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