TOPS™ - 30 M 85859Recalls & reported problems
Premia Spine Ltd · The TOPS™ device is a motion preserving spinal implant that is inserted into the lumbar spine via pedicle screws. The device is implanted via a posterior surgical approach to replace the degenerated skeletal elements such as the lamina and the facet joints that are removed during the decompression. · Class 3 · Implant
Data updated Oct 16, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 4
- Deaths reported
- 0
- Injuries reported
- 4
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 4 adverse event reports that list this exact device (DI 07290014064041), received between Jan 4, 2024 and Sep 3, 2026 — classified as 4 injuries.
The most frequently reported specific device problem is “Loose or Intermittent Connection” (1 report).
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 16, 2026.
Reports received per month
Most reported problems
Device problems
- Adverse Event Without Identified Device or Use Problem1
- Loose or Intermittent Connection1
- Naturally Worn1
- Use of Device Problem1
Patient problems
- Insufficient Information2
- Dural Tear1
- Pain1
Recent adverse event reports
The 4 most recent of 4 reports, in the reporter's own words as published by the FDA.
InjurySep 3, 2026Use of Device Problem
The company was informed about a revision case of the TOPS System in the US after more than 5 years of implantation.The original procedure was performed on (b)(6), 2021. The patient was treated with TOPS at L4-L5 as part of the US IDE clinical study.Patient experienced initial relief of pain symptoms after surgery but by Month 3 the back pain had returned and remained until her completion of the clinical study. The device remained functional for the full duration.The TOPS System was removed as part of the revision surgery and fusion was performed. During the revision procedure, the surgeon noted that the patient's disc had degenerated and was not moving in flexion/extension. The surgeon had to convert to fusion because the patient was experiencing back pain.
Patient problems: Pain
MAUDE report 50587191 ↗InjuryFeb 20, 2026Loose or Intermittent Connection
THE COMPANY WAS INFORMED OF A REVISION CASE OF THE TOPS SYSTEM IN THE US APPROXIMATELY TWO MONTHS POST-IMPLANTATION. THE PROCEDURE INVOLVED A DUROTOMY REPAIR AND THE REMOVAL OF A PAIN PUMP. INTRAOPERATIVELY, TWO 6.5X50MM PEDICLE SCREWS AT L5 WERE IDENTIFIED AS LOOSE; THESE WERE EXPLANTED AND REPLACED WITH 7.5X50MM SCREWS. ADDITIONALLY, TWO L4 SET SCREWS WERE REPLACED AND THE TOPS IMPLANT WAS SUBSEQUENTLY REIMPLANTED.
Patient problems: Dural Tear
MAUDE report 24404829 ↗InjuryJun 22, 2025Naturally Worn; Naturally Worn
THE COMPANY WAS INFORMED OF A REVISION CASE OF THE TOPS SYSTEM WITH VERSALINK IN THE UK. THE ORIGINAL PROCEDURE WAS PERFORMED ON (B)(6) 2021. ON (B)(6) 2025, THE TOPS MOTION IMPLANT AND VERSALINK RODS WERE REMOVED AND REPLACED WITH NEW IMPLANTS IN A REVISION SURGERY. THE EXPLANTS WERE NOT RETURNED FOR INVESTIGATION.
Patient problems: Insufficient Information
MAUDE report 22304616 ↗InjuryJan 4, 2024Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
THE COMPANY WAS INFORMED ABOUT A REVISION CASE OF THE TOPS SYSTEM IN FRANCE. THE ORIGINAL PROCEDURE WAS PERFORMED ON (B)(6) 2022. IN THE REVISION SURGERY, WHICH WAS PERFORMED AFTER MORE THAN A YEAR, THE TOPS MOTION IMPLANT WAS REMOVED AND REPLACED WITH A NEW ONE. NO OTHER DETAILS WERE PROVIDED AND NO ADDITIONAL INFORMATION IS AVAILABLE.
Patient problems: Insufficient Information
MAUDE report 18441900 ↗
Other Prosthesis, Posterior Spinal Elements devices
- TOPS Inserter 82889Premia Spine Ltd · Prosthesis, Posterior Spinal Elements1 recall1 report
- TOPS™ - 21 M 85858Premia Spine Ltd · Prosthesis, Posterior Spinal Elements8 reports
- TOPS™ - 21 L 82643Premia Spine Ltd · Prosthesis, Posterior Spinal Elements5 reports
- TOPS™ - 30 L 82644Premia Spine Ltd · Prosthesis, Posterior Spinal Elements2 reports
Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026
- Page last rebuilt: Oct 16, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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