REFLEX HYBRID 48694014Recalls & reported problems
Stryker Corporation · VARIABLE, SELF-TAPPING SCREW · Class 2 · Implant
All models of REFLEX HYBRID (34)
Data updated Oct 16, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 9
- Deaths reported
- 0
- Injuries reported
- 6
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 9 adverse event reports that list this exact device (DI 04546540535108), received between Apr 25, 2016 and Mar 23, 2023 — classified as 6 injuries, 3 malfunctions.
The most frequently reported specific device problem is “Migration” (7 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 16, 2026.
Most reported problems
Device problems
- Migration7
- Insufficient Device Problem Information5
- Break1
- Detachment Of Device Component1
- Fracture1
- Material Integrity Problem1
- Mechanical Problem1
Patient problems
- Injury4
- No Consequences Or Impact To Patient2
- No Clinical Signs, Symptoms or Conditions1
- No Known Impact Or Consequence To Patient1
- Pain1
Recent adverse event reports
The 9 most recent of 9 reports, in the reporter's own words as published by the FDA.
MalfunctionMar 23, 2023Fracture; Migration; Fracture; Migration
A COMPANY REPRESENTATIVE REPORTED THAT APPROXIMATELY 7 YEARS POST-OPERATIVELY IT WAS NOTICED VIA X-RAY THAT A REFLEX-HYBRID VARIABLE ANGLE SELF TAP BONE SCREW HAD FRACTURED AND MIGRATED. THE PATIENT REPORTED PAIN.
Patient problems: Pain
MAUDE report 16598292 ↗MalfunctionMay 7, 2021Mechanical Problem; Insufficient Device Problem Information; Mechanical Problem; Insufficient Device Problem Information
A COMPANY REPRESENTATIVE REPORTED THAT INSERTION OF A 4.0 MM REFLEX SCREW AT LEFT C4 WOULD NOT FINAL LOCK. WHILE REMOVING THE SCREW, THE SECURING MECHANISM OF A FOUR-LEVEL REFLEX HYBRID PLATE FRACTURED. ALL SCREWS AND THE PLATE WERE REMOVED AND REPLACED. THE PROCEDURE WAS COMPLETED SUCCESSFULLY WITH NO ADVERSE CONSEQUENCE TO THE PATIENT. THIS REPORT CAPTURES THE 4.0 MM REFLEX SCREW.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 11791162 ↗InjuryApr 10, 2020Migration; Migration
IT WAS REPORTED THAT TWO REFLEX-HYBRID VARIABLE ANGLE SELF TAP BONE SCREWS BACKED OUT INTRA-OPERATIVELY. SURGERY WAS SUCCESSFULLY COMPLETED WITH A 1 HOUR SURGICAL DELAY USING REPLACEMENT DEVICES. THIS RECORD REPRESENTS SCREW 2 OF 2.
Patient problems: No Consequences Or Impact To Patient
MAUDE report 9950508 ↗InjuryApr 10, 2020Migration; Migration
IT WAS REPORTED THAT TWO REFLEX-HYBRID VARIABLE ANGLE SELF TAP BONE SCREWS BACKED OUT INTRA-OPERATIVELY. SURGERY WAS SUCCESSFULLY COMPLETED WITH A 1 HOUR SURGICAL DELAY USING REPLACEMENT DEVICES. THIS RECORD REPRESENTS SCREW 1 OF 2.
Patient problems: No Consequences Or Impact To Patient
MAUDE report 9950507 ↗InjuryDec 16, 2019Insufficient Device Problem Information; Migration; Insufficient Device Problem Information; Migration
A PHYSICIAN REPORTED THAT A PATIENT UNDERWENT REVISION SURGERY TO ADDRESS ¿DISENGAGEMENT¿ OF A REFLEX HYBRID THREE-LEVEL PLATE FROM THE FOUR DISTAL SCREWS. DURING SURGERY, IT WAS NOTED THAT, ¿PROXIMAL SCREWS ATTACHED TO THE PLATE AND DISTAL SCREWS DISMANTLED WITHOUT BREAKAGE AND STILL ATTACHED TO THE BONE,¿ AND THAT, ¿IT IS POSSIBLE TO PASS THE SCREW THROUGH THE HOLES IN THE PLATE.¿ THIS RECORD REPRESENTS THE FOURTH OF THE FOUR SCREWS.
Patient problems: Injury
MAUDE report 9476425 ↗InjuryDec 16, 2019Insufficient Device Problem Information; Migration; Insufficient Device Problem Information; Migration
A PHYSICIAN REPORTED THAT A PATIENT UNDERWENT REVISION SURGERY TO ADDRESS ¿DISENGAGEMENT¿ OF A REFLEX HYBRID THREE-LEVEL PLATE FROM THE FOUR DISTAL SCREWS. DURING SURGERY, IT WAS NOTED THAT, ¿PROXIMAL SCREWS ATTACHED TO THE PLATE AND DISTAL SCREWS DISMANTLED WITHOUT BREAKAGE AND STILL ATTACHED TO THE BONE,¿ AND THAT, ¿IT IS POSSIBLE TO PASS THE SCREW THROUGH THE HOLES IN THE PLATE.¿ THIS RECORD REPRESENTS THE SECOND OF THE FOUR SCREWS.
Patient problems: Injury
MAUDE report 9476143 ↗InjuryDec 16, 2019Insufficient Device Problem Information; Migration; Insufficient Device Problem Information; Migration
A PHYSICIAN REPORTED THAT A PATIENT UNDERWENT REVISION SURGERY TO ADDRESS ¿DISENGAGEMENT¿ OF A REFLEX HYBRID THREE-LEVEL PLATE FROM THE FOUR DISTAL SCREWS. DURING SURGERY, IT WAS NOTED THAT, ¿PROXIMAL SCREWS ATTACHED TO THE PLATE AND DISTAL SCREWS DISMANTLED WITHOUT BREAKAGE AND STILL ATTACHED TO THE BONE,¿ AND THAT, ¿IT IS POSSIBLE TO PASS THE SCREW THROUGH THE HOLES IN THE PLATE.¿ THIS RECORD REPRESENTS THE FIRST OF THE FOUR SCREWS.
Patient problems: Injury
MAUDE report 9476142 ↗InjuryDec 16, 2019Insufficient Device Problem Information; Migration; Insufficient Device Problem Information; Migration
A PHYSICIAN REPORTED THAT A PATIENT UNDERWENT REVISION SURGERY TO ADDRESS ¿DISENGAGEMENT¿ OF A REFLEX HYBRID THREE-LEVEL PLATE FROM THE FOUR DISTAL SCREWS. DURING SURGERY, IT WAS NOTED THAT, ¿PROXIMAL SCREWS ATTACHED TO THE PLATE AND DISTAL SCREWS DISMANTLED WITHOUT BREAKAGE AND STILL ATTACHED TO THE BONE,¿ AND THAT, ¿IT IS POSSIBLE TO PASS THE SCREW THROUGH THE HOLES IN THE PLATE.¿ THIS RECORD REPRESENTS THE THIRD OF THE FOUR SCREWS.
Patient problems: Injury
MAUDE report 9476118 ↗MalfunctionApr 25, 2016Break; Detachment Of Device Component; Material Integrity Problem; Material Integrity Problem
IT WAS REPORTED THAT UPON INSERTION OF THE SCREW WITH STAB AND GRAB DRIVER, THE LOCKING CLIP OF THE SCREW SHEARED OFF AND THE SCREW WAS ABLE TO ADVANCE COMPLETELY THROUGH THE PLATE AND INTO THE VERTEBRAL BODY. SINGLE BARREL VARIABLE DRILL GUIDE, ALONG WITH THE 14MM DRILL BIT ON POWER WAS USED TO PREPARE THE SCREW HOLE PRIOR TO SCREW INSERTION. THE SCREW WAS ABLE TO BE REMOVED.
Patient problems: No Known Impact Or Consequence To Patient
MAUDE report 5606349 ↗
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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 16, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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