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A Specialized Cervical Corpectomy Plate
Fault Tree Analysis
23 April 2008
Patient Hazards
Physical Failure
A
Design/Labeling Failure
B
A
Screw Problems
Plate Problems
Screw Failure
Screw
Translation
Screw Motion
C ED
Screw Hole Sizing
Plate Failure
Plate Deformity
HF G
B
Design Labeling
Incompatible with tools
Break in Packaging
Melting of AdhesiveTear in Plastic
Placement of plate in Ionic Circuit
Poor Implantation
Incorrect Sizing
Inadequate labeling
Ambiguous labeling
Ambiguous storage
Ambiguous screw-plate size combination
Allowance of poor screw-plate size combination
Poor Implantation
C
Displacement of screw in torsion
Subsidence displacing screw
D
Failure of Screw-to- Bone Union
Excessive screw rotation
permitted
Failure of static screw to lock to plate
Insufficient rotational screw movement allowance
E
Shearing of screw neck in torsion
Shearing of screw neck in subsidence
F
Too large of a diameter
Too small of a diameter
Plate surface interferes with static screw locking
Plate surface interferes with static screw locking
G
Buckling in torsion
Buckling in axial loading
H
Sub-failure stress deformation of plate