inforMED
MalfunctionLYP

SACROFUSE

Received Jan 10, 2025 · Event occurred Dec 11, 2024

Report 3005977257-2025-00002 · MDR key 21130653

Device

Generic name

Implant Inserter

Manufacturer

Lesspine

Model number

14-42003

Lot number

HB12

Product problems

  • Material Fragmentation
  • Material Fragmentation

Patient

NA · Unknown

  • Device Embedded In Tissue or Plaque
  • Device Embedded In Tissue or Plaque

Narrative

Description of Event or Problem

ON (B)(6) 2024, A SURGERY TOOK PLACE IN WHICH A SACRIX INSERTER'S TIPS BROKE OFF. THIS IS LIKELY DUE TO A DOCTOR PERFORMING A REVISION AND ATTEMPTING TO USE THE INSERTER TO REMOVE THE SCREW THAT HAS BEEN SURROUNDED BY BONY GROWTH. THIS GROWTH INCREASES THE FORCE REQUIRED TO REMOVE THE SCREW AND RESULTED IN THE BREAKING OF THE TIPS. THIS DID NOT RESULT IN PATIENT HARM AND SURGERY WAS COMPLETED.

Additional Manufacturer Narrative

DURING REVISIONS, BONY GROWTH GREATLY INCREASES THE TORQUE REQUIRED TO TURN THE SCREW. THE INSERTER TIPS CANNOT HANDLE THIS INCREASED FORCE AND, THEREFORE, BREAK OFF.

Remedial action

  • Inspection