SYMPHONY 1020-40-118Recalls & reported problems
Medos International Sàrl · SYMPHONY OCT SYSTEM POLYAXIAL SCREW diameter 4.0 Rod, 4.0X18mm · Class 2 · Implant
All models of SYMPHONY (113)
Data updated Oct 16, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 5
- Deaths reported
- 2
- Injuries reported
- 1
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 5 adverse event reports that list this exact device (DI 10705034512266), received between Jan 14, 2021 and Sep 22, 2026 — classified as 2 deaths, 1 injury, 2 malfunctions.
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 16, 2026.
Reports received per month
Most reported problems
Device problems
- Break3
- Entrapment of Device3
- Adverse Event Without Identified Device or Use Problem2
Patient problems
- Foreign Body In Patient2
- Unspecified Tissue Injury2
- No Clinical Signs, Symptoms or Conditions1
Recent adverse event reports
The 5 most recent of 5 reports, in the reporter's own words as published by the FDA.
MalfunctionSep 22, 2026Break; Entrapment of Device
Patient problems: Foreign Body In Patient
MAUDE report 50860156 ↗InjuryJun 2, 2021Break; Entrapment of Device; Break; Entrapment of Device
IT WAS REPORTED THAT ON (B)(6) 2021, THE PATIENT UNDERWENT FOR POSTERIOR SPINAL FUSION SURGERY. DURING THE SURGERY, UPON INSERTION OF SYMPHONY SCREW ON PATIENT¿S LEFT AT C5, THE SCREW SHANK BROKE OFF JUST BELOW THE SCREW HEAD. THE SCREW SHANK WAS FLUSH WITH THE BONE, SO RETRIEVAL WAS NOT ATTEMPTED. THERE WAS A SURGICAL DELAY OF FIVE (5) MINUTES. FRAGMENTS WERE GENERATED. THE SCREW SHANK WAS BROKEN FLUSH WITH THE TOP OF THE LATERAL MASS MAKING REMOVAL DIFFICULT WITHOUT REMOVING TOO MUCH BONE AROUND IT. THERE WERE NO PATIENT CONSEQUENCES. THE PROCEDURE WAS SUCCESSFULLY COMPLETED. CONCOMITANT DEVICE REPORTED: UNKNOWN INSERTION INSTRUMENT (PART# UNKNOWN, LOT# UNKNOWN, QUANTITY UNKNOWN). THIS COMPLAINT INVOLVES ONE (1) DEVICE. THIS REPORT IS FOR (1) UNK ¿ PLATES. THIS REPORT IS 1 OF 1 FOR (B)(4).
Patient problems: Foreign Body In Patient
MAUDE report 11922786 ↗MalfunctionMay 19, 2021Break; Entrapment of Device; Break; Entrapment of Device
IT WAS REPORTED THAT ON (B)(6) 2021 DURING A POSTERIOR SPINAL FUSION PROCEDURE, THE SURGEON BROKE OFF A 4.0X18MM SYMPHONY SCREW IN C2. THE SCREW BROKE OFF IN THE PATIENT. THERE WAS A SURGICAL DELAY OF SIXTY (60) MINUTES. FRAGMENTS WERE GENERATED. THERE WERE NO PATIENT CONSEQUENCES. THE PROCEDURE WAS SUCCESSFULLY COMPLETED. THIS REPORT IS FOR ONE (1) 4.0 PLY SCRW 4.0X18. THIS IS REPORT 1 OF 1 FOR (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 11850419 ↗DeathJan 14, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT (B)(6) 2020 DURING POSTERIOR CERVICAL FUSION SURGERY THE PATIENT DIED. THE DEPUY SYNTHES SPINE SYSTEM UTILIZED IN THIS PROCEDURE WAS THE SYMPHONY OCT SYSTEM. THE INSTRUMENTATION OF THE SYMPHONY SCREWS WAS UNEVENTFUL. THE SURGEON FIRST INSTRUMENTED C4-6 LATERAL MASSES, THEN C2 PARS, AND FINALLY T1 PEDICLES. ALL SCREW PLACEMENTS WERE CONFIRMED BY THE SURGEON WITH FLUOROSCOPY. THE SURGEON PROCEEDED TO PERFORM THE DECOMPRESSION WITH A C3-7 LAMINECTOMY. AFTERWARDS THE SURGEON CHANGED THE VECTOR OF THE PATIENTS HEAD TO RE-ALIGN THE SPINE AFTER DECOMPRESSION. APPROXIMATELY TEN (10) MINUTES AFTERWARDS HE BEGAN PREPARING TWO (2) 4.0MM RODS. PRIOR TO INSTRUMENTATION OF THE RODS, THE PATIENT BEGAN TO LOSE SENSORY NEUROMONITORING SIGNALS. APPROXIMATELY FIVE (5) MINUTES LATER THE PATIENT LOSES MOTOR SIGNALS AND LOW BLOOD PRESSURE. AT THIS MOMENT THERE IS AN URGENCY TO COMPLETE THE CONSTRUCT AND CLOSE THE PATIENT. THE SURGEON DECIDED TO USE 3.5MM RODS INSTEAD. ALL RODS AND SET SCREWS WERE IMPLANTED AND FINAL TIGHTENED AS INTENDED. THE PATIENT WENT INTO CARDIAC ARREST APPROXIMATELY 5 MINUTES INTO CLOSING. APPROXIMATELY 1 HOUR AFTERWARDS, TIME OF DEATH WAS ANNOUNCED. THERE WA
Patient problems: Unspecified Tissue Injury
MAUDE report 11170790 ↗DeathJan 14, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT (B)(6) 2020, DURING POSTERIOR CERVICAL FUSION SURGERY THE PATIENT DIED. THE DEPUY SYNTHES SPINE SYSTEM UTILIZED IN THIS PROCEDURE WAS THE SYMPHONY OCT SYSTEM. THE INSTRUMENTATION OF THE SYMPHONY SCREWS WAS UNEVENTFUL. THE SURGEON FIRST INSTRUMENTED C4-6 LATERAL MASSES, THEN C2 PARS, AND FINALLY T1 PEDICLES. ALL SCREW PLACEMENTS WERE CONFIRMED BY THE SURGEON WITH FLUOROSCOPY. THE SURGEON PROCEEDED TO PERFORM THE DECOMPRESSION WITH A C3-7 LAMINECTOMY. AFTERWARDS THE SURGEON CHANGED THE VECTOR OF THE PATIENT¿S HEAD TO RE-ALIGN THE SPINE AFTER DECOMPRESSION. APPROXIMATELY TEN (10) MINUTES AFTERWARDS HE BEGAN PREPARING TWO (2) 4.0MM RODS. PRIOR TO INSTRUMENTATION OF THE RODS, THE PATIENT BEGAN TO LOSE SENSORY NEUROMONITORING SIGNALS. APPROXIMATELY FIVE (5) MINUTES LATER THE PATIENT LOSES MOTOR SIGNALS AND LOW BLOOD PRESSURE. AT THIS MOMENT THERE IS AN URGENCY TO COMPLETE THE CONSTRUCT AND CLOSE THE PATIENT. THE SURGEON DECIDED TO USE 3.5MM RODS INSTEAD. ALL RODS AND SET SCREWS WERE IMPLANTED AND FINAL TIGHTENED AS INTENDED. THE PATIENT WENT INTO CARDIAC ARREST APPROXIMATELY 5 MINUTES INTO CLOSING. APPROXIMATELY 1 HOUR AFTERWARDS, TIME OF DEATH WAS ANNOUNCED. THERE W
Patient problems: Unspecified Tissue Injury
MAUDE report 11169766 ↗
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- NA 04.615.014Synthes GmbH · APPLIANCE, FIXATION, SPINAL INTERLAMINAL72 reports
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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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