CENTERPIECE¿ 2.0 PLATE FIXATION SYSTEM
Common Device Name
ORTHOSIS, SPINE, PLATE, LAMINOPLASTY, METAL
Manufacturer (Section D)
MDT PUERTO RICO OPERATIONS CO, MED REL
road 909, km. 0.4., barrio mar
humacao PR 00792
Manufacturer (Section G)
MDT PUERTO RICO OPERATIONS CO, MED REL
road 909, km. 0.4., barrio mar
humacao PR 00792
Manufacturer Contact
justin ellis
1800 pyramid place
memphis, TN 38132
7635265677
MDR Report Key24482448
Report Number2647346-2026-00096
Device Sequence Number14728656
Product Code NQW
UDI-Device Identifier00763000553470
UDI-Public(01)00763000553470(17)300811(10)H5767051
Combination Product (Y/N)N
Initial Reporter CountryUK
PMA/510(K) Number
K212428
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2026
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 03/02/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Model NumberG8532067
Device Catalogue NumberG8532067
Device Lot NumberH5767051
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/09/2026
Initial Report FDA Received Date03/02/2026
Date Device Manufactured08/11/2022
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexFemale
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