510(k) Report

510(k) · Cleared

Cleared

Synthes Antegra System

K063158510(k) SpecialCleared Nov 14, 200628-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

Synthes Spine Co.Lp · KWQ Appliance, Fixation, Spinal Intervertebral Body

Cleared on Nov 14, 2006 as substantially equivalent to K022791 (Synthes (Usa), 2002) after a 28-day review. Its family tree reaches back 1 generation to 2002. 1 of the 479 devices in its family, counting itself, has a Class I recall. 477 later devices descend from it.

Decided
Nov 14, 2006
Review
28 days
Class
Class II
Product code
KWQ
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to K022791 (2002). 477 later devices descend from it, 3 citing it directly. 1 of the 479 devices in this family, counting this one, has a Class I recall.

Descendants, by year cleared 2016: 11 descendants cleared2009: 1 descendant cleared2008: 1 descendant cleared2017: 17 descendants cleared2012: 2 descendants cleared2018: 20 descendants cleared2020: 44 descendants cleared2013: 2 descendants cleared2023: 59 descendants cleared2022: 52 descendants cleared2014: 1 descendant cleared2015: 1 descendant cleared2019: 24 descendants cleared2021: 43 descendants cleared, 1 with a Class I recall12024: 81 descendants cleared2026: 54 descendants cleared2025: 64 descendants clearedK022791 · Synthes Anterior Tension Band (Atb) System · Synthes (Usa) · 2002200020052010201520202025
Descendants, by generation 1 generation forward: 3 descendants2 generations forward: 5 descendants3 generations forward: 3 descendants4 generations forward: 6 descendants5 generations forward: 18 descendants6 generations forward: 44 descendants7 generations forward: 82 descendants, 1 with a Class I recall18 generations forward: 131 descendants9 generations forward: 120 descendants10 generations forward: 44 descendants11 generations forward: 14 descendants12 generations forward: 6 descendants13 generations forward: 1 descendant K022791 · Synthes Anterior Tension Band (Atb) System · Synthes (Usa) · 20020+5+10
  1. Root · 1 generation backK022791 Synthes Anterior Tension Band (Atb) SystemSynthes (Usa) · 2002
  2. This deviceK063158 Synthes Antegra SystemSynthes Spine Co.Lp · 2006
  3. Descendant · cites it directly · 472 of its ownK081568 Antegra-TSynthes Spine Co.Lp · 2008
  4. Descendant · 2 generations on · 469 of its ownK121815 Nuvasive Sage Lateral Plate SystemNuvasive, Inc. · 2012
  5. Descendant · 3 generations on · 466 of its ownK131723 Coroent Single Tab SystemNuvasive, Inc. · 2013
  6. Descendant · 4 generations on · 465 of its ownK140479 Coroent XL-F SystemNu Vasive, Incorporated · 2014
  7. Descendant · 4 generations on · 396 of its ownK160051 NuVasive® Interfixated Interbody SystemNu Vasive, Incorporated · 2016

Showing 5 of 477 descendants. See all descendants

Descendants cleared per year

2008: 12009: 12012: 22013: 22014: 12015: 12016: 112017: 172018: 202019: 242020: 442021: 432022: 522023: 592024: 812025: 642026: 54
2008high 81 (2024) · low 0 (2010)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 477 · See all
  • K081568Antegra-TSynthes Spine Co.Lp · 2008 · cites it directly472descendants
  • K121815Nuvasive Sage Lateral Plate SystemNuvasive, Inc. · 2012 · 2 generations on469descendants
  • K131723Coroent Single Tab SystemNuvasive, Inc. · 2013 · 3 generations on466descendants
  • K140479Coroent XL-F SystemNu Vasive, Incorporated · 2014 · 4 generations on465descendants
  • K160051NuVasive® Interfixated Interbody SystemNu Vasive, Incorporated · 2016 · 4 generations on396descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K022791Synthes Anterior Tension Band (Atb) SystemSynthes (Usa)2002—
0 (this device)K063158Synthes Antegra SystemSynthes Spine Co.Lp2006—
+1K081568Antegra-TSynthes Spine Co.Lp2008—
+2K121815Nuvasive Sage Lateral Plate SystemNuvasive, Inc.2012—
+3K131723Coroent Single Tab SystemNuvasive, Inc.2013—
+4K140479Coroent XL-F SystemNu Vasive, Incorporated2014—
+4K160051NuVasive® Interfixated Interbody SystemNu Vasive, Incorporated2016—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200810
200910
201220
201320
201410
201510
2016110
2017170
2018200
2019240
2020440
2021431
2022520
2023590
2024810
2025640
2026540
FIG. 1 — Lineage of K063158, 2002–2026Source: 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.

1 device in this family has a Class I recall. 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
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What was it cleared against? (1)

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
*K022791Synthes Anterior Tension Band (Atb) System
Summary page 1
…Orthopaedic and Rehabilitation Devices Panel Product Code KWQ Predicate Device: Synthes Anterior Tension Band (ATB) System - K022791 Device Description: The Synthes Antegra System consists of lumbar and sacral plates (o…
Synthes (Usa)2002—

Also cleared against K022791: 14 other devices →

What descends from it? (477)

See all 477

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

NumberDeviceApplicantDecidedDescendants
K081568Antegra-TSynthes Spine Co.Lp2008472
K160362Z-Span Plate SystemZavation, LLC20163
K090222Pioneer Lumbar Plate SystemPioneer Surgical Technology20093

Has anything in its family been recalled? (1 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K211616ExcelsiusHubGlobus Medical, Inc. · 2021 · 7 generations on · ◆ in the 2021 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • Its one ancestor has no recall.
  • Of its descendants, K081568 (Synthes Spine Co.Lp, 2008) has gone furthest, with 472 descendants of its own.
  • 14 other devices also cite its predicate K022791.

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?

Synthes Antegra System is intended for use via the lateral or anterolateral surgical approach above the bifurcation of the great vessels or via the anterior surgical approach, below the bifurcation of the great vessels. Synthes Antegra System is indicated in the treatment of lumbar and lumbosacral (LI-SI) spine instability as a result of the following: * Fracture (including dislocation and subluxation) * Tumor * Degenerative Disc Disease (defined as back…

Read the full statement (131 words)

Synthes Antegra System is intended for use via the lateral or anterolateral surgical approach above the bifurcation of the great vessels or via the anterior surgical approach, below the bifurcation of the great vessels.

Synthes Antegra System is indicated in the treatment of lumbar and lumbosacral (LI-SI) spine instability as a result of the following:

* Fracture (including dislocation and subluxation)

* Tumor

* Degenerative Disc Disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies)

* Pseudoarthrosis

* Spondylolysis

* Spondylolisthesis

* Scoliosis

* Lordotic deformities of the spine

* Spinal stenosis

* Failed previous spine surgery.

Warning: This device is not intended for screw attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic, or lumbar spine.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K063158: Synthes Antegra System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K063158

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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