510(k) Report

510(k) · Cleared

Cleared

Vault Alif System

K103369510(k) TraditionalCleared Apr 4, 2011138-day reviewClass II21 CFR 888.3080

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Spinal USA · OVD Intervertebral Fusion Device With Integrated Fixation, Lumbar

Cleared on Apr 4, 2011 as substantially equivalent to K092193 (Spinal USA, 2009) and 2 other predicates after a 138-day review. Its family tree reaches back 11 generations to 1984. 10 later devices descend from it.

Decided
Apr 4, 2011
Review
138 days
Class
Class II
Product code
OVD
Recalls
None
Predicates
3

Its longest line of descent runs back 11 generations to K841189 (1984). 44 ancestors in all. 10 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2009: 1 other ancestor2008: 2 other ancestors2007: 4 other ancestors2006: 1 other ancestor2005: 2 other ancestors2004: 5 other ancestors2003: 3 other ancestors1999: 2 other ancestors2002: 5 other ancestors2001: 5 other ancestors2000: 1 other ancestor1996: 2 other ancestors2022: 1 descendant cleared2013: 1 descendant cleared2014: 1 descendant cleared2020: 3 descendants cleared2016: 2 descendants cleared2026: 1 descendant cleared2021: 1 descendant 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. · 2007×2: 2 generations cleared close together, K080083 (2008), K073109 (2008) 19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 7 other ancestors3 generations back: 9 other ancestors4 generations back: 1 other ancestor5 generations back: 4 other ancestors6 generations back: 4 other ancestors7 generations back: 3 other ancestors8 generations back: 2 other ancestors9 generations back: 1 other ancestor 1 generation forward: 3 descendants2 generations forward: 6 descendants3 generations forward: 1 descendant K073109 · Stalif TT Intervertebral Body Fusion System · Surgicraft, Ltd. · 2008K080083 · Intrepid Spinal System · Medtronic Sofamor Danek · 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
  1. Root · 11 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 7 generations between
  3. 3 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  4. 2 generations backK080083 Intrepid Spinal SystemMedtronic Sofamor Danek · 2008 · Recalled
  5. 1 generation backK073109 Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd. · 2008
  6. This deviceK103369 Vault Alif SystemSpinal USA · 2011
  7. Descendant · cites it directly · 9 of its ownK130445 Vault Alif SystemSpinal USA · 2013
  8. Descendant · cites it directly · 5 of its ownK132596 Proposed OptimusCustom Spine, Inc. · 2014 · Recalled
  9. Descendant · 2 generations on · 2 of its ownK200352 Axis Spine Technologies ALIFAxis Spine Technologies, Ltd. · 2020
  10. Descendant · 2 generations on · 0 of its ownK253559 Ventana™ A Anterior Lumbar Interbody SystemSpinal Elements, Inc. · 2026
  11. Descendant · cites it directly · 0 of its ownK213118 Dakota ALIF SystemPrecision Spine, Inc. · 2022
Show all 11 generations
  1. Root · 11 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 10 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 9 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 8 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 7 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 6 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 5 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 4 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 3 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 2 generations backK080083 Intrepid Spinal SystemMedtronic Sofamor Danek · 2008 · Recalled
  11. 1 generation backK073109 Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd. · 2008
  12. This deviceK103369 Vault Alif SystemSpinal USA · 2011

Showing 5 of 10 descendants. See all descendants

Descendants cleared per year

2013: 12014: 12016: 22020: 32021: 12022: 12026: 1
2013high 3 (2020) · low 0 (2015)2026

Most influential descendants

Showing 5 of 10 · See all
  • K130445Vault Alif SystemSpinal USA · 2013 · cites it directly9descendants
  • K132596Proposed OptimusCustom Spine, Inc. · 2014 · cites it directly5descendants
  • K200352Axis Spine Technologies ALIFAxis Spine Technologies, Ltd. · 2020 · 2 generations on2descendants
  • K253559Ventana™ A Anterior Lumbar Interbody SystemSpinal Elements, Inc. · 2026 · 2 generations on0descendants
  • K213118Dakota ALIF SystemPrecision Spine, Inc. · 2022 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−10K990148Stackable Cage SystemDepuy Motech Acromed1999—
−9K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−8K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−7K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−6K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−5K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−4K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−3K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−2K080083Intrepid Spinal SystemMedtronic Sofamor Danek20088
−1K073109Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd.2008—
0 (this device)K103369Vault Alif SystemSpinal USA2011—
+1K130445Vault Alif SystemSpinal USA2013—
+1K132596Proposed OptimusCustom Spine, Inc.20141
+2K200352Axis Spine Technologies ALIFAxis Spine Technologies, Ltd.2020—
+2K253559Ventana™ A Anterior Lumbar Interbody SystemSpinal Elements, Inc.2026—
+1K213118Dakota ALIF SystemPrecision Spine, Inc.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199620
199920
200010
200150
200250
200330
200450
200520
200610
200740
200820
200910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201310
201410
201620
202030
202110
202210
202610
FIG. 1 — Lineage of K103369, 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.

Planning a device in OVD? 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
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
*K092193Spinal Usa Interbody Cages
Summary page 2
…is based upon cquivalence in intended use, indications, anatomic sites, performance and material of manufacture. Predicate Devices: Spinal USA Interbody Fusion Device (K092193) Solitare Anterior Spinal System (K081501) STALIF TT Intervertebral Body Fusion System (K073109) F-2 WIALTH 4…
Spinal USA2009—
*K081501Solitaire Anterior Spinal System
Summary page 2
…indications, anatomic sites, performance and material of manufacture. Predicate Devices: Spinal USA Interbody Fusion Device (K092193) Solitare Anterior Spinal System (K081501) STALIF TT Intervertebral Body Fusion System (K073109) F-2 WIALTH 4 ot %, DEPARTMENT OF HEALTH & HUMAN SERVICE…
Biomet Spine20081
*K073109Stalif TT Intervertebral Body Fusion System
Summary page 2
…f manufacture. Predicate Devices: Spinal USA Interbody Fusion Device (K092193) Solitare Anterior Spinal System (K081501) STALIF TT Intervertebral Body Fusion System (K073109) F-2 WIALTH 4 ot %, DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service Food and Drug Administration…
Surgicraft, Ltd.2008—

Also cleared against K092193: 10 other devices →

What descends from it? (10)

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

NumberDeviceApplicantDecidedDescendants
K130445Vault Alif SystemSpinal USA20139
K132596Proposed OptimusCustom Spine, Inc.20145
K213118Dakota ALIF SystemPrecision Spine, Inc.20220

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 27 years and passes through 10 companies; a new generation was cleared every 1.0 years on median.
  • 7 of the 44 ancestors have a recall of any class.
  • Of its descendants, K130445 (Spinal USA, 2013) has gone furthest, with 9 descendants of its own.
  • 10 other devices also cite its predicate K092193.

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. 2011, 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 Vault ALIF System is indicated for intervertebral body fusion of the spine in skeletally mature patients. The device system is designed for use with autograft to facilitate fusion. One device is used per intervertebral space. The Vault ALIF System is intended for use at either one level or two contiguous levels in the lumbar spine, from L2 to S1, for the treatment of degenerative disc disease (DDD) with up to Grade 1 spondylolisthesis. DDD is defined…

Read the full statement (147 words)

The Vault ALIF System is indicated for intervertebral body fusion of the spine in skeletally mature patients. The device system is designed for use with autograft to facilitate fusion. One device is used per intervertebral space.

The Vault ALIF System is intended for use at either one level or two contiguous levels in the lumbar spine, from L2 to S1, for the treatment of degenerative disc disease (DDD) with up to Grade 1 spondylolisthesis. DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. The lumbar device is to be used with autogenuos bone graft. Patients should have at least six months of non-operative trecatment prior to treatment with a lumbar intervertebral fusion device.

The Vault ALIF System is a stand-alone system intended to be used with the bone screws provided and requires no additional supplementary fixations.

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. “K103369: Vault Alif System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K103369

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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