510(k) Report

510(k) · Cleared

Cleared

Alphatec Spine Anterior Lumbar Plating System

K101255510(k) TraditionalCleared Jul 21, 201078-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

Alphatec Spine, Inc. · KWQ Appliance, Fixation, Spinal Intervertebral Body

Cleared on Jul 21, 2010 as substantially equivalent to K091044 (Spinal USA, 2009) and 2 other predicates after a 78-day review. Its family tree reaches back 6 generations to 1993. 113 later devices descend from it.

Decided
Jul 21, 2010
Review
78 days
Class
Class II
Product code
KWQ
Recalls
None
Predicates
3

Its longest line of descent runs back 6 generations to K922543 (1993). 12 ancestors in all. 113 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2002: 1 other ancestor2006: 2 other ancestors2001: 1 other ancestor2000: 1 other ancestor1997: 1 other ancestor2012: 1 descendant cleared2018: 2 descendants cleared2019: 4 descendants cleared2021: 7 descendants cleared2022: 12 descendants cleared2024: 18 descendants cleared2025: 21 descendants cleared2020: 10 descendants cleared2023: 17 descendants cleared2026: 21 descendants clearedK922543 · Z-Plate Anterior Fixation System · Sofamor Danek Mfg., Inc. · 1993K013665 · Pyramid Anterior Plate Fixation System · Medtronic Sofamor Danek, Inc. · 2002K043548 · Blackstone Unity Anterior Lumbar Plate Fixation System · Blackstone Medical, Inc. · 2005K061229 · Unity LX Anterolateral Lumbar Plate Fixation System · Blackstone Medical, Inc. · 2006K070922 · Modification to Spinal Usa VBR System · Spinal USA · 2007K091044 · Spinal Usa Anterior Lumbar Plate System · Spinal USA · 20091990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor3 generations back: 4 other ancestors4 generations back: 1 other ancestor 1 generation forward: 3 descendants2 generations forward: 10 descendants3 generations forward: 33 descendants4 generations forward: 33 descendants5 generations forward: 23 descendants6 generations forward: 8 descendants7 generations forward: 3 descendants K091044 · Spinal Usa Anterior Lumbar Plate System · Spinal USA · 2009K070922 · Modification to Spinal Usa VBR System · Spinal USA · 2007K061229 · Unity LX Anterolateral Lumbar Plate Fixation System · Blackstone Medical, Inc. · 2006K043548 · Blackstone Unity Anterior Lumbar Plate Fixation System · Blackstone Medical, Inc. · 2005K013665 · Pyramid Anterior Plate Fixation System · Medtronic Sofamor Danek, Inc. · 2002K922543 · Z-Plate Anterior Fixation System · Sofamor Danek Mfg., Inc. · 1993−50+5
  1. Root · 6 generations backK922543 Z-Plate Anterior Fixation SystemSofamor Danek Mfg., Inc. · 1993
  2. 5 generations backK013665 Pyramid Anterior Plate Fixation SystemMedtronic Sofamor Danek, Inc. · 2002
  3. 4 generations backK043548 Blackstone Unity Anterior Lumbar Plate Fixation SystemBlackstone Medical, Inc. · 2005
  4. 3 generations backK061229 Unity LX Anterolateral Lumbar Plate Fixation SystemBlackstone Medical, Inc. · 2006
  5. 2 generations backK070922 Modification to Spinal Usa VBR SystemSpinal USA · 2007
  6. 1 generation backK091044 Spinal Usa Anterior Lumbar Plate SystemSpinal USA · 2009
  7. This deviceK101255 Alphatec Spine Anterior Lumbar Plating SystemAlphatec Spine, Inc. · 2010
  8. Descendant · cites it directly · 110 of its ownK182746 ATEC ALIF and LLIF Spacer SystemAlphatec Spine, Inc. · 2018
  9. Descendant · 2 generations on · 99 of its ownK183705 IdentiTi Porous Ti Interbody SystemAlphatec Spine, Inc. · 2019
  10. Descendant · 2 generations on · 78 of its ownK191311 ATEC Lateral Interbody SystemAlphatec Spine, Inc. · 2019
  11. Descendant · 3 generations on · 69 of its ownK192938 Invictus™ Spinal Fixation SystemAlphatec Spine, Inc. · 2019
  12. Descendant · 3 generations on · 67 of its ownK202812 IdentiTi Cervical Standalone Interbody SystemAlphatec Spine, Inc. · 2020

Showing 5 of 113 descendants. See all descendants

Descendants cleared per year

2012: 12018: 22019: 42020: 102021: 72022: 122023: 172024: 182025: 212026: 21
2012high 21 (2025) · low 0 (2013)2026

Most influential descendants

Showing 5 of 113 · See all
  • K182746ATEC ALIF and LLIF Spacer SystemAlphatec Spine, Inc. · 2018 · cites it directly110descendants
  • K183705IdentiTi Porous Ti Interbody SystemAlphatec Spine, Inc. · 2019 · 2 generations on99descendants
  • K191311ATEC Lateral Interbody SystemAlphatec Spine, Inc. · 2019 · 2 generations on78descendants
  • K192938Invictus™ Spinal Fixation SystemAlphatec Spine, Inc. · 2019 · 3 generations on69descendants
  • K202812IdentiTi Cervical Standalone Interbody SystemAlphatec Spine, Inc. · 2020 · 3 generations on67descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K922543Z-Plate Anterior Fixation SystemSofamor Danek Mfg., Inc.1993—
−5K013665Pyramid Anterior Plate Fixation SystemMedtronic Sofamor Danek, Inc.2002—
−4K043548Blackstone Unity Anterior Lumbar Plate Fixation SystemBlackstone Medical, Inc.2005—
−3K061229Unity LX Anterolateral Lumbar Plate Fixation SystemBlackstone Medical, Inc.2006—
−2K070922Modification to Spinal Usa VBR SystemSpinal USA2007—
−1K091044Spinal Usa Anterior Lumbar Plate SystemSpinal USA2009—
0 (this device)K101255Alphatec Spine Anterior Lumbar Plating SystemAlphatec Spine, Inc.2010—
+1K182746ATEC ALIF and LLIF Spacer SystemAlphatec Spine, Inc.2018—
+2K183705IdentiTi Porous Ti Interbody SystemAlphatec Spine, Inc.2019—
+2K191311ATEC Lateral Interbody SystemAlphatec Spine, Inc.2019—
+3K192938Invictus™ Spinal Fixation SystemAlphatec Spine, Inc.2019—
+3K202812IdentiTi Cervical Standalone Interbody SystemAlphatec Spine, Inc.2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199710
200010
200110
200210
200620

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201210
201820
201940
2020100
202170
2022120
2023170
2024180
2025210
2026210
FIG. 1 — Lineage of K101255, 1993–2026Source: 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? (3)

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
*K091044Spinal Usa Anterior Lumbar Plate System
Summary page 1
…System Clearance Spinal USA Anterior Lumbar Plate System K09 1044 Blackstone Medical Unity Anterior Lumbar Plate Fixation System K043548 BlackstonelvMedical Unity…
Spinal USA2009—
*K043548Blackstone Unity Anterior Lumbar Plate Fixation System
Summary page 1
…Anterior Lumbar Plate System K09 1044 Blackstone Medical Unity Anterior Lumbar Plate Fixation System K043548 BlackstonelvMedical Unity LX Anterolateral Lumbar Plate Fixation System K06 1229 Device Description: The Aiphat…
Blackstone Medical, Inc.2005—
*K061229Unity LX Anterolateral Lumbar Plate Fixation System
Summary page 1
…Medical Unity Anterior Lumbar Plate Fixation System K043548 BlackstonelvMedical Unity LX Anterolateral Lumbar Plate Fixation System K06 1229 Device Description: The Aiphatec Spine Anterior Lumbar Plating System is a spinal fixation system that consists of a variety of…
Blackstone Medical, Inc.2006—

Also cleared against K091044: 6 other devices →

What descends from it? (113)

See all 113

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

NumberDeviceApplicantDecidedDescendants
K182746ATEC ALIF and LLIF Spacer SystemAlphatec Spine, Inc.2018110
K182808Aspida® Anterior Lumbar Plating SystemAlphatec Spine, Inc.20181
K121323Medicrea International Anterior Lumbar PlateMedicrea International20120

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 17 years and passes through 5 companies; a new generation was cleared every 1.8 years on median.
  • 1 of the 12 ancestors has a recall of any class.
  • Of its descendants, K182746 (Alphatec Spine, Inc., 2018) has gone furthest, with 110 descendants of its own.
  • 6 other devices also cite its predicate K091044.

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. 2010, 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 Aiphatec Spine Anterior Lumbar Plating System is intended for use as an anteriorly placed supplemental fixation device via the lateral or anterolateral surgical approach above the bifurcation of the great vessel or via the anterior surgical approach, below the bifurcation of the great vessels. The device is intended as a temporary fixation device until fusion is achieved. The Alphatec Spine Anterior Lumbar Plating System is intended for anterior…

Read the full statement (150 words)

The Aiphatec Spine Anterior Lumbar Plating System is intended for use as an anteriorly placed supplemental fixation device via the lateral or anterolateral surgical approach above the bifurcation of the great vessel or via the anterior surgical approach, below the bifurcation of the great vessels. The device is intended as a temporary fixation device until fusion is achieved.

The Alphatec Spine Anterior Lumbar Plating System is intended for anterior lumbar spine (LI -SI) fixation for the following indications:

1. Degenerative disc disease (defined as back pain of discogenic origin with degenerative disc confirmed by history and radiographic studies)

2. Pseudloarthrosis

3. Spondylolysis

4. Spondylolisthesis

5. Trauma (i.e., fracture or dislocation)

6. Spinal stenosis

7. Unsuccessful previous fusion surgery

8. Deformities or curvatures (i.e., scoliosis, kyphosis, and/or lordosis)

9. Tumrne

The Aiphatec Spine Anterior Lumbar Plating System is intended to be used with autograft and/or allograft as an adjunct to fusion.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K101255: Alphatec Spine Anterior Lumbar Plating System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K101255

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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