510(k) Report

510(k) · Cleared

Recalled · Class II · 2015

Nextgen Altius Oct System

K122378510(k) SpecialCleared Sep 20, 201245-day reviewClass II21 CFR 888.3050Recalls 1

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

Biomet Spine (Aka Ebi, LLC) · KWP Appliance, Fixation, Spinal Interlaminal

Cleared on Sep 20, 2012 as substantially equivalent to K113593 (Biomet Spine (Aka Ebi, LLC), 2012) and 2 other predicates after a 45-day review. Its family tree reaches back 14 generations to 2001. 7 later devices descend from it. It has been recalled once.

Decided
Sep 20, 2012
Review
45 days
Class
Class II
Product code
KWP
Recalls
1
Predicates
3

Its longest line of descent runs back 14 generations to K003155 (2001). 98 ancestors in all, the oldest K841189 (1984). 7 later devices descend from it, 4 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2004: 21 other ancestors2011: 1 other ancestor2010: 1 other ancestor2009: 3 other ancestors2008: 4 other ancestors2007: 2 other ancestors2003: 6 other ancestors2002: 8 other ancestors2001: 7 other ancestors2000: 7 other ancestors1999: 5 other ancestors2006: 4 other ancestors2005: 10 other ancestors1998: 2 other ancestors1997: 1 other ancestor1985: 1 other ancestor1984: 1 other ancestor2017: 1 descendant cleared2014: 3 descendants cleared2025: 1 descendant cleared2023: 1 descendant cleared2026: 1 descendant clearedK003155 · Vertebral Body Replacement · Osteotech, Inc. · 2001K012254 · VBR · Osteotech, Inc. · 2001×3: 3 generations cleared close together, K021791 (2002), K023570 (2002), K030601 (2003) ×2: 2 generations cleared close together, K040536 (2004), K041556 (2004) K043561 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2004×3: 3 generations cleared close together, K060719 (2006), K061938 (2006), K062427 (2006) K070742 · Modification to Vertex Reconstruction System · Medtronic Sofamor Danek · 2007K110522 · Vertex Reconstruction System, Vertex Select Reconstruction System · Medtronic Sofamor Danek USA, Inc. · 2011K113593 · Nextgen Altius Oct System · Biomet Spine (Aka Ebi, LLC) · 201219801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 19 other ancestors3 generations back: 20 other ancestors4 generations back: 9 other ancestors5 generations back: 5 other ancestors6 generations back: 11 other ancestors7 generations back: 18 other ancestors8 generations back: 1 other ancestor 1 generation forward: 4 descendants2 generations forward: 2 descendants3 generations forward: 1 descendant K113593 · Nextgen Altius Oct System · Biomet Spine (Aka Ebi, LLC) · 2012K110522 · Vertex Reconstruction System, Vertex Select Reconstruction System · Medtronic Sofamor Danek USA, Inc. · 2011K070742 · Modification to Vertex Reconstruction System · Medtronic Sofamor Danek · 2007K062427 · Verte-Stack Spinal System · Medtronic Sofamor Danek · 2006K061938 · Verte-Stack Spinal System · Medtronic Sofamor Danek, Inc. · 2006K060719 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2006K043561 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2004K041556 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2004K040536 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2004K030601 · Verte-Stack Spinal System · Medtronic Sofamor Danek · 2003K023570 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2002K021791 · Verte-Stack Spinal System · Medtronic Sofamor Danek · 2002K012254 · VBR · Osteotech, Inc. · 2001K003155 · Vertebral Body Replacement · Osteotech, Inc. · 2001−10−50
  1. Root · 14 generations backK003155 Vertebral Body ReplacementOsteotech, Inc. · 2001
  2. 10 generations between
  3. 3 generations backK070742 Modification to Vertex Reconstruction SystemMedtronic Sofamor Danek · 2007
  4. 2 generations backK110522 Vertex Reconstruction System, Vertex Select Reconstruction SystemMedtronic Sofamor Danek USA, Inc. · 2011
  5. 1 generation backK113593 Nextgen Altius Oct SystemBiomet Spine (Aka Ebi, LLC) · 2012
  6. This deviceK122378 Nextgen Altius Oct SystemBiomet Spine (Aka Ebi, LLC) · 2012
  7. Descendant · cites it directly · 3 of its ownK162575 Z-LINKPC SystemZavation, LLC · 2017
  8. Descendant · cites it directly · 2 of its ownK131833 Centurion Poct SystemOrthofix, Inc. · 2014
  9. Descendant · 2 generations on · 1 of its ownK250866 Sovereign Posterior Cervical SystemMet One Technologies, LLC · 2025
  10. Descendant · 3 generations on · 0 of its ownK254260 The VEGA Cervical Screw SystemGS Medical Co., Ltd. · 2026
  11. Descendant · 2 generations on · 0 of its ownK231811 Zavation Connector SystemZavation Medical Products, LLC · 2023
Show all 14 generations
  1. Root · 14 generations backK003155 Vertebral Body ReplacementOsteotech, Inc. · 2001
  2. 13 generations backK012254 VBROsteotech, Inc. · 2001
  3. 12 generations backK021791 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2002
  4. 11 generations backK023570 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2002
  5. 10 generations backK030601 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2003
  6. 9 generations backK040536 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
  7. 8 generations backK041556 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
  8. 7 generations backK043561 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
  9. 6 generations backK060719 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2006
  10. 5 generations backK061938 Verte-Stack Spinal SystemMedtronic Sofamor Danek, Inc. · 2006
  11. 4 generations backK062427 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2006
  12. 3 generations backK070742 Modification to Vertex Reconstruction SystemMedtronic Sofamor Danek · 2007
  13. 2 generations backK110522 Vertex Reconstruction System, Vertex Select Reconstruction SystemMedtronic Sofamor Danek USA, Inc. · 2011
  14. 1 generation backK113593 Nextgen Altius Oct SystemBiomet Spine (Aka Ebi, LLC) · 2012
  15. This deviceK122378 Nextgen Altius Oct SystemBiomet Spine (Aka Ebi, LLC) · 2012

Showing 5 of 7 descendants. See all descendants

Descendants cleared per year

2014: 32017: 12023: 12025: 12026: 1
2014high 3 (2014) · low 0 (2015)2026

Most influential descendants

Showing 5 of 7 · See all
  • K162575Z-LINKPC SystemZavation, LLC · 2017 · cites it directly3descendants
  • K131833Centurion Poct SystemOrthofix, Inc. · 2014 · cites it directly2descendants
  • K250866Sovereign Posterior Cervical SystemMet One Technologies, LLC · 2025 · 2 generations on1descendant
  • K254260The VEGA Cervical Screw SystemGS Medical Co., Ltd. · 2026 · 3 generations on0descendants
  • K231811Zavation Connector SystemZavation Medical Products, LLC · 2023 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−14K003155Vertebral Body ReplacementOsteotech, Inc.2001—
−13K012254VBROsteotech, Inc.2001—
−12K021791Verte-Stack Spinal SystemMedtronic Sofamor Danek2002—
−11K023570Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2002—
−10K030601Verte-Stack Spinal SystemMedtronic Sofamor Danek2003—
−9K040536Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2004—
−8K041556Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2004—
−7K043561Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2004—
−6K060719Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2006—
−5K061938Verte-Stack Spinal SystemMedtronic Sofamor Danek, Inc.2006—
−4K062427Verte-Stack Spinal SystemMedtronic Sofamor Danek2006—
−3K070742Modification to Vertex Reconstruction SystemMedtronic Sofamor Danek2007—
−2K110522Vertex Reconstruction System, Vertex Select Reconstruction SystemMedtronic Sofamor Danek USA, Inc.2011—
−1K113593Nextgen Altius Oct SystemBiomet Spine (Aka Ebi, LLC)2012—
0 (this device)K122378Nextgen Altius Oct SystemBiomet Spine (Aka Ebi, LLC)2012—
+1K162575Z-LINKPC SystemZavation, LLC2017—
+1K131833Centurion Poct SystemOrthofix, Inc.2014—
+2K250866Sovereign Posterior Cervical SystemMet One Technologies, LLC2025—
+3K254260The VEGA Cervical Screw SystemGS Medical Co., Ltd.2026—
+2K231811Zavation Connector SystemZavation Medical Products, LLC2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198410
198510
199710
199820
199950
200070
200170
200280
200360
2004210
2005100
200640
200720
200840
200930
201010
201110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201430
201710
202310
202510
202610
FIG. 1 — Lineage of K122378, 2001–2026Source: 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 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? (3)

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
*K113593Nextgen Altius Oct SystemBiomet Spine (Aka Ebi, LLC)2012—
*K042508Sumit Oct Spinal System and Mountaineer Oct Spinal System
Summary page 2
…he Nextgen Altius OCT System are substantially equivalent to the current components in the Nextgen Altius OCT System (KI 13593), the Depuy Mountaineer OCT Spinal System (K042508) and the Vertex Reconstruction Systems (Kl 10522). The Nextgen Altius QCT System is substantially equivalent to these predicate s…
Depuy Spine, Inc.2004—
*K110522Vertex Reconstruction System, Vertex Select Reconstruction SystemMedtronic Sofamor Danek USA, Inc.2011—

Also cleared against K113593: 5 other devices →

What descends from it? (7)

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

NumberDeviceApplicantDecidedDescendants
K162575Z-LINKPC SystemZavation, LLC20173
K131833Centurion Poct SystemOrthofix, Inc.20142
K140734Nextgen Altius Oct SystemEbi, LLC20140
K141284Caspian Spinal SystemK2m, Inc.20140

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Jul 22, 2015Class IIZ-2759-2015Device DesignBiomet has initiated a recall on Biomet Spine Lineum OCC Starter Flexible and its inner shaft instrumentsafter identifying that these instruments were distributed prior to completion of all design control activities.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 11 years and passes through 5 companies; a new generation was cleared every 9 months on median.
  • 6 of the 98 ancestors have a recall of any class.
  • Of its descendants, K162575 (Zavation, LLC, 2017) has gone furthest, with 3 descendants of its own.
  • 5 other devices also cite its predicate K113593.

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?

When intended for stabilization as afi adjunct to fuision of the cervical spine and occipito-cervico-thoracic junction (occiput -T3), the Nextgen Altius OCT System is intended for use with allograft or autograft and indicated for: DDD (neck pain of discogenic origin with degeneration of the disc as confirmed by patient history and radiographic studies); spondylolisthesis; deformities or curvatures (i.e., scoliosis, kyphosis and/or lordosis)…

Read the full statement (169 words)

When intended for stabilization as afi adjunct to fuision of the cervical spine and occipito-cervico-thoracic junction (occiput -T3), the Nextgen Altius OCT System is intended for use with allograft or autograft and indicated for: DDD (neck pain of discogenic origin with degeneration of the disc as confirmed by patient history and radiographic studies); spondylolisthesis; deformities or curvatures (i.e., scoliosis, kyphosis and/or lordosis); pseudoarthrosis; spinal stenosis; trauma, (i.e., fracture or dislocation); atlanto/axial fracture with instability; occipitocervical dislocation; revision of previous cervical spine surgery; and tumors.

The occipital bone screws are limited to occipital fixation only.

The use of pedicle screws is limited to placement in T I-T3 in treating thoracic conditions only.

They are not intended to be placed in or treat conditions involving the cervical spine.

The Nextgen Altius OCT System can also be linked to the Biomet Polaris Systems via transitional rods or using Altius Rod Connectors or Polaris Dominoes. Please refer to the individual system's package insert for a list of indications for use for each system.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K122378: Nextgen Altius Oct System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K122378

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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