{
  "meta": {
    "disclaimer": "Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. We may limit or otherwise restrict your access to the API in line with our Terms of Service.",
    "terms": "https://open.fda.gov/terms/",
    "license": "https://open.fda.gov/license/",
    "last_updated": "2026-09-08",
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      "manufacturer_contact_t_name": "MR.",
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      "manufacturer_contact_address_1": "2560 GENERAL ARMISTEAD AVENUE",
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          "manufacturer_d_name": "GLOBUS MEDICAL, INC.",
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      "date_changed": "20250820",
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          "patient_race": "White",
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            "Spinal Column Injury"
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      "distributor_state": "",
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      "manufacturer_g1_country": "US",
      "manufacturer_contact_city": "AUDUBON",
      "mdr_report_key": "19928985",
      "removal_correction_number": "",
      "number_devices_in_event": "",
      "date_manufacturer_received": "20240709",
      "manufacturer_name": "",
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      "manufacturer_g1_name": "GLOBUS MEDICAL, INC.",
      "adverse_event_flag": "Y",
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      "manufacturer_state": "",
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      "single_use_flag": "N",
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      "mdr_text": [
        {
          "mdr_text_key": "348693140",
          "text_type_code": "Additional Manufacturer Narrative",
          "patient_sequence_number": "0",
          "text": "INVESTIGATION REVEALED THAT THERE WAS NO SYSTEM MALFUNCTION. IT WAS REPORTED THAT THE X-RAY CONFIRMED THE LEFT L4 SCREW WAS IN BONE AND HAD AN APPROPRIATE PATH. THE SCREW BREACHED LATERALLY AFTER LEFT SIDED ROD COMPRESSORS, AND THAT BASED ON POST-OP IMAGING PROCEDURES, ALL SCREWS APPEARED TO BE TO PLAN EXCEPT L4-L. THE CASE LOGS SHOWED THAT THE MISPLACEMENT OF IMPLANTS IS DUE TO SKIVING. THE SOFTWARE DETECTED EXCESSIVE FORCES ON THE LOAD CELL DURING BONE WORK. THIS IS THE RESULT OF SKIVING FORCES DETECTED WHILE A TOOL IS INSERTED INTO THE END EFFECTOR. THE SOFTWARE CORRECTLY DETECTED THIS FORCE AND ALERTED THE USER. THE SEVERITY OBSERVED MATCHES THE ANTICIPATED COMPLAINT SEVERITY. THE OBSERVED OVERALL RISK LEVEL IS LOW, WHICH MATCHES THE ANTICIPATED RISK LEVEL, THEREFORE, THE OVERALL RISK OF THE SYSTEM HAS BEEN MAINTAINED AND THERE IS NO FURTHER INVESTIGATION REQUIRED. THE CAUSE OF THE REPORTED ISSUE WAS TRACED TO USER TECHNIQUE."
        },
        {
          "mdr_text_key": "348693141",
          "text_type_code": "Description of Event or Problem",
          "patient_sequence_number": "0",
          "text": "IT WAS REPORTED THAT SCREWS USING THE EXCELSIUS GPS SYSTEM WERE MISPLACED INTRA-OPERATIVELY AND THEN REMOVED AND REPLACED."
        }
      ],
      "number_patients_in_event": "",
      "distributor_name": "",
      "manufacturer_g1_address_1": "2560 GENERAL ARMISTEAD AVENUE",
      "distributor_zip_code": "",
      "manufacturer_contact_postal_code": "19403",
      "manufacturer_contact_exchange": "610",
      "manufacturer_contact_pcountry": "",
      "suppl_dates_fda_received": ""
    }
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}