Catalog Number 48289735 |
Device Problem
Connection Problem (2900)
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Patient Problem
No Known Impact Or Consequence To Patient (2692)
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Event Date 04/10/2014 |
Event Type
malfunction
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Event Description
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It was reported that during reduction, when tightening the nut after distraction, the nut had no grip onto the tulip of the screw and the nut turned in the air.The surgeon has therefore removed the nut, removed the stem and changed the mantis screw.The removed screw was discarded.
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Manufacturer Narrative
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Method: device history review; complaint history review; risk assessment.Results: the tulip of a mantis redux reduction screw 7.5 x 35mm was reported to have splayed while trying to insert a blocker during a l4-s1 arthrodesis.The surgeon was unable to get the blocker to engage the threading of the screw head and then had to remove the screw to find the abovementioned damage of the tulip.The reported issue caused a 15 minute surgical delay, but did not have any adverse consequences to the patient.The screw, which was discarded at the hospital, was either lot 13a313 or lot 128754.A review of both lots manufacturing records did not reveal any production issues.It is unknown whether the damage to the tulip occurred while inserting the blocker or at some point prior to that step in the surgery.It is possible that the damage occurred during distraction of the construct, which required direct, outward loading of the screw-heads.The cause of the issue was not determined.Conclusion: because the device has not been returned the exact cause of the event cannot be determined and is likely multifactorial.
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Event Description
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It was reported that during reduction, when tightening the nut after distraction, the nut had no grip onto the tulip of the screw and the nut turned in the air.The surgeon has therefore removed the nut, removed the stem and changed the mantis screw.The removed screw was discarded.
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Search Alerts/Recalls
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