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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device intervertebral fusion device with bone graft, lumbar
Regulation Description Intervertebral body fusion device.
Definition Intended to stabilize spinal segment to promote fusion in order to restrict motion and decrease pain using bone graft.
Product CodeMAX
Regulation Number 888.3080
Device Class 2


Premarket Reviews
ManufacturerDecision
4WEB MEDICAL, INC.
  SUBSTANTIALLY EQUIVALENT 1
4WEB, INC.
  SUBSTANTIALLY EQUIVALENT 4
ADVANCED RESEARCH MEDICAL, LLC
  SUBSTANTIALLY EQUIVALENT 1
AEGIS SPINE, INC.
  SUBSTANTIALLY EQUIVALENT 1
ALPHATEC SPINE, INC
  SUBSTANTIALLY EQUIVALENT 1
ALPHATEC SPINE, INC.
  SUBSTANTIALLY EQUIVALENT 6
ALTUS PARTNERS, LLC
  SUBSTANTIALLY EQUIVALENT 5
AMEDICA CORP.
  SUBSTANTIALLY EQUIVALENT 1
AMENDIA, INC.
  SUBSTANTIALLY EQUIVALENT 2
AMPLIFY SURGICAL INC
  SUBSTANTIALLY EQUIVALENT 1
ASTURA MEDICAL
  SUBSTANTIALLY EQUIVALENT 3
ASTURA MEDICAL, LLC
  SUBSTANTIALLY EQUIVALENT 3
ATLAS SPINE, INC.
  SUBSTANTIALLY EQUIVALENT 2
BAAT MEDICAL PRODUCTS BV
  SUBSTANTIALLY EQUIVALENT 1
BAUI BIOTECH CO., LTD.
  SUBSTANTIALLY EQUIVALENT 1
BENVENUE MEDICAL, INC.
  SUBSTANTIALLY EQUIVALENT 3
BIEDERMANN MOTECH GMBH & CO. KG
  SUBSTANTIALLY EQUIVALENT 1
BIOGENNIX, LLC
  SUBSTANTIALLY EQUIVALENT 1
BIOMET SPINE LLC.
  SUBSTANTIALLY EQUIVALENT 1
BLUESTONE SYNERGY
  SUBSTANTIALLY EQUIVALENT 1
CAMBER SPINE TECHNOLOGIES
  SUBSTANTIALLY EQUIVALENT 3
CAMBER SPINE TECHNOLOGIES LLC
  SUBSTANTIALLY EQUIVALENT 1
CAMBER SPINE TECHNOLOGIES, LLC
  SUBSTANTIALLY EQUIVALENT 1
CAPTIVA SPINE, INC.
  SUBSTANTIALLY EQUIVALENT 1
CARBOFIX ORTHOPEDICS LTD.
  SUBSTANTIALLY EQUIVALENT 1
CARBOFIX ORTHPEDICS LTD.
  SUBSTANTIALLY EQUIVALENT 1
CARLSMED, INC.
  SUBSTANTIALLY EQUIVALENT 2
CENTINEL SPINE, INC.
  SUBSTANTIALLY EQUIVALENT 1
CHOICE SPINE, LP
  SUBSTANTIALLY EQUIVALENT 2
CHOICE SPINE, LP.
  SUBSTANTIALLY EQUIVALENT 1
CHOICESPINE LLC
  SUBSTANTIALLY EQUIVALENT 1
CLARIANCE
  SUBSTANTIALLY EQUIVALENT 1
CLARIANCE SAS
  SUBSTANTIALLY EQUIVALENT 1
CLARIANCE, SAS
  SUBSTANTIALLY EQUIVALENT 2
COGENT SPINE LLC
  SUBSTANTIALLY EQUIVALENT 1
COLIGNE, AG
  SUBSTANTIALLY EQUIVALENT 1
CORELINK, LLC
  SUBSTANTIALLY EQUIVALENT 2
CORENTEC CO., LTD
  SUBSTANTIALLY EQUIVALENT 1
CTL MEDICAL CORPORATION
  SUBSTANTIALLY EQUIVALENT 1
CURITEVA, LLC
  SUBSTANTIALLY EQUIVALENT 1
CUTTING EDGE SPINE, LLC
  SUBSTANTIALLY EQUIVALENT 4
DEGEN MEDICAL
  SUBSTANTIALLY EQUIVALENT 2
DEPUY SYNTHES SPINE
  SUBSTANTIALLY EQUIVALENT 1
DIFUSION TECHNOLOGIES
  SUBSTANTIALLY EQUIVALENT 1
DOUBLE MEDICAL TECHNOLOGY INC
  SUBSTANTIALLY EQUIVALENT 1
EIT EMERGING IMPLANT TECHNOLOGIES GMBH
  SUBSTANTIALLY EQUIVALENT 5
EVOLUTION SPINE, LLC
  SUBSTANTIALLY EQUIVALENT 1
EXPANDING INNOVATIONS, INC
  SUBSTANTIALLY EQUIVALENT 1
EXPANDING INNOVATIONS, INC.
  SUBSTANTIALLY EQUIVALENT 1
EXPANDING ORTHOPEDICS, INC.
  SUBSTANTIALLY EQUIVALENT 1
FACETLINK DBA LINKSPINE
  SUBSTANTIALLY EQUIVALENT 1
FIMS CO., LTD.
  SUBSTANTIALLY EQUIVALENT 1
FLOSPINE, LLC
  SUBSTANTIALLY EQUIVALENT 1
GBS COMMONWEALTH CO., LTD.
  SUBSTANTIALLY EQUIVALENT 1
GENESYS SPINE
  SUBSTANTIALLY EQUIVALENT 5
GLOBUS MEDICAL INC.
  SUBSTANTIALLY EQUIVALENT 8
HD LIFESCIENCES LLC
  SUBSTANTIALLY EQUIVALENT 1
HT MEDICAL, LLC
  SUBSTANTIALLY EQUIVALENT 2
HUVEXEL CO., LTD
  SUBSTANTIALLY EQUIVALENT 1
INNOVASIS, INC.
  SUBSTANTIALLY EQUIVALENT 4
INNOVASIVE, INC.
  SUBSTANTIALLY EQUIVALENT 1
INTEGRITY IMPLANTS INC
  SUBSTANTIALLY EQUIVALENT 3
INTEGRITY IMPLANTS INC.
  SUBSTANTIALLY EQUIVALENT 2
INTERVENTIONAL SPINE, INC.
  SUBSTANTIALLY EQUIVALENT 1
JOIMAX GMBH
  SUBSTANTIALLY EQUIVALENT 1
K2M
  SUBSTANTIALLY EQUIVALENT 2
K2M, INC.
  SUBSTANTIALLY EQUIVALENT 5
KALITEC MEDICAL, LLC
  SUBSTANTIALLY EQUIVALENT 1
KEOS
  SUBSTANTIALLY EQUIVALENT 3
KUROS BIOSCIENCES BV
  SUBSTANTIALLY EQUIVALENT 1
KYOCERA MEDICAL TECHNOLOGIES, INC.
  SUBSTANTIALLY EQUIVALENT 1
L&K BIOMED CO., LTD.
  SUBSTANTIALLY EQUIVALENT 2
LDR SPINE USA
  SUBSTANTIALLY EQUIVALENT 1
LEGEND SPINE TECHNOLOGIES
  SUBSTANTIALLY EQUIVALENT 1
LIFE SPINE
  SUBSTANTIALLY EQUIVALENT 1
LIFE SPINE INC.
  SUBSTANTIALLY EQUIVALENT 10
LIFE SPINE, INC.
  SUBSTANTIALLY EQUIVALENT 4
MEDACTA INERNATIONAL SA
  SUBSTANTIALLY EQUIVALENT 1
MEDACTA INTERNATIONAL SA
  SUBSTANTIALLY EQUIVALENT 2
MEDICAL DESIGNS, LLC
  SUBSTANTIALLY EQUIVALENT 1
MEDICREA INTERNATIONAL S.A.
  SUBSTANTIALLY EQUIVALENT 6
MEDITECH SPINE, LLC
  SUBSTANTIALLY EQUIVALENT 1
MEDOS INTERNATIONAL, SARL
  SUBSTANTIALLY EQUIVALENT 5
MEDTRONIC SOFAMOR DANEK
  SUBSTANTIALLY EQUIVALENT 4
MEDTRONIC SOFAMOR DANEK USA, INC
  SUBSTANTIALLY EQUIVALENT 3
MEDTRONIC SOFAMOR DANEK USA, INC.
  SUBSTANTIALLY EQUIVALENT 5
MEDTRONIC SOFAMOR DANEK, USA INC.
  SUBSTANTIALLY EQUIVALENT 2
MEDYSSEY USA, INC.
  SUBSTANTIALLY EQUIVALENT 5
MET 1 TECHNOLOGIES, LLC
  SUBSTANTIALLY EQUIVALENT 1
MET ONE TECHNOLOGIES
  SUBSTANTIALLY EQUIVALENT 1
MIRUS, LLC
  SUBSTANTIALLY EQUIVALENT 3
NANOVIS LLC
  SUBSTANTIALLY EQUIVALENT 3
NEO MEDICAL S.A.
  SUBSTANTIALLY EQUIVALENT 2
NEUROPRO SPINAL JAXX, INC.
  SUBSTANTIALLY EQUIVALENT 1
NEUROSTRUCTURES, INC.
  SUBSTANTIALLY EQUIVALENT 3
NEXUS SPINE, LLC
  SUBSTANTIALLY EQUIVALENT 3
NEXXT SPINE LLC
  SUBSTANTIALLY EQUIVALENT 4
NGMEDICAL GMBH
  SUBSTANTIALLY EQUIVALENT 1
NLT SPINE LTD
  SUBSTANTIALLY EQUIVALENT 2
NUVASIVE INCORPORATED
  SUBSTANTIALLY EQUIVALENT 2
NUVASIVE, INCORPORATED
  SUBSTANTIALLY EQUIVALENT 22
NVISION BIOMEDICAL TECHNOLOGIES, INC.
  SUBSTANTIALLY EQUIVALENT 1
NVISION BIOMEDICAL TECHNOLOGIES, LLC
  SUBSTANTIALLY EQUIVALENT 1
OMNIA MEDICAL, LLC
  SUBSTANTIALLY EQUIVALENT 2
ORBBO SURGICAL, LLC
  SUBSTANTIALLY EQUIVALENT 1
ORTHOFIX INC.
  SUBSTANTIALLY EQUIVALENT 4
OSSEUS FUSION SYSTEMS, LLC
  SUBSTANTIALLY EQUIVALENT 1
OUROBOROS MEDICAL, INC.
  SUBSTANTIALLY EQUIVALENT 1
PANTHEON SPINAL
  SUBSTANTIALLY EQUIVALENT 2
PAONAN BIOTECH CO., LTD.
  SUBSTANTIALLY EQUIVALENT 2
PARADIGM SPINE, GMBH
  SUBSTANTIALLY EQUIVALENT 1
PINNACLE SPINE GROUP, LLC
  SUBSTANTIALLY EQUIVALENT 1
PIONEER SURGICAL TECHNOLOGY, INC. DBA RTI SURGICAL, INC.
  SUBSTANTIALLY EQUIVALENT 1
PIONEER SURGICAL TECHNOLOGY, INC., DBA RTI SURGICAL, INC.
  SUBSTANTIALLY EQUIVALENT 1
PRECIFIT MEDICAL LTD
  SUBSTANTIALLY EQUIVALENT 2
PRECISION SPINE, INC.
  SUBSTANTIALLY EQUIVALENT 1
PRINTERPREZZ
  SUBSTANTIALLY EQUIVALENT 1
PRISM SURGICAL DESIGNS PTY LTD
  SUBSTANTIALLY EQUIVALENT 1
RAED M. ALI, M.D., INC.
  SUBSTANTIALLY EQUIVALENT 1
RAED M. ALI, MD., INC.
  SUBSTANTIALLY EQUIVALENT 1
RELIANCE MEDICAL SYSTEMS
  SUBSTANTIALLY EQUIVALENT 1
RELIANCE MEDICAL SYSTEMS LLC
  SUBSTANTIALLY EQUIVALENT 1
RELIANCE MEDICAL SYSTEMS, LLC
  SUBSTANTIALLY EQUIVALENT 2
RENOVIS SURGICAL TECHNOLOGIES
  SUBSTANTIALLY EQUIVALENT 2
REPUBLIC SPINE LLC
  SUBSTANTIALLY EQUIVALENT 1
RTI SURGICAL, INC.
  SUBSTANTIALLY EQUIVALENT 1
RTI SURGICAL, INC. DBA RTI BIOLOGICS
  SUBSTANTIALLY EQUIVALENT 1
RUBICON SPINE, LLC
  SUBSTANTIALLY EQUIVALENT 1
SEASPINE ORTHOPEDICS CORPORATION
  SUBSTANTIALLY EQUIVALENT 13
SIGNATURE ORTHOPAEDICS PTY LTD.
  SUBSTANTIALLY EQUIVALENT 1
SIGNUS MEDIZINTECHNIK
  SUBSTANTIALLY EQUIVALENT 1
SILONY MEDICAL GMBH
  SUBSTANTIALLY EQUIVALENT 4
SOLCO BIOMEDICAL CO., LTD.
  SUBSTANTIALLY EQUIVALENT 1
SPECTRUM SPINE, LLC
  SUBSTANTIALLY EQUIVALENT 2
SPINAL ANALYTICS & GEOMETRICAL IMPANT CO, LLC
  SUBSTANTIALLY EQUIVALENT 1
SPINAL ELEMENTS INC
  SUBSTANTIALLY EQUIVALENT 1
SPINAL ELEMENTS INC.
  SUBSTANTIALLY EQUIVALENT 3
SPINAL ELEMENTS, INC.
  SUBSTANTIALLY EQUIVALENT 3
SPINAL STABILITY, LLC
  SUBSTANTIALLY EQUIVALENT 1
SPINE INNOVATION LLC
  SUBSTANTIALLY EQUIVALENT 1
SPINE VIEW, INC.
  SUBSTANTIALLY EQUIVALENT 2
SPINE WAVE, INC.
  SUBSTANTIALLY EQUIVALENT 3
SPINEART
  SUBSTANTIALLY EQUIVALENT 4
SPINEEX INC.
  SUBSTANTIALLY EQUIVALENT 2
SPINEEX, INC.
  SUBSTANTIALLY EQUIVALENT 1
SPINEFRONTIER, INC.
  SUBSTANTIALLY EQUIVALENT 1
SPINEMED GES.M.B.H
  SUBSTANTIALLY EQUIVALENT 1
SPINEOLOGY INC
  SUBSTANTIALLY EQUIVALENT 1
SPINEOLOGY INC.
  SUBSTANTIALLY EQUIVALENT 9
SPINEOLOGY, INC.
  SUBSTANTIALLY EQUIVALENT 1
SPINEVISION S.A.
  SUBSTANTIALLY EQUIVALENT 1
SPINEVISION SAS
  SUBSTANTIALLY EQUIVALENT 1
SPINEVISION, SAS
  SUBSTANTIALLY EQUIVALENT 1
SPINEWORXX AG
  SUBSTANTIALLY EQUIVALENT 1
STRYKER
  SUBSTANTIALLY EQUIVALENT 3
STRYKER CORPORATION
  SUBSTANTIALLY EQUIVALENT 3
STRYKER SPINE
  SUBSTANTIALLY EQUIVALENT 2
SUMMIT SPINE
  SUBSTANTIALLY EQUIVALENT 1
SURGTECH INC
  SUBSTANTIALLY EQUIVALENT 1
SYNTHES USA PRODUCTS LLC
  SUBSTANTIALLY EQUIVALENT 1
TITAN SPINE, LLC
  SUBSTANTIALLY EQUIVALENT 1
TRANS1
  SUBSTANTIALLY EQUIVALENT 1
U&I CORPORATION
  SUBSTANTIALLY EQUIVALENT 3
VALLUM CORPORATION
  SUBSTANTIALLY EQUIVALENT 1
VERTERA, INC.
  SUBSTANTIALLY EQUIVALENT 1
WENZEL SPINE, INC.
  SUBSTANTIALLY EQUIVALENT 1
X-SPINE SYSTEMS, INC.
  SUBSTANTIALLY EQUIVALENT 2
XENCO MEDICAL, LLC
  SUBSTANTIALLY EQUIVALENT 1
XENCO MEDICAL, LLC.
  SUBSTANTIALLY EQUIVALENT 1
ZAVATION MEDICAL PRODUCTS LLC
  SUBSTANTIALLY EQUIVALENT 3
ZAVATION MEDICAL PRODUCTS, LLC
  SUBSTANTIALLY EQUIVALENT 3
ZAVATION, LLC
  SUBSTANTIALLY EQUIVALENT 1
ZIMMER BIOMET SPINE INC.
  SUBSTANTIALLY EQUIVALENT 1

MDR Year MDR Reports MDR Events
2016 647 647
2017 595 595
2018 614 614
2019 699 699
2020 640 640
2021 417 417

Device Problems MDRs with this Device Problem Events in those MDRs
Break 1159 1159
Adverse Event Without Identified Device or Use Problem 494 494
Migration 306 306
Migration or Expulsion of Device 304 304
Fracture 279 279
Device-Device Incompatibility 174 174
Material Integrity Problem 105 105
Mechanical Problem 99 99
Mechanical Jam 97 97
Collapse 92 92
Device Operates Differently Than Expected 89 89
Device Dislodged or Dislocated 83 83
Material Deformation 57 57
Unintended Movement 54 54
Malposition of Device 54 54
Compatibility Problem 53 53
Fitting Problem 51 51
Material Fragmentation 50 50
Detachment of Device or Device Component 49 49
Insufficient Information 43 43
Appropriate Term/Code Not Available 43 43
Crack 39 39
Loose or Intermittent Connection 33 33
Detachment Of Device Component 28 28
Material Twisted/Bent 28 28
Difficult to Insert 26 26
Improper or Incorrect Procedure or Method 25 25
Positioning Problem 23 23
Difficult to Remove 20 20
Device Slipped 20 20
Use of Device Problem 20 20
No Apparent Adverse Event 20 20
Physical Resistance/Sticking 19 19
Mechanics Altered 16 16
Bent 15 15
Patient Device Interaction Problem 15 15
Loosening of Implant Not Related to Bone-Ingrowth 15 15
Separation Failure 14 14
Device Handling Problem 14 14
Patient-Device Incompatibility 11 11
Material Disintegration 11 11
Inadequacy of Device Shape and/or Size 11 11
Sticking 11 11
Failure to Align 10 10
Disassembly 9 9
Material Protrusion/Extrusion 9 9
Activation Failure 9 9
Material Separation 8 8
Device Issue 7 7
Positioning Failure 7 7
Device Damaged by Another Device 7 7
Device Markings/Labelling Problem 7 7
Biocompatibility 7 7
Connection Problem 6 6
Failure to Advance 6 6
Nonstandard Device 6 6
Off-Label Use 6 6
Failure to Osseointegrate 5 5
Device Operational Issue 5 5
Unstable 5 5
Leak/Splash 4 4
Material Erosion 4 4
Device Difficult to Maintain 4 4
Human Factors Issue 4 4
Activation, Positioning or SeparationProblem 4 4
Defective Device 4 4
Installation-Related Problem 4 4
Packaging Problem 4 4
Split 4 4
Noise, Audible 4 4
Inaccurate Information 3 3
Difficult To Position 3 3
Device Expiration Issue 3 3
Device Sensing Problem 3 3
Difficult or Delayed Positioning 3 3
Component Falling 3 3
Failure To Adhere Or Bond 3 3
Product Quality Problem 3 3
Device Damaged Prior to Use 3 3
Failure to Disconnect 3 3
Dull, Blunt 3 3
Contamination /Decontamination Problem 3 3
Loss of Osseointegration 2 2
Imprecision 2 2
Disconnection 2 2
Entrapment of Device 2 2
Misconnection 2 2
Osseointegration Problem 2 2
Pressure Problem 2 2
Difficult to Advance 2 2
Manufacturing, Packaging or Shipping Problem 2 2
Device Fell 2 2
Fluid Leak 2 2
Labelling, Instructions for Use or Training Problem 2 2
Component Missing 2 2
Metal Shedding Debris 2 2
Material Split, Cut or Torn 2 2
Separation Problem 2 2
Missing Value Reason 2 2
Torn Material 2 2

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Known Impact Or Consequence To Patient 1322 1322
No Code Available 480 480
No Consequences Or Impact To Patient 367 367
Pain 352 353
No Clinical Signs, Symptoms or Conditions 326 326
Failure of Implant 171 171
Injury 165 165
No Information 110 110
Unspecified Infection 103 103
No Patient Involvement 97 97
Device Embedded In Tissue or Plaque 88 88
Foreign Body In Patient 70 70
Insufficient Information 43 43
Bone Fracture(s) 41 41
Hematoma 32 32
Neuropathy 29 29
Numbness 26 27
Neurological Deficit/Dysfunction 25 25
Patient Problem/Medical Problem 23 23
Post Operative Wound Infection 21 21
Non-union Bone Fracture 21 21
Nerve Damage 21 21
Unspecified Tissue Injury 20 20
Tissue Damage 19 19
Cerebrospinal Fluid Leakage 19 19
Weakness 19 19
Blood Loss 19 19
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 17 17
Spinal Column Injury 15 15
Damage to Ligament(s) 15 15
Hemorrhage/Bleeding 14 14
Not Applicable 14 14
Sedation 13 13
Osteolysis 11 11
Inadequate Pain Relief 11 12
Stenosis 11 11
Death 11 11
Fall 11 11
Wound Dehiscence 9 9
Cyst(s) 8 8
Fever 8 8
Hypersensitivity/Allergic reaction 8 8
Inflammation 8 8
Headache 8 8
Swelling 8 8
Excessive Tear Production 8 8
Reaction 8 8
Discomfort 8 8
Ambulation Difficulties 8 9
Dysphagia/ Odynophagia 7 7
Aspiration/Inhalation 6 6
Paralysis 6 6
Incontinence 6 6
Inadequate Osseointegration 6 6
Bowel Perforation 6 6
Hypoesthesia 6 6
Impaired Healing 6 6
Tingling 5 5
Spinal Cord Injury 5 5
Sepsis 5 5
Abdominal Pain 5 5
Bacterial Infection 4 4
Cardiac Arrest 4 4
Perforation 4 4
Pneumonia 4 4
Muscle Spasm(s) 4 4
Itching Sensation 4 4
Paraplegia 4 4
Disc Impingement 4 4
Urinary Tract Infection 4 4
Perforation of Vessels 4 4
Rupture 3 3
Depression 3 3
Disability 3 3
Joint Disorder 3 3
Laceration(s) 3 3
Loss of Range of Motion 3 3
Rash 3 3
Urinary Retention 3 3
Abscess 3 3
Anemia 3 3
Pulmonary Embolism 3 3
Unspecified Nervous System Problem 3 3
Unspecified Vascular Problem 2 2
Implant Pain 2 2
Erosion 2 2
Arthritis 2 2
Bruise/Contusion 2 2
Encephalopathy 2 2
Diarrhea 2 2
Fatigue 2 2
Low Blood Pressure/ Hypotension 2 2
Hemostasis 2 2
Thrombosis 2 2
Muscle Weakness 2 2
Paresis 2 2
Undesired Nerve Stimulation 2 2
Hernia 2 2
Burning Sensation 2 2
Abdominal Distention 2 2

Recalls
Manufacturer Recall Class Date Posted
1 Amendia, Inc II Dec-20-2016
2 CTL Medical Corporation II Jul-04-2020
3 DePuy Orthopaedics, Inc. II Mar-02-2018
4 DePuy Spine, Inc. II Apr-27-2019
5 Globus Medical, Inc. II Aug-22-2020
6 Howmedica Osteonics Corp. II Dec-13-2018
7 Howmedica Osteonics Corp. II Sep-12-2016
8 Integrity Implants Inc. II Nov-07-2018
9 Interventional Spine Inc II Jan-03-2017
10 K2M, Inc II Jun-01-2021
11 Kiscomedica S.A. II Feb-27-2017
12 Medicrea International II Feb-12-2020
13 Medtronic Sofamor Danek USA, Inc II Apr-20-2021
14 Neuropro Spinal Jaxx II Apr-10-2018
15 SPINEART SA III Nov-22-2019
16 Spinal Elements II May-23-2018
17 Stryker Spine II Apr-20-2021
18 Stryker Spine II Oct-10-2018
19 Stryker Spine II Feb-23-2016
20 Synthes (USA) Products LLC II Apr-14-2016
21 X Spine Systems Inc II Oct-18-2016
22 XTANT MEDICAL INC II Jan-30-2019
23 Zimmer Biomet Spine, Inc II Mar-28-2017
24 Zimmer Biomet Spine, Inc II Aug-11-2016
25 Zimmer Trabecular Metal Technology, Inc. III May-10-2017
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