510(k) Report

510(k) · Cleared

Cleared

Modification to Macs Modular Anterior Construct System

K032059510(k) SpecialCleared Jul 25, 200323-day reviewClass II21 CFR 888.3060

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Aesculap, Inc. · KWQ Appliance, Fixation, Spinal Intervertebral Body

Cleared on Jul 25, 2003 as substantially equivalent to K002824 (Aesculap, Inc., 2001) and 3 other predicates after a 23-day review. Its family tree reaches back 3 generations to 1998. 250 later devices descend from it.

Decided
Jul 25, 2003
Review
23 days
Class
Class II
Product code
KWQ
Recalls
None
Predicates
4

Its longest line of descent runs back 3 generations to K983583 (1998). 8 ancestors in all, the oldest K922543 (1993). 250 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2001: 1 other ancestor2000: 1 other ancestor1999: 1 other ancestor1998: 1 other ancestor1993: 1 other ancestor2007: 1 descendant cleared2011: 2 descendants cleared2010: 1 descendant cleared2014: 12 descendants cleared2008: 2 descendants cleared2016: 10 descendants cleared2018: 17 descendants cleared2023: 29 descendants cleared2015: 13 descendants cleared2012: 6 descendants cleared2019: 13 descendants cleared2013: 12 descendants cleared2020: 15 descendants cleared2009: 1 descendant cleared2022: 19 descendants cleared2021: 11 descendants cleared2017: 8 descendants cleared2024: 28 descendants cleared2025: 28 descendants cleared2026: 22 descendants clearedK983583 · Depuy Acromed Moss and Moss Miami Spinal Systems · Depuy, Inc. · 1998K994347 · Centaur Spinal System · Howmedica Osteonics Corp. · 2000K002824 · Macs Modular Anterior Construct System · Aesculap, Inc. · 20011990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors2 generations back: 2 other ancestors 1 generation forward: 2 descendants2 generations forward: 4 descendants3 generations forward: 18 descendants4 generations forward: 39 descendants5 generations forward: 58 descendants6 generations forward: 54 descendants7 generations forward: 39 descendants8 generations forward: 19 descendants9 generations forward: 10 descendants10 generations forward: 7 descendants K002824 · Macs Modular Anterior Construct System · Aesculap, Inc. · 2001K994347 · Centaur Spinal System · Howmedica Osteonics Corp. · 2000K983583 · Depuy Acromed Moss and Moss Miami Spinal Systems · Depuy, Inc. · 19980+5+10
  1. Root · 3 generations backK983583 Depuy Acromed Moss and Moss Miami Spinal SystemsDepuy, Inc. · 1998
  2. 2 generations backK994347 Centaur Spinal SystemHowmedica Osteonics Corp. · 2000
  3. 1 generation backK002824 Macs Modular Anterior Construct SystemAesculap, Inc. · 2001
  4. This deviceK032059 Modification to Macs Modular Anterior Construct SystemAesculap, Inc. · 2003
  5. Descendant · cites it directly · 248 of its ownK070387 Expedium Spine SystemDepuy Spine, Inc. · 2007
  6. Descendant · 2 generations on · 218 of its ownK102249 Expedium Spine SystemDepuy Spine, A Johnson & Johnson Company · 2010
  7. Descendant · 2 generations on · 203 of its ownK111571 Viper SystemsJohnson & Johnson · 2011
  8. Descendant · 3 generations on · 94 of its ownK121020 Viper SystemDepuy Spine, Inc. · 2012
  9. Descendant · 4 generations on · 84 of its ownK153442 CD HORIZON Spinal System, Medtronic Navigated Manual Reusable…Medtronic Sofamor Danek USA, Inc. · 2016

Showing 5 of 250 descendants. See all descendants

Descendants cleared per year

2007: 12008: 22009: 12010: 12011: 22012: 62013: 122014: 122015: 132016: 102017: 82018: 172019: 132020: 152021: 112022: 192023: 292024: 282025: 282026: 22
2007high 29 (2023) · low 1 (2007)2026

Most influential descendants

Showing 5 of 250 · See all
  • K070387Expedium Spine SystemDepuy Spine, Inc. · 2007 · cites it directly248descendants
  • K102249Expedium Spine SystemDepuy Spine, A Johnson & Johnson Company · 2010 · 2 generations on218descendants
  • K111571Viper SystemsJohnson & Johnson · 2011 · 2 generations on203descendants
  • K121020Viper SystemDepuy Spine, Inc. · 2012 · 3 generations on94descendants
  • K153442CD HORIZON Spinal System, Medtronic Navigated Manual Reusable Instruments for Use with…Medtronic Sofamor Danek USA, Inc. · 2016 · 4 generations on84descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K983583Depuy Acromed Moss and Moss Miami Spinal SystemsDepuy, Inc.1998—
−2K994347Centaur Spinal SystemHowmedica Osteonics Corp.2000—
−1K002824Macs Modular Anterior Construct SystemAesculap, Inc.2001—
0 (this device)K032059Modification to Macs Modular Anterior Construct SystemAesculap, Inc.2003—
+1K070387Expedium Spine SystemDepuy Spine, Inc.2007—
+2K102249Expedium Spine SystemDepuy Spine, A Johnson & Johnson Company2010—
+2K111571Viper SystemsJohnson & Johnson2011—
+3K121020Viper SystemDepuy Spine, Inc.2012—
+4K153442CD HORIZON Spinal System, Medtronic Navigated Manual Reusable Instruments for…Medtronic Sofamor Danek USA, Inc.2016—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199310
199810
199910
200010
200110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200710
200820
200910
201010
201120
201260
2013120
2014120
2015130
2016100
201780
2018170
2019130
2020150
2021110
2022190
2023290
2024280
2025280
2026220
FIG. 1 — Lineage of K032059, 1998–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in KWQ? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new KWQ device

  1. #1 K233640 Segmental Plating System (SPS);IdentiTi SPS…score 21.9 · 31 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (4)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K002824Macs Modular Anterior Construct System
Summary page 2
…CE Aesculap believes that the MACSTLModular Anterior Construct System Line Extension is substantially equivalent to the existing MACSTLModular Anterior Construct System (K002824) and the following other predicate devices: MACSTLHMA Anterior Spinal Stabilization System (KO11556) K…
Aesculap, Inc.2001—
*K011556Macs Hma Anterior Spinal Stabilization SystemAesculap, Inc.2001—
*K990959K-Centrum Anterior Spinal Fixation System
Summary page 2
…and the following other predicate devices: MACSTLHMA Anterior Spinal Stabilization System (KO11556) K-Centrum Anterior Spinal Fixation System (K990959 & K002371) DEPARTMENT OF HEACTH & HUMAN SERVICES Public Health Servi…
Spineology, Inc.1999—
*K002371K-Centrum Anterior Spinal Fixation System
Summary page 2
…llowing other predicate devices: MACSTLHMA Anterior Spinal Stabilization System (KO11556) K-Centrum Anterior Spinal Fixation System (K990959 & K002371) DEPARTMENT OF HEACTH & HUMAN SERVICES Public Health Service…
Spineology, Inc.2000—

Also cleared against K002824: 2 other devices →

What descends from it? (250)

See all 250

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K070387Expedium Spine SystemDepuy Spine, Inc.2007248
K101353Golden Gate Anterior Plate SystemUlrich GmbH & Co. KG20110

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 5 years and passes through 3 companies; a new generation was cleared every 1.3 years on median.
  • None of the 8 ancestors has a recall.
  • Of its descendants, K070387 (Depuy Spine, Inc., 2007) has gone furthest, with 248 descendants of its own.
  • 2 other devices also cite its predicate K002824.

How does its category compare?

All KWQ devices

KWQ Appliance, Fixation, Spinal Intervertebral Body: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · KWQ

7in 2025

2007: 272008: 322009: 232010: 232011: 222012: 262013: 222014: 172015: 252016: 152017: 202018: 222019: 262020: 262021: 172022: 182023: 162024: 172025: 72026 (partial year): 10
2007high 32 (2008) · low 7 (2025)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KWQ

64in 2025

2007: 101 days median2008: 70 days median2009: 90 days median2010: 104 days median2011: 95 days median2012: 90 days median2013: 88 days median2014: 124 days median2015: 102 days median2016: 121 days median2017: 67 days median2018: 95 days median2019: 81 days median2020: 55 days median2021: 59 days median2022: 85 days median2023: 59 days median2024: 64 days median2025: 64 days median2026 (partial year): 76 days median
2007high 124 (2014) · low 55 (2020)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · KWQ

1in 2018

2007: 22008: 332009: 352010: 22011: 52012: 72013: 62015: 22016: 92017: 82018: 1
2007high 35 (2009) · low 0 (2014)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · KWQ

248in 2025

2007: 2882008: 3482009: 3552010: 6912011: 4152012: 5442013: 7962014: 5462015: 5622016: 5022017: 4922018: 3412019: 2982020: 4002021: 5912022: 3922023: 3202024: 4192025: 248
2007high 796 (2013) · low 248 (2025)2025

MAUDE reports naming product code KWQ, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
2007271012288
2008327033348
2009239035355
2010231042691
201122955415
201226907544
201322886796
2014171240546
2015251022562
2016151219502
201720678492
201822951341
201926810298
202026550400
202117590591
202218850392
202316590320
202417640419
20257640248
202610760—

What is it indicated for?

This anterolateral / anterior system consists of several vertebral screws, locking nuts, spine plates and rods. The points of attachment are screw fixation to the anterolateral vertebral bodies of the lumbar and thoracic spine (TI-L5). This system is intended to provide stabilization during the development of a solid spinal fusion. When used as an anterolateral / anterior spine plate and rod system, the MACS Modular Anterior Construct System is indicated…

Read the full statement (120 words)

This anterolateral / anterior system consists of several vertebral screws, locking nuts, spine plates and rods. The points of attachment are screw fixation to the anterolateral vertebral bodies of the lumbar and thoracic spine (TI-L5). This system is intended to provide stabilization during the development of a solid spinal fusion. When used as an anterolateral / anterior spine plate and rod system, the MACS Modular Anterior Construct System is indicated for patients with:

Degenerative disk disease defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies

Spondylolisthesis

Spondylolysis

Fracture

Spinal stenosis

Deformities (i.e., scoliosis, kyphosis, lordosis, whether neuromuscular or related to deficient posterior elements)

Tumors (neoplastic disease)

Pseudarthrosis

Revision of previous surgery

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K032059: Modification to Macs Modular Anterior Construct System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K032059

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026