Class 2 Device Recall TxHA PEEK IBF System; TxTiHA IBF System

• Date Initiated by Firm: August 14, 2024
• Date Posted: September 17, 2024
• Recall Status: Open, Classified
• Recall Number: Z-3163-2024
• Recall Event ID: 95185
• 510(K)Number: K180078 K183064 K201614
• Product Classification: Intervertebral fusion device with bone graft, lumbar - Product Code MAX
• Product: TxHA PEEK IBF/TxTiHA IBF System REF BTA-151 i. TxHA The Innovasis TxHA PEEK IBF System is an intervertebral body fusion device intended to stabilize a spinal segment to promote fusion using bone graft, in order to restrict motion and decrease pain. Users of these products are limited to physicians trained in orthopedic surgery. Clinical locations include hospitals and surgery sites equipped to perform spinal surgery. ii. TxTiHA The Innovasis TxTiHA IBF System is an intervertebral body fusion device intended to stabilize a spinal segment to promote fusion using bone graft, in order to restrict motion and decrease pain.
• Code Information: Part Number and Description: LS-397-0705 Implant Trial, 10 x 7 x 28mm x 5¿, Tx UDI-DI code: M711LS39707050 Serial Numbers: 001-012 013-025 Part Number and Description: LS-397-0805 Implant Trial, 10 x 8 x 28mm x 5¿, Tx UDI-DI Code: M711LS39708050 Serial Numbers: 001-012 013-026 Part Number and Description: LS-397-0905 Implant Trial, 10 x 9 x 28mm x 5¿, Tx UDI-DI code: M711LS39709050 Serial Numbers: 001-012 013-027 Part Number and Description: LS-397-1005 Implant Trial, 10 x 10 x 28mm x 5¿, Tx UDI-Di code: M711LS39710050 Serial Numbers: 001-012 013-027 Part Number and Description: LS-397-1105 Implant Trial, 10 x 11 x 28mm x 5¿, Tx UDI-DI code: M711LS39711050 Serial Numbers: 001-012 013-027 Part Number and Description: LS-397-0810 Implant Trial, 10 x 08 x 28mm x 10¿, Tx UDI_DI code: M711LS39708100 Serial Numbers: 001-012 013-026 Part Number and Description: LS-397-0910 Implant Trial, 10 x 09 x 28mm x 10¿, Tx UDI-DI code: M711LS39709100 Serial Numbers: 001-012 013-026 Part Number and Description: LS-397-1010 Implant Trial, 10 x 10 x 28mm x 10¿, Tx UDI-DI code: M711LS39710100 Serial Numbers: 001-012 013-026 Part Number and Description: LS-397-1110 Implant Trial, 10 x 11 x 28mm x 10¿, Tx +M711LS39711100E 001-012 013-026 Part Number and Description: LS-397-0912 Implant Trial, 10 x 09 x 28mm x 12.5¿, Tx UDI-DI code: M711LS39709120 Serial Numbers: 001-012 013-024 Part Number and Description: LS-397-1012 Implant Trial, 10 x 10 x 28mm x 12.5¿, Tx UDI-DI code: M711LS39710120 Serial Numbers: 001-012 013-024 Part Number and Description: LS-397-1112 Implant Trial, 10 x 11 x 28mm x 12.5¿, Tx UDI_DI code: M711LS39711120 Serial Numbers: 001-012 013-025 Part Number and Description: LS-433-0805 Implant Trial, 12 x 8 x 32mm x 5¿, Tx UDI-DI code: M711LS43308050 Serial Numbers: 001-012 013-026 Part Number and Description: LS-433-0905 Implant Trial, 12 x 9 x 32mm x 5¿, Tx UDI-DI code: M711LS43309050 Serial Numbers: 001-012 013-027 Part Number and Description: LS-433-1005 Implant Trial, 12 x 10 x 32mm x 5¿, Tx UDI-DI code: M711LS43310050 Serial Numbers: 001-012 013-027 Part Number and Description: LS-433-1105 Implant Trial, 12 x 11 x 32mm x 5¿, Tx UDI-DI code: M711LS43311050 Serial Numbers: 001-012 013-026 Part Number and Description: LS-433-0910 Implant Trial, 12 x 09 x 32mm x 10¿, Tx UDI-DI code: M711LS43309100 Serial Numbers: 001-012 013-026 Part Number and Description: LS-433-1010 Implant Trial, 12 x 10 x 32mm x 10¿, Tx UDI-DI code: M711LS43310100 Serial Numbers: 001-012 013-028 Part Number and Description: LS-433-1110 Implant Trial, 12 x 11 x 32mm x 10¿, Tx UDI-DI code: M711LS43311100 Serial Numbers: 001-012 013-026 Part Number and Description: LS-433-0912 Implant Trial, 12 x 09 x 32mm x 12.5¿, Tx UDI-DI code: M711LS43309120 Serial Numbers: 001-012 013-024 Part Number and Description: LS-433-1012 Implant Trial, 12 x 10 x 32mm x 12.5¿, Tx UDI-DI code: M711LS43310120 Serial Numbers: 001-012 013-025 Part Number and Description: LS-433-1112 Implant Trial, 12 x 11 x 32mm x 12.5¿, Tx UDI-DI code: M711LS43311120 Serial Numbers: 001-012 013-024
• Recalling Firm/ Manufacturer: Innovasis, Inc; 614 E 3900 S; Salt Lake City UT 84107-1902
• For Additional Information Contact: Michael Thomas; 801-261-2236 Ext. 8002
• Manufacturer Reason for Recall: Due to interfacing issues between the implant trial and inserter of the lumbar intervertebral fusion device.
• FDA Determined Cause: Device Design
• Action: On 08/14/2024, the firm sent an "URGENT: MEDICAL DEVICE RECALL" Letter via email to customers informing them of interfacing issues between the implant trial and inserter of the Tx Systems. Customers are instructed to: 1. Please return trial sets to Innovasis for proper disposition. 2. Innovasis Distributor & Product Support (DPS) personnel will coordinate product replenishment with customers as needed. 3. Once all affected parts have been removed from inventory, a Product Removal Form will be issued to customers. This form must be filled, signed and returned for regulatory purposes. Note that this may come from an e-signature application (e.g., Adobe Sign, RightSignature, etc.). For questions/assistance, contact DPS at 801-261-2242 or support@innovasis.com during business hours Monday thru Friday 8:00 a.m. - 5:00 p.m. MST.
• Quantity in Commerce: 568 devices
• Distribution: U.S. Nationwide distribution in the states of AL, CA, CO, FL, ID, MI, SD, TX and WI.
• 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 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.

• 510(K) Database: 510(K)s with Product Code = MAX