PRECISION SPINE, INC. REFORM TI CT MODULAR MIS PEDICLE SCREW SYSTEM; MODULAR MIS EXTENDED TAB TULIP
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Model Number 64-MT-0403 |
Device Problems
Misassembled (1398); Output Problem (3005)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 07/06/2022 |
Event Type
malfunction
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Event Description
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It was reported that a procedure was performed on (b)(6) 2022, utilizing the reform ti mis ct pedicle screw system.The modular polyaxial tulip assembly reform mis pedicle screw sys (64-mt-0403) and reform ti modular cannulated screws were assembled by the tech on the back table and handed off to the surgeon.The screw/tulip assemblies were then implanted into the pedicle.Upon attempting to insert the rod through the tulips, one of the modular polyaxial tulip assemblies disassembled from the screw.The surgeon was able to snap the tulip back onto the screw and successfully complete the procedure with no delay to the procedure or injury to the patient.
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Manufacturer Narrative
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Patient information: unknown.Lot number: unknown.Occupation: other; distributor.Device manufacture date: unknown.Device evaluation: although it cannot be confirmed, based on the information provided it appears that the cause of the tulip disassembling from the screw during rod insertion may be attributed to incomplete assembly prior to implantation of the screw.This would be supported with the fact that the surgeon was able to snap the tulip back onto the screw and complete the procedure with no further issues reported.Without lot identification, manufacturing history review could not be performed.Review of device history records was not possible without lot identification.Two-year complaint history review did not reveal a trend for reports of this nature for this part number.
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Search Alerts/Recalls
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