The reported event could be confirmed.The device inspection revealed the following: the thread below the head of the screw is plastically deformed, in a way that the pitch between two consecutive threads diminishes.This naturally results in an inability to lock the screw on the plate, since there is not enough space for the lip on the plate to engage the screw head.As a result, the screw can not be locked into a plate.The root cause of the deformation of the screw is most probably an introduction of the screw with an improper angle.Indeed, note that the insertion angle of the locking screw should be a cone with 30° angle.Any excesses in the angulation might lead to the non function of the locking mechanism and even the damage of the thread of the screw.Operative technique guide states: ¿the polyaxial locking technology works by using two different grades of titanium.Locking screws are made of titanium alloy (ti6a14v) which is stronger than the pure titanium plate.When a screw is driven into a plate hole, the locking threads on the underside of the screw head engage the circular ¿lip¿ in the hole.This technology allows the surgeon to aim and lock the screw within a 30° cone." as a summary, this case can be classified as user related.A review of the device history for the reported lot did not indicate any abnormalities.No corrective actions are required at this time.A review of the labeling did not indicate any abnormalities.No indications of material, manufacturing or design related problems were found during the investigation.If any further information is provided, the investigation report will be updated.
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