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MalfunctionKWQ

INSIGNIA ANTERIOR CERVICAL PLATE SYSTEM

Received Jul 13, 2026 · Event occurred Jun 18, 2026

Report 2027467-2026-00158 · MDR key 25797244

Device

Generic name

Appliance, Fixation, Spinal Intervertebral Body

Model number

236-1-14517

Catalog number

236-1-14517

Product problems

  • Fracture
  • Device Dislodged or Dislocated

Patient

61 YR · Male

  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

AROUND 6 MONTHS POSTOPERATIVELY, RADIOGRAPHIC IMAGING REVEALED A SCREW BACKING OUT OF THE PLATE AND SCREW SHANK FRACTURE.

Additional Manufacturer Narrative

THE IMPLANT REMAINS IN SITU. THE LOT NUMBER WAS NOT PROVIDED; THEREFORE, A REVIEW OF THE DEVICE HISTORY RECORD COULD NOT BE CONDUCTED. BASED ON INFORMATION PROVIDED, A DEFINITIVE ROOT CAUSE COULD NOT BE DETERMINED. ALPHATEC SPINE, INC. IS SUBMITTING THIS REPORT IN COMPLIANCE WITH FDA REGULATIONS UNDER 21 CFR 803. ALL RELEVANT AND AVAILABLE INFORMATION WAS INCLUDED TO THE BEST OF OUR KNOWLEDGE AT THE TIME OF THIS SUBMISSION. ANY FIELDS LEFT BLANK REFLECT INFORMATION THAT WAS NOT KNOWN OR NOT PROVIDED.