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U.S. Department of Health and Human Services

Class 2 Device Recall Illico Ti Cannulated Polyaxial Screw

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  Class 2 Device Recall Illico Ti Cannulated Polyaxial Screw see related information
Date Initiated by Firm September 25, 2012
Date Posted October 29, 2012
Recall Status1 Terminated 3 on March 29, 2013
Recall Number Z-0168-2013
Recall Event ID 63385
510(K)Number K071890  K042673  
Product Classification Orthosis, spondylolisthesis spinal fixation - Product Code MNH
Product ILLlCO¿ MIS Posterior Fixation System, Bone-screw Internal Spinal Fixation System,
Orthosis, Spinal Pedical Fixation
Orthosis, Spondylolisthesis Spinal Fixation


The ILLICO MIS Posterior Fixation System is intended to facilitate the surgical correction of noncervical spinal deformities by providing temporary internal fixation and stabilization during bone graft healing and/or fusion mass development. When used for a minimally invasive posterior approach ILLlCO¿ MIS Instrumentation is used in conjunction with polyaxial screw components. The ILLICO MIS Posterior Fixation System is intended for use as a posterior spinal fixation device to aid in the surgical correction of various spinal deformities and pathologies of the spine. It is intended to provide stabilization during the development of fusion utilizing a bone graft. Specific indications for the ILLICO MIS Posterior Fixation System are dependent in part on the configuration of the assembled device and the method of attachment to the spine.
Code Information Product Codes: KW, MNI, MNH.  Part NumberlLot Number: ¿PART DESCRIPTION LOT  7384S-30 Ti CANNULATED POLYAXIAL SCREW 4.5mm X 30mm 646501  73845-35 Ti CANNULATED POLYAXIAL SCREW 4.5mm X 35mm 646502  73845-40 Ti CANNULATED POLYAXIAL SCREW 4.5mm X 40mm 646503  73845-45 Ti CANNULATED POLYAXIAL SCREW 4.5mm X 45mm 646504  73855-35 Ti CANNULATED POLYAXIAL SCREW 5.5mm X 35mm 646510  73865-30 Ti CANNULATED POLYAXIAL SCREW 6.5mm X 30mm 646515  73865-35 Ti CANNULATED POLYAXIAL SCREW 6.5mm X 35mm 646516  73865-40 Ti CANNULATED POLYAXIAL SCREW 6.5mm X 40mm 646517  73865-45 Ti CANNULATED POLYAXIAL SCREW 6.5mm X 45mm 646542  73865-50 Ti CANNULATED POLYAXIAL SCREW 6.5mm X 50mm 646543  73875-35 Ti CANNULATED POLYAXIAL SCREW 7.5mm X 35mm 646546  73875-45 Ti CANNULATED POLYAXIAL SCREW 7.5mm X 45mm 646548  73875-50 Ti CANNULATED POLYAXIAL SCREW 7.5mm X 50mm 646549  
Recalling Firm/
Manufacturer		 Alphatec Spine, Inc.
5818 El Camino Real
Carlsbad CA 92008-8816
For Additional Information Contact
760-431-9286
Manufacturer Reason
for Recall		 The firm initiated the recall because the stainless steel guide-wire of the Illico MIS Fixation System did not completely fit/pass through the tip of certain Illico Ti Cannulated Polyaxial Screws, therefore rendering such screws nonfunctional.
FDA Determined
Cause 2		 Nonconforming Material/Component
Action Alphatec Spine sent an Urgent Medical Device Recall Notification letter dated September 25, 2012, to all affected customers. The letter identifed the product, the problem, and the action to be taken by the customer. Customers were instructed to contact Alphatec Spine's Customers Service Department (customerservice@alphatecspine.com) immediately for instructions on how to return the affected product. Customers were asked to fill out the lower portion of the letter and fax to (760) 431-0289 to confirm that they have read the notification and will take all necessary removal actions. For questions customers were instructed to call 1-800-922-1356. For questions regarding this recall call 760-431-9286.
Quantity in Commerce 209 screws
Distribution Nationwide Distribution including AZ, IL, CA, SC, TN, TX, GA, CT, NY, FL, OK, LA, MO, NV,and UT.
Total Product Life Cycle TPLC Device Report
1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
3 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
510(K) Database 510(K)s with Product Code = MNH and Original Applicant = ALPHATEC SPINE, INC.
510(K)s with Product Code = MNH and Original Applicant = ALPHATEC/NEXMED
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