510(k) · Cleared
ClearedOracle Lumbar Intervertebral Body Fusion Cage System
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Accel Spine · MAX Intervertebral Fusion Device With Bone Graft, Lumbar
Cleared on Sep 26, 2012 as substantially equivalent to K110783 (L&K BIOMED Co., Ltd., 2011) and 16 other predicates after a 120-day review. Its family tree reaches back 14 generations to 1984. 5 later devices descend from it.
- Decided
- Sep 26, 2012
- Review
- 120 days
- Class
- Class II
- Product code
- MAX
- Recalls
- None
- Predicates
- 17
Its longest line of descent runs back 14 generations to K841189 (1984). 75 ancestors in all. 5 later devices descend from it, 2 citing it directly.
- Root · 14 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
- 10 generations between
- 3 generations backK113528 Clydesdale (R) Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2011
- 2 generations backK120063 Venus Lumbar Intervertebral Body Fusion Cage SystemL&K BIOMED Co., Ltd. · 2012
- 1 generation backK121096 Venus Lumbar Intervertebral Body Fusion Cage SystemL&K BIOMED Co., Ltd. · 2012
- This deviceK121567 Oracle Lumbar Intervertebral Body Fusion Cage SystemAccel Spine · 2012
- Descendant · cites it directly · 3 of its ownK192863 MONDRIAN Lumbar Interbody Fusion Cage SystemCtl Medical Corporation · 2020
- Descendant · 2 generations on · 1 of its ownK213641 MONDRIAN ALIF Cage with Supplementary Fixation PlateCtl Medical Corporation · 2022
- Descendant · 3 generations on · 0 of its ownK231715 MONDRIAN™ Anterior Lumbar Plate SystemCtl Medical Corporation · 2024
- Descendant · 2 generations on · 0 of its ownK220513 NITRO Interbody Fusion Cage System FamilyCtl Medical Corporation · 2023
- Descendant · cites it directly · 0 of its ownK212389 Advantage Lumbar System - ALIF, PLIF, DLIF, TLIFIntelivation, LLC · 2021
Show all 14 generations
- Root · 14 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
- 13 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
- 12 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
- 11 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
- 10 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
- 9 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
- 8 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
- 7 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
- 6 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
- 5 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
- 4 generations backK090353 Perimeter Interbody Fusion DeviceMedtronic Sofamor Danek · 2009
- 3 generations backK113528 Clydesdale (R) Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2011
- 2 generations backK120063 Venus Lumbar Intervertebral Body Fusion Cage SystemL&K BIOMED Co., Ltd. · 2012
- 1 generation backK121096 Venus Lumbar Intervertebral Body Fusion Cage SystemL&K BIOMED Co., Ltd. · 2012
- This deviceK121567 Oracle Lumbar Intervertebral Body Fusion Cage SystemAccel Spine · 2012
Most influential descendants
Showing 5 of 5 · See all- K192863MONDRIAN Lumbar Interbody Fusion Cage SystemCtl Medical Corporation · 2020 · cites it directly3descendants
- K213641MONDRIAN ALIF Cage with Supplementary Fixation PlateCtl Medical Corporation · 2022 · 2 generations on1descendant
- K231715MONDRIAN™ Anterior Lumbar Plate SystemCtl Medical Corporation · 2024 · 3 generations on0descendants
- K220513NITRO Interbody Fusion Cage System FamilyCtl Medical Corporation · 2023 · 2 generations on0descendants
- K212389Advantage Lumbar System - ALIF, PLIF, DLIF, TLIFIntelivation, LLC · 2021 · cites it directly0descendants
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −14 | K841189 | Oec/Rezaian Spinal Fixator | Orthopedic Equipment Co., Inc. | 1984 | — |
| −13 | K990148 | Stackable Cage System | Depuy Motech Acromed | 1999 | — |
| −12 | K003043 | Surgical Titanium Mesh System | Depuyacromed | 2001 | — |
| −11 | K022793 | Tetris Spinal Implant | Signus Medical, LLC | 2003 | — |
| −10 | K031757 | Peek Tetris Spinal Implant | Signus Medical, LLC | 2003 | — |
| −9 | K041888 | Curved Peek Tetris Spinal Implant | Signus Medizintechnik GmbH | 2004 | — |
| −8 | K042930 | Spacevision Cage System | Spine Vision, Inc. | 2004 | — |
| −7 | K062759 | Paramount VBR System | Innovative Spinal Technologies, Inc. | 2007 | — |
| −6 | K072120 | Paramount Intervertebral Body Fusion Device | Innovative Spinal Technologies, Inc. | 2007 | — |
| −5 | K073291 | Capstone Spinal System | Medtronic Sofamor Danek USA, Inc. | 2008 | — |
| −4 | K090353 | Perimeter Interbody Fusion Device | Medtronic Sofamor Danek | 2009 | — |
| −3 | K113528 | Clydesdale (R) Spinal System | Medtronic Sofamor Danek USA, Inc. | 2011 | — |
| −2 | K120063 | Venus Lumbar Intervertebral Body Fusion Cage System | L&K BIOMED Co., Ltd. | 2012 | — |
| −1 | K121096 | Venus Lumbar Intervertebral Body Fusion Cage System | L&K BIOMED Co., Ltd. | 2012 | — |
| 0 (this device) | K121567 | Oracle Lumbar Intervertebral Body Fusion Cage System | Accel Spine | 2012 | — |
| +1 | K192863 | MONDRIAN Lumbar Interbody Fusion Cage System | Ctl Medical Corporation | 2020 | — |
| +2 | K213641 | MONDRIAN ALIF Cage with Supplementary Fixation Plate | Ctl Medical Corporation | 2022 | — |
| +3 | K231715 | MONDRIAN™ Anterior Lumbar Plate System | Ctl Medical Corporation | 2024 | — |
| +2 | K220513 | NITRO Interbody Fusion Cage System Family | Ctl Medical Corporation | 2023 | — |
| +1 | K212389 | Advantage Lumbar System - ALIF, PLIF, DLIF, TLIF | Intelivation, LLC | 2021 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1996 | 2 | 0 |
| 1999 | 2 | 0 |
| 2000 | 1 | 0 |
| 2001 | 7 | 0 |
| 2002 | 6 | 0 |
| 2003 | 7 | 0 |
| 2004 | 9 | 0 |
| 2005 | 5 | 0 |
| 2006 | 1 | 0 |
| 2007 | 5 | 0 |
| 2008 | 5 | 0 |
| 2009 | 5 | 0 |
| 2010 | 4 | 0 |
| 2011 | 2 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2020 | 1 | 0 |
| 2021 | 1 | 0 |
| 2022 | 1 | 0 |
| 2023 | 1 | 0 |
| 2024 | 1 | 0 |
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 K203714 NuVasive Thoracolumbar Interbody Systems…score 102.5 · 24 generations · no Class I recall
- #2 Held for the reportin the report
- #3 Held for the reportin the report
What was it cleared against? (17)
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.
| Type | Number | Device | Decided |
|---|---|---|---|
| * | K110783 | Venus Interbody Fixation System- Venus Plif/Tlif, Alif Peek CageSummary page 2…on Cage System is substantially equivalent to the following predicates: L&K BIOMEI): VENUS Lumbar Intervertebral Body Fusion Cage System (K 110783. K 120063. K 121096) .. S Medical: Any Plus PEEK Cage (K100516) .. STRYKER SPINE :AVS PEEK Spacer System (K08366 1,K090… | 2011 |
| * | K120063 | Venus Lumbar Intervertebral Body Fusion Cage SystemSummary page 2…ge System is substantially equivalent to the following predicates: L&K BIOMEI): VENUS Lumbar Intervertebral Body Fusion Cage System (K 110783. K 120063. K 121096) .. S Medical: Any Plus PEEK Cage (K100516) .. STRYKER SPINE :AVS PEEK Spacer System (K08366 1,K090816,K09370… | 2012 |
| * | K121096 | Venus Lumbar Intervertebral Body Fusion Cage System Cleared while this submission was under review Summary page 2…is substantially equivalent to the following predicates: L&K BIOMEI): VENUS Lumbar Intervertebral Body Fusion Cage System (K 110783. K 120063. K 121096) .. S Medical: Any Plus PEEK Cage (K100516) .. STRYKER SPINE :AVS PEEK Spacer System (K08366 1,K090816,K093704) ..… | 2012 |
| * | K100516 | Anyplus Peek CagesSummary page 2…icates: L&K BIOMEI): VENUS Lumbar Intervertebral Body Fusion Cage System (K 110783. K 120063. K 121096) .. S Medical: Any Plus PEEK Cage (K100516) .. STRYKER SPINE :AVS PEEK Spacer System (K08366 1,K090816,K093704) .. Solco Biomedical : 4CIS PEEK PLIF Cage System (… | 2010 |
| * | K083661 | Avs TL Peek SpacersSummary page 2…Body Fusion Cage System (K 110783. K 120063. K 121096) .. S Medical: Any Plus PEEK Cage (K100516) .. STRYKER SPINE :AVS PEEK Spacer System (K08366 1,K090816,K093704) .. Solco Biomedical : 4CIS PEEK PLIF Cage System (K092 162) .. Nuvasive: NuVasiveCoRoent System (K0434… | 2009 |
| * | K090816 | Stryker Spine Avs PL Peek SpacersSummary page 2…on Cage System (K 110783. K 120063. K 121096) .. S Medical: Any Plus PEEK Cage (K100516) .. STRYKER SPINE :AVS PEEK Spacer System (K08366 1,K090816,K093704) .. Solco Biomedical : 4CIS PEEK PLIF Cage System (K092 162) .. Nuvasive: NuVasiveCoRoent System (K043405,K0522… | 2009 |
| * | K093704 | Avs PL Peek SpacersSummary page 2…System (K 110783. K 120063. K 121096) .. S Medical: Any Plus PEEK Cage (K100516) .. STRYKER SPINE :AVS PEEK Spacer System (K08366 1,K090816,K093704) .. Solco Biomedical : 4CIS PEEK PLIF Cage System (K092 162) .. Nuvasive: NuVasiveCoRoent System (K043405,K0522 10 K07… | 2009 |
| * | K092162 | 4CIS Peek, Plif and Tlif Cage SystemSummary page 2…. S Medical: Any Plus PEEK Cage (K100516) .. STRYKER SPINE :AVS PEEK Spacer System (K08366 1,K090816,K093704) .. Solco Biomedical : 4CIS PEEK PLIF Cage System (K092 162) .. Nuvasive: NuVasiveCoRoent System (K043405,K0522 10 K07 1795, KO081611) .. Spine Art : JULIET OL, DYNAMIK Interverte… | 2010 |
| * | K043405 | Nuvasive Coroent SystemSummary page 2…RYKER SPINE :AVS PEEK Spacer System (K08366 1,K090816,K093704) .. Solco Biomedical : 4CIS PEEK PLIF Cage System (K092 162) .. Nuvasive: NuVasiveCoRoent System (K043405,K0522 10 K07 1795, KO081611) .. Spine Art : JULIET OL, DYNAMIK Intervertebral body fusion device (K081888,… | 2005 |
| * | K052210 | Nuvasive Coroent Extensure SystemSummary page 2…INE :AVS PEEK Spacer System (K08366 1,K090816,K093704) .. Solco Biomedical : 4CIS PEEK PLIF Cage System (K092 162) .. Nuvasive: NuVasiveCoRoent System (K043405,K0522 10 K07 1795, KO081611) .. Spine Art : JULIET OL, DYNAMIK Intervertebral body fusion device (K081888, K101720)… | 2005 |
| * | K071795 | Nuvasive Coroent SystemSummary page 2…PEEK Spacer System (K08366 1,K090816,K093704) .. Solco Biomedical : 4CIS PEEK PLIF Cage System (K092 162) .. Nuvasive: NuVasiveCoRoent System (K043405,K0522 10 K07 1795, KO081611) .. Spine Art : JULIET OL, DYNAMIK Intervertebral body fusion device (K081888, K101720) ..… | 2007 |
| * | K081611 | Nuvasive Coroent SystemSummary page 2…System (K08366 1,K090816,K093704) .. Solco Biomedical : 4CIS PEEK PLIF Cage System (K092 162) .. Nuvasive: NuVasiveCoRoent System (K043405,K0522 10 K07 1795, KO081611) .. Spine Art : JULIET OL, DYNAMIK Intervertebral body fusion device (K081888, K101720) .. Medtronic… | 2008 |
| * | K081888 | Dynamik Intervertebral Body Fusion DeviceSummary page 2….. Nuvasive: NuVasiveCoRoent System (K043405,K0522 10 K07 1795, KO081611) .. Spine Art : JULIET OL, DYNAMIK Intervertebral body fusion device (K081888, K101720) .. Medtronic Sofamorflanek: CLYDESDALE Spinal System (K100175,K112405,KI 13528)… | 2009 |
| * | K101720 | Juliet OLSummary page 2…vasive: NuVasiveCoRoent System (K043405,K0522 10 K07 1795, KO081611) .. Spine Art : JULIET OL, DYNAMIK Intervertebral body fusion device (K081888, K101720) .. Medtronic Sofamorflanek: CLYDESDALE Spinal System (K100175,K112405,KI 13528) 8. Con… | 2010 |
| * | K100175 | Clydesdale Spinal SystemSummary page 2…YNAMIK Intervertebral body fusion device (K081888, K101720) .. Medtronic Sofamorflanek: CLYDESDALE Spinal System (K100175,K112405,KI 13528) 8. Conclusion The Cezanne Lumbar Interbody Fusion Cage System is substantially equivalent to the devic… | 2010 |
| * | K112405 | Clydesdales Spinal SystemSummary page 2…ntervertebral body fusion device (K081888, K101720) .. Medtronic Sofamorflanek: CLYDESDALE Spinal System (K100175,K112405,KI 13528) 8. Conclusion The Cezanne Lumbar Interbody Fusion Cage System is substantially equivalent to the device r… | 2011 |
| * | K113528 | Clydesdale (R) Spinal System | 2011 |
What descends from it? (5)
2 later devices cite it directly; ranked here by how many devices descend from each in turn.
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 11 companies; a new generation was cleared every 1.0 years on median.
- 7 of the 75 ancestors have a recall of any class.
- Of its descendants, K192863 (Ctl Medical Corporation, 2020) has gone furthest, with 3 descendants of its own.
- 6 other devices also cite its predicate K110783.
How does its category compare?
All MAX devicesMAX 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
2026 to Oct 25, outlined.
Median 510(k) review, days · MAX
85in 2025
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · MAX
5in 2025
Class I (1 since 2007) Class II/III not classified
Adverse event reports per year · MAX
811in 2025
MAUDE reports naming product code MAX, not matched to any one device; reports are not rates.
View these four charts as a table
| Year | Decisions | Median 510(k) review, days | Recalls (Class I) | MAUDE reports |
|---|---|---|---|---|
| 2007 | 7 | 86 | 0 | 12 |
| 2008 | 35 | 88 | 2 | 19 |
| 2009 | 31 | 102 | 9 | 90 |
| 2010 | 29 | 137 | 0 | 154 |
| 2011 | 49 | 98 | 3 | 201 |
| 2012 | 48 | 69 | 11 (1) | 327 |
| 2013 | 58 | 102 | 0 | 380 |
| 2014 | 58 | 115 | 3 | 366 |
| 2015 | 53 | 113 | 1 | 524 |
| 2016 | 64 | 124 | 6 | 647 |
| 2017 | 76 | 116 | 1 | 596 |
| 2018 | 64 | 114 | 4 | 616 |
| 2019 | 60 | 131 | 1 | 699 |
| 2020 | 56 | 106 | 0 | 640 |
| 2021 | 53 | 109 | 0 | 622 |
| 2022 | 41 | 95 | 1 | 618 |
| 2023 | 30 | 87 | 0 | 576 |
| 2024 | 38 | 91 | 1 | 729 |
| 2025 | 29 | 85 | 5 | 811 |
| 2026 | 18 | 95 | 0 | — |
What is it indicated for?
Cezann& Lumbar Interbody Fusion Cage System is indicated for intervertebral body fuision procedures in skeletally mature patients with degenerative disc disease (DDD) at one or two contiguous levels from L2-SI ODD is defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies. These DOD patients may also have up to Grade I spondylolisthesis or retrolisthesis at the involved level(s).This device is…
Read the full statement (106 words)
Cezann& Lumbar Interbody Fusion Cage System is indicated for intervertebral body fuision procedures in skeletally mature patients with degenerative disc disease (DDD) at one or two contiguous levels from L2-SI ODD is defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies. These DOD patients may also have up to Grade I spondylolisthesis or retrolisthesis at the involved level(s).This device is to be used with autogenous bone graft. Cezanne Lumbar Interbody Fusion Cage System is to be used with supplemental fixation. Patients should have at least six (6) months of non-operative treatment prior to treatment with an intervertebral cage.
Indications for use as stated in the FDA summary.
https://510kreport.com/device/K121567 · printed Nov 6, 2026
Cite this page
510(k) Report. “K121567: Oracle Lumbar Intervertebral Body Fusion 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/K121567
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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