510(k) Report

510(k) · Cleared

Cleared

Pathway

K080281510(k) TraditionalCleared May 1, 200887-day reviewClass II21 CFR 888.3080

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

Custom Spine, Inc. · MAX Intervertebral Fusion Device With Bone Graft, Lumbar

Cleared on May 1, 2008 as substantially equivalent to K071724 (Spinal Elements, Inc., 2007) and 3 other predicates after an 87-day review. Its family tree reaches back 5 generations to 1984. 188 later devices descend from it.

Decided
May 1, 2008
Review
87 days
Class
Class II
Product code
MAX
Recalls
None
Predicates
4

Its longest line of descent runs back 5 generations to K841189 (1984). 9 ancestors in all. 188 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2007: 1 other ancestor2000: 1 other ancestor2003: 1 other ancestor2001: 1 other ancestor2016: 5 descendants cleared2011: 1 descendant cleared2015: 1 descendant cleared2021: 13 descendants cleared2019: 14 descendants cleared2020: 14 descendants cleared2017: 5 descendants cleared2023: 24 descendants cleared2022: 18 descendants cleared2018: 4 descendants cleared2026: 30 descendants cleared2024: 28 descendants cleared2025: 31 descendants clearedK841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 1984K990148 · Stackable Cage System · Depuy Motech Acromed · 1999K003043 · Surgical Titanium Mesh System · Depuyacromed · 2001K020522 · Modification to Surgical Titanium Mesh System · Depuyacromed · 2002K030833 · Depuy Acromed VBR System · Depuyacromed · 200319801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 1 other ancestor3 generations back: 1 other ancestor 1 generation forward: 3 descendants2 generations forward: 5 descendants3 generations forward: 11 descendants4 generations forward: 25 descendants5 generations forward: 27 descendants6 generations forward: 15 descendants7 generations forward: 12 descendants8 generations forward: 14 descendants9 generations forward: 24 descendants10 generations forward: 29 descendants11 generations forward: 16 descendants12 generations forward: 6 descendants13 generations forward: 1 descendant K030833 · Depuy Acromed VBR System · Depuyacromed · 2003K020522 · Modification to Surgical Titanium Mesh System · Depuyacromed · 2002K003043 · Surgical Titanium Mesh System · Depuyacromed · 2001K990148 · Stackable Cage System · Depuy Motech Acromed · 1999K841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 1984−50+5+10
  1. Root · 5 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 4 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 3 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 2 generations backK020522 Modification to Surgical Titanium Mesh SystemDepuyacromed · 2002
  5. 1 generation backK030833 Depuy Acromed VBR SystemDepuyacromed · 2003
  6. This deviceK080281 PathwayCustom Spine, Inc. · 2008
  7. Descendant · cites it directly · 169 of its ownK151310 Amendia Interbody Fusion DevicesAmendia, Inc. · 2016
  8. Descendant · 2 generations on · 166 of its ownK160924 Amendia Interbody Fusion DevicesAmendia, Inc. · 2016
  9. Descendant · 3 generations on · 129 of its ownK171496 Tritanium C Anterior Cervical CageStryker Spine · 2017
  10. Descendant · 4 generations on · 106 of its ownK180364 HD LifeSciences Cervical IBFD SystemHd Lifesciences, LLC · 2018
  11. Descendant · 5 generations on · 104 of its ownK183557 Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS…Titan Spine, Inc. · 2019 · Recalled

Showing 5 of 188 descendants. See all descendants

Descendants cleared per year

2011: 12015: 12016: 52017: 52018: 42019: 142020: 142021: 132022: 182023: 242024: 282025: 312026: 30
2011high 31 (2025) · low 0 (2012)2026

Most influential descendants

Showing 5 of 188 · See all
  • K151310Amendia Interbody Fusion DevicesAmendia, Inc. · 2016 · cites it directly169descendants
  • K160924Amendia Interbody Fusion DevicesAmendia, Inc. · 2016 · 2 generations on166descendants
  • K171496Tritanium C Anterior Cervical CageStryker Spine · 2017 · 3 generations on129descendants
  • K180364HD LifeSciences Cervical IBFD SystemHd Lifesciences, LLC · 2018 · 4 generations on106descendants
  • K183557Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS Interbody Fusion Device…Titan Spine, Inc. · 2019 · 5 generations on104descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−4K990148Stackable Cage SystemDepuy Motech Acromed1999—
−3K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−2K020522Modification to Surgical Titanium Mesh SystemDepuyacromed2002—
−1K030833Depuy Acromed VBR SystemDepuyacromed2003—
0 (this device)K080281PathwayCustom Spine, Inc.2008—
+1K151310Amendia Interbody Fusion DevicesAmendia, Inc.2016—
+2K160924Amendia Interbody Fusion DevicesAmendia, Inc.2016—
+3K171496Tritanium C Anterior Cervical CageStryker Spine2017—
+4K180364HD LifeSciences Cervical IBFD SystemHd Lifesciences, LLC2018—
+5K183557Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS Interbody Fusion…Titan Spine, Inc.20193

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200010
200110
200310
200710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201110
201510
201650
201750
201840
2019140
2020140
2021130
2022180
2023240
2024280
2025310
2026300
FIG. 1 — Lineage of K080281, 1984–2026Source: 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 MAX? 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 MAX device

  1. #1 K203714 NuVasive Thoracolumbar Interbody Systems…score 102.5 · 24 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
*K071724Lucent
Summary page 1
…ntervertebral body fusion device ClassificationPanel: Orthopedics Product Code: MAX ProprietaryName: PATHWAY PredicateDevices: Spinal Elements Lucent (K071724), Depuy Acromed ' Stackable Cage" System (K990148, K001340, K030833) Device Description: The PATHWAY Inte…
Spinal Elements, Inc.2007—
*K990148Stackable Cage System
Summary page 1
…uct Code: MAX ProprietaryName: PATHWAY PredicateDevices: Spinal Elements Lucent (K071724), Depuy Acromed ' Stackable Cage" System (K990148, K001340, K030833) Device Description: The PATHWAY Interbody Fusion Device is made from Polyetheretherketon…
Depuy Motech Acromed1999—
*K001340Stackable Cage System
Summary page 1
…MAX ProprietaryName: PATHWAY PredicateDevices: Spinal Elements Lucent (K071724), Depuy Acromed ' Stackable Cage" System (K990148, K001340, K030833) Device Description: The PATHWAY Interbody Fusion Device is made from Polyetheretherketone (PEEK O…
Depuyacromed2000—
*K030833Depuy Acromed VBR System
Summary page 1
…AX ProprietaryName: PATHWAY PredicateDevices: Spinal Elements Lucent (K071724), Depuy Acromed ' Stackable Cage" System (K990148, K001340, K030833) Device Description: The PATHWAY Interbody Fusion Device is made from Polyetheretherketone (PEEK OPTIMA TM)…
Depuyacromed2003—

Also cleared against K071724: 38 other devices →

What descends from it? (188)

See all 188

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

NumberDeviceApplicantDecidedDescendants
K151310Amendia Interbody Fusion DevicesAmendia, Inc.2016169
K111774Pathway Model 07XXXXCustom Spine201115
K160631Keos Lumbar IBFDKeos20161

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 24 years and passes through 4 companies; a new generation was cleared every 1.7 years on median.
  • None of the 9 ancestors has a recall.
  • Of its descendants, K151310 (Amendia, Inc., 2016) has gone furthest, with 169 descendants of its own.
  • 38 other devices also cite its predicate K071724.

How does its category compare?

All MAX devices

MAX Intervertebral Fusion Device With Bone Graft, Lumbar: FDA decisions, review times, recalls and adverse event reports over 20 years. 2008, this device’s year, is highlighted.

FDA decisions per year · MAX

29in 2025

2007: 72008: 352009: 312010: 292011: 492012: 482013: 582014: 582015: 532016: 642017: 762018: 642019: 602020: 562021: 532022: 412023: 302024: 382025: 292026 (partial year): 18
2007high 76 (2017) · low 7 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MAX

85in 2025

2007: 86 days median2008: 88 days median2009: 102 days median2010: 137 days median2011: 98 days median2012: 69 days median2013: 102 days median2014: 115 days median2015: 113 days median2016: 124 days median2017: 116 days median2018: 114 days median2019: 131 days median2020: 106 days median2021: 109 days median2022: 95 days median2023: 87 days median2024: 91 days median2025: 85 days median2026 (partial year): 95 days median
2007high 137 (2010) · low 69 (2012)2026

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

Recalls per year · MAX

5in 2025

2008: 22009: 92011: 32012: 11, 1 Class I2014: 32015: 12016: 62017: 12018: 42019: 12022: 12024: 12025: 5
2007high 11 (2012) · low 0 (2007)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · MAX

811in 2025

2007: 122008: 192009: 902010: 1542011: 2012012: 3272013: 3802014: 3662015: 5242016: 6472017: 5962018: 6162019: 6992020: 6402021: 6222022: 6182023: 5762024: 7292025: 811
2007high 811 (2025) · low 12 (2007)2025

MAUDE reports naming product code MAX, 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
2007786012
20083588219
200931102990
2010291370154
201149983201
2012486911 (1)327
2013581020380
2014581153366
2015531131524
2016641246647
2017761161596
2018641144616
2019601311699
2020561060640
2021531090622
202241951618
202330870576
202438911729
202529855811
202618950—

What is it indicated for?

The PATHWAY Interbody Fusion Device(s) is intended for spinal fusion procedure at one or two contiguous levels (L2-S 1) in skeletally mature patients with degenerative Disc Diseases (DDD). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. DDD may also have up to Grade I spondylolisthesis or retrolisthesis at the involved levels. These patients may have had a previous non-fusion…

Read the full statement (214 words)

The PATHWAY Interbody Fusion Device(s) is intended for spinal fusion procedure at one or two contiguous levels (L2-S 1) in skeletally mature patients with degenerative Disc Diseases (DDD). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. DDD may also have up to Grade I spondylolisthesis or retrolisthesis at the involved levels. These patients may have had a previous non-fusion spinal surgery at the involved spinal level(s).

The PATHWAY Interbody Fusion device is intended to be used with supplemental spinal fixation systems that have been cleared for lumbosacral spine (i.e. posterior pedicle screws and rod systems , anterior plate systems, and anterior screw and rod systems. The device(s) is intended to be used with autogenous bone graft.

Patients must have undergone a regiment of at least (6) months of non-operative treatment prior to being treated with the PATHWAY Device.

The PATHWAY device can be used in one of two methods:

Transforaminal Lumbar Interbody Fusion (TLIF)

Used as a TLIF, a single device is implanted in the appropriate location to provide support for a transforaminal approached surgery

Posterior Lumbar Interbody Fusion (PLIF)

Used as a PLIF, multiple devices are implanted in the appropriate locations to provide support to the spine for a posterior surgery.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K080281: Pathway.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K080281

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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