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Reform TI Pedicle Screw System 39-SG-6540Recalls & reported problems

Precision Spine, Inc. · Ø6.5 x 40mm Modular Bone Screw, Non-Fluted · Class 2 · Implant

Data updated Oct 18, 2026 from official FDA records · Editorial policy

Adverse event reports
1
Deaths reported
0
Injuries reported
1
Recalls naming it
0

Summary

The FDA's MAUDE database contains 1 adverse event report that list this exact device (DI 00840019940139), received between Aug 16, 2021 and Aug 16, 2021 — classified as 1 injury.

The most frequently reported specific device problem is “Break” (1 report).

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

  • Appropriate Device Problem Term/Code Not Available1
  • Break1

Patient problems

  • Insufficient Information1

Recent adverse event reports

The 1 most recent of 1 reports, in the reporter's own words as published by the FDA.

  • InjuryAug 16, 2021Break; Appropriate Device Problem Term/Code Not Available

    IT WAS REPORTED THAT A PROCEDURE WAS PERFORMED ON (B)(6) 2021, UTILIZING THE REFORM TI MODULAR PEDICLE SCREW SYSTEM. SUBSEQUENTLY, THE PATIENT UNDERWENT REVISION SURGERY ON (B)(6) 2021, DUE TO A BROKEN Ø6.5MM X 40MM REFORM TI MODULAR NON-CANNULATED - NON-FLUTED SCREW (39-SG-6540). BOTH PIECES OF THE BROKEN SCREW WERE REMOVED, AND A LARGER SCREW WAS IMPLANTED.

    Patient problems: Insufficient Information

    MAUDE report 12325227 ↗

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Sources and updates

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