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Recall Observatory FDA recall evidence

Device product

Black Widow Plate 19mm Plate, Part Number TBP119; Black Widow Plate 23mm Plate, Part Number TBP123 The Black Widow Buttress Plates and Screws are designed for preventing migration or expulsion of allograft or autograft in the thoracolumbar to S1 Spinal region

Z-0886-2017

November 22, 2016

Class II

Product summary

Firm
Amendia, Inc
Event
Event 75869
Status
Terminated
Classification
Class II
Quantity
48 units
Official record key
device-enforcement:Z-0886-2017

Official wording

Reason: There is a problem with the mating feature between the plate and screw which could cause the plate opening not to interfere enough with the plate and head of the screw.

Code information: Part Number TBP119  Lot Number WT103014B, WT112210B, 01838, WT111213A, WT040813A, WT042213C; Part Number TB123  Lot Number NM01839, WT080112A, WT081712E, WT112210C, WT112113A, WT112713B, WT110714A, WT1127, 09286, WT041213A, WT112713

Distribution pattern: Nationwide Distribution to IN, LA, and TX

Derived failure modes

  • Unknown

    reason.no_named_rule · v1.0.0

    There is a problem with the mating feature between the plate and screw which could cause the plate opening not to interfere enough with the plate and head of the screw.