Stryker Reflex Hybrid Screw Extractor Inner Shaft; || Not Sterile; || Manufactured by: Stryker Spine SAS, Cestas, France; || Distributed in the US by: Stryker Spine, 2 Pearl Court, Allendale, NJ. || The threaded tip of the Reflex Hybrid Screw Extractor has been found to fracture the head of the screw, causing problems in removing the screw and possible damage to the screw and/or plate while attempting to remove the screw.