FDA Adverse Event Malfunction Summary report: N

LONESTAR

MDR report key: 20759288 · Received November 22, 2024

Report

Report Number
2183449-2024-00024
Event Type
Malfunction
Date Received
November 22, 2024
Date of Event
October 10, 2024
Report Date
December 10, 2024
Manufacturer
ORTHOFIX US LLC
Product Code
LXH
UDI-DI
18257200086092
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TC
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

PRODUCT INVESTIGATION IS NOT COMPLETE.

Additional Manufacturer Narrative · 0

THE IMPLANT INSERTER (PN: 83-9003 LN:214636-WB25) WAS RETURNED FOR INVESTIGATION. THE IMPLANT INSERTER SHOWS MINIMAL SIGNS OF WEAR. IT CAN BE CONFIRMED THAT THE THREADED TIP BROKE OFF THE INSERTER. THE BROKEN THREADED TIP WAS NOT RETURNED FOR INVESTIGATION, BUT WAS SAFELY REMOVED DURING SURGERY, WITH NO PATIENT HARM REPORTED. PRE-CLINICAL TESTING (10112150) OF 83-9003 INSERTER INVOLVED IMPACTION AND REMOVAL AGAINST 58.7 LBS DISTRACTION FORCE FOR 507 CYCLES. THE OP-TECH MENTIONS "IF REPOSITIONING IS NEEDED, USE THE TAMP TO ADJUST THE INTERBODY SPACER POSITION". PER THE IFU, THE INSTRUMENT SHOULD NOT BE USED IF THERE IS ANY SIGN OF DAMAGE SUCH AS BINDING OR BENDING. AN ANALYSIS OF FAILURE SITE INDICATES THAT THE THREADED TIP WAS LIKELY SUBJECTED TO CUMULATIVE PERMANENT DEFORMATION (I.E. BENDING), PRIOR TO BREAKAGE. GIVEN THE NATURE OF THE INSTRUMENT'S DESIGN AND ITS INTERFACE WITH THE IMPLANT, CARE SHOULD BE TAKEN WHEN POSITIONING AND/OR POSITIONING WHILE IMPACTING, WITH RESPECT TO THE AMOUNT OF DISTRACTION FORCE VERSUS THE INPUT POSITIONING FORCE. ANY TOGGLE OR EXCESSIVE MOVEMENT OF THE INSERTER RELATIVE TO THE MOVEMENT OF THE IMPLANT SHOULD WARRANT AN INSPECTION FOR PERMANENT BENDING OF THE THREADED TIPS. A REVIEW OF THE PRODUCT DHR SHOWED THAT ALL INSPECTIONS MET DESIGN SPECIFICATIONS. A REVIEW OF NCMR DATABASES DID NOT REVEAL ANY NONCONFORMANCES RELATED TO THIS INVESTIGATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A TWO LEVEL ACDF ON (B)(6), WHILE INSERTING THE CAGE, THE TIP OF THE INSERTER BROKE INSIDE THE THREADS OF THE CAGE. IT WAS CONFIRMED THAT THERE WAS NO ADVERSE EFFECTS TO THE PATIENT AND SURGERY WAS COMPLETED SUCCESSFULLY WITH A REPLACEMENT THAT WAS INSIDE OF THE TRAY. IT WAS REPORTED THAT THERE WAS A 40-50 MINUTE DELAY IN THE CASE.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A TWO LEVEL ACDF ON (B)(6), WHILE INSERTING THE CAGE, THE TIP OF THE INSERTER BROKE INSIDE THE THREADS OF THE CAGE. IT WAS CONFIRMED THAT THERE WAS NO ADVERSE EFFECTS TO THE PATIENT AND SURGERY WAS COMPLETED SUCCESSFULLY WITH A REPLACEMENT THAT WAS INSIDE OF THE TRAY. IT WAS REPORTED THAT THERE WAS A 40-50 MINUTE DELAY IN THE CASE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2602016 LONESTAR IMPLANT INSERTER LXH ORTHOFIX US LLC 83-9003 214636-WB25 18257200086092

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other