510(k) Report

510(k) · Cleared

Cleared

Casian, 3.5/4.5 Connectors

K121808510(k) SpecialCleared Jul 20, 201230-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

K2m, Inc. · KWP Appliance, Fixation, Spinal Interlaminal

Cleared on Jul 20, 2012 as substantially equivalent to K081107 (K2m, Inc., 2008) and 3 other predicates after a 30-day review. Its family tree reaches back 11 generations to 1985. 1 later device descends from it.

Decided
Jul 20, 2012
Review
30 days
Class
Class II
Product code
KWP
Recalls
None
Predicates
4

Its longest line of descent runs back 11 generations to K853033 (1985). 32 ancestors in all. 1 later device descends from it, 1 citing it directly.

  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 backK101084 Caspian Spinal SystemK2m, Inc. · 2010
  5. 1 generation backK103232 Caspian Spinal SystemK2m, Inc. · 2011
  6. This deviceK121808 Casian, 3.5/4.5 ConnectorsK2m, Inc. · 2012
  7. Descendant · cites it directly · 0 of its ownK142558 Caspian OCT/MESA Mini/DENALI Mini Spinal SystemK2m · 2014
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 backK101084 Caspian Spinal SystemK2m, Inc. · 2010
  11. 1 generation backK103232 Caspian Spinal SystemK2m, Inc. · 2011
  12. This deviceK121808 Casian, 3.5/4.5 ConnectorsK2m, Inc. · 2012

Most influential descendants

Showing 1 of 1 · See all
  • K142558Caspian OCT/MESA Mini/DENALI Mini Spinal SystemK2m · 2014 · cites it directly0descendants
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—
−2K101084Caspian Spinal SystemK2m, Inc.2010—
−1K103232Caspian Spinal SystemK2m, Inc.2011—
0 (this device)K121808Casian, 3.5/4.5 ConnectorsK2m, Inc.2012—
+1K142558Caspian OCT/MESA Mini/DENALI Mini Spinal SystemK2m2014—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199940
200010
200120
200220
200320
200440
200710
200820
200920
201110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201410
FIG. 1 — Lineage of K121808, 1985–2014Source: 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 KWP? 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
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What was it cleared against? (4)

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
*K081107Caspian Spinal System, Screws, Rods, Hooks, Rod Connectors
Summary page 1
…Regulatory Class: Class 11 3. Predicate or legally marketed devices which are substantially equivalent: * K2M Caspian Spinal System (K081107, K092640, K 103232) " DePuy Mountaineer (KI 10353) 4. Description of the device: The Caspian Spinal System is…
K2m, Inc.2008—
*K092640Caspian Spinal System
Summary page 1
…tory Class: Class 11 3. Predicate or legally marketed devices which are substantially equivalent: * K2M Caspian Spinal System (K081107, K092640, K 103232) " DePuy Mountaineer (KI 10353) 4. Description of the device: The Caspian Spinal System is a top-loa…
K2m, Inc.2009—
*K103232Caspian Spinal System
Summary page 1
…s: Class 11 3. Predicate or legally marketed devices which are substantially equivalent: * K2M Caspian Spinal System (K081107, K092640, K 103232) " DePuy Mountaineer (KI 10353) 4. Description of the device: The Caspian Spinal System is a top-loading, mult…
K2m, Inc.2011—
*K110353Mountaineer Oct Spinal SystemDepuy Spine, Inc.2011—

Also cleared against K081107: 10 other devices →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K142558Caspian OCT/MESA Mini/DENALI Mini Spinal SystemK2m20140

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 27 years and passes through 7 companies; a new generation was cleared every 1.3 years on median.
  • 1 of the 32 ancestors has a recall of any class.
  • Of its descendants, K142558 (K2m, 2014) has gone furthest, with 0 descendants of its own.
  • 10 other devices also cite its predicate K081107.

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. 2012, 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 Caspian OCT/mini Mesa/mini Denali Spinal System is intended to provide stabilization as an adjunct to fusion of the cervical spine and occipito-cervico-thoracic junction (occiput-T3) when used with autograft or allograft and is indicated for the following: DDD (neck pain of discogenic origin with degeneration of the disc as confirmed by patient history and radiographic studies), spondylolisthesis, spinal stenosis, fracture/dislocation, revision of…

Read the full statement (148 words)

The Caspian OCT/mini Mesa/mini Denali Spinal System is intended to provide stabilization as an adjunct to fusion of the cervical spine and occipito-cervico-thoracic junction (occiput-T3) when used with autograft or allograft and is indicated for the following: DDD (neck pain of discogenic origin with degeneration of the disc as confirmed by patient history and radiographic studies), spondylolisthesis, spinal stenosis, fracture/dislocation, revision of previous cervical spine surgery, tumors, atlantoaxial fracture with instability, occipitocervical dislocation.

The occipital bone screws are limited to occipital fixation only.

The rod and hook components are intended for use in the cervical/upper thoracic (C1-T3) spine. The pedicle screws are limited to placement in T1-T3 in treating thoracic conditions only. The pedicle screws are not intended to be placed in or treat conditions involving the cervical spine.

The Caspian Spinal System can also be linked to the Range Spinal System using rod connectors or transitional rods.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K121808: Casian, 3.5/4.5 Connectors.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K121808

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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