inforMED
MalfunctionLRZ

SKYLINE CAM LOCKING

Received Sep 28, 2011 · Event occurred Sep 21, 2011

Report 2273111 · MDR key 2273111

Device

Generic name

Cam Tightener Shaft

Manufacturer

Depuy Spine

Model number

*

Catalog number

2868-40-000 1205NT

Lot number

*

Product problems

  • Break

Patient

35 YR

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

SCREW DRIVER HEAD BROKE WHILE BEING USED TO IMPLANT CERVICAL SCREW INTO PLATE. ALL PIECES REMOVED.