| Brand Name | X-PAC |
| Common Device Name | INTERBODY FUSION DEVICE |
| Manufacturer (Section D) |
| EXPANDING INNOVATIONS, INC. |
| 110 pioneer way, suite i |
| mountain view CA 94041 |
|
| Manufacturer (Section G) |
| EXPANDING INNOVATIONS, INC. |
| 110 pioneer way, suite i |
|
| mountain view CA 94041 |
|
| Manufacturer Contact |
|
mbithi
muthini
|
| 110 pioneer way, suite i |
| mountain view, CA 94041
|
|
| MDR Report Key | 24760408 |
| Report Number | 3007289746-2026-00001 |
| Device Sequence Number | 15742850 |
| Product Code |
MAX
|
| UDI-Device Identifier | 00850001720250 |
| UDI-Public | 00850001720250 |
| Combination Product (Y/N) | N |
| Initial Reporter State | NV |
| Initial Reporter Country | US |
| PMA/510(K) Number | K152539 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2025 |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,User Facility,Company Representative |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
03/31/2026 |
| 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
|
| Device Catalogue Number | EI2473LT |
| Device Lot Number | UNKNOWN |
| 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 | 03/02/2026 |
| Initial Report FDA Received Date | 04/01/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| 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) |
Yes
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Patient Age | 71 YR |
| Patient Sex | Male |
| Patient Weight | 91 KG |
| Patient Ethnicity | Non Hispanic |
| Patient Race | White |
|
|