510(k) Report

510(k) · Cleared

Cleared

TRANS1 Interbody Fusion System

K120991510(k) TraditionalCleared Aug 23, 2012143-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

Trans1 Incorporated · MAX Intervertebral Fusion Device With Bone Graft, Lumbar

Cleared on Aug 23, 2012 as substantially equivalent to K111569 (Life Spine, 2011) after a 143-day review. Its family tree reaches back 11 generations to 1984. 172 later devices descend from it.

Decided
Aug 23, 2012
Review
143 days
Class
Class II
Product code
MAX
Recalls
None
Predicates
1

Its longest line of descent runs back 11 generations to K841189 (1984). 32 ancestors in all. 172 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2008: 2 other ancestors2007: 1 other ancestor1999: 2 other ancestors1996: 2 other ancestors2005: 1 other ancestor2004: 4 other ancestors2003: 2 other ancestors2001: 3 other ancestors2002: 3 other ancestors2000: 1 other ancestor2016: 2 descendants cleared2018: 4 descendants cleared2017: 6 descendants cleared2021: 13 descendants cleared2022: 20 descendants cleared2025: 32 descendants cleared2020: 9 descendants cleared2019: 9 descendants cleared2024: 31 descendants cleared2023: 18 descendants cleared2026: 28 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. · 2007K073291 · Capstone Spinal System · Medtronic Sofamor Danek USA, Inc. · 2008K111569 · Plateau Spacer System · Life Spine · 201119801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 2 other ancestors3 generations back: 5 other ancestors5 generations back: 2 other ancestors6 generations back: 4 other ancestors7 generations back: 5 other ancestors8 generations back: 2 other ancestors9 generations back: 1 other ancestor 1 generation forward: 3 descendants2 generations forward: 11 descendants3 generations forward: 20 descendants4 generations forward: 24 descendants5 generations forward: 22 descendants6 generations forward: 22 descendants7 generations forward: 24 descendants8 generations forward: 27 descendants9 generations forward: 14 descendants10 generations forward: 4 descendants11 generations forward: 1 descendant K111569 · Plateau Spacer System · Life Spine · 2011K073291 · Capstone Spinal System · Medtronic Sofamor Danek USA, Inc. · 2008K072120 · 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 · 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 backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  5. 1 generation backK111569 Plateau Spacer SystemLife Spine · 2011
  6. This deviceK120991 TRANS1 Interbody Fusion SystemTrans1 Incorporated · 2012
  7. Descendant · cites it directly · 171 of its ownK153107 Choice Spine Lumbar Spacer System (Sabre™, Shark™, Hornet™…Choicespine, LP · 2016
  8. Descendant · cites it directly · 161 of its ownK162103 Choice Spine Lumbar Spacer System (Sabre™, Shark™, Hornet™…Choicespine, LP · 2016
  9. Descendant · 2 generations on · 116 of its ownK171686 Choice Spine Hawkeye™ Vertebral Body Replacement (VBR) SystemChoicespine · 2017
  10. Descendant · 3 generations on · 104 of its ownK183557 Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS…Titan Spine, Inc. · 2019 · Recalled
  11. Descendant · 4 generations on · 102 of its ownK192018 Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS…Titan Spine, Inc. · 2019 · Recalled
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 backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 1 generation backK111569 Plateau Spacer SystemLife Spine · 2011
  12. This deviceK120991 TRANS1 Interbody Fusion SystemTrans1 Incorporated · 2012

Showing 5 of 172 descendants. See all descendants

Descendants cleared per year

2016: 22017: 62018: 42019: 92020: 92021: 132022: 202023: 182024: 312025: 322026: 28
2016high 32 (2025) · low 2 (2016)2026

Most influential descendants

Showing 5 of 172 · See all
  • K153107Choice Spine Lumbar Spacer System (Sabre™, Shark™, Hornet™, Harpoon™), Choice Spine VEO™…Choicespine, LP · 2016 · cites it directly171descendants
  • K162103Choice Spine Lumbar Spacer System (Sabre™, Shark™, Hornet™, Harpoon™), Choice Spine…Choicespine, LP · 2016 · cites it directly161descendants
  • K171686Choice Spine Hawkeye™ Vertebral Body Replacement (VBR) SystemChoicespine · 2017 · 2 generations on116descendants
  • K183557Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS Interbody Fusion Device…Titan Spine, Inc. · 2019 · 3 generations on104descendants
  • K192018Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS Hyperlordotic…Titan Spine, Inc. · 2019 · 4 generations on102descendants
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—
−2K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−1K111569Plateau Spacer SystemLife Spine2011—
0 (this device)K120991TRANS1 Interbody Fusion SystemTrans1 Incorporated2012—
+1K153107Choice Spine Lumbar Spacer System (Sabre™, Shark™, Hornet™, Harpoon™), Choice…Choicespine, LP2016—
+1K162103Choice Spine Lumbar Spacer System (Sabre™, Shark™, Hornet™, Harpoon™), Choice…Choicespine, LP2016—
+2K171686Choice Spine Hawkeye™ Vertebral Body Replacement (VBR) SystemChoicespine2017—
+3K183557Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS Interbody Fusion…Titan Spine, Inc.20193
+4K192018Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS…Titan Spine, Inc.20194

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199620
199920
200010
200130
200230
200320
200440
200510
200710
200820

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201620
201760
201840
201990
202090
2021130
2022200
2023180
2024310
2025320
2026280
FIG. 1 — Lineage of K120991, 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 MAX? 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? (1)

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
*K111569Plateau Spacer System
Summary page 1
…body Fusion System Classification: 888.3080: Intervertebral Fusion Device (MAX) Predicate Device: Life Spine Plateau Spacer System: K1 11569 Indications and Intended use: The TranSi Interbody Fusion System is indicated for spinal fusion procedures in skeletally mature…
Life Spine2011—

Also cleared against K111569: 6 other devices →

What descends from it? (172)

See all 172

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

NumberDeviceApplicantDecidedDescendants
K153107Choice Spine Lumbar Spacer System (Sabre™, Shark™, Hornet™, Harpoon™), Choice Spine VEO™…Choicespine, LP2016171
K162103Choice Spine Lumbar Spacer System (Sabre™, Shark™, Hornet™, Harpoon™), Choice Spine…Choicespine, LP2016161
K172816TiGer Shark™ SystemChoicespine, LP201859

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 28 years and passes through 10 companies; a new generation was cleared every 1.1 years on median.
  • 5 of the 32 ancestors have a recall of any class.
  • Of its descendants, K153107 (Choicespine, LP, 2016) has gone furthest, with 171 descendants of its own.
  • 6 other devices also cite its predicate K111569.

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. 2012, 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 TranSi Interbody Fusion System is indicated for spinal fusion procedures in skeletally mature patients with degenerative disc disease (DDD) at one or two contiguous levels from L2-S1. DIDD is defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies. These DDID patients may also have up to Grade 1 spondylolisthesis or retrolisthesis at the involved level(s). These patients should have had six months of non-operative treatment. The TranSi Interbody Fusion System is designed to be used with autogenous bone graft and a supplemental spinal fixation system that is cleared for use in the lumbar spine.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K120991: TRANS1 Interbody Fusion System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K120991

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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