510(k) Report

510(k) · Cleared

Cleared

Unify Dynamic Anterior Cervical Plate System

K121049510(k) SpecialCleared Jun 27, 201282-day reviewClass II21 CFR 888.3060

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

Globus Medical, Inc. · KWQ Appliance, Fixation, Spinal Intervertebral Body

Cleared on Jun 27, 2012 as substantially equivalent to K040721 (Globus Medical, Inc., 2004) and 4 other predicates after an 82-day review. Its family tree reaches back 5 generations to 1993. 10 later devices descend from it.

Decided
Jun 27, 2012
Review
82 days
Class
Class II
Product code
KWQ
Recalls
None
Predicates
5

Its longest line of descent runs back 5 generations to K926453 (1993). 17 ancestors in all. 10 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2007: 1 other ancestor2005: 2 other ancestors2003: 4 other ancestors2002: 1 other ancestor1997: 2 other ancestors2004: 1 other ancestor1995: 1 other ancestor2014: 1 descendant cleared2019: 2 descendants cleared2018: 1 descendant cleared2024: 3 descendants cleared2021: 1 descendant cleared2025: 2 descendants clearedK926453 · Synthes (U.S.a.) Anterior Cervical Vertebrae Plate · Synthes (Usa) · 1993K040721 · Assure Anterior Cervical Plate System · Globus Medical, Inc. · 2004K070775 · Modification to: Providence Anterior Cervical Plate System · Globus Medical, Inc. · 2007K081391 · Vip Anterior Cervical Plate System · Globus Medical, Inc. · 2008K092146 · Xtend Anterior Cervical Plate System · Globus Medical, Inc. · 20091990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 7 other ancestors3 generations back: 2 other ancestors4 generations back: 1 other ancestor 1 generation forward: 3 descendants2 generations forward: 3 descendants3 generations forward: 4 descendants K092146 · Xtend Anterior Cervical Plate System · Globus Medical, Inc. · 2009K081391 · Vip Anterior Cervical Plate System · Globus Medical, Inc. · 2008K070775 · Modification to: Providence Anterior Cervical Plate System · Globus Medical, Inc. · 2007K040721 · Assure Anterior Cervical Plate System · Globus Medical, Inc. · 2004K926453 · Synthes (U.S.a.) Anterior Cervical Vertebrae Plate · Synthes (Usa) · 1993−50
  1. Root · 5 generations backK926453 Synthes (U.S.a.) Anterior Cervical Vertebrae PlateSynthes (Usa) · 1993
  2. 4 generations backK040721 Assure Anterior Cervical Plate SystemGlobus Medical, Inc. · 2004
  3. 3 generations backK070775 Modification to: Providence Anterior Cervical Plate SystemGlobus Medical, Inc. · 2007
  4. 2 generations backK081391 Vip Anterior Cervical Plate SystemGlobus Medical, Inc. · 2008
  5. 1 generation backK092146 Xtend Anterior Cervical Plate SystemGlobus Medical, Inc. · 2009
  6. This deviceK121049 Unify Dynamic Anterior Cervical Plate SystemGlobus Medical, Inc. · 2012
  7. Descendant · cites it directly · 5 of its ownK133567 Unify (R) Dynamic Anterior Cervical Plate SystemGlobus Medical, Inc. · 2014
  8. Descendant · cites it directly · 4 of its ownK181846 ASSURE Anterior Cervical Plate System, PROVIDENCE Anterior Cervical…Globus Medical, Inc. · 2018
  9. Descendant · cites it directly · 3 of its ownK192314 RESONATE Anterior Cervical Plate SystemGlobus Medical, Inc. · 2019
  10. Descendant · 2 generations on · 2 of its ownK231251 FlexWing Anterior Cervical Plate SystemJeil Medical Corporation · 2024
  11. Descendant · 2 generations on · 2 of its ownK191584 FORTICO Anterior Cervical Fixation SystemCamber Spine Technologies, LLC · 2019

Showing 5 of 10 descendants. See all descendants

Descendants cleared per year

2014: 12018: 12019: 22021: 12024: 32025: 2
2014high 3 (2024) · low 0 (2015)2026

Most influential descendants

Showing 5 of 10 · See all
  • K133567Unify (R) Dynamic Anterior Cervical Plate SystemGlobus Medical, Inc. · 2014 · cites it directly5descendants
  • K181846ASSURE Anterior Cervical Plate System, PROVIDENCE Anterior Cervical Plate System, VIP…Globus Medical, Inc. · 2018 · cites it directly4descendants
  • K192314RESONATE Anterior Cervical Plate SystemGlobus Medical, Inc. · 2019 · cites it directly3descendants
  • K231251FlexWing Anterior Cervical Plate SystemJeil Medical Corporation · 2024 · 2 generations on2descendants
  • K191584FORTICO Anterior Cervical Fixation SystemCamber Spine Technologies, LLC · 2019 · 2 generations on2descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K926453Synthes (U.S.a.) Anterior Cervical Vertebrae PlateSynthes (Usa)1993—
−4K040721Assure Anterior Cervical Plate SystemGlobus Medical, Inc.2004—
−3K070775Modification to: Providence Anterior Cervical Plate SystemGlobus Medical, Inc.2007—
−2K081391Vip Anterior Cervical Plate SystemGlobus Medical, Inc.2008—
−1K092146Xtend Anterior Cervical Plate SystemGlobus Medical, Inc.2009—
0 (this device)K121049Unify Dynamic Anterior Cervical Plate SystemGlobus Medical, Inc.2012—
+1K133567Unify (R) Dynamic Anterior Cervical Plate SystemGlobus Medical, Inc.2014—
+1K181846ASSURE Anterior Cervical Plate System, PROVIDENCE Anterior Cervical Plate…Globus Medical, Inc.2018—
+1K192314RESONATE Anterior Cervical Plate SystemGlobus Medical, Inc.2019—
+2K231251FlexWing Anterior Cervical Plate SystemJeil Medical Corporation2024—
+2K191584FORTICO Anterior Cervical Fixation SystemCamber Spine Technologies, LLC2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199510
199720
200210
200340
200410
200520
200710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201410
201810
201920
202110
202430
202520
FIG. 1 — Lineage of K121049, 1993–2025Source: 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 KWQ? 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 KWQ device

  1. #1 K233640 Segmental Plating System (SPS);IdentiTi SPS…score 21.9 · 31 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? (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
*K040721Assure Anterior Cervical Plate System
Summary page 1
…rvertebral Body Fixation Orthosis Product Code: KWQ Regulatory Class: 11,Panel Code: 87 Predicate(s): ASSURE® Anterior Cervical Plate (K040721) PROVIDENCE® Anterior Cervical Plate (K070775) XTEND®Anterior Cervical Plate (K092146)…
Globus Medical, Inc.2004—
*K070775Modification to: Providence Anterior Cervical Plate System
Summary page 1
…: KWQ Regulatory Class: 11,Panel Code: 87 Predicate(s): ASSURE® Anterior Cervical Plate (K040721) PROVIDENCE® Anterior Cervical Plate (K070775) XTEND®Anterior Cervical Plate (K092146) Medtronic ATLANTIS® Anterior Cervical Plate (K0631 00)…
Globus Medical, Inc.2007—
*K092146Xtend Anterior Cervical Plate System
Summary page 1
…7 Predicate(s): ASSURE® Anterior Cervical Plate (K040721) PROVIDENCE® Anterior Cervical Plate (K070775) XTEND®Anterior Cervical Plate (K092146) Medtronic ATLANTIS® Anterior Cervical Plate (K0631 00) Synthes Vectram Anterior Cervical Plate (…
Globus Medical, Inc.2009—
*K063100Atlantis Anterior Cervical Plate System, Translational Plate
Summary page 1
…PROVIDENCE® Anterior Cervical Plate (K070775) XTEND®Anterior Cervical Plate (K092146) Medtronic ATLANTIS® Anterior Cervical Plate (K0631 00) Synthes Vectram Anterior Cervical Plate (K051665) Purpose: The purpose of this submission is to request clearan…
Medtronic Sofamor Danek, Inc.20073
*K051665Synthes Vectra-T System
Summary page 1
…XTEND®Anterior Cervical Plate (K092146) Medtronic ATLANTIS® Anterior Cervical Plate (K0631 00) Synthes Vectram Anterior Cervical Plate (K051665) Purpose: The purpose of this submission is to request clearance for the UNIFY Dynamic Anterior Cervical Plate System, a modific…
Synthes Spine20052

Also cleared against K040721: 6 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
K133567Unify (R) Dynamic Anterior Cervical Plate SystemGlobus Medical, Inc.20145
K181846ASSURE Anterior Cervical Plate System, PROVIDENCE Anterior Cervical Plate System, VIP…Globus Medical, Inc.20184
K192314RESONATE Anterior Cervical Plate SystemGlobus Medical, Inc.20193

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 19 years and passes through 2 companies; a new generation was cleared every 2.6 years on median.
  • 5 of the 17 ancestors have a recall of any class.
  • Of its descendants, K133567 (Globus Medical, Inc., 2014) has gone furthest, with 5 descendants of its own.
  • 6 other devices also cite its predicate K040721.

How does its category compare?

All KWQ devices

KWQ Appliance, Fixation, Spinal Intervertebral Body: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · KWQ

7in 2025

2007: 272008: 322009: 232010: 232011: 222012: 262013: 222014: 172015: 252016: 152017: 202018: 222019: 262020: 262021: 172022: 182023: 162024: 172025: 72026 (partial year): 10
2007high 32 (2008) · low 7 (2025)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KWQ

64in 2025

2007: 101 days median2008: 70 days median2009: 90 days median2010: 104 days median2011: 95 days median2012: 90 days median2013: 88 days median2014: 124 days median2015: 102 days median2016: 121 days median2017: 67 days median2018: 95 days median2019: 81 days median2020: 55 days median2021: 59 days median2022: 85 days median2023: 59 days median2024: 64 days median2025: 64 days median2026 (partial year): 76 days median
2007high 124 (2014) · low 55 (2020)2026

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

Recalls per year · KWQ

1in 2018

2007: 22008: 332009: 352010: 22011: 52012: 72013: 62015: 22016: 92017: 82018: 1
2007high 35 (2009) · low 0 (2014)2026

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

Adverse event reports per year · KWQ

248in 2025

2007: 2882008: 3482009: 3552010: 6912011: 4152012: 5442013: 7962014: 5462015: 5622016: 5022017: 4922018: 3412019: 2982020: 4002021: 5912022: 3922023: 3202024: 4192025: 248
2007high 796 (2013) · low 248 (2025)2025

MAUDE reports naming product code KWQ, 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
2007271012288
2008327033348
2009239035355
2010231042691
201122955415
201226907544
201322886796
2014171240546
2015251022562
2016151219502
201720678492
201822951341
201926810298
202026550400
202117590591
202218850392
202316590320
202417640419
20257640248
202610760—

What is it indicated for?

The UNIFYTM Dynamic Anterior Cervical Plate System is intended for anterior screw fixation to the cervical spine (C2-C7) for the following indications: degenerative disc disease (as defined by neck pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies), trauma (including fractures), tumors, deformity (kyphosis, lordosis or scoliosis), pseudarthrosis, failed previous fusions, spondylolisthesis, and spinal stenosis.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K121049: Unify Dynamic Anterior Cervical Plate System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K121049

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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