inforMED
InjuryOUR

IFUSE IMPLANT SYSTEM

Received May 11, 2021 · Event occurred Apr 13, 2021

Report 3007700286-2021-00043 · MDR key 11809689

Device

Generic name

Orthopedic Rod

Manufacturer

Si-bone, Inc.

Model number

7035M-90

Lot number

2692091

Product problems

  • Inadequacy of Device Shape and/or Size
  • Loss of Osseointegration
  • Inadequacy of Device Shape and/or Size
  • Loss of Osseointegration

Patient

63 YR

  • Arthralgia
  • Arthralgia

Narrative

Additional Manufacturer Narrative

BASED ON THE INFORMATION PROVIDED, REVIEW OF THE SURGICAL TECHNIQUE MANUAL, IFU AND FMEA, THERE IS NO INDICATION OF DEVICE FAILURE AND NO INDICATION THAT THE DEVICE WAS OUT OF SPECIFICATION. THE MOST PROBABLE ROOT CAUSE IS IMPROPER IMPLANT SIZE SELECTION, USING AN IMPLANT THAT WAS TOO SHORT.

Description of Event or Problem

THE PATIENT HAD LEFT SI JOINT ARTHRODESIS IN (B)(6) 2020 WHERE THREE IMPLANTS WERE INSTALLED. THE PATIENT HAD SI JOINT PAIN RELIEF FOR SIX MONTHS BEFORE COMPLAINING OF A RECURRENCE OF SI-JOINT PAIN SYMPTOMS. THE SURGEON DETERMINED LOOSENING OF THE MIDDLE POSITIONED IMPLANT WHICH MAY HAVE BEEN TOO SHORT. IN (B)(6) 2021, THE SURGEON PERFORMED A REVISION PROCEDURE WHERE HE REMOVED THE MIDDLE POSITIONED IMPLANT AND REPLACED IT WITH A LONGER IMPLANT OF THE SAME TYPE. NO OTHER PREEXISTING IMPLANTS WERE ADJUSTED OR REMOVED. THE STATUS OF THE PATIENT FOLLOWING THE REVISION PROCEDURE IS NOT KNOWN.