FDA Adverse Event Other Summary report: N

MALIBU TORQUE LIMITING DRIVER

MDR report key: 1105217 · Received August 7, 2008

Report

Report Number
2032593-2008-00001
Event Type
Other
Date Received
August 7, 2008
Date of Event
July 10, 2008
Report Date
July 10, 2008
Manufacturer
SEASPINE, INC.
Product Code
LXH
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE MALIBU TORQUE LIMITING DRIVER IS DESIGNED FOR TIGHTENING DOWN REDUCTION SCREWS DURING SPINAL SURGERY IN THE FINAL CONSTRUCT. THE DEVICE WAS USED AS A REMOVAL TOOL, CAUSING THE HANDLE TO UNSCREW FROM THE SHAFT. THERE HAS NEVER BEEN ANY REPORTS OF THIS NATURE WITH OUR TORQUE LIMITING DRIVERS. THE RETURNED INSTRUMENT IS BEING EVALUATED AT THIS TIME.

Description of Event or Problem · 1

THE DOCTOR WAS TAKING A CAP OFF OF A SCREW WHEN THE TORQUE DRIVER UNSCREWED FROM THE SHAFT RESULTING IN DEBRIS FROM THE HANDLE FALLING INTO THE PATIENT. THE DOCTOR FEELS THAT HE WAS ABLE TO REMOVE MOST OF THE DEBRIS BUT COULD NOT BE CERTAIN. NO FURTHER COURSE OF ACTION WAS TAKEN AS THE INSTRUMENT HAD BEEN WELL CLEANED AND STERILIZED PRIOR TO THE SURGICAL PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MALIBU TORQUE LIMITING DRIVER 888.4540 ORTHOPEDIC MAN SURG. INSTRUMENT LXH SEASPINE, INC. NA B584665

Patients

Seq Age Sex Outcome Treatment
1 49 YR Required Intervention IMPLANTS| AND SCREWS FOR SPINAL SURGERY