RIALTO™ SI FUSION SYSTEM 7426000Recalls & reported problems
Medtronic Sofamor Danek, Inc. · DRIVER 7426000 RIALTO ADJUSTMENT · Class 1
Data updated Oct 18, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 5
- Deaths reported
- 0
- Injuries reported
- 0
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 5 adverse event reports that list this exact device (DI 00643169572546), received between Oct 14, 2024 and Feb 10, 2025 — classified as 5 malfunctions.
The most frequently reported specific device problem is “Break” (5 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.
Reports received per month
Most reported problems
Device problems
- Break5
Patient problems
- No Clinical Signs, Symptoms or Conditions4
- Device Embedded In Tissue or Plaque1
Recent adverse event reports
The 5 most recent of 5 reports, in the reporter's own words as published by the FDA.
MalfunctionFeb 10, 2025Break; Break
INFORMATION WAS RECEIVED FROM HEALTHCARE PROVIDER (HCP) VIA A MANUFACTURER REPRESENTATIVE REGARDING A PATIENT HAVING SPINAL THERAPY FOR BACK PAIN AT T5-T12. IT WAS REPORTED THAT THE DRIVER WAS STRIPPED WHEN TRYING TO REMOVE SCREWS FROM PATIENT UNDER POWER. THE RIALTO DRIVER WAS BROKEN AT THE TIP AND THE TIP WAS RECOVERED FROM THE PATIENT. THE RETRIEVED TIPS OF DRIVERS WERE DISCARDED AT THE FACILITY. THERE WERE NO FRAGMENTS LEFT INSIDE PATIENT BODY. THE EVENT WAS HAPPENED DURING A REVISION CASE, PATIENT REQUIRED A LAMINECTOMY AT T8 <(>&<)> T9. THERE WAS NO ALLEGATION AGAINST THE IMPLANTED HARDWARE RELATED TO THE CASE. THE SURGEON REMOVED AND REPLACED RODS TO GAIN ACCESS FOR A LAMINECTOMY. PROCEDURE WAS T5-T10 HARDWARE REVISION. THERE WERE NO PATIENT SYMPTOMS REPORTED, NO ADDITIONAL TREATMENT OR SURGERY PERFORMED. NO FURTHER COMPLICATIONS REPORTED REGARDING THE EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21351888 ↗MalfunctionFeb 10, 2025Break; Break
INFORMATION WAS RECEIVED FROM HEALTHCARE PROVIDER (HCP) VIA A MANUFACTURER REPRESENTATIVE REGARDING A PATIENT HAVING SPINAL THERAPY FOR BACK PAIN AT T5-T12. IT WAS REPORTED THAT THE DRIVER WAS STRIPPED WHEN TRYING TO REMOVE SCREWS FROM PATIENT UNDER POWER. THE RIALTO DRIVER WAS BROKEN AT THE TIP AND THE TIP WAS RECOVERED FROM THE PATIENT. THE RETRIEVED TIPS OF DRIVERS WERE DISCARDED AT THE FACILITY. THERE WERE NO FRAGMENTS LEFT INSIDE PATIENT BODY. THE EVENT WAS HAPPENED DURING A REVISION CASE, PATIENT REQUIRED A LAMINECTOMY AT T8 <(>&<)> T9. THERE WAS NO ALLEGATION AGAINST THE IMPLANTED HARDWARE RELATED TO THE CASE. THE SURGEON REMOVED AND REPLACED RODS TO GAIN ACCESS FOR A LAMINECTOMY. PROCEDURE WAS T5-T10 HARDWARE REVISION. THERE WERE NO PATIENT SYMPTOMS REPORTED, NO ADDITIONAL TREATMENT OR SURGERY PERFORMED. NO FURTHER COMPLICATIONS REPORTED REGARDING THE EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21343340 ↗MalfunctionFeb 3, 2025Break; Break
INFORMATION WAS RECEIVED FROM A HEALTHCARE PROVIDER (HCP) VIA A MEDTRONIC REPRESENTATIVE REGARDING A DRIVERS USED IN A FUSION. IT WAS REPORTED THAT WHILE INSERTING RIALTO SCREW INTO THE PATIENT, IT WAS UNDERSTOOD THAT THERE WERE ALREADY TWO OTHER SCREWS IN THE PATIENT, SO THIS NEW THIRD SCREW WAS UP AGAINST THE PREVIOUS SCREWS AND THE SURGEON WANTED TO MAKE SURE HE DROVE THE IMPLANT IN ALL THE WAY WHICH ENDED UP TWISTING THE TIP OF THE DRIVER AND BROKE THE TIP. BROKEN TIP OF SCREWDRIVER REMAINED INSIDE THE SCREW IN THE PATIENT, WAS UNABLE TO REMOVE. PRE-OPERATIVE DIAGNOSIS FOR THIS PROCEDURE FOUND OUT TO BE PREVIOUSLY FAILED SI FUSION. NO ADVERSE EVENT OCCURRED TO PATIENT. THERE WERE NO FURTHER COMPLICATIONS THAT WERE REPORTED. ADDITIONAL INFORMATION RECEIVED THAT THE NON NAVIGATED INSTRUMENT TIP WAS LEFT INSIDE THE PATIENT, INSIDE THE IMPLANT. THE NAV TIP WAS TWISTED, NOT SNAPPED. THE GIVEN REVISION SURGERY WAS NOT PERFORMED AS A RESULT OF USE OF MEDTRONIC PRODUCTS. NO ADDITIONAL SURGERY NEEDED TO REMOVE THE BROKEN TIP INSIDE THE PATIENT.
Patient problems: Device Embedded In Tissue or Plaque
MAUDE report 21293403 ↗MalfunctionJan 29, 2025Break; Break
INFORMATION WAS RECEIVED FROM HEALTHCARE PROVIDER (HCP) VIA A MANUFACTURER REPRESENTATIVE REGARDING A PATIENT PRESENTED WITH BACK PAIN. IT WAS REPORTED THAT WHILE ATTEMPTING TO REMOVE RIALTO SCREWS/CAGES FROM THE PATIENT'S SACRUM THE ADUSTMENT DRIVER WAS BROKEN. HE THEN ASKED FOR THE T27 THREADED DRIVER AND IT WAS ALSO BROKEN. THE SURGEON DECIDED TO REMOVE THE 6 X BILATERAL RIALTO SCREWS THAT HAD BEEN IMPLANTED ON (B)(6) 2017. THERE WAS NOTHING WRONG WITH THE RIALTO IMPLANTS AND THEY SEEMED SOLIDLY FUSED AND WERE FULL OF BONE. THERE WERE NO FURTHER COMPLICATIONS REPORTED REGARDING THE EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21262492 ↗MalfunctionOct 14, 2024Break; Break
INFORMATION WAS RECEIVED FROM A HEALTHCARE PROFESSIONAL VIA A MANUFACTURER REPRESENTATIVE REGARDING A PATIENT UNDERGOING SI SACROILIAC HARDWARE REMOVAL. IT WAS REPORTED THAT THE DEVICE GOT TWISTED THEN TIP BROKE OFF DURING ATTEMPTED REMOVAL. THERE WAS NO PATIENT SYMPTOMS OR COMPLICATIONS AS A RESULT OF THIS EVENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 20438044 ↗
Other INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT devices
- NA 511.701Synthes GmbH · INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT2,164 reports
- SmartLife 7126-120-000Stryker Corporation · INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT1,065 reports
- NA 05.001.224Synthes GmbH · INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT987 reports
- NA 05.001.206Synthes GmbH · INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT632 reports
- NA 532.021Synthes GmbH · INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT521 reports
- NA 2570-04-501Depuy (Ireland) · INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT500 reports
- NA 532.110Synthes GmbH · INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT433 reports
- NA 05.001.223Synthes GmbH · INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT397 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.
How reports and recalls are matched · Editorial policy · Report an error on this page