Reported Reactions

Devices › Intervertebral fusion device with bone graft, lumbar

Device brand name · Intervertebal fusion device w/bone graft lumbar

T-Pal Spacer Applicator Knob: medical device reports filed with FDA

185 reports name it, 2013–2024. Manufacturer given most often on reports: Synthes Hagendorf. Product code MAX.

185
device reports naming the brand
0% of all MAUDE reports · about 14 a year
0
reports, 12 months to August 2026
0 in the 12 months before
86.5%
classified as malfunction
63.3% across the product code
0%
classified as death, as reported
0 reports · not verified by FDA

FDA's MAUDE database holds 185 reports that name the brand "T-Pal Spacer Applicator Knob" (intervertebal fusion device w/bone graft lumbar), received between March 2013 and July 2024; the manufacturer given most often on reports is Synthes Hagendorf. Spellings of one product vary from report to report.

0 reports arrived in the 12 months to August 2026, and none 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 (86.5%) and injury (13.5%); across all intervertebral fusion device with bone graft, lumbar reports (product code MAX) death is recorded in 0.3% and malfunction in 63.3%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are mechanical jam (22.2%), device-device incompatibility (19.5%) and fitting problem (15.1%). The patient problems coded most often are no patient involvement, sedation and cerebrospinal fluid leakage. 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

024Sep 2021: 0Oct 2021: 1Nov 2021: 0Dec 2021: 02022Jan 2022: 2Feb 2022: 0Mar 2022: 1Apr 2022: 2May 2022: 0Jun 2022: 1Jul 2022: 0Aug 2022: 0Sep 2022: 0Oct 2022: 0Nov 2022: 2Dec 2022: 02023Jan 2023: 0Feb 2023: 0Mar 2023: 0Apr 2023: 0May 2023: 1Jun 2023: 0Jul 2023: 2Aug 2023: 3Sep 2023: 0Oct 2023: 0Nov 2023: 0Dec 2023: 12024Jan 2024: 4Feb 2024: 0Mar 2024: 0Apr 2024: 2May 2024: 0Jun 2024: 0Jul 2024: 1Aug 2024: 0Sep 2024: 0Oct 2024: 0Nov 2024: 0Dec 2024: 02025Jan 2025: 0Feb 2025: 0Mar 2025: 0Apr 2025: 0May 2025: 0Jun 2025: 0Jul 2025: 0Aug 2025: 0Sep 2025: 0Oct 2025: 0Nov 2025: 0Dec 2025: 02026Jan 2026: 0Feb 2026: 0Mar 2026: 0Apr 2026: 0May 2026: 0Jun 2026: 0Jul 2026: 0Aug 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

018352013: 620132014: 132015: 2520152016: 352017: 1320172018: 142019: 2320192020: 252021: 920212022: 82023: 720232024: 7

Event type and report source

Event type, as classified on the report

Death0%0
Injury13.5%25
Malfunction86.5%160
Other0%0
Not given0%0

Who filed the report

Manufacturer report99.5%184
Voluntary report0%0
User facility report0%0
Distributor report0%0
Not given0.5%1

Grey bar: all 9,238 reports carrying product code MAX. Event type is the filer's classification and is not verified by FDA.

Device problems coded

Device problem (FDA code)ReportsShareShare across product code
Mechanical jam4122.2%1.8%
Device-device incompatibility3619.5%4.8%
Fitting problem2815.1%0.7%
Device operates differently than expectedthe device behaved unexpectedly2111.4%1.9%
Sticking105.4%0.2%
Breakthe device broke63.2%28.7%
Compatibility problem63.2%1.5%
Mechanical problema mechanical problem52.7%5.7%
Separation failure42.2%0.2%
Device difficult to maintain31.6%0%
Failure to adhere or bond21.1%0.2%
Failure to align21.1%0.1%
Corrodedthe device corroded10.5%0%
Detachment of device or device componentpart of the device came off10.5%1.1%
Device damaged prior to usethe device was damaged before use10.5%0%
Device handling problem10.5%0.2%
Disassembly10.5%0.1%
Loose or intermittent connection10.5%0.8%
Positioning problem10.5%0.6%
Unintended movement10.5%0.8%

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
No patient involvement2111.4%
Sedationdrowsiness from a medicine84.3%
Cerebrospinal fluid leakage21.1%
Excessive tear production21.1%
Injurya physical injury21.1%
Hematomaa collection of blood under the skin or in tissue10.5%
Muscle weakness/atrophy10.5%
Not applicable10.5%
Paralysis10.5%
Tissue damage10.5%

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

In context

MeasureT-Pal Spacer Applicator KnobProduct code MAXAll MAUDE reports
Reports1859,23826,136,888
Share of that pool—2%0%
Classified as death, per 1,000 reports039
Classified as injury13.5%35.6%36.2%
Classified as malfunction86.5%63.3%62.3%
Filed by the manufacturer99.5%97.1%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 MAX

BrandReportsLatest 12 monthsClassified as death
Catalyft PL Expandable Interbody System378950%
ELEVATE Spinal System386460%
CAPSTONE Spinal System358260.3%
Crescent Spinal System32250.6%
Clydesdale Spinal System260330.4%
CLYDESDALE PTC Spinal System22250%
Pivox Oblique Lateral Spinal System25550%
T-Pal Spacer Applicator Inner Shaft27100%
T-Pal Spacer Applicator Handle15700%
Unknown Cage/Spacer28040%
Unknown_Spine_Product596240%
Orthopedic Manual Surgical Instrument1,14300.2%
Collect No Qas Spine Anterior Stabilis26900%
Verte-Stack Spinal System21200.5%
Divergence Anterior Cervical Fusion System230300%

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 T-Pal Spacer Applicator Knob reports

How many FDA reports name T-Pal Spacer Applicator Knob?

185 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 0 in the latest 12 months.

What kinds of events are reported?

malfunction (86.5%) and injury (13.5%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

mechanical jam (22.2%), device-device incompatibility (19.5%), fitting problem (15.1%), device operates differently than expected (11.4%) and sticking (5.4%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (99.5%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that T-Pal Spacer Applicator Knob 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.