510(k) Report

510(k) · Cleared

Cleared

Cougar LS Lateral Cage System

K110454510(k) SpecialCleared May 13, 201186-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

Johnson & Johnson · MAX Intervertebral Fusion Device With Bone Graft, Lumbar

Cleared on May 13, 2011 as substantially equivalent to K081917 (Depuy Spine, Inc., 2009) and 4 other predicates after an 86-day review. Its family tree reaches back 10 generations to 1984. 1 of the 627 devices in its family, counting itself, has a Class I recall. 602 later devices descend from it.

Decided
May 13, 2011
Review
86 days
Class
Class II
Product code
MAX
Recalls
None
Predicates
5

Its longest line of descent runs back 10 generations to K841189 (1984). 24 ancestors in all. 602 later devices descend from it, 5 citing it directly. 1 of the 627 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2009: 1 other ancestor2008: 3 other ancestors2007: 2 other ancestors2003: 1 other ancestor2001: 3 other ancestors2000: 1 other ancestor1999: 1 other ancestor1996: 1 other ancestor2002: 1 other ancestor2014: 2 descendants cleared2012: 1 descendant cleared2011: 1 descendant cleared2016: 17 descendants cleared2013: 1 descendant cleared2015: 9 descendants cleared2017: 28 descendants cleared2019: 45 descendants cleared2018: 31 descendants cleared2020: 65 descendants cleared2021: 52 descendants cleared, 1 with a Class I recall12023: 76 descendants cleared2026: 58 descendants cleared2025: 72 descendants cleared2022: 61 descendants cleared2024: 83 descendants clearedK841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 1984K990148 · Stackable Cage System · Depuy Motech Acromed · 1999K003043 · Surgical Titanium Mesh System · Depuyacromed · 2001K020522 · Modification to Surgical Titanium Mesh System · Depuyacromed · 2002×2: 2 generations cleared close together, K030833 (2003), K031635 (2003) K041722 · Modification to VBR Spinal System · Depuy Spine, Inc. · 2004K052746 · Concorde VBR Spinal System · Depuy Spine, Inc. · 2005K081917 · Depuy Spine Bengal, Concorde, Cougar, Devex and Leopard Systems · Depuy Spine, Inc. · 2009K101923 · Concorde Curve System · Depuy Spine · 201019801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors2 generations back: 9 other ancestors3 generations back: 1 other ancestor4 generations back: 1 other ancestor 1 generation forward: 5 descendants2 generations forward: 9 descendants3 generations forward: 34 descendants4 generations forward: 83 descendants5 generations forward: 162 descendants, 1 with a Class I recall16 generations forward: 168 descendants7 generations forward: 92 descendants8 generations forward: 35 descendants9 generations forward: 11 descendants10 generations forward: 3 descendants K101923 · Concorde Curve System · Depuy Spine · 2010K081917 · Depuy Spine Bengal, Concorde, Cougar, Devex and Leopard Systems · Depuy Spine, Inc. · 2009K052746 · Concorde VBR Spinal System · Depuy Spine, Inc. · 2005K041722 · Modification to VBR Spinal System · Depuy Spine, Inc. · 2004K031635 · Depuy Acromed VBR System · Depuyacromed · 2003K030833 · Depuy Acromed VBR System · Depuyacromed · 2003K020522 · Modification to Surgical Titanium Mesh System · Depuyacromed · 2002K003043 · 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 backK052746 Concorde VBR Spinal SystemDepuy Spine, Inc. · 2005
  4. 2 generations backK081917 Depuy Spine Bengal, Concorde, Cougar, Devex and Leopard SystemsDepuy Spine, Inc. · 2009
  5. 1 generation backK101923 Concorde Curve SystemDepuy Spine · 2010
  6. This deviceK110454 Cougar LS Lateral Cage SystemJohnson & Johnson · 2011
  7. Descendant · cites it directly · 591 of its ownK113348 Cougar SystemJohnson & Johnson · 2011
  8. Descendant · 2 generations on · 590 of its ownK140319 Coroent TI-C SystemNuvasive, Inc. · 2014
  9. Descendant · 2 generations on · 588 of its ownK141665 NuVasive CoRoent SystemNuvasive, Inc. · 2015
  10. Descendant · 3 generations on · 479 of its ownK151472 NuVasive CoRoent Lumbar SystemNu Vasive, Incorporated · 2015
  11. Descendant · 3 generations on · 402 of its ownK150994 NuVasive CoRoent Thoracolumbar ImplantsNu Vasive, Incorporated · 2015
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 backK020522 Modification to Surgical Titanium Mesh SystemDepuyacromed · 2002
  5. 6 generations backK030833 Depuy Acromed VBR SystemDepuyacromed · 2003
  6. 5 generations backK031635 Depuy Acromed VBR SystemDepuyacromed · 2003
  7. 4 generations backK041722 Modification to VBR Spinal SystemDepuy Spine, Inc. · 2004
  8. 3 generations backK052746 Concorde VBR Spinal SystemDepuy Spine, Inc. · 2005
  9. 2 generations backK081917 Depuy Spine Bengal, Concorde, Cougar, Devex and Leopard SystemsDepuy Spine, Inc. · 2009
  10. 1 generation backK101923 Concorde Curve SystemDepuy Spine · 2010
  11. This deviceK110454 Cougar LS Lateral Cage SystemJohnson & Johnson · 2011

Showing 5 of 602 descendants. See all descendants

Descendants cleared per year

2011: 12012: 12013: 12014: 22015: 92016: 172017: 282018: 312019: 452020: 652021: 522022: 612023: 762024: 832025: 722026: 58
2011high 83 (2024) · low 1 (2011)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 602 · See all
  • K113348Cougar SystemJohnson & Johnson · 2011 · cites it directly591descendants
  • K140319Coroent TI-C SystemNuvasive, Inc. · 2014 · 2 generations on590descendants
  • K141665NuVasive CoRoent SystemNuvasive, Inc. · 2015 · 2 generations on588descendants
  • K151472NuVasive CoRoent Lumbar SystemNu Vasive, Incorporated · 2015 · 3 generations on479descendants
  • K150994NuVasive CoRoent Thoracolumbar ImplantsNu Vasive, Incorporated · 2015 · 3 generations on402descendants
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—
−7K020522Modification to Surgical Titanium Mesh SystemDepuyacromed2002—
−6K030833Depuy Acromed VBR SystemDepuyacromed2003—
−5K031635Depuy Acromed VBR SystemDepuyacromed2003—
−4K041722Modification to VBR Spinal SystemDepuy Spine, Inc.2004—
−3K052746Concorde VBR Spinal SystemDepuy Spine, Inc.2005—
−2K081917Depuy Spine Bengal, Concorde, Cougar, Devex and Leopard SystemsDepuy Spine, Inc.2009—
−1K101923Concorde Curve SystemDepuy Spine2010—
0 (this device)K110454Cougar LS Lateral Cage SystemJohnson & Johnson2011—
+1K113348Cougar SystemJohnson & Johnson2011—
+2K140319Coroent TI-C SystemNuvasive, Inc.2014—
+2K141665NuVasive CoRoent SystemNuvasive, Inc.2015—
+3K151472NuVasive CoRoent Lumbar SystemNu Vasive, Incorporated2015—
+3K150994NuVasive CoRoent Thoracolumbar ImplantsNu Vasive, Incorporated2015—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199610
199910
200010
200130
200210
200310
200720
200830
200910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201110
201210
201310
201420
201590
2016170
2017280
2018310
2019450
2020650
2021521
2022610
2023760
2024830
2025720
2026580
FIG. 1 — Lineage of K110454, 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
*K081917Depuy Spine Bengal, Concorde, Cougar, Devex and Leopard Systems
Summary page 1
…n Device per 21 CFR §888.3080 0. Predicate Device Name Trade name: DePuy Spine Cougar® LS Lateral Cage System (K081917, K090899) Globus Medical Patriot Spacers (K072970) NuVasive CoRoent System (K071795)…
Depuy Spine, Inc.2009—
*K090899Depuy Spine Lateral System
Summary page 1
…per 21 CFR §888.3080 0. Predicate Device Name Trade name: DePuy Spine Cougar® LS Lateral Cage System (K081917, K090899) Globus Medical Patriot Spacers (K072970) NuVasive CoRoent System (K071795)…
Depuy Spine, Inc.2009—
*K072970Patriot Spacers
Summary page 1
…0. Predicate Device Name Trade name: DePuy Spine Cougar® LS Lateral Cage System (K081917, K090899) Globus Medical Patriot Spacers (K072970) NuVasive CoRoent System (K071795) OePuy Spine Concorde® Curve (K101923) === Page 2…
Globus Medical, Inc.2008—
*K071795Nuvasive Coroent System
Summary page 1
…Puy Spine Cougar® LS Lateral Cage System (K081917, K090899) Globus Medical Patriot Spacers (K072970) NuVasive CoRoent System (K071795) OePuy Spine Concorde® Curve (K101923) E. Device Description The COUGAR® LS L…
Nuvasive, Inc.2007—
*K101923Concorde Curve System
Summary page 1
…Globus Medical Patriot Spacers (K072970) NuVasive CoRoent System (K071795) OePuy Spine Concorde® Curve (K101923) E. Device Description The COUGAR® LS Lateral Cage System consists of the PEEK/carbon fiber…
Depuy Spine2010—

Also cleared against K081917: 35 other devices →

What descends from it? (602)

See all 602

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

NumberDeviceApplicantDecidedDescendants
K113348Cougar SystemJohnson & Johnson2011591
K122896Cougar LS 15 Lateral Cage SystemMedos International SARL2012205
K140759Bengal System, Bengal Stackable System, Concorde Bullet Lumbar, Concorde Inline Lumbar…Medos International SARL2014204
K162327COUGAR® LS Lateral Cage System and COUGAR® SystemMedos International SARL2016111
K133126K7 Lumbar SpacersK7, LLC20131

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

No FDA recall names this device.

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 27 years and passes through 6 companies; a new generation was cleared every 1.3 years on median.
  • None of the 24 ancestors has a recall.
  • Of its descendants, K113348 (Johnson & Johnson, 2011) has gone furthest, with 591 descendants of its own.
  • 35 other devices also cite its predicate K081917.

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 Cougar® LS Lateral Cage System is indicated for use in the thoracolumbar spine (i.e., Ti to L5) to replace a diseased vertebral body resected or excised for the treatment of tumors, to achieve anterior decompression of the spinal cord and neural tissues, and to restore the height of a collapsed vertebral body. This system is also indicated for treating fractures of the thoracic and lumbar spine. The system is designed to restore the biomnechanical…

Read the full statement (229 words)

The Cougar® LS Lateral Cage System is indicated for use in the thoracolumbar spine (i.e., Ti to L5) to replace a diseased vertebral body resected or excised for the treatment of tumors, to achieve anterior decompression of the spinal cord and neural tissues, and to restore the height of a collapsed vertebral body. This system is also indicated for treating fractures of the thoracic and lumbar spine. The system is designed to restore the biomnechanical integrity of the anterior, middle and posterior spinal column even in the absence of fusion for a prolonged period. When used as a vertebral body replacement device, this system is intended for use with DePuy Spine supplemental internal fixation. The Cougaro LS Lateral Cage System is also indicated for intervertebral body fusion with autogenous bone graft in patients with degenerative disc disease (DDD) at one or two contiguous levels from L2 to Si. These DDD patients may also have up to Grade 1 spondylolisthesis or retrolisthesis at the involved levels. DOD isdefined as discogenic back pain 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. These implants may be implanted via an open or a minimally invasive lateral approach. When used as an interbody fusion device, this system is intended for use with DePuy Spine supplemental internal fixation.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K110454: Cougar LS Lateral Cage System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K110454

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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