510(k) Report

510(k) · Cleared

Recalled · Class II · 2013

Spinesmith Cynch Spinal System - Visualif Interbody Fusion Implant System

K102090510(k) SpecialCleared Sep 30, 201066-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

Spine Smith Partners L.P. · OVD Intervertebral Fusion Device With Integrated Fixation, Lumbar

Cleared on Sep 30, 2010 as substantially equivalent to K090376 (Spine Smith Partners L.P., 2009) after a 66-day review. Its family tree reaches back 2 generations to 1996. 1 of the 479 devices in its family, counting itself, has a Class I recall. 473 later devices descend from it. It has been recalled once.

Decided
Sep 30, 2010
Review
66 days
Class
Class II
Product code
OVD
Recalls
1
Predicates
1

Its longest line of descent runs back 2 generations to P950002 (1996). 5 ancestors in all. 473 later devices descend from it, 5 citing it directly. 1 of the 479 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 1999: 2 other ancestors1996: 1 other ancestor2014: 2 descendants cleared2012: 2 descendants cleared2018: 21 descendants cleared2016: 13 descendants cleared2021: 42 descendants cleared, 1 with a Class I recall12015: 4 descendants cleared2017: 13 descendants cleared2019: 32 descendants cleared2025: 63 descendants cleared2020: 40 descendants cleared2024: 78 descendants cleared2022: 55 descendants cleared2023: 58 descendants cleared2026: 50 descendants clearedP950002 · Bak Interbody Fusion System · Zimmer Spine, Inc. · 1996K090376 · Spinesmith Cynch Spinal System · Spine Smith Partners L.P. · 20091995200020052010201520202025
Other ancestors, by generationDescendants, by generation 2 generations back: 3 other ancestors 1 generation forward: 5 descendants2 generations forward: 7 descendants3 generations forward: 29 descendants4 generations forward: 85 descendants5 generations forward: 105 descendants, 1 with a Class I recall16 generations forward: 126 descendants7 generations forward: 82 descendants8 generations forward: 26 descendants9 generations forward: 5 descendants10 generations forward: 2 descendants11 generations forward: 1 descendant K090376 · Spinesmith Cynch Spinal System · Spine Smith Partners L.P. · 2009P950002 · Bak Interbody Fusion System · Zimmer Spine, Inc. · 19960+5+10
  1. Root · 2 generations backP950002 Bak Interbody Fusion SystemZimmer Spine, Inc. · 1996
  2. 1 generation backK090376 Spinesmith Cynch Spinal SystemSpine Smith Partners L.P. · 2009
  3. This deviceK102090 Spinesmith Cynch Spinal System - Visualif Interbody Fusion Implant…Spine Smith Partners L.P. · 2010
  4. Descendant · cites it directly · 459 of its ownK141942 Midline II TICentinel Spine, Inc. · 2014
  5. Descendant · 2 generations on · 368 of its ownK150643 Centinel Spine STALIF TT, STALIF MIDLINE, MIDLINE II, MIDLINE II-TiCentinel Spine, Inc. · 2015
  6. Descendant · 3 generations on · 236 of its ownK152475 FORZA PTC Spacer SystemOrthofix, Inc. · 2016
  7. Descendant · 2 generations on · 220 of its ownK151214 ALIF Interfixated SystemNu Vasive, Incorporated · 2015
  8. Descendant · 3 generations on · 189 of its ownK153495 Avenue L Lateral Lumbar Cage, Avenue T TLIF Cage System, ROI-A ALIF…Ldr Spine USA · 2016 · Recalled

Showing 5 of 473 descendants. See all descendants

Descendants cleared per year

2012: 22014: 22015: 42016: 132017: 132018: 212019: 322020: 402021: 422022: 552023: 582024: 782025: 632026: 50
2012high 78 (2024) · low 0 (2013)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 473 · See all
  • K141942Midline II TICentinel Spine, Inc. · 2014 · cites it directly459descendants
  • K150643Centinel Spine STALIF TT, STALIF MIDLINE, MIDLINE II, MIDLINE II-TiCentinel Spine, Inc. · 2015 · 2 generations on368descendants
  • K152475FORZA PTC Spacer SystemOrthofix, Inc. · 2016 · 3 generations on236descendants
  • K151214ALIF Interfixated SystemNu Vasive, Incorporated · 2015 · 2 generations on220descendants
  • K153495Avenue L Lateral Lumbar Cage, Avenue T TLIF Cage System, ROI-A ALIF Cage System, ROI-T…Ldr Spine USA · 2016 · 3 generations on189descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2P950002Bak Interbody Fusion SystemZimmer Spine, Inc.1996—
−1K090376Spinesmith Cynch Spinal SystemSpine Smith Partners L.P.2009—
0 (this device)K102090Spinesmith Cynch Spinal System - Visualif Interbody Fusion Implant SystemSpine Smith Partners L.P.2010—
+1K141942Midline II TICentinel Spine, Inc.2014—
+2K150643Centinel Spine STALIF TT, STALIF MIDLINE, MIDLINE II, MIDLINE II-TiCentinel Spine, Inc.2015—
+3K152475FORZA PTC Spacer SystemOrthofix, Inc.2016—
+2K151214ALIF Interfixated SystemNu Vasive, Incorporated2015—
+3K153495Avenue L Lateral Lumbar Cage, Avenue T TLIF Cage System, ROI-A ALIF Cage…Ldr Spine USA20161

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199610
199920

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201220
201420
201540
2016130
2017130
2018210
2019320
2020400
2021421
2022550
2023580
2024780
2025630
2026500
FIG. 1 — Lineage of K102090, 1996–2026Source: 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
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What was it cleared against? (1)

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
*K090376Spinesmith Cynch Spinal System
Summary page 1
…plant System ’ IDENTIFICATION OF PREDICATE DEVICES: The SpineSmith Visualif System was determined to be substantially equivalent to the previously cleared Cynch System (K090376, SpineSmith; Cleared 4/1/2009). DEVICE DESCRIPTION: The Visualif System is part of the Cynch Spinal System and is available in…
Spine Smith Partners L.P.2009—

Also cleared against K090376: 2 other devices →

What descends from it? (473)

See all 473

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

NumberDeviceApplicantDecidedDescendants
K141942Midline II TICentinel Spine, Inc.2014459
K133827A-Link ZOsteo Vasive, LLC201426
K112561Nuvasive Coroent NO-Profile SystemNuvasive, Inc.201212
K122168Visualif Challenging Access PlateSpine Smith Partners L.P.20121
K180519HARRIER-SA™ Lumbar Interbody SystemChoicespine, LP20180

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

Recalls of this device

DateClassRecallRoot causeReason
Jul 31, 2013Class IIZ-2258-2013Process controlThe product has the potential to be laser marked as a Medium when it actually is a Small.

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?

  • The line of descent spans 14 years and passes through 2 companies; a new generation was cleared every 12.5 years on median.
  • 2 of the 5 ancestors have a recall of any class.
  • Of its descendants, K141942 (Centinel Spine, Inc., 2014) has gone furthest, with 459 descendants of its own.
  • 2 other devices also cite its predicate K090376.

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. 2010, 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?

The Cynch System is indicated for intervertebral body fusion of the lumbar spine, from L2 to SI, 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…

Read the full statement (162 words)

The Cynch System is indicated for intervertebral body fusion of the lumbar spine, from L2 to SI, 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.

The Cynch System Visualif is a stand-alone device intended to be used with the two bone screws provided and the accompanying anterior cover plate. Should the physician choose to use fewer than the two screws provided, additional supplemental fixation cleared by the FDA for use in the lumbar spine must be used. The anterior cover plate must be utilized whenever the device is implanted using the bone screws provided.

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. “K102090: Spinesmith Cynch Spinal System - Visualif Interbody Fusion Implant System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K102090

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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