inforMED
InjuryOUR

IFUSE IMPLANT SYSTEM

Received Jun 29, 2021 · Event occurred May 31, 2021

Report 3007700286-2021-00067 · MDR key 12089757

Device

Generic name

Orthopedic Rod

Manufacturer

Si-bone, Inc.

Model number

7055M-90

Lot number

9037761

Product problems

  • Loss of Osseointegration
  • Loss of Osseointegration

Patient

60 YR

  • Arthralgia
  • Arthralgia

Narrative

Additional Manufacturer Narrative

BASED ON THE INFORMATION PROVIDED, REVIEW OF THE SURGICAL TECHNIQUE MANUAL, IFU, CERTIFICATES OF CONFORMANCE AND FMEA, THERE IS NO INDICATION OF DEVICE FAILURE AND NO INDICATION THAT THE DEVICE WAS OUT OF SPECIFICATION. THE MOST PROBABLE ROOT CAUSE FOR THE IMPLANT LOOSENING IS THE PATIENT'S FALL.

Description of Event or Problem

THE PATIENT HAD LEFT SIDE SI JOINT ARTHRODESIS IN (B)(6) 2021 WHERE THREE IMPLANTS WERE INSTALLED. THE PATIENT LATER COMPLAINED OF A RECURRENCE OF SI-JOINT PAIN SYMPTOMS AFTER A FALL. THE SURGEON THOUGHT THAT THE SUPERIOR POSITIONED IMPLANT WAS LOOSE. APPROXIMATELY 10 DAYS AFTER THE INITIAL PROCEDURE, THE SURGEON PERFORMED A REVISION PROCEDURE WHERE HE REMOVED THE SUPERIOR POSITIONED IMPLANT AND ADDED A NEW IMPLANT OF THE SAME TYPE IN A MORE POSTERIOR POSITION. NO OTHER PREEXISTING IMPLANTS WERE ADJUSTED OR REMOVED. THE STATUS OF THE PATIENT FOLLOWING THE REVISION PROCEDURE IS UNKNOWN.