Model Number 188319424 |
Device Problem
Disconnection (1171)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 11/08/2018 |
Event Type
malfunction
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Manufacturer Narrative
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(b)(4).Device is available for evaluation.Investigation will be conducted.Follow up will be filed with the investigation results.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
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Event Description
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It was reported that the spine fusion surgery was performed on (b)(6) 2018 to fix c7 right.During the surgery, after the surgeon implanted 4th screw to the patient¿s spine, it was reported that the surgeon recognized that there were broken fragment of the screw adhered to the screw driver.The surgery was completed by replacing the suspected screw to new screw.The surgeon confirmed that there was no broken fragment remained in the patient¿s body under x-ray.No further information was provided by the hospital.
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Manufacturer Narrative
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(b)(4).Visual examination found that the polyaxial¿s tulip head inner cap had become disassembled from its intended position.No damage was present on the polyaxial screw shank.Swage markings were present indicative of the inner cap being properly placed in its intended position within the tulip head.A review of the device history record was conducted.No issues were identified during the manufacturing and release of this product that could have contributed to the problem reported by the customer.All complaint trends will be evaluated as a part of the depuy spine monthly complaint review meeting.A definitive root cause for the polyaxial¿s inner cap becoming disassembled from its intended position cannot be positively determined.However, it is suggested that unanticipated high amount of forces was placed on the tulip head resulting in the inner cap becoming disassembled from its intended position.As there has been no issue identified in the manufacturing or release of the device that could have contributed to the problem reported by the customer and no systemic trends were found, this complaint file will be closed with no further action required.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
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Search Alerts/Recalls
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