510(k) Report

510(k) · Cleared

Recalled · 2012

Forza Spacer System

K103111510(k) TraditionalCleared Mar 23, 2011153-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

Orthofix, Inc. · MAX Intervertebral Fusion Device With Bone Graft, Lumbar

Cleared on Mar 23, 2011 as substantially equivalent to K081177 (Blackstone Medical, Inc., 2008) and 4 other predicates after a 153-day review. Its family tree reaches back 10 generations to 1984. 1 of the 382 devices in its family, counting itself, has a Class I recall. 343 later devices descend from it. It has been recalled once.

Decided
Mar 23, 2011
Review
153 days
Class
Class II
Product code
MAX
Recalls
1
Predicates
5

Its longest line of descent runs back 10 generations to K841189 (1984). 38 ancestors in all. 343 later devices descend from it, 6 citing it directly. 1 of the 382 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2009: 1 other ancestor2008: 2 other ancestors, 1 with a Class I recall11999: 2 other ancestors2007: 4 other ancestors2006: 1 other ancestor2001: 4 other ancestors1996: 2 other ancestors2005: 1 other ancestor2004: 4 other ancestors2002: 4 other ancestors2003: 2 other ancestors2000: 1 other ancestor2014: 1 descendant cleared2024: 48 descendants cleared2016: 8 descendants cleared2015: 2 descendants cleared2019: 20 descendants cleared2020: 28 descendants cleared2017: 9 descendants cleared2022: 38 descendants cleared2018: 15 descendants cleared2021: 30 descendants cleared2026: 43 descendants cleared2025: 56 descendants cleared2023: 45 descendants clearedK841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 1984K990148 · Stackable Cage System · Depuy Motech Acromed · 1999K003043 · Surgical Titanium Mesh System · Depuyacromed · 2001×2: 2 generations cleared close together, K022793 (2003), K031757 (2003) ×2: 2 generations cleared close together, K041888 (2004), K042930 (2004) K062759 · Paramount VBR System · Innovative Spinal Technologies, Inc. · 2007K072120 · Paramount Intervertebral Body Fusion Device · Innovative Spinal Technologies, Inc. · 2007K073177 · Pioneer Intervertebral Fusion Device System · Pioneer Surgical Technology · 2008 · recalled19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 4 other ancestors, 1 with a Class I recall12 generations back: 7 other ancestors3 generations back: 3 other ancestors4 generations back: 4 other ancestors5 generations back: 5 other ancestors6 generations back: 4 other ancestors7 generations back: 1 other ancestor 1 generation forward: 6 descendants2 generations forward: 20 descendants3 generations forward: 38 descendants4 generations forward: 59 descendants5 generations forward: 68 descendants6 generations forward: 67 descendants7 generations forward: 41 descendants8 generations forward: 26 descendants9 generations forward: 13 descendants10 generations forward: 3 descendants11 generations forward: 2 descendants K073177 · Pioneer Intervertebral Fusion Device System · Pioneer Surgical Technology · 2008 · recalledK072120 · Paramount Intervertebral Body Fusion Device · Innovative Spinal Technologies, Inc. · 2007K062759 · Paramount VBR System · Innovative Spinal Technologies, Inc. · 2007K042930 · Spacevision Cage System · Spine Vision, Inc. · 2004K041888 · Curved Peek Tetris Spinal Implant · Signus Medizintechnik GmbH · 2004K031757 · Peek Tetris Spinal Implant · Signus Medical, LLC · 2003K022793 · Tetris Spinal Implant · Signus Medical, LLC · 2003K003043 · Surgical Titanium Mesh System · Depuyacromed · 2001K990148 · Stackable Cage System · Depuy Motech Acromed · 1999K841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 1984−10−50+5+10
  1. Root · 10 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 6 generations between
  3. 3 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  4. 2 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  5. 1 generation backK073177 Pioneer Intervertebral Fusion Device SystemPioneer Surgical Technology · 2008 · Recalled
  6. This deviceK103111 Forza Spacer SystemOrthofix, Inc. · 2011
  7. Descendant · cites it directly · 236 of its ownK152475 FORZA PTC Spacer SystemOrthofix, Inc. · 2016
  8. Descendant · cites it directly · 211 of its ownK143258 PLIF STS, TLIF STS, OLIF STS (Spinal Truss System)4Web, Inc. · 2015
  9. Descendant · 2 generations on · 199 of its ownK170503 EIT Cellular Titanium Cervical Cage, EIT Cellular Titanium PLIF…Eit Emerging Implant Technologies GmbH · 2017 · Recalled
  10. Descendant · 2 generations on · 189 of its ownK153495 Avenue L Lateral Lumbar Cage, Avenue T TLIF Cage System, ROI-A ALIF…Ldr Spine USA · 2016 · Recalled
  11. Descendant · 3 generations on · 161 of its ownK162103 Choice Spine Lumbar Spacer System (Sabre™, Shark™, Hornet™…Choicespine, LP · 2016
Show all 10 generations
  1. Root · 10 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 9 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 8 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 7 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 6 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 5 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 4 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 3 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 2 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 1 generation backK073177 Pioneer Intervertebral Fusion Device SystemPioneer Surgical Technology · 2008 · Recalled
  11. This deviceK103111 Forza Spacer SystemOrthofix, Inc. · 2011

Showing 5 of 343 descendants. See all descendants

Descendants cleared per year

2014: 12015: 22016: 82017: 92018: 152019: 202020: 282021: 302022: 382023: 452024: 482025: 562026: 43
2014high 56 (2025) · low 1 (2014)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 343 · See all
  • K152475FORZA PTC Spacer SystemOrthofix, Inc. · 2016 · cites it directly236descendants
  • K143258PLIF STS, TLIF STS, OLIF STS (Spinal Truss System)4Web, Inc. · 2015 · cites it directly211descendants
  • K170503EIT Cellular Titanium Cervical Cage, EIT Cellular Titanium PLIF Cages, EIT Cellular…Eit Emerging Implant Technologies GmbH · 2017 · 2 generations on199descendants
  • K153495Avenue L Lateral Lumbar Cage, Avenue T TLIF Cage System, ROI-A ALIF Cage System, ROI-T…Ldr Spine USA · 2016 · 2 generations on189descendants
  • K162103Choice Spine Lumbar Spacer System (Sabre™, Shark™, Hornet™, Harpoon™), Choice Spine…Choicespine, LP · 2016 · 3 generations on161descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−9K990148Stackable Cage SystemDepuy Motech Acromed1999—
−8K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−7K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−6K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−5K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−4K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−3K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−2K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−1K073177Pioneer Intervertebral Fusion Device SystemPioneer Surgical Technology20081
0 (this device)K103111Forza Spacer SystemOrthofix, Inc.2011—
+1K152475FORZA PTC Spacer SystemOrthofix, Inc.2016—
+1K143258PLIF STS, TLIF STS, OLIF STS (Spinal Truss System)4Web, Inc.2015—
+2K170503EIT Cellular Titanium Cervical Cage, EIT Cellular Titanium PLIF Cages, EIT…Eit Emerging Implant Technologies GmbH20172
+2K153495Avenue L Lateral Lumbar Cage, Avenue T TLIF Cage System, ROI-A ALIF Cage…Ldr Spine USA20161
+3K162103Choice Spine Lumbar Spacer System (Sabre™, Shark™, Hornet™, Harpoon™), Choice…Choicespine, LP2016—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199620
199920
200010
200140
200240
200320
200440
200510
200610
200740
200821
200910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201410
201520
201680
201790
2018150
2019200
2020280
2021300
2022380
2023450
2024480
2025560
2026430
FIG. 1 — Lineage of K103111, 1984–2026Source: 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? (5)

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
*K081177Blackstone Medical, Inc., Pillar Spacer System
Summary page 1
…11 - 888.3080 - Intervertebral Body Fusion Device Review Panel: Orthopedic Device Panel Predicate Devices: Blackstone, PILLAR Spacer System, KO081177, SE 7-23-08 DePuy AcroMed, Inc. Lumbar I/F Cage® with VSP Spine System:…
Blackstone Medical, Inc.2008—
*P960025Brantigen I/F Cage (R) Used with VSP (R) Spine Plates and Pedicle Screws
Summary page 1
…ckstone, PILLAR Spacer System, KO081177, SE 7-23-08 DePuy AcroMed, Inc. Lumbar I/F Cage® with VSP Spine System: P960025 (i.e., Brantigan Cage) Abbott, Ardis Spacer, K073202, SE 1-30-2008 Adva…
Depuy Spine, Inc.1999—
*K073202Ardis Spacer
Summary page 1
…ePuy AcroMed, Inc. Lumbar I/F Cage® with VSP Spine System: P960025 (i.e., Brantigan Cage) Abbott, Ardis Spacer, K073202, SE 1-30-2008 Advance Medical Technology, Distractable Wave Cage, K0836…
Abbott Spine, Inc.2008Class I
*K083626Distractable Wave Cage
Summary page 1
…Abbott, Ardis Spacer, K073202, SE 1-30-2008 Advance Medical Technology, Distractable Wave Cage, K083626, SEIO-19-2009 Reason for 5 10(k) Submission: New product offering…
Advanced Medical Technology, Inc.2009—
*K073177Pioneer Intervertebral Fusion Device System
Summary page 4
…stem (P960025). FORZA system has similar mechanical properties to DePuy AcroMed, Inc. Lumbar I/F Cage® with VSP Spine System (P960025) and Pioneer Rotate Option implant (K073 177) predicate device as stated above. The difference between FORZA Space System implants and its predicate devices consist in techn…
Pioneer Surgical Technology20081

Also cleared against K081177: 4 other devices →

What descends from it? (343)

See all 343

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

NumberDeviceApplicantDecidedDescendants
K152475FORZA PTC Spacer SystemOrthofix, Inc.2016236
K143258PLIF STS, TLIF STS, OLIF STS (Spinal Truss System)4Web, Inc.2015211
K140709Skyhawk Interbody Fusion SystemOrthofix, Inc.20147
K240566Reef L Interbody System; WaveForm L Interbody SystemSeaSpine Orthopedics Corporation20245
K180228II-Type Intervertebral SpacerPaonan Biotech Co., Ltd.20191
K151408LOSPA IS Spinal SystemCorentec Co., Ltd.20151

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

Recalls of this device

DateClassRecallRoot causeReason
Feb 6, 2012Not classifiedZ-1037-2012Device DesignThe 8mm and 10mm Rotating Cutters may fracture during use, specifically during disc space preparation. If an 8mm or 10mm Rotating Cutter does Fracture during use, it may result in a surgical delay estimated to be 30 minutes or greater due…

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.

  • K073202Ardis SpacerAbbott Spine, Inc. · 2008 · Direct predicate · ◆ in the 2008 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 27 years and passes through 9 companies; a new generation was cleared every 1.7 years on median.
  • 8 of the 38 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K152475 (Orthofix, Inc., 2016) has gone furthest, with 236 descendants of its own.
  • 4 other devices also cite its predicate K081177.

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. 2011, 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?

The FORZATM Spacer System is indicated for spinal fusion procedures in skeletally mature patients with degenerative disc disease (DDD) at one or two contiguous levels in the lumbar spine (L2-S1). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies. DDD patients may also have up to Grade I spondylolisthesis at the involved levels. These patients may have had a previous…

Read the full statement (135 words)

The FORZATM Spacer System is indicated for spinal fusion procedures in skeletally mature patients with degenerative disc disease (DDD) at one or two contiguous levels in the lumbar spine (L2-S1). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies. DDD patients may also have up to Grade I spondylolisthesis at the involved levels. These patients may have had a previous non-fusion surgery at the involved level(s).

The FORZATM Spacer System is intended for use with autograft and supplemental fixation system. As an example, the supplemental fixation system that may be used is the Orthofix Inc. FirebirdTM Pedicle Screw System.

Patients must have undergone a regimen of at least six (6) months of non-operative treatment prior to being treated with the FORZATM Spacer System.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K103111: Forza Spacer System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K103111

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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