| Brand Name | CATALYFT¿ PL EXPANDABLE INTERBODY SYSTEM |
| Common Device Name | INTERVERTEBRAL FUSION DEVICE WITH BONE GRAFT, |
| Manufacturer (Section D) |
| MDT PUERTO RICO OPERATIONS CO, MED REL |
| road 909, km. 0.4., barrio mar |
| humacao PR 00792 |
|
| Manufacturer (Section G) |
| MDT PUERTO RICO OPERATIONS CO, MED REL |
| road 909, km. 0.4., barrio mar |
|
| humacao PR 00792 |
|
| Manufacturer Contact |
|
justin
ellis
|
| 1800 pyramid place |
| memphis, TN 38132
|
|
7635265677
|
|
| MDR Report Key | 22994213 |
| Report Number | 2647346-2025-00096 |
| Device Sequence Number | 18371331 |
| Product Code |
MAX
|
| UDI-Device Identifier | 00763000246693 |
| UDI-Public | (01)00763000246693(17)321226(10)1051165W |
| Combination Product (Y/N) | N |
| Initial Reporter Country | BE |
| PMA/510(K) Number | K210425 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Health Professional |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/08/2025 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Model Number | 6068073 |
| Device Catalogue Number | 6068073 |
| Device Lot Number | 1051165W |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/18/2025 |
| Initial Report FDA Received Date | 09/08/2025 |
| Date Device Manufactured | 12/26/2024 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|