The complainant requested a rod reducer be replaced.When performing reduction, the blue handle was placed on the reducer and the reducing wheel broke off.A second rod reducer was available in the instruments set and was used to complete the procedure.There were no reported patient complications.A visual assessment of the rod reducer confirmed that the gear knob was broken from the instrument.There was extensive damage to the teeth of the pinion gear identified.The pinion gear was unable to be rotated.A dhf review was performed and the instrument was determined to be suitable for distribution.A gear knob could be broken if excessive force were applied to the knob.The complainant reported that the handle extender was being used when the rod reducer broke.The handle extender increases applied leverage and can be used as necessary to aid in rod reduction.If the handle extender attached to the gear knob had rotational force applied while the rod reducer was stuck in a fixed position, it may cause the gear knob to break from the instrument.It may be possible that the gear shaft was bent and not allowing the pinion gear to rotate as intended for proper rod reduction.
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