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Device Problem
Output Problem (3005)
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Patient Problem
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available (4581)
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Event Type
malfunction
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Event Description
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It was reported after patient experienced adverse effects, the left l4 screw had breached laterally 2 days post operatively.
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Manufacturer Narrative
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Investigation revealed that there was no system malfunction.It was determined that the starting point of the l4-l screw was planned in a high-skive area.Additional pedicle preparation would have been needed to help place the screw due to risk of skiving upon entrance.Existing safety mitigations include the screw plan being overlaid on patient anatomy using the intra-operative ct scan.Additionally, the software will alert the user if excessive deflection forces are detected on the load cell during bone work.The cause of the reported issue was traced to user technique.
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Search Alerts/Recalls
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