510(k) Report

510(k) · Cleared

Recalled · 2011

Synthes T-Pal Spacer

K100089510(k) TraditionalCleared May 13, 2010121-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

Synthes Spine · MAX Intervertebral Fusion Device With Bone Graft, Lumbar

Cleared on May 13, 2010 after a 121-day review. The FDA summary names no predicate by number. 1 of the 798 devices in its family, counting itself, has a Class I recall. 797 later devices descend from it. It has been recalled once.

Decided
May 13, 2010
Review
121 days
Class
Class II
Product code
MAX
Recalls
1
Predicates
0

797 later devices descend from it, 18 citing it directly. 1 of the 798 devices in this family, counting this one, has a Class I recall.

Descendants, by year cleared 2015: 14 descendants cleared2016: 27 descendants cleared2018: 62 descendants cleared2014: 11 descendants cleared2012: 3 descendants cleared2013: 4 descendants cleared2020: 84 descendants cleared2024: 97 descendants cleared2011: 1 descendant cleared2026: 70 descendants cleared2019: 64 descendants cleared2017: 55 descendants cleared2025: 78 descendants cleared2023: 88 descendants cleared2021: 69 descendants cleared, 1 with a Class I recall12022: 70 descendants cleared2010201520202025
  1. This deviceK100089 Synthes T-Pal SpacerSynthes Spine · 2010
  2. Descendant · cites it directly · 595 of its ownK131082 Interform Interbody Cage SystemNext Orthosurgical · 2013
  3. Descendant · 2 generations on · 588 of its ownK141665 NuVasive CoRoent SystemNuvasive, Inc. · 2015
  4. Descendant · 3 generations on · 479 of its ownK151472 NuVasive CoRoent Lumbar SystemNu Vasive, Incorporated · 2015
  5. Descendant · cites it directly · 461 of its ownK141405 Mobis II ST Spinal ImplantSignus Medizintechnik GmbH · 2014
  6. Descendant · 2 generations on · 459 of its ownK150481 Cascadia Interbody SystemK2m, Inc. · 2015 · Recalled

Showing 5 of 797 descendants. See all descendants

Descendants cleared per year

2011: 12012: 32013: 42014: 112015: 142016: 272017: 552018: 622019: 642020: 842021: 692022: 702023: 882024: 972025: 782026: 70
2011high 97 (2024) · low 1 (2011)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 797 · See all
  • K131082Interform Interbody Cage SystemNext Orthosurgical · 2013 · cites it directly595descendants
  • K141665NuVasive CoRoent SystemNuvasive, Inc. · 2015 · 2 generations on588descendants
  • K151472NuVasive CoRoent Lumbar SystemNu Vasive, Incorporated · 2015 · 3 generations on479descendants
  • K141405Mobis II ST Spinal ImplantSignus Medizintechnik GmbH · 2014 · cites it directly461descendants
  • K150481Cascadia Interbody SystemK2m, Inc. · 2015 · 2 generations on459descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K100089Synthes T-Pal SpacerSynthes Spine2010—
+1K131082Interform Interbody Cage SystemNext Orthosurgical2013—
+2K141665NuVasive CoRoent SystemNuvasive, Inc.2015—
+3K151472NuVasive CoRoent Lumbar SystemNu Vasive, Incorporated2015—
+1K141405Mobis II ST Spinal ImplantSignus Medizintechnik GmbH2014—
+2K150481Cascadia Interbody SystemK2m, Inc.20153

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201110
201230
201340
2014110
2015140
2016270
2017550
2018620
2019640
2020840
2021691
2022700
2023880
2024970
2025780
2026700
FIG. 1 — Lineage of K100089, 2010–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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
Get a 510(k) Report

What was it cleared against?

The FDA summary names no predicate by number.

What descends from it? (797)

See all 797

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

NumberDeviceApplicantDecidedDescendants
K131082Interform Interbody Cage SystemNext Orthosurgical2013595
K141405Mobis II ST Spinal ImplantSignus Medizintechnik GmbH2014461
K130573Tyber Medical Interbody System; Acif, Alif, Plif, Tlif, DlifTyber Medical, LLC2013251
K133813Flxfit Intervertebral Body Fusion DeviceExpanding Orthopedics, Inc.2014137
K151276DePuy Synthes T-PAL Ti SpacerSynthes USA Products, LLC2015129
K162358T-PAL Spacer System, T-PAL Titanium Spacer System, SYNFIX Evolution SystemSynthes USA Products, LLC2016127
K153400ProLift Expandable SystemLife Spine, Inc.201672
K112664Zavation Ibf SystemsZavation, LLC201137
K152512Half Dome Posterior Lumbar Interbody SystemAstura Medical201633
K111820Synster Cervical Cage, Alif Cage, Plif Cage, Ptlif Cage, Tlif CageBm Korea Co., Ltd.201220

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

Recalls of this device

DateClassRecallRoot causeReason
Sep 23, 2011Not classifiedZ-0161-2012Error in labelingLABELING CORRECTION for Medical Device - previous labeling and promotional materials associated with the T-PAL Spacer system reference the use of T-PAL spacer with allograft material. T-PAL Spacer is currently indicated for use with…

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

What does this lineage say?

  • Of its descendants, K131082 (Next Orthosurgical, 2013) has gone furthest, with 595 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. 2010, 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?

Synthes T-PAL Spacer is indicated for use in patients with degenerative disc disease (DDD) at one or two contiguous levels from L2 to S1 whose condition requires the use of interbody fusion combined with supplemental fixation. The interior of the T-PAL Spacer should be packed with autogenous bone graft (i.e. autograft). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. These…

Read the full statement (117 words)

Synthes T-PAL Spacer is indicated for use in patients with degenerative disc disease (DDD) at one or two contiguous levels from L2 to S1 whose condition requires the use of interbody fusion combined with supplemental fixation. The interior of the T-PAL Spacer should be packed with autogenous bone graft (i.e. autograft). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. These patients should be skeletally mature and have had six months of non-operative treatment.

*The T-PAL Spacer is intended to be used with Synthes supplemental fixation, e.g. TSLP, ATB, Antegra, Pangea, Synthes USS (including Matrix, USS Small Stature Click’X, Pangea, USS Polyaxial, USS Iliosacral, and ClampFix).

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. “K100089: Synthes T-Pal Spacer.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K100089

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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