inforMED
InjuryOUR

IFUSE IMPLANT SYSTEM

Received Nov 30, 2021 · Event occurred Nov 2, 2021

Report 3007700286-2021-00127 · MDR key 12894247

Device

Generic name

Orthopedic Rod

Manufacturer

Si-bone, Inc.

Model number

UNKNOWN

Lot number

UNKNOWN

Product problems

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

Patient

44 YR · Female

  • 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 PSEUDARTHROSIS OF SI JOINT.

Description of Event or Problem

THE PATIENT HAD LEFT SIDE SI JOINT ARTHRODESIS IN 2019 WHERE TWO IMPLANTS WERE INSTALLED. THE PATIENT LATER REPORTED TO A DIFFERENT SURGEON WITH COMPLAINTS OF CONTINUED SI JOINT PAIN. THE SURGEON DETERMINED PSEUDARTHROSIS OF THE LEFT SI JOINT. IN (B)(6) 2021, THE SURGEON PERFORMED A REVISION PROCEDURE WHERE HE REMOVED BOTH LEFT SIDE IMPLANTS AND REPLACED THEM WITH LARGER IMPLANTS OF THE SAME TYPE. THE STATUS OF THE PATIENT FOLLOWING THE REVISION PROCEDURE IS NOT KNOWN.