510(k) Report

510(k) · Cleared

Cleared

Ellipse Occipito-Cervico-Thoracic Spinal System

K110963510(k) SpecialCleared May 5, 201129-day reviewClass II21 CFR 888.3050

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

Globus Medical, Inc. · KWP Appliance, Fixation, Spinal Interlaminal

Cleared on May 5, 2011 as substantially equivalent to K090565 (Globus Medical, Inc., 2009) and 4 other predicates after a 29-day review. Its family tree reaches back 11 generations to 1985. 1 of the 161 devices in its family, counting itself, has a Class I recall. 98 later devices descend from it.

Decided
May 5, 2011
Review
29 days
Class
Class II
Product code
KWP
Recalls
None
Predicates
5

Its longest line of descent runs back 11 generations to K853033 (1985). 62 ancestors in all. 98 later devices descend from it, 3 citing it directly. 1 of the 161 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2010: 3 other ancestors2009: 3 other ancestors2008: 2 other ancestors2007: 1 other ancestor2006: 1 other ancestor2004: 11 other ancestors2002: 3 other ancestors2001: 4 other ancestors2005: 5 other ancestors2003: 5 other ancestors2000: 5 other ancestors1999: 6 other ancestors1998: 1 other ancestor1997: 1 other ancestor2015: 1 descendant cleared2013: 1 descendant cleared2021: 5 descendants cleared, 1 with a Class I recall12017: 3 descendants cleared2018: 5 descendants cleared2016: 2 descendants cleared2023: 10 descendants cleared2024: 20 descendants cleared2020: 6 descendants cleared2019: 4 descendants cleared2025: 16 descendants cleared2026: 19 descendants cleared2022: 6 descendants clearedK853033 · Hartshill Rect & Wires, Spinal Fixation System · A.W. Showell (Surgicraft), Ltd. · 1985K965221 · Ransford Cervical Fixation System · Surgicraft, Ltd. · 1997K982322 · Synthes Spine Occipital-Cervical Plate/Rod and Hook System · Synthes (Usa) · 1998K002733 · Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2000K013222 · Summit Occipito-Cervico- Thoracic (Oct) Spinal System · Depuyacromed · 2001K022190 · Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2002K030103 · Summit Oct Spinal System Minipolyaxial Screws · Depuyacromed · 2003K041203 · Summit Oct Spinal System · Depuy Spine, Inc. · 2004K050391 · Protex CT Cervicothoracic Spinal System · Globus Medical, Inc. · 2005K081906 · Protex CT Cervicothoracic Spinal System · Globus Medical, Inc. · 2008K090565 · Ellipse Occipito-Cerico-Thoracic Spinal System · Globus Medical, Inc. · 20091990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 12 other ancestors3 generations back: 16 other ancestors4 generations back: 14 other ancestors5 generations back: 7 other ancestors 1 generation forward: 3 descendants2 generations forward: 7 descendants3 generations forward: 37 descendants, 1 with a Class I recall14 generations forward: 21 descendants5 generations forward: 15 descendants6 generations forward: 10 descendants7 generations forward: 3 descendants8 generations forward: 1 descendant9 generations forward: 1 descendant K090565 · Ellipse Occipito-Cerico-Thoracic Spinal System · Globus Medical, Inc. · 2009K081906 · Protex CT Cervicothoracic Spinal System · Globus Medical, Inc. · 2008K050391 · Protex CT Cervicothoracic Spinal System · Globus Medical, Inc. · 2005K041203 · Summit Oct Spinal System · Depuy Spine, Inc. · 2004K030103 · Summit Oct Spinal System Minipolyaxial Screws · Depuyacromed · 2003K022190 · Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2002K013222 · Summit Occipito-Cervico- Thoracic (Oct) Spinal System · Depuyacromed · 2001K002733 · Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2000K982322 · Synthes Spine Occipital-Cervical Plate/Rod and Hook System · Synthes (Usa) · 1998K965221 · Ransford Cervical Fixation System · Surgicraft, Ltd. · 1997K853033 · Hartshill Rect & Wires, Spinal Fixation System · A.W. Showell (Surgicraft), Ltd. · 1985−10−50+5
  1. Root · 11 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 7 generations between
  3. 3 generations backK050391 Protex CT Cervicothoracic Spinal SystemGlobus Medical, Inc. · 2005
  4. 2 generations backK081906 Protex CT Cervicothoracic Spinal SystemGlobus Medical, Inc. · 2008
  5. 1 generation backK090565 Ellipse Occipito-Cerico-Thoracic Spinal SystemGlobus Medical, Inc. · 2009
  6. This deviceK110963 Ellipse Occipito-Cervico-Thoracic Spinal SystemGlobus Medical, Inc. · 2011
  7. Descendant · cites it directly · 97 of its ownK123783 Ellipse Occipito-Cerico-Thoracic Spinal System and Capitol ImplantsGlobus Medical, Inc. · 2013
  8. Descendant · cites it directly · 96 of its ownK150552 ELLIPSE and PROTEX CT OCCIPITO-CERVICO-THORACIC SPINAL SYSTEMSGlobus Medical, Inc. · 2015 · Recalled
  9. Descendant · 2 generations on · 78 of its ownK161591 QUARTEX™ Occipito-Cervico-Thoracic Spinal System, Globus Navigation…Globus Medical, Inc. · 2016
  10. Descendant · 2 generations on · 69 of its ownK171651 Excelsius GPSGlobus Medical, Inc. · 2017 · Recalled
  11. Descendant · 3 generations on · 42 of its ownK191100 ExcelsiusGPS Spine 1.1 Interbody ModuleGlobus Medical, Inc. · 2019
Show all 11 generations
  1. Root · 11 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 10 generations backK965221 Ransford Cervical Fixation SystemSurgicraft, Ltd. · 1997
  3. 9 generations backK982322 Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa) · 1998
  4. 8 generations backK002733 Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2000
  5. 7 generations backK013222 Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed · 2001
  6. 6 generations backK022190 Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2002
  7. 5 generations backK030103 Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed · 2003
  8. 4 generations backK041203 Summit Oct Spinal SystemDepuy Spine, Inc. · 2004
  9. 3 generations backK050391 Protex CT Cervicothoracic Spinal SystemGlobus Medical, Inc. · 2005
  10. 2 generations backK081906 Protex CT Cervicothoracic Spinal SystemGlobus Medical, Inc. · 2008
  11. 1 generation backK090565 Ellipse Occipito-Cerico-Thoracic Spinal SystemGlobus Medical, Inc. · 2009
  12. This deviceK110963 Ellipse Occipito-Cervico-Thoracic Spinal SystemGlobus Medical, Inc. · 2011

Showing 5 of 98 descendants. See all descendants

Descendants cleared per year

2013: 12015: 12016: 22017: 32018: 52019: 42020: 62021: 52022: 62023: 102024: 202025: 162026: 19
2013high 20 (2024) · low 0 (2014)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 98 · See all
  • K123783Ellipse Occipito-Cerico-Thoracic Spinal System and Capitol ImplantsGlobus Medical, Inc. · 2013 · cites it directly97descendants
  • K150552ELLIPSE and PROTEX CT OCCIPITO-CERVICO-THORACIC SPINAL SYSTEMSGlobus Medical, Inc. · 2015 · cites it directly96descendants
  • K161591QUARTEX™ Occipito-Cervico-Thoracic Spinal System, Globus Navigation InstrumentsGlobus Medical, Inc. · 2016 · 2 generations on78descendants
  • K171651Excelsius GPSGlobus Medical, Inc. · 2017 · 2 generations on69descendants
  • K191100ExcelsiusGPS Spine 1.1 Interbody ModuleGlobus Medical, Inc. · 2019 · 3 generations on42descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11K853033Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd.1985—
−10K965221Ransford Cervical Fixation SystemSurgicraft, Ltd.1997—
−9K982322Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa)1998—
−8K002733Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2000—
−7K013222Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed2001—
−6K022190Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2002—
−5K030103Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed2003—
−4K041203Summit Oct Spinal SystemDepuy Spine, Inc.2004—
−3K050391Protex CT Cervicothoracic Spinal SystemGlobus Medical, Inc.2005—
−2K081906Protex CT Cervicothoracic Spinal SystemGlobus Medical, Inc.2008—
−1K090565Ellipse Occipito-Cerico-Thoracic Spinal SystemGlobus Medical, Inc.2009—
0 (this device)K110963Ellipse Occipito-Cervico-Thoracic Spinal SystemGlobus Medical, Inc.2011—
+1K123783Ellipse Occipito-Cerico-Thoracic Spinal System and Capitol ImplantsGlobus Medical, Inc.2013—
+1K150552ELLIPSE and PROTEX CT OCCIPITO-CERVICO-THORACIC SPINAL SYSTEMSGlobus Medical, Inc.20151
+2K161591QUARTEX™ Occipito-Cervico-Thoracic Spinal System, Globus Navigation InstrumentsGlobus Medical, Inc.2016—
+2K171651Excelsius GPSGlobus Medical, Inc.20171
+3K191100ExcelsiusGPS Spine 1.1 Interbody ModuleGlobus Medical, Inc.2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199710
199810
199960
200050
200140
200230
200350
2004110
200550
200610
200710
200820
200930
201030

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201310
201510
201620
201730
201850
201940
202060
202151
202260
2023100
2024200
2025160
2026190
FIG. 1 — Lineage of K110963, 1985–2026Source: 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.

  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin the report
Get a 510(k) Report

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
*K090565Ellipse Occipito-Cerico-Thoracic Spinal System
Summary page 1
…ixation Orthosis Product Code KWP. Regulatory Class 11,Panel Code 87. Predicate(s): ELLIPSE® Occipito-Cervico-Thoracic Spinal System (K090565), PROTEX® CT Cervicothoracic Spinal System (K050391 & K081906), CoCr Rods (K1 00788) & DePuy Sp…
Globus Medical, Inc.2009—
*K050391Protex CT Cervicothoracic Spinal System
Summary page 1
…gulatory Class 11,Panel Code 87. Predicate(s): ELLIPSE® Occipito-Cervico-Thoracic Spinal System (K090565), PROTEX® CT Cervicothoracic Spinal System (K050391 & K081906), CoCr Rods (K1 00788) & DePuy Spine Mountaineer OCT Spinal System (KI 031 00) Purpo…
Globus Medical, Inc.2005—
*K081906Protex CT Cervicothoracic Spinal System
Summary page 1
…e 87. Predicate(s): ELLIPSE® Occipito-Cervico-Thoracic Spinal System (K090565), PROTEX® CT Cervicothoracic Spinal System (K050391 & K081906), CoCr Rods (K1 00788) & DePuy Spine Mountaineer OCT Spinal System (KI 031 00) Purpose: The purpose of this sub…
Globus Medical, Inc.2008—
*K100788Cocr Rods
Summary page 1
…ELLIPSE® Occipito-Cervico-Thoracic Spinal System (K090565), PROTEX® CT Cervicothoracic Spinal System (K050391 & K081906), CoCr Rods (K1 00788) & DePuy Spine Mountaineer OCT Spinal System (KI 031 00) Purpose: The purpose of this submission is the additio…
Globus Medical, Inc.2010—
*K103100Mountaineer Oct Spinal SystemDepuy Spine, Inc.2010—

Also cleared against K090565: 4 other devices →

What descends from it? (98)

See all 98

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

NumberDeviceApplicantDecidedDescendants
K123783Ellipse Occipito-Cerico-Thoracic Spinal System and Capitol ImplantsGlobus Medical, Inc.201397
K150552ELLIPSE and PROTEX CT OCCIPITO-CERVICO-THORACIC SPINAL SYSTEMSGlobus Medical, Inc.201596
K211957QUARTEX Occipito-Cervico-Thoracic Spinal System, Globus Navigation InstrumentsGlobus Medical, Inc.20213

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 · 3 generations on · ◆ in the 2021 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 26 years and passes through 6 companies; a new generation was cleared every 1.3 years on median.
  • 4 of the 62 ancestors have a recall of any class.
  • Of its descendants, K123783 (Globus Medical, Inc., 2013) has gone furthest, with 97 descendants of its own.
  • 4 other devices also cite its predicate K090565.

How does its category compare?

All KWP devices

KWP Appliance, Fixation, Spinal Interlaminal: FDA decisions, review times, recalls and adverse event reports over 20 years. 2011, this device’s year, is highlighted.

FDA decisions per year · KWP

9in 2015

2007: 142008: 132009: 122010: 142011: 122012: 182013: 122014: 132015: 9
2007high 18 (2012) · low 0 (2016)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KWP

113in 2015

2007: 96 days median2008: 50 days median2009: 89 days median2010: 186 days median2011: 67 days median2012: 112 days median2013: 99 days median2014: 138 days median2015: 113 days median
2007high 186 (2010) · low 50 (2008)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · KWP

2in 2022

2007: 22008: 12009: 232010: 22011: 62012: 12013: 32015: 12016: 32018: 12019: 22022: 2
2007high 23 (2009) · low 0 (2014)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · KWP

494in 2025

2007: 2102008: 5942009: 6822010: 4742011: 7922012: 9182013: 1,0902014: 1,0222015: 1,3482016: 1,3792017: 8642018: 6572019: 5182020: 7962021: 5252022: 3352023: 3322024: 4362025: 494
2007high 1,379 (2016) · low 210 (2007)2025

MAUDE reports naming product code KWP, 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
200714962210
200813501594
2009128923682
2010141862474
201112676792
2012181121918
2013129931,090
20141313801,022
2015911311,348
20160—31,379
20170—0864
20180—1657
20190—2518
20200—0796
20210—0525
20220—2335
20230—0332
20240—0436
20250—0494
20260—0—

What is it indicated for?

The ELLIPSE® Occipito-Cervico-Thoracic Spinal System is intended to be used in skeletally mature patients as an adjunct to fusion using autograft or allograft, for stabilization of the cervical spine and occipito-cervico-thoracic junction (occiput-T3) for the following conditions: degenerative disc disease (as defined by neck pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies), spondylolisthesis…

Read the full statement (164 words)

The ELLIPSE® Occipito-Cervico-Thoracic Spinal System is intended to be used in skeletally mature patients as an adjunct to fusion using autograft or allograft, for stabilization of the cervical spine and occipito-cervico-thoracic junction (occiput-T3) for the following conditions: degenerative disc disease (as defined by neck pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies), spondylolisthesis, spinal stenosis, fracture, dislocation, atlanto/axial fracture with instability, occipitocervical dislocation, revision of previous cervical spine surgery, and tumors.

The use of polyaxial screws is limited to placement in the upper thoracic spine (T1-T3) in treating thoracic conditions only. They are not intended to be placed in the cervical spine. Occipital bone screws are limited to occipital fixation; they are not intended for fixation of the posterior cervical spine.

The ELLIPSE® Occipito-Cervico-Thoracic Spinal System 3.5mm rods can also be linked to rod systems ranging in diameter from 3.2mm to 6.5mm, including the PROTEX® CT or PROTEX® or REVERE® or BEACON® Systems, using corresponding connectors.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K110963: Ellipse Occipito-Cervico-Thoracic Spinal System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K110963

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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