CD HORIZON ESSENCE™ Spinal System 4540020Recalls & reported problems
Medtronic Sofamor Danek, Inc. · SET SCREW 4540020 ESSENCE BREAK-OFF · Class 2 · Implant
Data updated Oct 18, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 6
- Deaths reported
- 0
- Injuries reported
- 6
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 6 adverse event reports that list this exact device (DI 00643169428898), received between Mar 7, 2018 and May 10, 2022 — classified as 6 injuries.
The most frequently reported specific device problem is “Break” (3 reports).
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 18, 2026.
Most reported problems
Device problems
- Break3
- Migration or Expulsion of Device3
Patient problems
- Device Embedded In Tissue or Plaque3
- Pain3
- Undesired Nerve Stimulation3
- Weakness3
Recent adverse event reports
The 6 most recent of 6 reports, in the reporter's own words as published by the FDA.
InjuryMay 10, 2022Break; Break
THE INFORMATION RECEIVED FROM HEALTH CARE PROVIDER VIA A MANUFACTURING REPRESENTATIVE REGARDING A PATIENT WITH LUMBAR ARTHRODESIS FOR SPINAL FUSION THERAPY. IT WAS REPORTED THAT THE PATIENT COMPLAINING OF PAIN 3 MONTH AFTER THE SURGERY, FROM THE X-RAY EXAMINATION IT WAS FOUND THAT IMPLANTED SCREWS WAS BROKEN. ONCE THE SECOND SURGERY WAS SCHEDULED, IT WAS EVIDENT THAT DUE TO THE POSITION OF THE BROKEN SCREW, IT WAS NOT POSSIBLE TO COMPLETELY REMOVE THIS IMPLANT AND, THEREFORE, IT WAS NOT REPLACED. THERE WAS FRAGMENT OF IMPLANT REMAINING IN THE PATIENT. THERE WAS NO FURTHER INFORMATION REPORTED. PATIENT MEDICAL HISTORY- SMOKING USE.
Patient problems: Device Embedded In Tissue or Plaque; Pain
MAUDE report 14344076 ↗InjuryMay 10, 2022Break; Break
THE INFORMATION RECEIVED FROM HEALTH CARE PROVIDER VIA A MANUFACTURING REPRESENTATIVE REGARDING A PATIENT WITH LUMBAR ARTHRODESIS FOR SPINAL FUSION THERAPY. IT WAS REPORTED THAT THE PATIENT COMPLAINING OF PAIN 3 MONTH AFTER THE SURGERY, FROM THE X-RAY EXAMINATION IT WAS FOUND THAT IMPLANTED SCREWS WAS BROKEN. ONCE THE SECOND SURGERY WAS SCHEDULED, IT WAS EVIDENT THAT DUE TO THE POSITION OF THE BROKEN SCREW, IT WAS NOT POSSIBLE TO COMPLETELY REMOVE THIS IMPLANT AND, THEREFORE, IT WAS NOT REPLACED. THERE WAS FRAGMENT OF IMPLANT REMAINING IN THE PATIENT. THERE WAS NO FURTHER INFORMATION REPORTED. PATIENT MEDICAL HISTORY - SMOKING USE.
Patient problems: Device Embedded In Tissue or Plaque; Pain
MAUDE report 14344053 ↗InjuryMay 10, 2022Break; Break
THE INFORMATION RECEIVED FROM HEALTH CARE PROVIDER VIA A MANUFACTURING REPRESENTATIVE REGARDING A PATIENT WITH LUMBAR ARTHRODESIS FOR SPINAL FUSION THERAPY. IT WAS REPORTED THAT THE PATIENT COMPLAINING OF PAIN 3 MONTH AFTER THE SURGERY, FROM THE X-RAY EXAMINATION IT WAS FOUND THAT IMPLANTED SCREWS WAS BROKEN. ONCE THE SECOND SURGERY WAS SCHEDULED, IT WAS EVIDENT THAT DUE TO THE POSITION OF THE BROKEN SCREW, IT WAS NOT POSSIBLE TO COMPLETELY REMOVE THIS IMPLANT AND, THEREFORE, IT WAS NOT REPLACED. THERE WAS FRAGMENT OF IMPLANT REMAINING IN THE PATIENT. THERE WAS NO FURTHER INFORMATION REPORTED. PATIENT MEDICAL HISTORY - SMOKING USE.
Patient problems: Device Embedded In Tissue or Plaque; Pain
MAUDE report 14344039 ↗InjuryMar 7, 2018Migration or Expulsion of Device; Migration or Expulsion of Device
IT WAS REPORTED THAT ON AN UNKNOWN DATE, POST-OP, THE X-RAY IMAGE PROVIDED SHOWED BREAK-OFF SET SCREW OUT OF THE HEAD OF THE SCREW WHICH CAUSED NERVE ROOT COMPRESSION IN TWO LEVELS. REVISION SURGERY WAS PERFORMED ON (B)(6) 2018 TO FIX AND REPLACE THE THREE FAILED SCREWS, TWO RODS AND TEN SET SCREWS. PATIENT HAD LOWER LIMB WEAKNESS AND NO DISABILITY.
Patient problems: Undesired Nerve Stimulation; Weakness
MAUDE report 7321644 ↗InjuryMar 7, 2018Migration or Expulsion of Device; Migration or Expulsion of Device
IT WAS REPORTED THAT ON AN UNKNOWN DATE, POST-OP, THE X-RAY IMAGE PROVIDED SHOWED BREAK-OFF SET SCREW OUT OF THE HEAD OF THE SCREW WHICH CAUSED NERVE ROOT COMPRESSION IN TWO LEVELS. REVISION SURGERY WAS PERFORMED ON (B)(6) 2018 TO FIX AND REPLACE THE THREE FAILED SCREWS, TWO RODS AND TEN SET SCREWS. PATIENT HAD LOWER LIMB WEAKNESS AND NO DISABILITY .
Patient problems: Undesired Nerve Stimulation; Weakness
MAUDE report 7321643 ↗InjuryMar 7, 2018Migration or Expulsion of Device; Migration or Expulsion of Device
IT WAS REPORTED THAT ON AN UNKNOWN DATE, POST-OP, THE X-RAY IMAGE PROVIDED SHOWED BREAK-OFF SET SCREW OUT OF THE HEAD OF THE SCREW WHICH CAUSED NERVE ROOT COMPRESSION IN TWO LEVELS. REVISION SURGERY WAS PERFORMED ON (B)(6) 2018 TO FIX AND REPLACE THE THREE FAILED SCREWS, TWO RODS AND TEN SET SCREWS. PATIENT HAD LOWER LIMB WEAKNESS AND NO DISABILITY.
Patient problems: Undesired Nerve Stimulation; Weakness
MAUDE report 7321638 ↗
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- EXPEDIUM VERSE 199721001Medos International Sàrl · APPLIANCE, FIXATION, SPINAL INTERLAMINAL227 reports
- XIA 3 48230000Stryker Corporation · APPLIANCE, FIXATION, SPINAL INTERLAMINAL193 reports
- VIPER 186715000Medos International Sàrl · APPLIANCE, FIXATION, SPINAL INTERLAMINAL1 death167 reports
- NA 04.614.014Synthes GmbH · APPLIANCE, FIXATION, SPINAL INTERLAMINAL80 reports
- NA 04.615.014Synthes GmbH · APPLIANCE, FIXATION, SPINAL INTERLAMINAL72 reports
- EXPEDIUM VIPER 196789480Depuy Spine, LLC · APPLIANCE, FIXATION, SPINAL INTERLAMINAL72 reports
- Arsenal Deformity Spinal Fixation System 47127Alphatec Spine, Inc. · APPLIANCE, FIXATION, SPINAL INTERLAMINAL66 reports
Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026
- Page last rebuilt: Oct 18, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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