| Class 3 Device Recall InTice" C Porous Ti Cervical Interbody System |  |
Date Initiated by Firm | September 30, 2020 |
Create Date | November 06, 2020 |
Recall Status1 |
Terminated 3 on May 21, 2021 |
Recall Number | Z-0429-2021 |
Recall Event ID |
86602 |
510(K)Number | K173832 |
Product Classification |
Intervertebral fusion device with bone graft, cervical - Product Code ODP
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Product | XTANT Medical, ## mm x ## mm x # mm x # ,Lordotic/Packaged InTice - C, Sterile R, Single Use Only, for the following Reference numbers/ Primary DI Number/Material Grade on Label:
Ref: X098-0106-STR DI Number: M697X0980106STR1 Mat.: CP Ti Grade 3,
Ref: X098-0107-STR DI Number: M697X0980107STR1 Mat.: CP Ti Grade 4,
Ref: X098-0108-STR DI Number: M697X0980108STR1 Mat.: CP Ti Grade 5,
Ref: X098-0109-STR DI Number: M697X0980109STR1 Mat.: CP Ti Grade 6,
Ref: X098-0110-STR DI Number: M697X0980110STR1 Mat.: CP Ti Grade 7,
Ref: X098-0111-STR DI Number: M697X0980111STR1 Mat.: CP Ti Grade 8,
Ref: X098-0112-STR DI Number: M697X0980112STR1 Mat.: CP Ti Grade 9,
Ref: X098-0205-STR DI Number: M697X0980205STR1 Mat.: CP Ti Grade 10,
Ref: X098-0206-STR DI Number: M697X0980206STR1 Mat.: CP Ti Grade 11,
Ref: X098-0207-STR DI Number: M697X0980207STR1 Mat.: CP Ti Grade 12,
Ref: X098-0208-STR DI Number: M697X0980208STR1 Mat.: CP Ti Grade 13,
Ref: X098-0209-STR DI Number: M697X0980209STR1 Mat.: CP Ti Grade 14,
Ref: X098-0210-STR DI Number: M697X0980210STR1 Mat.: CP Ti Grade 15,
Ref: X098-0211-STR DI Number: M697X0980211STR1 Mat.: CP Ti Grade 16,
Ref: X098-0212-STR DI Number: M697X0980212STR1 Mat.: CP Ti Grade 17,
Ref: X098-0305-STR DI Number: M697X0980305STR1 Mat.: CP Ti Grade 18,
Ref: X098-0306-STR DI Number: M697X0980306STR1 Mat.: CP Ti Grade 19,
Ref: X098-0307-STR DI Number: M697X0980307STR1 Mat.: CP Ti Grade 20,
Ref: X098-0308-STR DI Number: M697X0980308STR1 Mat.: CP Ti Grade 21,
Ref: X098-0309-STR DI Number: M697X0980309STR1 Mat.: CP Ti Grade 22,
Ref: X098-0310-STR DI Number: M697X0980310STR1 Mat.: CP Ti Grade 23,
Ref: X098-0311-STR DI Number: M697X0980311STR1 Mat.: CP Ti Grade 24,
Ref: X098-0312-STR DI Number: M697X0980312STR1 Mat.: CP Ti Grade 25 |
Code Information |
Reference Number/Lot Number/Expiration date: X098-0106-STR/ 1220190000207152/ 12-13-24, X098-0107-STR / 1220190000207153/ 12-06-24, X098-0108-STR / 1220190000207154/ 12-06-24, X098-0109-STR / 0120200000207155 / 01-10-25, X098-0110-STR / 0120200000207156 / 01-10-25, X098-0111-STR / 0120200000207157 / 01-10-25, X098-0112-STR / 1220190000207158 / 12-07-24, X098-0205-STR / 1220190000207159 / 12-06-24, X098-0206-STR / 12201900002071510 / 12-06-24, X098-0207-STR / 12201900002071511 / 12-07-24, X098-0208-STR / 12201900002071512 / 12-07-24, X098-0209-STR / 12201900002071513 / 12-06-24, X098-0210-STR / 12201900002071514 / 12-07-24, X098-0211-STR / 12201900002071515 / 12-07-24, X098-0212-STR / 12201900002071516 / 12-07-24, X098-0305-STR / 02202000002071517 / 02-05-25 X098-0306-STR / 12201900002071518 / 12/13/24, X098-0307-STR / 01202000002071519 / 01-10-25, X098-0308-STR / 12201900002071520 / 1213-24, X098-0309-STR / 12201900002071521 / 12-07-24, X098-0310-STR / 12201900002071522 / 12-07-24, X098-0311-STR / 12201900002071523 / / 12-07-24, X098-0312-STR / 12201900002071524 / 12-08/24 |
Recalling Firm/ Manufacturer |
XTANT Medical 664 Cruiser Ln Belgrade MT 59714-9719
|
For Additional Information Contact | Michele Dolan 406-388-0480 Ext. 1127 |
Manufacturer Reason for Recall | Cervical Implants contain a label that incorrectly identifies the grade of titanium used. |
FDA Determined Cause 2 | Labeling mix-ups |
Action | On 9/30/2020 and 10/29/2020, a "Urgent: Medical Device Recall" notification was sent to consignees via FedEx Priority Overnight. In addition to notifying the consignee about the labeling issue, the recall notification as consignees to take the following actions:
1. Immediately examine your inventory and quarantine any affected products subject to this recall. See enclosed illustration for ease in identifying affected products (see Attachment 2).
2. Please complete the enclosed Acknowledgement Form (Attachment 1), even if you have no remaining devices in your inventory, and return the completed Acknowledgment Form to the
Attention of Michele Dolan via:
Mail: Xtant Medical
InTice-C Porous Ti Cervical Interbody System Recall
664 Cruiser Lane
Belgrade, MT 59714
Email:
mdolan@xtantmedical.com
Fax:1-406-388-3380
3. Return Affected Product
Contact Michele Dolan at mdolan@xtantmedical.com, or 1-406-388-0480 ext. 1127, between 8 a.m.
and 5 p.m. (Mountain Time) to obtain instructions for returning affected product, and to obtain
replacement devices which will be provided at no cost to you.
4. Package the affected products to be returned. Xtant will provide a shipping container (if needed) with
a return shipping label. Securely package the affected product(s). Send the container at your earliest
opportunity to:
ATTN: InTice-C Porous Ti Cervical Interbody System Recall
RA# 20-xxxx
Xtant Medical
732 Cruiser Lane
Belgrade, MT 59714
If you have any questions, please contact Rebecca Lennemann, Director of RAQA, 1-406-388-0480 ext.
1125, from 8 a.m. to 5 p.m. (Mountain Time).
For consignees that have already implanted the device:
1. The product does not pose any health risk. The product is correctly manufactured with commercially pure Titanium (CP-Ti), Grade 2, and as such, there is no need for surgical intervention.
2. This notice is being provided only as a notification of the recall and requires completion of the Customer Acknowl |
Quantity in Commerce | 508 units |
Distribution | US: FL, TX, CA, OH, AZ, OH
OUS: None |
Total Product Life Cycle | TPLC Device Report |
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1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls. 2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall. 3 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
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510(K) Database | 510(K)s with Product Code = ODP
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