DIPLOMAT Percutaneous tulipRecalls & reported problems
SIGNUS Medizintechnik GmbH · The modular DIPLOMAT® pedicle screw system is a rod-screw system that firmly connects two or more screws via the screw head and a rod using a force-fit or form-fit connection. Additional fixation elements, such as cross bars, hooks, connectors and washers, can also be used. The DIPLOMAT® pedicle screw system is applied temporarily to provide internal posterior stabilization until bone fusion in the lumbar or thoracic spine has taken place. The surgeon makes the final decision as to the indwelling time of the implant in the patient‘s body and the time when the implant is to be explanted. The pedicle screw system is implanted from a posterior approach. The implant is screwed into the vertebral body via the pedicle and it can be applied in a single segment or multiple segments. Implantation is facilitated by use of the specially developed accessories for inserting and positioning the implants. Only these accessories ensure safe use. Our product information provides further system-related information on the surgical method. If there are any preoperative uncertainties relating to the implant, information must be obtained from SIGNUS. Instruments specially developed by SIGNUS to ensure safe application are available for use with the implant system. · Class 2 · Implant
Data updated Oct 18, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 4
- Deaths reported
- 0
- Injuries reported
- 0
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 4 adverse event reports that list this exact device (DI 04047844023778), received between Apr 30, 2019 and Mar 14, 2024 — classified as 4 malfunctions.
The most frequently reported specific device problem is “Misassembled” (2 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
- Misassembled2
- Misassembly by Users2
- Use of Device Problem2
- Device Slipped1
- Material Twisted/Bent1
Patient problems
- No Code Available2
- Failure of Implant1
- Pain1
Recent adverse event reports
The 4 most recent of 4 reports, in the reporter's own words as published by the FDA.
MalfunctionMar 14, 2024Material Twisted/Bent; Material Twisted/Bent
SURGEON REPORTED ABOUT THE POST-SURGERY X-RAY FOR A 2 LEVEL MIS CASE ( L4-L5-S1) USING DIPLOMAT . THE X-RAY FILM INDICATES THAT THE DIPLOMAT MIS TULIP WAS NOT ATTACHED TO THE PEDICLE SCREW HEAD AT S1 POSITION. THERE WAS NO DIFFICULTY REPORTED DURING THE OPERATION. THE PATIENT WAS REPORTED WITH LITTLE PAIN (POSSIBLE CAUSES ARE SURGERY OR DETACHED IMPLANT). DISASSEMBLY OF IMPLANT COMPONENTS AND PAIN AREKNOWN RISKS/SIDE EFFECTS INDICATED IN THE IFU.
Patient problems: Pain
MAUDE report 18901900 ↗MalfunctionApr 30, 2019Misassembled; Use of Device Problem; Misassembly by Users; Misassembled; Use of Device Problem; Misassembly by Users
AFTER SEVERAL COMPLAINTS ABOUT BENT MOBIS INSERTERS BECAUSE OF IMPROPER USE OF THE DEVICE AN APPLIED PRACTICE (AP31) WAS ADDED TO PRODUCT INFORMATION.
Patient problems: No Code Available
MAUDE report 8564023 ↗MalfunctionApr 30, 2019Misassembled; Use of Device Problem; Misassembly by Users; Misassembled; Use of Device Problem; Misassembly by Users
REVISION SURGERY BECAUSE OF IMPROPER APPLICATION OF THE TULIP ON THE SCREW BY THE SURGEON WITHIN THE INITIAL SURGERY. THE PEDICLE SCREW NEVER WAS PROPERLY CONNECTED TO THE TULIP. THE FLAWED IMAGE OF THE TULIP'S HIGHLY INWARD-POINTING PLATE CLEARLY INDICATES THAT THE HEAD OF THE PEDICLE SCREW WAS NOT FIRMLY ATTACHED TO THE TULIP SADDLE. THE CONTROL OF THE TIGHTNESS OF THE TULIP ON THE PEDICLE SCREW DESCRIBED IN THE SURGICAL GUIDE WAS PROBABLY NOT DONE. THE SAME EFFECT OCCURS WHEN THE TULIP IS PLACED IN SITU AFTER THE PEDICLE SCREW HAS BEEN SET. IT INDICATES THAT THE PEDICLE SCREW WAS INSERTED QUITE DEEPLY INTO THE PEDICLE, SO THAT A COMPLETE GRASPING OF THE TULIP PLATELETS AROUND THE PEDICLE HEAD WAS NOT POSSIBLE DURING THE SUBSEQUENT PLACEMENT OF THE TULIP. THE INCORRECT PLACEMENT OF THE TULIP ON THE SCREW HEAD CAN THUS LEAD ALREADY DURING THE ATTACHMENT OF THE ROD FOR PUSHING OUT OF THE PEDICLE HEAD OF THE TULIP. THE HEAD OF THE PEDICLE SCREW THEN VERY PROBABLY BENT THE LEAFLETS OF THE TULIP'S SADDLE WHEN MOBILIZING THE PATIENT AND LATER SLIPPED OUT OF THE TULIP. BY OVERLAYING THE TULIPS AND PEDICLE SCREWS IN THE X-RAY IMAGE IN LATERAL VIEW, THIS SLIPPING OUT WAS NOT RECOGNIZED BY
Patient problems: No Code Available
MAUDE report 8563936 ↗MalfunctionApr 30, 2019Device Slipped
LITERATURE "EXPERIENCE WITH A MODULAR PEEK SYSTEM FOR CERVICAL VERTEBRAL BODY REPLACEMENT" BY KONIG SA1, SPETZGER U REPORTED. "THE AUTHORS PERFORMED 13 ONE-LEVEL AND 7 TWO-LEVEL CORPECTOMIES; FROM THE LETTER GROUP THERE WERE 2 REVISION CASES (10%) WITH IMPLANT DISLOCATION. FOUR CASES (20%) OF SECONDARY SUBSIDENCE ..." THE STATEMENT (KÖNIG ET AL.2015) MADE BY THE AUTHORS CANNOT BE RECONSTRUCTED FROM THE DATA AVAILABLE HERE. FURTHER DATA ARE NECESSARY FOR AN OBJECTIVE ASSESSMENT. FIRST, THE AUTHORS WOULD HAVE HAD TO CHANGE THE STRUCTURE OF THEIR RETROSPECTIVE CASE SERIES. IN THE RETROSPECTIVE CASE SERIES DESCRIBED HERE, THE PATIENTS WERE DIVIDED INTO 2 GROUPS. THE FIRST GROUP CONSISTS OF 13 PATIENTS WITH A 1 LEVEL CORPECTOMY WERE PERFORMED. THE SECOND GROUP CONSISTS OF 7 PATIENTS IN WHOM A 2-LEVEL CORPECTOMY WAS PERFORMED. IN ALL CASES THE IMPLANT ATHLETE WAS USED. IN ORDER TO MAKE AN OBJECTIVE ASSESSMENT, THE AUTHORS WOULD HAVE HAD TO COMPARE THE RESULTS OF THE SAME NUMBER OF PATIENTS PER GROUP WITH THE ATHLETE IMPLANT AND FOR EXAMPLE WITH THE ILIAC CREST. THE NUMBER OF 20 PATIENTS IS ALSO TOO SMALL TO MAKE A SIGNIFICANT STATEMENT. IN THE SUMMARIES OF THE FOLLOWING PUBLICATIONS, WHI
Patient problems: Failure of Implant
MAUDE report 8563851 ↗
Other Orthosis, Spinal Pedicle Fixation devices
- NA 04.614.508Synthes GmbH · ORTHOSIS, SPINAL PEDICLE FIXATION277 reports
- CREO 1134.0010Globus Medical, Inc. · ORTHOSIS, SPINAL PEDICLE FIXATION112 reports
- CREO 1119.0010Globus Medical, Inc. · ORTHOSIS, SPINAL PEDICLE FIXATION80 reports
- VIPER 186731745Medos International Sàrl · ORTHOSIS, SPINAL PEDICLE FIXATION43 reports
- CD HORIZON® Spinal System 1553201090Medtronic Sofamor Danek, Inc. · ORTHOSIS, SPINAL PEDICLE FIXATION38 reports
- EXPEDIUM 179902000Medos International Sàrl · ORTHOSIS, SPINAL PEDICLE FIXATION37 reports
- CD HORIZON® Spinal System 7540220Medtronic Sofamor Danek, Inc. · ORTHOSIS, SPINAL PEDICLE FIXATION36 reports
- EXPEDIUM VERSE 199721640Medos International Sàrl · ORTHOSIS, SPINAL PEDICLE FIXATION35 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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