Model Number 101-9812 |
Device Problem
Material Integrity Problem (2978)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 10/26/2023 |
Event Type
malfunction
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Event Description
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It was reported that the superion indirect decompression (id) spindle cap broke during initial deployment.It was noted the physician used excessive force while deploying the implant and the space was very tight when they heard a high pitch squeak noise and was getting difficult to twist the driver, when the spindle cap failed.The physician completed the procedure using another id spacer of a smaller model size.An x-ray taken confirmed proper placement of the id implant and the physician confirmed all broken pieces were removed.The patient did well post-operatively.
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Manufacturer Narrative
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Analysis of the returned indirect decompression (id) spacer revealed that the spindle cap was completely sheared off from the implant body and was deformed.The damage to the implant indicates the break was likely due to deployment against resistance and/or manipulation of the position of the device by gear shifting of the inserter.A product labeling review identified that the device was used per the instructions for use (ifu)/product label.Additionally, labeling states to not force deployment or implant breakage or damage to bony structures may result.Therefore, boston scientific engineers confirmed the spindle cap failure and concluded the probable cause was unintended use error caused or contributed to the event.
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Event Description
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It was reported that the superion indirect decompression (id) spindle cap broke during initial deployment.It was noted the physician used excessive force while deploying the implant and the space was very tight when they heard a high pitch squeak noise and was getting difficult to twist the driver, when the spindle cap failed.The physician completed the procedure using another id spacer of a smaller model size.An x-ray taken confirmed proper placement of the id implant and the physician confirmed all broken pieces were removed.The patient did well post-operatively.
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Search Alerts/Recalls
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