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☑ UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington , D.C. 20549 FORM 40 - F REGISTRATION STATEMENT PURSUANT TO SECTION 12 OF THE SECURITIES EXCHANGE ACT OF 1934 ANNUAL REPORT PURSUANT TO SECTION 13 ( a ) OR 15 ( d ) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal year ended December 31 , 2020 Commission File Number 001-38524 ☑ TITAN MEDICAL INC . ( Exact name of Registrant as specified in its charter ) Ontario , Canada ( Province or other jurisdiction of incorporation or organization ) 3841 ( Primary Standard Industrial Classification Code Number ( if applicable ) ) 98-0663504 ( I.R.S. Employer Identification Number ( if applicable ) ) 155 University Avenue , Suite 750 Toronto , Ontario M5H 3B7 ( 416 ) 548-7522 ( Address and telephone number of Registrant's principal executive offices ) CT Corporation System 1015 15th Street N.W. , Suite 1000 Washington , DC 20005 ( 202 ) 572-3133 ( Name , address ( including zip code ) and telephone number ( including area code ) of agent for service in the United States ) Securities registered or to be registered pursuant to Section 12 ( b ) of the Act : Title of each class Common Shares , no par value Trading Symbol ( s ) TMDI Name of each exchange on which registered The NASDAQ Stock Market LLC Securities registered or to be registered pursuant to Section 12 ( g ) of the Act : Not applicable . Securities for which there is a reporting obligation pursuant to Section 15 ( d ) of the Act : Not applicable . For annual reports , indicate by check mark the information filed with this Form : Annual information form ☑ Audited annual financial statements Number of outstanding shares of each of the issuer's classes of capital or common stock as of December 31 , 2020 : 83,184,843 Common Shares , no par value Indicate by check mark whether the Registrant ( 1 ) has filed all reports required to be filed by Section 13 or 15 ( d ) of the Exchange Act during the preceding 12 months ( or for such shorter period that the Registrant was required to file such reports ) and ( 2 ) has been subject to such filing requirements for the past 90 days . Yes No □ Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S - T ( §232.405 of this chapter ) during the preceding 12 months ( or for such shorter period that the registrant was required to submit such files ) . Yes > No □ Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 12b - 2 of the Exchange Act . Emerging growth company ☑