inforMED
MalfunctionKGS

PRELOADED MINI-REVO ANCHR

Received Dec 11, 1998 · Event occurred Oct 16, 1998

Report 1017294-1998-00050 · MDR key 201934

Device

Generic name

Revo

Manufacturer

Linvatec Corp.

Model number

M74-139-400

Catalog number

C6109A

Lot number

7317

Product problems

  • Break
  • Difficult to Insert
  • Device remains implanted
  • Tip breakage

Patient

21 YR

  • No Consequences Or Impact To Patient
  • Nonresorbable materials, unretrieved in body

Narrative

Description of Event or Problem

DOCTOR PRE-DRILLED WITH A 2 MM DRILL. HE WAS ABLE TO SUCCESSFULLY PLACE ONE SCREW. WHEN ATTEMPTING TO INSERT THE REMAINING SCREWS, THREE OF THEM BROKE BETWEEN THE EYE AND THE THREAD OF THE SCREW. TWO OF THESE SCREWS WERE UNRETRIEVABLE.