510(k) Report

510(k) · Cleared

Cleared

Thoracolumbar Plate, Model 1208-41FXX, Lumber Plate, Model 1208-41FXXL, Sacral Plate, Model 1208-41FXXS

K091253510(k) SpecialCleared Jun 4, 200936-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

K2m, Inc. · KWQ Appliance, Fixation, Spinal Intervertebral Body

Cleared on Jun 4, 2009 as substantially equivalent to K081380 (K2m, Inc., 2008) and 6 other predicates after a 36-day review. Its family tree reaches back 4 generations to 1998. 73 later devices descend from it.

Decided
Jun 4, 2009
Review
36 days
Class
Class II
Product code
KWQ
Recalls
None
Predicates
7

Its longest line of descent runs back 4 generations to K983583 (1998). 19 ancestors in all, the oldest K922543 (1993). 73 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2008: 1 other ancestor2007: 1 other ancestor2005: 1 other ancestor2002: 3 other ancestors1993: 1 other ancestor2004: 1 other ancestor2001: 2 other ancestors2000: 3 other ancestors1998: 1 other ancestor1996: 1 other ancestor2013: 1 descendant cleared2024: 11 descendants cleared2018: 3 descendants cleared2019: 4 descendants cleared2023: 14 descendants cleared2022: 8 descendants cleared2025: 13 descendants cleared2020: 3 descendants cleared2021: 4 descendants cleared2026: 12 descendants clearedK983583 · Depuy Acromed Moss and Moss Miami Spinal Systems · Depuy, Inc. · 1998K994347 · Centaur Spinal System · Howmedica Osteonics Corp. · 2000×2: 2 generations cleared close together, K073437 (2008), K080773 (2008) 1990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 6 other ancestors2 generations back: 6 other ancestors3 generations back: 3 other ancestors 1 generation forward: 1 descendant2 generations forward: 4 descendants3 generations forward: 12 descendants4 generations forward: 19 descendants5 generations forward: 14 descendants6 generations forward: 10 descendants7 generations forward: 9 descendants8 generations forward: 3 descendants9 generations forward: 1 descendant K080773 · Thor Anterior Plating System · Stryker Spine · 2008K073437 · Thor Anterior Plating System · Stryker Spine · 2008 · recalledK994347 · Centaur Spinal System · Howmedica Osteonics Corp. · 2000K983583 · Depuy Acromed Moss and Moss Miami Spinal Systems · Depuy, Inc. · 19980+5
  1. Root · 4 generations backK983583 Depuy Acromed Moss and Moss Miami Spinal SystemsDepuy, Inc. · 1998
  2. 3 generations backK994347 Centaur Spinal SystemHowmedica Osteonics Corp. · 2000
  3. 2 generations backK073437 Thor Anterior Plating SystemStryker Spine · 2008 · Recalled
  4. 1 generation backK080773 Thor Anterior Plating SystemStryker Spine · 2008
  5. This deviceK091253 Thoracolumbar Plate, Model 1208-41FXX, Lumber Plate, Model…K2m, Inc. · 2009
  6. Descendant · cites it directly · 72 of its ownK131533 Cayman MI Plate SystemK2m, Inc. · 2013
  7. Descendant · 2 generations on · 52 of its ownK172941 CASCADIA Interbody SystemK2m · 2018
  8. Descendant · 3 generations on · 24 of its ownK181347 Aries® Lumbar InterbodiesOsseus Fusion Systems, LLC · 2018
  9. Descendant · 2 generations on · 15 of its ownK190016 Lateral Plate SystemCorelink, LLC · 2019
  10. Descendant · 3 generations on · 13 of its ownK191354 Ti3Z Cervical Interbody SystemZavation Medical Products, LLC · 2019

Showing 5 of 73 descendants. See all descendants

Descendants cleared per year

2013: 12018: 32019: 42020: 32021: 42022: 82023: 142024: 112025: 132026: 12
2013high 14 (2023) · low 0 (2014)2026

Most influential descendants

Showing 5 of 73 · See all
  • K131533Cayman MI Plate SystemK2m, Inc. · 2013 · cites it directly72descendants
  • K172941CASCADIA Interbody SystemK2m · 2018 · 2 generations on52descendants
  • K181347Aries® Lumbar InterbodiesOsseus Fusion Systems, LLC · 2018 · 3 generations on24descendants
  • K190016Lateral Plate SystemCorelink, LLC · 2019 · 2 generations on15descendants
  • K191354Ti3Z Cervical Interbody SystemZavation Medical Products, LLC · 2019 · 3 generations on13descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K983583Depuy Acromed Moss and Moss Miami Spinal SystemsDepuy, Inc.1998—
−3K994347Centaur Spinal SystemHowmedica Osteonics Corp.2000—
−2K073437Thor Anterior Plating SystemStryker Spine200831
−1K080773Thor Anterior Plating SystemStryker Spine2008—
0 (this device)K091253Thoracolumbar Plate, Model 1208-41FXX, Lumber Plate, Model 1208-41FXXL, Sacral…K2m, Inc.2009—
+1K131533Cayman MI Plate SystemK2m, Inc.2013—
+2K172941CASCADIA Interbody SystemK2m2018—
+3K181347Aries® Lumbar InterbodiesOsseus Fusion Systems, LLC2018—
+2K190016Lateral Plate SystemCorelink, LLC2019—
+3K191354Ti3Z Cervical Interbody SystemZavation Medical Products, LLC2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199310
199610
199810
200030
200120
200230
200410
200510
200710
200810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201310
201830
201940
202030
202140
202280
2023140
2024110
2025130
2026120
FIG. 1 — Lineage of K091253, 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? (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
*K081380Thoracolumbar, Lumbar and Sacral Plates and 6.0 and 7.0 MM Bone Screws
Summary page 1
…bral body fixation orthosis (21 CFR 888.3060) 3. Predicate or legally marketed devices which are substantially equivalent: * K2M Cayman Thoracolumbar Plate System, K08 1380 * Blackstone Medical Unity Anterior Lumbar Plate Fixation System, K043 548 * Synthes Thoracolumbar Spine Locking Plate, K…
K2m, Inc.2008—
*K043548Blackstone Unity Anterior Lumbar Plate Fixation System
Summary page 1
…d devices which are substantially equivalent: * K2M Cayman Thoracolumbar Plate System, K08 1380 * Blackstone Medical Unity Anterior Lumbar Plate Fixation System, K043 548 * Synthes Thoracolumbar Spine Locking Plate, K020244 * Medtronic Sofamor Danek Pyramid Anterior Plate Fixation System, K0…
Blackstone Medical, Inc.2005—
*K020244Synthes Thoracolumbar Spine Locking Plate (TSLP)
Summary page 1
…yman Thoracolumbar Plate System, K08 1380 * Blackstone Medical Unity Anterior Lumbar Plate Fixation System, K043 548 * Synthes Thoracolumbar Spine Locking Plate, K020244 * Medtronic Sofamor Danek Pyramid Anterior Plate Fixation System, K013665 * Sofamor Danek Z-Plate, K922543 * Stryker…
Synthes Spine2002—
*K013665Pyramid Anterior Plate Fixation System
Summary page 1
…ior Lumbar Plate Fixation System, K043 548 * Synthes Thoracolumbar Spine Locking Plate, K020244 * Medtronic Sofamor Danek Pyramid Anterior Plate Fixation System, K013665 * Sofamor Danek Z-Plate, K922543 * Stryker Thor Anterior Plating System, K080773 * Theken BodyForm Thoracic Fixation…
Medtronic Sofamor Danek, Inc.2002—
*K922543Z-Plate Anterior Fixation System
Summary page 1
…3 548 * Synthes Thoracolumbar Spine Locking Plate, K020244 * Medtronic Sofamor Danek Pyramid Anterior Plate Fixation System, K013665 * Sofamor Danek Z-Plate, K922543 * Stryker Thor Anterior Plating System, K080773 * Theken BodyForm Thoracic Fixation System, K072407 4. Description of th…
Sofamor Danek Mfg., Inc.1993—
*K080773Thor Anterior Plating System
Summary page 1
…e, K020244 * Medtronic Sofamor Danek Pyramid Anterior Plate Fixation System, K013665 * Sofamor Danek Z-Plate, K922543 * Stryker Thor Anterior Plating System, K080773 * Theken BodyForm Thoracic Fixation System, K072407 4. Description of the 'device: The Cayman Thoracolumbar Plate S…
Stryker Spine2008—
*K072407Bodyform Thoracic Fixation System
Summary page 1
…r Plate Fixation System, K013665 * Sofamor Danek Z-Plate, K922543 * Stryker Thor Anterior Plating System, K080773 * Theken BodyForm Thoracic Fixation System, K072407 4. Description of the 'device: The Cayman Thoracolumbar Plate System is a spinal fixation system which consists of scre…
Theken Spine, LLC2007—

Also cleared against K081380: 3 other devices →

What descends from it? (73)

See all 73

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K131533Cayman MI Plate SystemK2m, Inc.201372

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 11 years and passes through 4 companies; a new generation was cleared every 1.3 years on median.
  • 3 of the 19 ancestors have a recall of any class.
  • Of its descendants, K131533 (K2m, Inc., 2013) has gone furthest, with 72 descendants of its own.
  • 3 other devices also cite its predicate K081380.

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. 2009, this device’s year, is highlighted.

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?

The Cayman Thoracolumbar Plate System is indicated for use via the lateral or anterolateral surgical approach in the treatment of thoracic and thoracolumbar (Ti-L5) spine and for use as an anteriorly placed supplemental fixation device for the lumbosacral level below the bifurcation of the vascular structures (LI-S1). The Cayman Thoracolumbar Plate System is intended to provide temporary stabilization during fusion using autograft or allograft in…

Read the full statement (148 words)

The Cayman Thoracolumbar Plate System is indicated for use via the lateral or anterolateral surgical approach in the treatment of thoracic and thoracolumbar (Ti-L5) spine and for use as an anteriorly placed supplemental fixation device for the lumbosacral level below the bifurcation of the vascular structures (LI-S1). The Cayman Thoracolumbar Plate System is intended to provide temporary stabilization during fusion using autograft or allograft in skeletally mature patients in the treatment of the following acute and chronic instabilities and deformities: a) degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies), b) pseudoarthrosis, c) spondylolysis, d) spondylolisthesis, e) fracture, f) neoplastic disease, g) unsuccessful previous fusion surgery, h) lordotic deformities of the spine, i) thoracolumbar or lumbar scoliosis, j) deformity (i.e., scoliosis, kyphosis, and/or lordosis) associated with deficient posterior elements such as that resulting from laminectomy.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K091253: Thoracolumbar Plate, Model 1208-41FXX, Lumber Plate, Model 1208-41FXXL, Sacral Plate, Model 1208-41FXXS.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K091253

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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