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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Alphatec Spine, Inc. Invictus Spinal Fixation System; THORACOLUMBOSACRAL PEDICLE SCREW SYSTEM

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Alphatec Spine, Inc. Invictus Spinal Fixation System; THORACOLUMBOSACRAL PEDICLE SCREW SYSTEM Back to Search Results
Model Number 55405-105-090
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Codes Failure of Implant (1924); Insufficient Information (4580)
Date of Event 06/23/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that a screw fractured postoperatively.
 
Additional Manufacturer Narrative
The screw has not returned for evaluation.A radiographic image was provided which confirms the event.A review of the device history records could not be performed as the identifying lot number was not provided.Based on the information provided, the root cause could not be determined.Alphatec spine is submitting this report to comply with the fda regulations 21 cfr 803.Alphatec spine has made reasonable efforts to provide as much relevant information as available.Any field that is left blank was not known at the time of this submission.If additional information is provided, a supplemental report will be submitted.
 
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Brand Name
Invictus Spinal Fixation System
Common Device Name
THORACOLUMBOSACRAL PEDICLE SCREW SYSTEM
Manufacturer (Section D)
Alphatec Spine, Inc.
1950 camino vida roble
carlsbad CA 92008
Manufacturer (Section G)
Alphatec Spine, Inc.
1950 camino vida roble
carlsbad CA 92008
Manufacturer Contact
michael hendrickson
1950 camino vida roble
carlsbad, CA 92008
+1(760)356-6777
MDR Report Key50002121
Report Number2027467-2026-00150
Device Sequence Number10625287
Product Code NKB
UDI-Device Identifier00190376450711
UDI-Public(01)00190376450711
Combination Product (Y/N)N
Initial Reporter StateTX
Initial Reporter CountryUS
PMA/510(K) Number
K214006
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2026
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 07/22/2026
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
Operator of Device Health Professional
Device Model Number55405-105-090
Device Catalogue Number55405-105-090
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 06/23/2026
Initial Report FDA Received Date07/27/2026
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)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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