510(k) Report

510(k) · Cleared

Cleared

Visualif Challenging Access Plate

K122168510(k) SpecialCleared Oct 11, 201280-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

Spine Smith Partners L.P. · OVD Intervertebral Fusion Device With Integrated Fixation, Lumbar

Cleared on Oct 11, 2012 as substantially equivalent to K102090 (Spine Smith Partners L.P., 2010) after an 80-day review. Its family tree reaches back 3 generations to 1996. 1 later device descends from it.

Decided
Oct 11, 2012
Review
80 days
Class
Class II
Product code
OVD
Recalls
None
Predicates
1

Its longest line of descent runs back 3 generations to P950002 (1996). 6 ancestors in all. 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1999: 2 other ancestors1996: 1 other ancestor2016: 1 descendant clearedP950002 · Bak Interbody Fusion System · Zimmer Spine, Inc. · 1996K090376 · Spinesmith Cynch Spinal System · Spine Smith Partners L.P. · 2009K102090 · Spinesmith Cynch Spinal System - Visualif Interbody Fusion Implant System · Spine Smith Partners L.P. · 2010 · recalled1995200020052010201520202025
  1. Root · 3 generations backP950002 Bak Interbody Fusion SystemZimmer Spine, Inc. · 1996
  2. 2 generations backK090376 Spinesmith Cynch Spinal SystemSpine Smith Partners L.P. · 2009
  3. 1 generation backK102090 Spinesmith Cynch Spinal System - Visualif Interbody Fusion Implant…Spine Smith Partners L.P. · 2010 · Recalled
  4. This deviceK122168 Visualif Challenging Access PlateSpine Smith Partners L.P. · 2012
  5. Descendant · cites it directly · 0 of its ownK161993 Leva® Anterior Interbody SystemSpine Wave, Inc. · 2016

Most influential descendants

Showing 1 of 1 · See all
  • K161993Leva® Anterior Interbody SystemSpine Wave, Inc. · 2016 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3P950002Bak Interbody Fusion SystemZimmer Spine, Inc.1996—
−2K090376Spinesmith Cynch Spinal SystemSpine Smith Partners L.P.2009—
−1K102090Spinesmith Cynch Spinal System - Visualif Interbody Fusion Implant SystemSpine Smith Partners L.P.20101
0 (this device)K122168Visualif Challenging Access PlateSpine Smith Partners L.P.2012—
+1K161993Leva® Anterior Interbody SystemSpine Wave, Inc.2016—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199610
199920

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201610
FIG. 1 — Lineage of K122168, 1996–2016Source: 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 OVD? 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 OVD device

  1. #1 K222009 aprevo® anterior lumbar interbody fusion…score 26.0 · 23 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? (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
*K102090Spinesmith Cynch Spinal System - Visualif Interbody Fusion Implant System
Summary page 1
…ICATION OF PREDICATE DEVICES: The SpineSmith VisuALIF Challenging Access System was determined to be substantially equivalent to the previously cleared VisuALI F System (K1 02090, SpineSmith; Cleared 09/09/2010). DEVICE DESCRIPTION: The VisuALIF Challenging Access System an extension to the Vis uALIF System…
Spine Smith Partners L.P.20101

Also cleared against K102090: 4 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
K161993Leva® Anterior Interbody SystemSpine Wave, Inc.20160

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 16 years and passes through 2 companies; a new generation was cleared every 2.0 years on median.
  • 3 of the 6 ancestors have a recall of any class.
  • Of its descendants, K161993 (Spine Wave, Inc., 2016) has gone furthest, with 0 descendants of its own.
  • 4 other devices also cite its predicate K102090.

How does its category compare?

All OVD devices

OVD Intervertebral Fusion Device With Integrated Fixation, Lumbar: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · OVD

10in 2025

2007: 22008: 82009: 32010: 82011: 92012: 102013: 112014: 142015: 122016: 132017: 122018: 142019: 122020: 142021: 72022: 142023: 122024: 122025: 102026 (partial year): 8
2007high 14 (2014) · low 2 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OVD

100in 2025

2008: 84 days median2009: 152 days median2010: 117 days median2011: 167 days median2012: 78 days median2013: 137 days median2014: 139 days median2015: 166 days median2016: 127 days median2017: 127 days median2018: 126 days median2019: 91 days median2020: 91 days median2021: 108 days median2022: 133 days median2023: 92 days median2024: 110 days median2025: 100 days median2026 (partial year): 93 days median
2007high 167 (2011) · low 78 (2012)2026

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

Recalls per year · OVD

1in 2025

2013: 42016: 12021: 12022: 12025: 12026 (partial year): 1
2007high 4 (2013) · low 0 (2007)2026

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

Adverse event reports per year · OVD

50in 2025

2009: 22010: 22011: 62012: 162013: 172014: 352015: 432016: 552017: 722018: 1122019: 1712020: 2032021: 2212022: 742023: 672024: 922025: 50
2007high 221 (2021) · low 0 (2007)2025

MAUDE reports naming product code OVD, 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
20072—00
200888400
2009315202
2010811702
2011916706
20121078016
201311137417
201414139035
201512166043
201613127155
201712127072
2018141260112
201912910171
202014910203
202171081221
202214133174
20231292067
202412110092
202510100150
20268931—

What is it indicated for?

The VisuALIF System is indicated for intervertebral body fusion of the lumbar spine, from L2 to S1, in skeletally mature patients who have had six months of non-operative treatment. The device is intended for use at either one level or two contiguous levels for the treatment of degenerative disc disease (DDD) with up to Grade I spondylolisthesis. DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and…

Read the full statement (172 words)

The VisuALIF System is indicated for intervertebral body fusion of the lumbar spine, from L2 to S1, in skeletally mature patients who have had six months of non-operative treatment. The device is intended for use at either one level or two contiguous levels for the treatment of degenerative disc disease (DDD) with up to Grade I spondylolisthesis. DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. The device system is designed for use with autograft to facilitate fusion.

The VisuALIF is a stand-alone device intended to be used with an anterior cover plate and a minimum of two provided bone screws angled both cephalad and caudal with a minimum of one screw into each vertebral body. Should the physician choose to use fewer than the two screws provided, additional supplemental fixation cleared by the FDA for use in the lumbar spine must be used. The anterior cover plate must be utilized whenever the device is implanted using the bone screws provided.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K122168: Visualif Challenging Access Plate.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K122168

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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