| Brand Name | ANTERALIGN¿ Spinal System with Titan nanoLOCK¿ Surface Technology |
| Common Device Name | INTERVERTEBRAL FUSION DEVICE WITH BONE GRAFT, |
| Manufacturer (Section D) |
| Titan Spine, a Division of Medtronic |
| 8347 n steven rd |
| milwaukee WI 53092 |
|
| Manufacturer (Section G) |
| Titan Spine, a Division of Medtronic |
| 8347 n steven rd |
|
| milwaukee WI 53092 |
|
| Manufacturer Contact |
|
justin
ellis
|
| 1800 pyramid place |
| memphis, TN 38132
|
|
+1(763)526-5677
|
|
| MDR Report Key | 50834744 |
| Report Number | 3011577940-2026-00027 |
| Device Sequence Number | 10269998 |
| Product Code |
MAX
|
| UDI-Device Identifier | 00763000128845 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | JA |
| PMA/510(K) Number | K212524 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Health Professional |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/20/2026 |
| 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 Number | 46221255 |
| Device Catalogue Number | 46221255 |
| Device Lot Number | TM0140702 |
| 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 | 08/24/2026 |
| Initial Report FDA Received Date | 09/20/2026 |
| Date Device Manufactured | 12/16/2022 |
| 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 |