A company representative reported that an unspecified number of events in which the serrato screw fractured the pedicle during insertion.No information is currently available regarding the number of occurrences, the length of any resulting surgical delays, and how or if each surgery was completed.
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Visual, dimensional, material and functional analysis could not be performed as the device was not returned.Review of the device and complaint history records could not be performed as a valid lot code was not provided and could not be obtained.Per surgical technique: for increased bone purchase, use the taps to prepare the pedicle canal.After attaching a xia 3 handle, insert the tap into the pedicle and into the vertebral body.With the pedicle pathway prepared, and the proper screw diameter and length determined, insert the screw into the pedicle using the appropriate screwdriver.The serrato polyaxial titanium self-tapping screws have serrations to ease screw insertion.However, in most cases, tapping is recommended.For larger diameter screws, there is more torque applied at the upper part of the screw due to the cancellous cortical thread design combined with a dual lead.Undertapping may cause the screw to become bound in the bone, and with the excess torque applied to drive the screw down, may cause the pedicle to fracture.It is unknown if the surgeon tapped or if undertapping occurred.A definite root cause cannot be determined based on the information provided.Possible root causes include lack of tapping, undertapping, poor bone quality, difficult angle, and/or excess torque applied.
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A company representative reported that an unspecified number of events in which the serrato screw fractured the pedicle during insertion.No information is currently available regarding the number of occurrences, the length of any resulting surgical delays, and how or if each surgery was completed.
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