inforMED
InjuryOUR

IFUSE IMPLANT SYSTEM

Received Dec 15, 2021 · Event occurred Nov 15, 2021

Report 3007700286-2021-00136 · MDR key 13011693

Device

Generic name

Orthopedic Rod

Manufacturer

Si-bone, Inc.

Model number

7030-100

Lot number

155197

Product problems

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

Patient

47 YR · Female

  • Arthralgia
  • Arthralgia

Narrative

Additional Manufacturer Narrative

BASED ON THE INFORMATION PROVIDED, REVIEW OF THE SURGICAL TECHNIQUE MANUAL, CERTIFICATES OF ANALYSIS, 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 AND LATE IMPLANT LOOSENING.

Description of Event or Problem

THE PATIENT HAD LEFT SIDE SI JOINT ARTHRODESIS IN 2015 WHERE THREE IMPLANTS WERE INSTALLED. THE PATIENT LATER REPORTED TO A DIFFERENT SURGEON WITH COMPLAINTS OF INTERMITTENT RADICULAR PAIN. THE SURGEON DETERMINED PSEUDARTHROSIS OF THE LEFT SI JOINT AND LOOSENING OF THE CAUDAL POSITIONED IMPLANT. IN (B)(6) 2021, THE SURGEON PERFORMED A REVISION PROCEDURE WHERE HE REMOVED THE CAUDAL POSITIONED IMPLANT USING CHISELS. NO BONE GRAFT OR HARDWARE WAS ADDED TO THE EXPLANT VOID. THE STATUS OF THE PATIENT FOLLOWING THE REVISION PROCEDURE IS NOT KNOWN.