FDA Adverse Event
Malfunction
Summary report: N
INVICTUS OCT SPINAL FIXATION SYSTEM
MDR report key: 25137139
·
Received May 11, 2026
Report
- Report Number
- 2027467-2026-00088
- Event Type
- Malfunction
- Date Received
- May 11, 2026
- Date of Event
- April 13, 2026
- Report Date
- May 11, 2026
- Manufacturer
- ALPHATEC SPINE, INC.
- Product Code
- HWX
- UDI-DI
- 00190376301518
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IA, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
THE TAP HAS NOT RETURNED FOR EVALUATION. PHOTOGRAPHS WERE NOT PROVIDED. A REVIEW OF THE DEVICE HISTORY RECORDS COULD NOT BE PERFORMED AS THE IDENTIFYING LOT NUMBER WAS NOT PROVIDED. BASED ON THE INFORMATION PROVIDED, THE ROOT CAUSE COULD NOT BE DETERMINED. ALPHATEC SPINE IS SUBMITTING THIS REPORT TO COMPLY WITH THE FDA REGULATIONS 21 CFR 803. ALPHATEC SPINE HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS AVAILABLE. ANY FIELD THAT IS LEFT BLANK WAS NOT KNOWN AT THE TIME OF THIS SUBMISSION. IF ADDITIONAL INFORMATION IS PROVIDED, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.
Description of Event or Problem · 0
IT WAS REPORTED THAT THE TAP BROKE DURING SCREW PREPARATION. THE TIP WAS RETRIEVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 528850 | INVICTUS OCT SPINAL FIXATION SYSTEM | TAP, BONE | HWX | ALPHATEC SPINE, INC. | 19807-30 | 00190376301518 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |