inforMED
MalfunctionMQP

NEXXT MATRIXX INTERBODY SYSTEM

Received Mar 18, 2019 · Event occurred Jan 9, 2019

Report 3007922509-2019-00001 · MDR key 8430343

Device

Generic name

Matrixx Tlif Oblique

Manufacturer

Nexxt Spine Llc

Model number

54M-30-12-SP

Catalog number

N/A

Lot number

NS8633C

Product problems

  • Fracture
  • Fracture

Patient

Not reported

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

A REVIEW OF MANUFACTURING RECORDS SHOWS THE PRODUCT WAS RELEASED WITH NO ANOMALIES AND CONFORMING TO DESIGN SPECIFICATIONS. AS PART OF RISK MANAGEMENT, THE CONDITION IS ADDRESSED IN THE IFU AND SURGICAL TECHNIQUE.

Description of Event or Problem

IT WAS REPORTED ON (B)(6) 2019 THAT A TLIF OBLIQUE IMPLANT FRACTURED DURING THE INSERT AND ROTATE TECHNIQUE. THE PROCEDURE INVOLVED THE IMPLANTATION OF TWO TLIF OBLIQUE CAGES. ONE WAS SUCCESSFUL. THE SURGEON POUNDED A SECOND 30DX10WX12H TLIF OBLIQUE IMPLANT INTO A 4MM DISC SPACE, INCREASING THE DISC SPACE TO 10MM TO ACCOMMODATE THE INTERBODY. WHEN ROTATING FROM 10MM TO 12MM ORIENTATION, THE INTERBODY BROKE. THE SURGEON USED EXCESSIVE FORCE TO ROTATE THE INTERBODY WHICH EXCEEDED THE DESIGN LIMITS FOR ROTATION. THE IMPLANT WAS INVESTIGATED TO BE SECURE, AND NO PIECES BROKE OFF OR FELL INTO THE WOUND, SO IT WAS LEFT IN PLACE TO PERFORM ITS INTENDED FUNCTION.

Remedial action

  • Other