510(k) Report

510(k) · Cleared

Recalled · 2009

Blackstone Pillar SA Partial Vertebral Body Replacement Device

K081849510(k) SpecialCleared Aug 28, 200859-day reviewClass II21 CFR 888.3080Recalls 1

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

Blackstone Medical, Inc. · OVD Intervertebral Fusion Device With Integrated Fixation, Lumbar

Cleared on Aug 28, 2008 as substantially equivalent to K060350 (Blackstone Medical, Inc., 2006) and 6 other predicates after a 59-day review. Its family tree reaches back 11 generations to 1984. 1 of the 808 devices in its family, counting itself, has a Class I recall. 753 later devices descend from it. It has been recalled once.

Decided
Aug 28, 2008
Review
59 days
Class
Class II
Product code
OVD
Recalls
1
Predicates
7

Its longest line of descent runs back 11 generations to K841189 (1984). 54 ancestors in all. 753 later devices descend from it, 7 citing it directly. 1 of the 808 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2008: 2 other ancestors2006: 1 other ancestor2005: 4 other ancestors2004: 7 other ancestors2007: 4 other ancestors2003: 4 other ancestors2001: 9 other ancestors2000: 1 other ancestor1999: 2 other ancestors1996: 2 other ancestors2002: 7 other ancestors2023: 79 descendants cleared2010: 2 descendants cleared2009: 1 descendant cleared2024: 88 descendants cleared2014: 9 descendants cleared2016: 37 descendants cleared2018: 52 descendants cleared2012: 2 descendants cleared2019: 63 descendants cleared2015: 16 descendants cleared2013: 2 descendants cleared2011: 3 descendants cleared2020: 82 descendants cleared2026: 63 descendants cleared2021: 67 descendants cleared, 1 with a Class I recall12017: 43 descendants cleared2025: 76 descendants cleared2022: 68 descendants clearedK841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 1984K990148 · Stackable Cage System · Depuy Motech Acromed · 1999K003043 · Surgical Titanium Mesh System · Depuyacromed · 2001×2: 2 generations cleared close together, K022793 (2003), K031757 (2003) ×2: 2 generations cleared close together, K041888 (2004), K042930 (2004) K062759 · Paramount VBR System · Innovative Spinal Technologies, Inc. · 2007K072120 · Paramount Intervertebral Body Fusion Device · Innovative Spinal Technologies, Inc. · 2007×2: 2 generations cleared close together, K080083 (2008), K073109 (2008) 19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 5 other ancestors2 generations back: 13 other ancestors3 generations back: 9 other ancestors4 generations back: 7 other ancestors5 generations back: 6 other ancestors6 generations back: 3 other ancestors 1 generation forward: 7 descendants2 generations forward: 25 descendants3 generations forward: 61 descendants4 generations forward: 150 descendants5 generations forward: 181 descendants6 generations forward: 179 descendants, 1 with a Class I recall17 generations forward: 88 descendants8 generations forward: 38 descendants9 generations forward: 17 descendants10 generations forward: 7 descendants K073109 · Stalif TT Intervertebral Body Fusion System · Surgicraft, Ltd. · 2008K080083 · Intrepid Spinal System · Medtronic Sofamor Danek · 2008 · recalledK072120 · Paramount Intervertebral Body Fusion Device · Innovative Spinal Technologies, Inc. · 2007K062759 · Paramount VBR System · Innovative Spinal Technologies, Inc. · 2007K042930 · Spacevision Cage System · Spine Vision, Inc. · 2004K041888 · Curved Peek Tetris Spinal Implant · Signus Medizintechnik GmbH · 2004K031757 · Peek Tetris Spinal Implant · Signus Medical, LLC · 2003K022793 · Tetris Spinal Implant · Signus Medical, LLC · 2003K003043 · Surgical Titanium Mesh System · Depuyacromed · 2001K990148 · Stackable Cage System · Depuy Motech Acromed · 1999K841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 1984−10−50+5+10
  1. Root · 11 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 7 generations between
  3. 3 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  4. 2 generations backK080083 Intrepid Spinal SystemMedtronic Sofamor Danek · 2008 · Recalled
  5. 1 generation backK073109 Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd. · 2008
  6. This deviceK081849 Blackstone Pillar SA Partial Vertebral Body Replacement DeviceBlackstone Medical, Inc. · 2008
  7. Descendant · cites it directly · 744 of its ownK100043 Coroent XLR Standalone SystemNuvasive, Inc. · 2010
  8. Descendant · 2 generations on · 696 of its ownK123045 Brigade Standalone SystemNuvasive, Inc. · 2013
  9. Descendant · 3 generations on · 588 of its ownK141665 NuVasive CoRoent SystemNuvasive, Inc. · 2015
  10. Descendant · 4 generations on · 479 of its ownK151472 NuVasive CoRoent Lumbar SystemNu Vasive, Incorporated · 2015
  11. Descendant · cites it directly · 473 of its ownK091301 Life Spine Stand-Alone Spacer SystemLife Spine · 2009
Show all 11 generations
  1. Root · 11 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 10 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 9 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 8 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 7 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 6 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 5 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 4 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 3 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 2 generations backK080083 Intrepid Spinal SystemMedtronic Sofamor Danek · 2008 · Recalled
  11. 1 generation backK073109 Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd. · 2008
  12. This deviceK081849 Blackstone Pillar SA Partial Vertebral Body Replacement DeviceBlackstone Medical, Inc. · 2008

Showing 5 of 753 descendants. See all descendants

Descendants cleared per year

2009: 12010: 22011: 32012: 22013: 22014: 92015: 162016: 372017: 432018: 522019: 632020: 822021: 672022: 682023: 792024: 882025: 762026: 63
2009high 88 (2024) · low 1 (2009)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 753 · See all
  • K100043Coroent XLR Standalone SystemNuvasive, Inc. · 2010 · cites it directly744descendants
  • K123045Brigade Standalone SystemNuvasive, Inc. · 2013 · 2 generations on696descendants
  • K141665NuVasive CoRoent SystemNuvasive, Inc. · 2015 · 3 generations on588descendants
  • K151472NuVasive CoRoent Lumbar SystemNu Vasive, Incorporated · 2015 · 4 generations on479descendants
  • K091301Life Spine Stand-Alone Spacer SystemLife Spine · 2009 · cites it directly473descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−10K990148Stackable Cage SystemDepuy Motech Acromed1999—
−9K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−8K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−7K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−6K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−5K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−4K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−3K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−2K080083Intrepid Spinal SystemMedtronic Sofamor Danek20088
−1K073109Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd.2008—
0 (this device)K081849Blackstone Pillar SA Partial Vertebral Body Replacement DeviceBlackstone Medical, Inc.2008—
+1K100043Coroent XLR Standalone SystemNuvasive, Inc.2010—
+2K123045Brigade Standalone SystemNuvasive, Inc.2013—
+3K141665NuVasive CoRoent SystemNuvasive, Inc.2015—
+4K151472NuVasive CoRoent Lumbar SystemNu Vasive, Incorporated2015—
+1K091301Life Spine Stand-Alone Spacer SystemLife Spine2009—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199620
199920
200010
200190
200270
200340
200470
200540
200610
200740
200820

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200910
201020
201130
201220
201320
201490
2015160
2016370
2017430
2018520
2019630
2020820
2021671
2022680
2023790
2024880
2025760
2026630
FIG. 1 — Lineage of K081849, 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.

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 OVD device

  1. #1 K222009 aprevo® anterior lumbar interbody fusion…score 26.0 · 23 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? (7)

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
*K060350Construx PL/TL Peek Partial VBR System
Summary page 1
…l Body Fixation Orthosis Substantially Equivalent Devices: PILLAR SA4 PEEK Spacer System - 510(k) Summary Blackstone Medical, Inc. Construx PL/TL Partial VBR Spacers (K060350 SE 2-24-06) Blackstone Medical, Inc. Construx Mini (K051246 SE 6-14-05) Blackstone Medical, Inc. PILLAR Spacer System (K081177 S…
Blackstone Medical, Inc.2006—
*K051246Construx Mini Peek VBR System
Summary page 1
…PILLAR SA4 PEEK Spacer System - 510(k) Summary Blackstone Medical, Inc. Construx PL/TL Partial VBR Spacers (K060350 SE 2-24-06) Blackstone Medical, Inc. Construx Mini (K051246 SE 6-14-05) Blackstone Medical, Inc. PILLAR Spacer System (K081177 SE 7-23-08) Surgicraft, Ltd. STALIF TT (K041617 SE 9-8-04 an…
Blackstone Medical, Inc.2005—
*K081177Blackstone Medical, Inc., Pillar Spacer System
Cleared while this submission was under review
Summary page 1
…Inc. Construx PL/TL Partial VBR Spacers (K060350 SE 2-24-06) Blackstone Medical, Inc. Construx Mini (K051246 SE 6-14-05) Blackstone Medical, Inc. PILLAR Spacer System (K081177 SE 7-23-08) Surgicraft, Ltd. STALIF TT (K041617 SE 9-8-04 and K051027 SE 6-29-05) Surgicraft, Ltd., STALIF TT Intervertebral Bod…
Blackstone Medical, Inc.2008—
*K051027Stalif TT
Summary page 1
…e Medical, Inc. Construx Mini (K051246 SE 6-14-05) Blackstone Medical, Inc. PILLAR Spacer System (K081177 SE 7-23-08) Surgicraft, Ltd. STALIF TT (K041617 SE 9-8-04 and K051027 SE 6-29-05) Surgicraft, Ltd., STALIF TT Intervertebral Body Fusion System (K073109 SE 6-4-08) Medtronic Sofamor Danek, Intrepid S…
Surgicraft, Ltd.2005—
*K041617Stalif TT
Summary page 1
…SE 2-24-06) Blackstone Medical, Inc. Construx Mini (K051246 SE 6-14-05) Blackstone Medical, Inc. PILLAR Spacer System (K081177 SE 7-23-08) Surgicraft, Ltd. STALIF TT (K041617 SE 9-8-04 and K051027 SE 6-29-05) Surgicraft, Ltd., STALIF TT Intervertebral Body Fusion System (K073109 SE 6-4-08) Medtronic Sof…
Surgicraft, Ltd.2004—
*K073109Stalif TT Intervertebral Body Fusion System
Summary page 1
…Spacer System (K081177 SE 7-23-08) Surgicraft, Ltd. STALIF TT (K041617 SE 9-8-04 and K051027 SE 6-29-05) Surgicraft, Ltd., STALIF TT Intervertebral Body Fusion System (K073109 SE 6-4-08) Medtronic Sofamor Danek, Intrepid Spinal System (K080083 SE 4-10-08) Page 1 of 3 Premarket Notificati…
Surgicraft, Ltd.2008—
*K080083Intrepid Spinal System
Summary page 1
…1617 SE 9-8-04 and K051027 SE 6-29-05) Surgicraft, Ltd., STALIF TT Intervertebral Body Fusion System (K073109 SE 6-4-08) Medtronic Sofamor Danek, Intrepid Spinal System (K080083 SE 4-10-08) Page 1 of 3 Premarket Notification Special 510(k) kD%W‘lfi Blackstone Medical, Inc. ’ PILLAR SA PEEK…
Medtronic Sofamor Danek20088

What descends from it? (753)

See all 753

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

NumberDeviceApplicantDecidedDescendants
K100043Coroent XLR Standalone SystemNuvasive, Inc.2010744
K091301Life Spine Stand-Alone Spacer SystemLife Spine2009473
K161129Pillar SA PTCOrthofix, Inc.201619
K162446FORZA Spacer System, PILLAR PEEK Spacer System, PILLAR SA PEEK Spacer System, SKYHAWK…Orthofix, Inc.20166
K231199Solar Lumbar Interbody Fusion SystemDegen Medical20235
K132596Proposed OptimusCustom Spine, Inc.20145
K241468Vertiwedge® Intraosseous SystemFoundation Surgical Group, Inc.20241

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

Recalls of this device

DateClassRecallRoot causeReason
Nov 19, 2009Not classifiedZ-0641-2010Nonconforming Material/ComponentThe Pillar SA Implant Insertion Instrument 49-1100 may experience resistance in turning the activation knob while releasing an implant after intra-operative positioning.

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 · 6 generations on · ◆ in the 2021 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 24 years and passes through 10 companies; a new generation was cleared every 9 months on median.
  • 7 of the 54 ancestors have a recall of any class.
  • Of its descendants, K100043 (Nuvasive, Inc., 2010) has gone furthest, with 744 descendants of its own.

How does its category compare?

All OVD devices

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

FDA decisions per year · OVD

10in 2025

2007: 22008: 82009: 32010: 82011: 92012: 102013: 112014: 142015: 122016: 132017: 122018: 142019: 122020: 142021: 72022: 142023: 122024: 122025: 102026 (partial year): 8
2007high 14 (2014) · low 2 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OVD

100in 2025

2008: 84 days median2009: 152 days median2010: 117 days median2011: 167 days median2012: 78 days median2013: 137 days median2014: 139 days median2015: 166 days median2016: 127 days median2017: 127 days median2018: 126 days median2019: 91 days median2020: 91 days median2021: 108 days median2022: 133 days median2023: 92 days median2024: 110 days median2025: 100 days median2026 (partial year): 93 days median
2007high 167 (2011) · low 78 (2012)2026

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

Recalls per year · OVD

1in 2025

2013: 42016: 12021: 12022: 12025: 12026 (partial year): 1
2007high 4 (2013) · low 0 (2007)2026

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

Adverse event reports per year · OVD

50in 2025

2009: 22010: 22011: 62012: 162013: 172014: 352015: 432016: 552017: 722018: 1122019: 1712020: 2032021: 2212022: 742023: 672024: 922025: 50
2007high 221 (2021) · low 0 (2007)2025

MAUDE reports naming product code OVD, 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
20072—00
200888400
2009315202
2010811702
2011916706
20121078016
201311137417
201414139035
201512166043
201613127155
201712127072
2018141260112
201912910171
202014910203
202171081221
202214133174
20231292067
202412110092
202510100150
20268931—

What is it indicated for?

When used as an Intervertebral Body Fusion System: The PILLAR™ SA PEEK Spacer System is indicated for spinal fusion procedures in skeletally mature patients with degenerative disc disease (DDD) at one or two contiguous levels in the lumbar spine (L2-S1). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies. DDD patients may also have up to Grade 1 spondylolisthesis at the…

Read the full statement (383 words)

When used as an Intervertebral Body Fusion System:

The PILLAR™ SA PEEK Spacer System is indicated for spinal fusion procedures in skeletally mature patients with degenerative disc disease (DDD) at one or two contiguous levels in the lumbar spine (L2-S1). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies. DDD patients may also have up to Grade 1 spondylolisthesis at the involved levels. These patients may have had a previous non-fusion surgery at the involved level(s). The PILLAR™ SA PEEK Spacer System is intended for use with autograft.

The PILLAR™ SA PEEK Spacer System is intended for use with the four titanium alloy screws provided with the device. If the physician chooses to use fewer than four of the provided screws, then supplemental internal fixation must be used to augment stability. As an example, the supplemental internal fixation system that may be used is the Blackstone Medical, Inc. Spinal Fixation System (SFS).

Patients must have undergone a regimen of at least six (6) months of non-operative treatment prior to being treated with the PILLAR™ Spacer System.

When used as a Partial Vertebral Body Replacement (VBR) System:

The PILLAR™ SA PEEK Spacer System is indicated for use in the thoracolumbar spine (T1-L5) for partial replacement (i.e. partial vertebrectomy) of a diseased vertebral body resected or excised for the treatment of tumors, to achieve anterior decompression of the spinal cord and neural tissues, and to restore the height of a collapsed vertebral body. The PILLAR™ SA PEEK Spacer System is also indicated for treating fractures of the thoracic and lumbar spine.

The PILLAR™ SA PEEK Spacer System is designed to restore the biomechanical integrity of the anterior, middle, and posterior spinal column, even in the absence of fusion for a prolonged period of time. The PILLAR™ SA PEEK Spacer System is intended to be used with autograft or allograft.

The PILLAR™ SA PEEK Spacer System is intended for use with the four titanium alloy screws provided with the device. If the physician chooses to use fewer than four of the provided screws, then supplemental internal fixation must be used to augment stability. As an example, the supplemental internal fixation system that may be used is the Blackstone Medical, Inc. Spinal Fixation System (SFS).

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K081849: Blackstone Pillar SA Partial Vertebral Body Replacement Device.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K081849

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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