510(k) Report

510(k) · Cleared

Recalled · Class II · 2016

LDR Spine Roi Interbody Fusion System

K082262510(k) TraditionalCleared Feb 2, 2009178-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

Ldr Spine USA · MAX Intervertebral Fusion Device With Bone Graft, Lumbar

Cleared on Feb 2, 2009 after a 178-day review. The FDA summary names no predicate by number. 1 of the 723 devices in its family, counting itself, has a Class I recall. 722 later devices descend from it. It has been recalled once.

Decided
Feb 2, 2009
Review
178 days
Class
Class II
Product code
MAX
Recalls
1
Predicates
0

722 later devices descend from it, 8 citing it directly. 1 of the 723 devices in this family, counting this one, has a Class I recall.

Descendants, by year cleared 2011: 3 descendants cleared2010: 4 descendants cleared2016: 33 descendants cleared2012: 3 descendants cleared2013: 5 descendants cleared2014: 11 descendants cleared2020: 79 descendants cleared2018: 45 descendants cleared2021: 59 descendants cleared, 1 with a Class I recall12022: 66 descendants cleared2015: 13 descendants cleared2017: 40 descendants cleared2025: 75 descendants cleared2024: 87 descendants cleared2026: 62 descendants cleared2019: 58 descendants cleared2023: 79 descendants cleared20052010201520202025
  1. This deviceK082262 LDR Spine Roi Interbody Fusion SystemLdr Spine USA · 2009
  2. Descendant · cites it directly · 609 of its ownK092901 Epicage Interbody Fusion DeviceR Tree Innovations · 2010
  3. Descendant · 2 generations on · 602 of its ownK130548 Epicage Interbody Fusion DeviceAlphatec Spine, Inc. · 2013
  4. Descendant · 3 generations on · 596 of its ownK132601 Coroent Sterile Implants SystemNu Vasive, Incorporated · 2013
  5. Descendant · 4 generations on · 590 of its ownK140319 Coroent TI-C SystemNuvasive, Inc. · 2014
  6. Descendant · 4 generations on · 588 of its ownK141665 NuVasive CoRoent SystemNuvasive, Inc. · 2015

Showing 5 of 722 descendants. See all descendants

Descendants cleared per year

2010: 42011: 32012: 32013: 52014: 112015: 132016: 332017: 402018: 452019: 582020: 792021: 592022: 662023: 792024: 872025: 752026: 62
2010high 87 (2024) · low 3 (2011)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 722 · See all
  • K092901Epicage Interbody Fusion DeviceR Tree Innovations · 2010 · cites it directly609descendants
  • K130548Epicage Interbody Fusion DeviceAlphatec Spine, Inc. · 2013 · 2 generations on602descendants
  • K132601Coroent Sterile Implants SystemNu Vasive, Incorporated · 2013 · 3 generations on596descendants
  • K140319Coroent TI-C SystemNuvasive, Inc. · 2014 · 4 generations on590descendants
  • K141665NuVasive CoRoent SystemNuvasive, Inc. · 2015 · 4 generations on588descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K082262LDR Spine Roi Interbody Fusion SystemLdr Spine USA2009—
+1K092901Epicage Interbody Fusion DeviceR Tree Innovations2010—
+2K130548Epicage Interbody Fusion DeviceAlphatec Spine, Inc.2013—
+3K132601Coroent Sterile Implants SystemNu Vasive, Incorporated2013—
+4K140319Coroent TI-C SystemNuvasive, Inc.2014—
+4K141665NuVasive CoRoent SystemNuvasive, Inc.2015—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201040
201130
201230
201350
2014110
2015130
2016330
2017400
2018450
2019580
2020790
2021591
2022660
2023790
2024870
2025750
2026620
FIG. 1 — Lineage of K082262, 2009–2026Source: 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 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
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What was it cleared against?

The FDA summary names no predicate by number.

What descends from it? (722)

See all 722

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

NumberDeviceApplicantDecidedDescendants
K092901Epicage Interbody Fusion DeviceR Tree Innovations2010609
K101310VU Apod Intervertebral Body Fusion DeviceTheken Spine, LLC2010480
K100802Aesculap Implant Systems Sibd Spinal SystemAesculap Implant Systems, Inc.2010461
K110327LDR Spine Roi-a Interbody Fusion SystemLdr Spine USA2011241
K113285LDR Spine Usa Avenue L Interbody FusionLdr Spine USA, Inc.2012199
K153495Avenue L Lateral Lumbar Cage, Avenue T TLIF Cage System, ROI-A ALIF Cage System, ROI-T…Ldr Spine USA2016189
K093808Incite Innovation Stand Alone Interbody Fusion DeviceIncite Innovation, LLC2010113
K121103LDR Spine Usa Spine Tune, TL Spinal System, LDR Spine Usa Easyspine, Posterior Spinal…Ldr Spine USA, Inc.201216

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

Recalls of this device

DateClassRecallRoot causeReason
Aug 29, 2016Class IIZ-0045-2017Device DesignThe ROI-A Anterior Delivery Device T-Handle, part number SI-ROIA-0023 has experienced binding of the rotation of the t-handle. There have been no reports of patient injury

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?

  • Of its descendants, K092901 (R Tree Innovations, 2010) has gone furthest, with 609 descendants of its own.

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. 2009, 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?

When used as an intervertebral body fusion device, the ROI Interbody Fusion System is indicated for intervertebral body fusion of the lumbar spine, from L2 to S1, in skeletally mature patients who have had six months of non-operative treatment. The device is intended for use at either one level or two contiguous levels for the treatment of degenerative disc disease (DDD) with up to Grade I spondylolisthesis. DDD is defined as back pain of discogenic…

Read the full statement (207 words)

When used as an intervertebral body fusion device, the ROI Interbody Fusion System is indicated for intervertebral body fusion of the lumbar spine, from L2 to S1, in skeletally mature patients who have had six months of non-operative treatment. The device is intended for use at either one level or two contiguous levels for the treatment of degenerative disc disease (DDD) with up to Grade I spondylolisthesis. DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. The device system is designed for use with supplemental fixation and with autograft to facilitate fusion.

When used as a vertebral body replacement device, the ROI System of implants is indicated for use to replace a vertebral body that has been resected or excised due to tumor or trauma/fracture. The device is intended for use as a partial vertebral body replacement in the thoracolumbar spine (from T1 to L5) and is intended for use with supplemental internal fixation. Supplemental internal fixation is required to properly utilize this system. These devices are intended to be used with autograft or allograft bone.

The ROI-A implants are intended to be implanted singularly while the ROI-T implants may be implanted singularly or in pairs.

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. “K082262: LDR Spine Roi Interbody Fusion System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K082262

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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