Reported Reactions

Devices › Thoracolumbosacral pedicle screw system

Device brand name · Vitality spinal fixation system

Closure Top: medical device reports filed with FDA

440 reports name it, 2014–2026. Manufacturer given most often on reports: Zimmer Biomet Spine. Product code NKB.

440
device reports naming the brand
0% of all MAUDE reports · about 37 a year
27
reports, 12 months to August 2026
93 in the 12 months before
61.8%
classified as malfunction
41.2% across the product code
0%
classified as death, as reported
0 reports · not verified by FDA

440 medical device reports received by FDA name the brand "Closure Top" (vitality spinal fixation system); the manufacturer given most often on reports is Zimmer Biomet Spine; received from September 2014 to July 2026. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

27 reports arrived in the 12 months to August 2026, down 71% from 93 in the 12 months before. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases. The event types recorded are malfunction (61.8%) and injury (38.2%); across all thoracolumbosacral pedicle screw system reports (product code NKB) death is recorded in 0.3% and malfunction in 41.2%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are material deformation (47.3%), migration (31.8%) and loosening of implant not related to bone-ingrowth (7%). The patient problems coded most often are pain, failure of implant and inadequate osseointegration. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Reports by month, five years

01529Sep 2021: 7Oct 2021: 0Nov 2021: 7Dec 2021: 212022Jan 2022: 10Feb 2022: 2Mar 2022: 2Apr 2022: 0May 2022: 0Jun 2022: 0Jul 2022: 2Aug 2022: 0Sep 2022: 0Oct 2022: 3Nov 2022: 0Dec 2022: 02023Jan 2023: 3Feb 2023: 3Mar 2023: 5Apr 2023: 1May 2023: 1Jun 2023: 11Jul 2023: 7Aug 2023: 8Sep 2023: 20Oct 2023: 3Nov 2023: 7Dec 2023: 12024Jan 2024: 0Feb 2024: 1Mar 2024: 0Apr 2024: 3May 2024: 2Jun 2024: 4Jul 2024: 10Aug 2024: 18Sep 2024: 1Oct 2024: 10Nov 2024: 29Dec 2024: 82025Jan 2025: 17Feb 2025: 7Mar 2025: 10Apr 2025: 2May 2025: 9Jun 2025: 0Jul 2025: 0Aug 2025: 0Sep 2025: 1Oct 2025: 1Nov 2025: 0Dec 2025: 42026Jan 2026: 3Feb 2026: 0Mar 2026: 2Apr 2026: 2May 2026: 3Jun 2026: 0Jul 2026: 11Aug 2026: 0

Reports by the month FDA received them. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases.

By year received

048962014: 720142015: 62017: 320172018: 232019: 1120192020: 962021: 4720212022: 192023: 7020232024: 862025: 5120252026: 21

Event type and report source

Event type, as classified on the report

Death0%0
Injury38.2%168
Malfunction61.8%272
Other0%0
Not given0%0

Who filed the report

Manufacturer report100%440
Voluntary report0%0
User facility report0%0
Distributor report0%0
Not given0%0

Grey bar: all 24,738 reports carrying product code NKB. Event type is the filer's classification and is not verified by FDA.

Device problems coded

Device problem (FDA code)ReportsShareShare across product code
Material deformation20847.3%5.5%
Migrationthe device moved from where it was placed14031.8%6.1%
Loosening of implant not related to bone-ingrowth317%2.8%
Improper or incorrect procedure or method153.4%0.4%
Migration or expulsion of device81.8%4.6%
Device-device incompatibility71.6%1.3%
Biocompatibility61.4%0.3%
Noise, audible51.1%0.2%
Damaged thread20.5%0.1%
Device operates differently than expectedthe device behaved unexpectedly10.2%2.3%
Device slipped10.2%6%
Positioning problem10.2%0.5%
Unintended movement10.2%1.5%

FDA's device problem codes as entered on the report; one report can carry several. Generic codes such as "no apparent adverse event" are left out.

Patient problems coded

Patient problem (FDA code)ReportsShare
Painpain, site not specified5512.5%
Failure of implant143.2%
Inadequate osseointegration102.3%
Swelling/ edema81.8%
Eczemaeczema61.4%
Hypersensitivity/allergic reaction61.4%
Rashskin rash61.4%
Swellingswelling61.4%
Deformity/ disfigurement20.5%
Appropriate clinical signs, symptoms and conditions term/code not available10.2%

Patient problem codes are present mainly in reports filed since 2019 and are often blank.

In context

MeasureClosure TopProduct code NKBAll MAUDE reports
Reports44024,73826,136,888
Share of that pool—1.8%0%
Classified as death, per 1,000 reports039
Classified as injury38.2%58.1%36.2%
Classified as malfunction61.8%41.2%62.3%
Filed by the manufacturer100%99.2%94.9%

Shares are of reports, not of devices in use. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Other brands with product code NKB

BrandReportsLatest 12 monthsClassified as death
CD HORIZON Spinal System9,7876340.3%
Ti Matrix Locking Cap48901.2%
Blocker45600%
Nuvasive Reline System46881.5%
Single-Inner Setscrew454190%
CD HORIZON SOLERA VOYAGER Spinal System7752160.1%
5 5 Exp Verse Unitized Set Scr309110%
Open Implant Closure Top27700%
Unknown Mono/Polyaxial Screws39000%
CD HORIZON SOLERA Spinal System320680%
Verse Correction Key28830%
Xia 3 Titanium Blocker34070%
Mis Single Inner Setscw20990.5%
Unknown_Spine_Product596240%
Ti 12-Point Nut-11mm17400%

Ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA also states that "common products may have a higher number of adverse events due to the higher total number of people using the product."

Questions about Closure Top reports

How many FDA reports name Closure Top?

440 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 27 in the latest 12 months.

What kinds of events are reported?

malfunction (61.8%) and injury (38.2%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

material deformation (47.3%), migration (31.8%), loosening of implant not related to bone-ingrowth (7%), improper or incorrect procedure or method (3.4%) and migration or expulsion of device (1.8%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (100%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Closure Top was at fault?

No. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA adds that "a causal relationship cannot be established between product and reactions listed in a report."

How do I report a problem with a medical device?

Through FDA MedWatch (Form FDA 3500 for health professionals and consumers), or to the manufacturer. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Device Adverse Event (MAUDE) bulk export released 28 Sep 2026, which holds reports FDA received through 31 Aug 2026. Brand, generic and manufacturer names are as written on the reports; product code names come from FDA's device classification. A report counts here when any device it lists carries this brand name after punctuation and capitalisation are normalised. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.