| Brand Name | Biomet SpinalPak Non-invasive Spine Fusion Stimulator System |
| Common Device Name | Stimulator, Bone Growth, Non-Invasive |
| Manufacturer (Section D) |
| EBI, LLC. |
| 1 gatehall dr |
| suite 303 |
| parsippany NJ 07054 |
|
| Manufacturer (Section G) |
| EBI, LLC |
| 1 gatehall dr |
| suite 303 |
| parsippany NJ 07054 |
|
| Manufacturer Contact |
|
stephanie
smith
|
| 1 gatehall dr |
| suite 303 |
| parsippany, NJ 07054
|
|
+1(973)299-9300
|
|
| MDR Report Key | 50934222 |
| Report Number | 0002242816-2026-00104 |
| Device Sequence Number | 13143109 |
| Product Code |
LOF
|
| UDI-Device Identifier | 00812301020218 |
| UDI-Public | 00812301020218 |
| Combination Product (Y/N) | N |
| Initial Reporter State | TN |
| Initial Reporter Country | US |
| PMA/510(K) Number | P850022 |
| Exemption Number | 5645646 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Consumer |
| Type of Report
| Initial |
| Report Date (Section B) |
09/29/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
Yes
|
| Is this a Product Problem Report? |
No
|
| Operator of Device |
Lay User/Patient
|
| Device Model Number | 1067716 |
| Device Catalogue Number | 1067716 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Initial Date Received by Manufacturer | 09/01/2026 |
| Initial Report FDA Received Date | 09/29/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 02/18/2025 |
| 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 |
Unknown
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Female |
|
|