Catalog Number 48902015 |
Device Problem
Difficult to Remove (1528)
|
Patient Problem
No Known Impact Or Consequence To Patient (2692)
|
Event Date 11/26/2014 |
Event Type
malfunction
|
Event Description
|
It was reported that during trio trauma surgery (t11-l1 were fixed, t12 were skipped), when the surgeon tried to remove the connector adapter from the connector after final tightening, one of the connector adapter could not be removed (t11 right side).The surgeon loosened right side connectors, removed rod and exchanged the relevant connector adapter and connector.There was 20 minutes delay in the surgery.
|
|
Manufacturer Narrative
|
Method: visual inspection; functional inspection; device history review; complaint history review; risk assessment; results: the connector was received with a jammed set screw with visibly worn hex corners.The worn nature of the hex suggests that the corresponding hex tip was forcibly rotated while the set screw remained stationary, which confirms that the set screw was jammed in the offset connector.Furthermore, the screw was attempted to be loosened, but could not be.Conclusion: the jamming occurred due to galling of the connector and biological particles lodged between the offset connector and set screw threads.Therefore the related connector was implanted in the body for some time; it is highly likely that the jamming is due to these causes.
|
|
Event Description
|
It was reported that during trio trauma surgery (t11-l1 were fixed, t12 were skipped), when the surgeon tried to remove the connector adapter from the connector after final tightening, one of the connector adapter could not be removed (t11 right side).The surgeon loosened right side connectors, removed rod and exchanged the relevant connector adapter and connector.There was 20 minutes delay in the surgery.
|
|
Search Alerts/Recalls
|
|