inforMED
InjuryOUR

SIROS

Received Sep 16, 2025 · Event occurred Aug 18, 2025

Report 3008455034-2025-00002 · MDR key 23068993

Device

Generic name

Dilator

Manufacturer

Genesys Spine

Model number

GSI206-03

Catalog number

GSI206-03

Lot number

AM20221103

Product problems

  • Use of Device Problem
  • Use of Device Problem

Patient

87 YR · Male

  • Hemorrhage/Blood Loss/Bleeding
  • Perforation of Vessels
  • Hemorrhage/Blood Loss/Bleeding
  • Perforation of Vessels

Narrative

Additional Manufacturer Narrative

THE SURGICAL TECHNIQUE OUTLINES THE IMPLANTS BE DELIVERED THROUGH A DRILL GUIDE BUT THE SURGEON PLACED THE IMPLANTS THROUGH A DILATOR.

Description of Event or Problem

DURING A LATERAL SI FUSION PROCEDURE, THE WORKING CHANNEL BEGAN FILLING WITH BLOOD AFTER PLACEMENT OF THE SECOND SI SCREW. THE BLEED WAS DIFFICULT TO CONTROL AND THE PATIENT LOST APPROXIMATELY 750CC OF BLOOD. ONCE THE BLEED WAS CONTROLLED THE PATIENT WAS TRANSFERRED BY AMBULANCE TO A HOSPITAL. WHILE AT THE HOSPITAL, A NEUROSURGEON CONFIRMED THE SI SCREWS WERE PROPERLY PLACED. THE PATIENT WAS RELEASED THE NEXT DAY.