VARIAX DR AIMING BLOCK FIXATION PIN
Received Jan 10, 2013 · Event occurred Dec 18, 2012
Report 8010177-2013-90008 · MDR key 2915600
Device
Generic name
Instrument
Manufacturer
Stryker Osteosynthesis FreiburgModel number
NACatalog number
56-01210
Lot number
AC07-07/2012
Product problems
- Break
- Component Missing
Patient
UNK
- No Known Impact Or Consequence To Patient
Narrative
Additional Manufacturer Narrative
AS PER VISUAL INVESTIGATION, IT WAS DETERMINED THAT THE STOP PIN WAS BROKEN DUE TO TOO HIGH BENDING FORCES AND THEREFORE IT GOT DETACHED. THE FRACTURED SURFACE OF THE WELDING SEAM SHOWED THE APPEARANCE OF A FORCED RUPTURE. THE GEOMETRY OF THE WELDING SEAM INDICATED THAT THE LASER-WELDING SEAM WAS CORRECTLY PERFORMED. MOREOVER, THE STOP BAR OF THE SCREW HAD HEAVY PLASTIC DEFORMATIONS DUE TO THE COLLISION AND FRICTION WITH THE STOP PIN. SINCE HIGH TORSIONAL FORCES ACTED DURING THE APPLICATION, HIGH BENDING FORCES ALSO OCCURRED UPON THE STOP PIN, FINALLY LEADING TO THE BREAKAGE OF THE LASER-WELDING SEAM. THE ROOT CAUSE FOR THE REPORTED EVENT CAN BE ATTRIBUTED TO A USER RELATED ISSUE. NO INDICATIONS WERE FOUND FOR ANY MATERIAL OR MANUFACTURING RELATED ISSUE.
Description of Event or Problem
IT WAS FOUND THAT THE STOP PIN OF THE FIXATION PIN HAD BROKEN WHEN IT WAS CHECKED UPON INSPECTION OF THE RETURNED LONER KIT FROM THE HOSPITAL. THE STOP PIN WAS LOST.
Remedial action
- Other