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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SEASPINE ORTHOPEDICS CORPORATION MARINER; SET SCREW

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SEASPINE ORTHOPEDICS CORPORATION MARINER; SET SCREW Back to Search Results
Model Number MD1-100016
Medical Device Problem Code Migration (4003)
Health Effect - Clinical Code Insufficient Information (4580)
Type of Reportable Event Serious Injury
Event or Problem Description
On 08 dec 2025, seaspine/orthofix was made aware of a post-operative screw fracture related to the mariner mis posterior fixation spinal system.It was reported that a revision surgery was performed to correct the screw fracture.Neither the index surgery date nor the revision surgery date for the screw fracture were provided.(see mdr 3012120772-2025-00071 for this event).After the revision surgery, it was reported that a pointlock set screw backed out/loosened post-operatively, which required an additional revision surgery.This report is 1 of 2 being filed to document the post-operative set screw back out /loosening.See mdr 3012120772-2025-00073 for the second report related to this event.
 
Additional Manufacturer Narrative
Two md1-100016 pointlock set screws were returned along with the implants noted in d10 and are currently being evaluated by engineering.Review of labeling: possible adverse events bending, disassembly, or fracture of implant and components postoperative fracture due to trauma, defects, or poor bone stock.
 
Additional Manufacturer Narrative
The returned implants were evaluated by engineering.The returned set screw (lot: aw197296b) was visually inspected, and it was observed that the dimple on the screw was not imprinted.As the dimple was not imprinted, this indicates the set screw was not normalized to the rod, leading the rod to make contact with the lateral side of the set screw instead.Additionally, the threads of the returned set screw (lot: aw197296b) appear to have sheared.The set screw (lot: aw197296b) had an increased polished surface on its perimeter, potentially resulting in off-axis positioning and improper normalization in the assembly.If the rod is not perpendicular within the tulip and normalized to the set screw, the full fixation strength would not be achieved.This may cause off-axis loading with no dimple indentation and reduced thread engagement, leading to shearing once tightened.Insufficient fixation strength increases the likelihood of the set screw loosening under patient anatomical loading.(see 3012120772-2025-00073 for the evaluation of the set screw of lot: aw189566b).Review of labeling: possible adverse events: bending, disassembly, or fracture of implant and components.Postoperative fracture due to trauma, defects, or poor bone stock.
 
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Brand Name
MARINER
Common Device Name
SET SCREW
Manufacturer (Section D)
SEASPINE ORTHOPEDICS CORPORATION
5770 armada dr.
carlsbad CA 92008
Manufacturer (Section G)
SEASPINE ORTHOPEDICS CORPORATION
5770 armada dr.
carlsbad CA 92008
Manufacturer Contact
robin quiusky
5770 armada dr.
carlsbad, CA 92008
MDR Report Key23945705
Report Number3012120772-2025-00072
Device Sequence Number13442820
Product Code NKB
UDI-Device Identifier10889981283803
UDI-Public10889981283803
Combination Product (Y/N)N
Initial Reporter StateTX
Initial Reporter CountryUS
PMA/510(K) Number
K212692
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Distributor
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup
Report Date (Section B) 02/03/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Model NumberMD1-100016
Device Catalogue NumberMD1-100016
Device Lot NumberAW197296B
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer12/15/2025
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 12/08/2025
Supplement Date Received by Manufacturer01/05/2026
Initial Report FDA Received Date01/02/2026
Supplement Report FDA Received Date02/03/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured07/31/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
41-8545-2 CANNULATED SCREW 8.50 X 45MM.; MM1-000020 MIS POLYAXIAL HEAD.; MM1-156090 MIS PRECONTOURED ROD, 6.0 X 90MM.
Outcome Attributed to Adverse Event Required Intervention;
Patient SexUnknown
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