FDA UDI Not in Commercial Distribution 🇺🇸 United States

Reform Ti Modular

DI: 00840019975810 · Model: 39-SB-1110 · PRECISION SPINE, INC.
Product Codes
2
GMDN Terms
1
Identifiers
1
Pkg Device Count
1

Basic Information

Brand Name
Reform Ti Modular
Primary DI
00840019975810
Version / Model
39-SB-1110
Catalog Number
39-SB-1110
Company Name
PRECISION SPINE, INC.
Labeler DUNS
079398589
Distribution Status
Not in Commercial Distribution
Device Count in Pkg
1
Record Status
Published
Publish Date
2025-03-05
Public Version
2
Public Version Date
2025-05-01
Public Version Status
Update
Public Device Record Key
79ee7dc1-a279-4608-8729-85a1226083f9
Distribution End Date
2025-04-04

Device Description

Ø11.5 x 100mm Modular Bone Screw

Device Characteristics

Single Use
Yes
Prescription Use (Rx)
Yes
Over the Counter (OTC)
No
Kit
No
Combination Product
No
HCT/P
No
Contains NRL
No
Not Made with NRL
No
MRI Safety
Labeling does not contain MRI Safety Information
Direct Marking Exempt
Yes
PM Exempt
No
Has Serial Number
No
Has Lot/Batch Number
Yes
Has Manufacturing Date
Yes
Has Expiration Date
No
Has Donation ID
No

Sterilization

Is Sterile
No
Sterilization Prior Use
Yes
Sterilization Methods
Moist Heat or Steam Sterilization

Product Codes

Code Name
NKB Thoracolumbosacral Pedicle Screw System
KWP Appliance, Fixation, Spinal Interlaminal

GMDN Terms

Code Name
46651 Spinal bone screw, non-bioabsorbable

Identifiers

Type ID
Primary 00840019975810

Premarket Submissions

Submission Number Supplement Number
K200303 000