510(k) Report

510(k) · Cleared

Cleared

Prow Fusion

K112359510(k) TraditionalCleared Nov 8, 201184-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

Nlt Spine, Ltd. · MAX Intervertebral Fusion Device With Bone Graft, Lumbar

Cleared on Nov 8, 2011 as substantially equivalent to K090566 (Custom Spine, Inc., 2009) and 1 other predicate after an 84-day review. Its family tree reaches back 8 generations to 1984. 1 of the 627 devices in its family, counting itself, has a Class I recall. 601 later devices descend from it.

Decided
Nov 8, 2011
Review
84 days
Class
Class II
Product code
MAX
Recalls
None
Predicates
2

Its longest line of descent runs back 8 generations to K841189 (1984). 25 ancestors in all. 601 later devices descend from it, 3 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 ancestor2007: 3 other ancestors2003: 4 other ancestors2000: 1 other ancestor1999: 1 other ancestor2004: 1 other ancestor2002: 2 other ancestors2001: 4 other ancestors2016: 19 descendants cleared2013: 2 descendants cleared2015: 8 descendants cleared2014: 3 descendants cleared2018: 31 descendants cleared2017: 28 descendants cleared2020: 65 descendants cleared2021: 51 descendants cleared, 1 with a Class I recall12019: 44 descendants cleared2025: 72 descendants cleared2024: 83 descendants cleared2023: 76 descendants cleared2022: 61 descendants cleared2026: 58 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) K041888 · Curved Peek Tetris Spinal Implant · Signus Medizintechnik GmbH · 2004K050058 · Theken Reveal VBR System · Theken Surgical,Llc · 2005K080822 · VU Apod Intervertabral Body Fusion Device · Theken Spine, LLC · 2008 · recalled19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 6 other ancestors3 generations back: 7 other ancestors4 generations back: 3 other ancestors 1 generation forward: 3 descendants2 generations forward: 6 descendants3 generations forward: 25 descendants4 generations forward: 74 descendants5 generations forward: 152 descendants, 1 with a Class I recall16 generations forward: 158 descendants7 generations forward: 100 descendants8 generations forward: 51 descendants9 generations forward: 24 descendants10 generations forward: 6 descendants11 generations forward: 2 descendants K080822 · VU Apod Intervertabral Body Fusion Device · Theken Spine, LLC · 2008 · recalledK050058 · Theken Reveal VBR System · Theken Surgical,Llc · 2005K041888 · 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. · 1984−50+5+10
  1. Root · 8 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 7 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 6 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 5 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 4 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 3 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 2 generations backK050058 Theken Reveal VBR SystemTheken Surgical,Llc · 2005
  8. 1 generation backK080822 VU Apod Intervertabral Body Fusion DeviceTheken Spine, LLC · 2008 · Recalled
  9. This deviceK112359 Prow FusionNlt Spine, Ltd. · 2011
  10. Descendant · cites it directly · 593 of its ownK130820 Expandable Lumbar Interbody SystemNu Vasive, Incorporated · 2013
  11. Descendant · 2 generations on · 588 of its ownK141665 NuVasive CoRoent SystemNuvasive, Inc. · 2015
  12. Descendant · 3 generations on · 479 of its ownK151472 NuVasive CoRoent Lumbar SystemNu Vasive, Incorporated · 2015
  13. Descendant · 3 generations on · 402 of its ownK150994 NuVasive CoRoent Thoracolumbar ImplantsNu Vasive, Incorporated · 2015
  14. Descendant · 4 generations on · 400 of its ownK153419 NuVasive CoRoent Thoracolumbar SystemNu Vasive, Incorporated · 2016

Showing 5 of 601 descendants. See all descendants

Descendants cleared per year

2013: 22014: 32015: 82016: 192017: 282018: 312019: 442020: 652021: 512022: 612023: 762024: 832025: 722026: 58
2013high 83 (2024) · low 2 (2013)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 601 · See all
  • K130820Expandable Lumbar Interbody SystemNu Vasive, Incorporated · 2013 · cites it directly593descendants
  • 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
  • K153419NuVasive CoRoent Thoracolumbar SystemNu Vasive, Incorporated · 2016 · 4 generations on400descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−7K990148Stackable Cage SystemDepuy Motech Acromed1999—
−6K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−5K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−4K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−3K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−2K050058Theken Reveal VBR SystemTheken Surgical,Llc2005—
−1K080822VU Apod Intervertabral Body Fusion DeviceTheken Spine, LLC20081
0 (this device)K112359Prow FusionNlt Spine, Ltd.2011—
+1K130820Expandable Lumbar Interbody SystemNu Vasive, Incorporated2013—
+2K141665NuVasive CoRoent SystemNuvasive, Inc.2015—
+3K151472NuVasive CoRoent Lumbar SystemNu Vasive, Incorporated2015—
+3K150994NuVasive CoRoent Thoracolumbar ImplantsNu Vasive, Incorporated2015—
+4K153419NuVasive CoRoent Thoracolumbar SystemNu Vasive, Incorporated2016—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199910
200010
200140
200220
200340
200410
200730
200910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201320
201430
201580
2016190
2017280
2018310
2019440
2020650
2021511
2022610
2023760
2024830
2025720
2026580
FIG. 1 — Lineage of K112359, 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? (2)

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
*K090566Pathway Avid
Summary page 1
…fusion device 21 CFR §880.3080 Product Code MAX Predicate Devices " Custom Spine Pathway AVID (K090566) * Integra Spine Vu aPOD (K080822) Intended Use I Indications for Use The Prow Fusion is intended to be used for spinal fusion.…
Custom Spine, Inc.2009—
*K080822VU Apod Intervertabral Body Fusion Device
Summary page 1
…21 CFR §880.3080 Product Code MAX Predicate Devices " Custom Spine Pathway AVID (K090566) * Integra Spine Vu aPOD (K080822) Intended Use I Indications for Use The Prow Fusion is intended to be used for spinal fusion. The Prow-Fusion Intervertebral b…
Theken Spine, LLC20081

Also cleared against K090566: 6 other devices →

What descends from it? (601)

See all 601

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

NumberDeviceApplicantDecidedDescendants
K130820Expandable Lumbar Interbody SystemNu Vasive, Incorporated2013593
K130254Prow FusionNlt Spine, Ltd.20138
K153665Prow Fusion-LNlt Spine, Ltd.20160

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 8 companies; a new generation was cleared every 1.9 years on median.
  • 3 of the 25 ancestors have a recall of any class.
  • Of its descendants, K130820 (Nu Vasive, Incorporated, 2013) has gone furthest, with 593 descendants of its own.
  • 6 other devices also cite its predicate K090566.

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 Prow-Fusion Intervertebral body fusion device is intended for spinal fusion procedures at one or two contiguous levels from L2 through S1 in skeletally mature patients with degenerative disc disease (DDD). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by the history and radiographic studies. DDD patients may also have up to Grade I Spondylolisthesis or retrolisthesis at the involved levels. The patient may…

Read the full statement (161 words)

The Prow-Fusion Intervertebral body fusion device is intended for spinal fusion procedures at one or two contiguous levels from L2 through S1 in skeletally mature patients with degenerative disc disease (DDD). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by the history and radiographic studies. DDD patients may also have up to Grade I Spondylolisthesis or retrolisthesis at the involved levels. The patient may have had a previous non-fusion spinal surgery at the involved spinal level(s).

The device is intended to be used with supplemental spinal fixation systems that have been cleared for use in the lumbosacral spine (eg. posterior pedicle screw and rod systems). The device is intended to be used with autogenous bone graft.

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

The Prow Fusion intervertebral body fusion device must be inserted using a transforaminal approach.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K112359: Prow Fusion.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K112359

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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