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In what may have seemed like an incredibly ingenious solution to missing medical devices a surgeon created what will forever be known as the Rickston Screw-Up.

Medical malpractice suit involves makeshift implant

HILO - An hour into back surgery on patient Arturo Iturralde at Hilo Hospital in 2001, Dr. Robert Ricketson discovered that two titanium rods he planned to attach to Iturralde's spine were missing.

Brushing off an offer from a representative of the rod manufacturer to fly two more rods from Honolulu to Hilo in 90 minutes, Ricketson used a hacksaw to cut off the shaft of a screwdriver and inserted it into Iturralde's back.

The screwdriver piece broke a week later. For the next 2 1/2 years, Iturralde suffered increasingly severe medical problems until he died in 2003.

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