510(k) Report

510(k) · Cleared

Cleared

Brigade Standalone System

K123045510(k) SpecialCleared Apr 16, 2013197-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

Nuvasive, Inc. · OVD Intervertebral Fusion Device With Integrated Fixation, Lumbar

Cleared on Apr 16, 2013 as substantially equivalent to K100043 (Nuvasive, Inc., 2010) and 2 other predicates after a 197-day review. Its family tree reaches back 13 generations to 1984. 1 of the 763 devices in its family, counting itself, has a Class I recall. 696 later devices descend from it.

Decided
Apr 16, 2013
Review
197 days
Class
Class II
Product code
OVD
Recalls
None
Predicates
3

Its longest line of descent runs back 13 generations to K841189 (1984). 66 ancestors in all. 696 later devices descend from it, 17 citing it directly. 1 of the 763 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2007: 7 other ancestors2009: 1 other ancestor2008: 6 other ancestors2005: 4 other ancestors2004: 7 other ancestors1999: 2 other ancestors2006: 2 other ancestors2003: 5 other ancestors2002: 7 other ancestors2001: 9 other ancestors2000: 1 other ancestor1996: 2 other ancestors2021: 62 descendants cleared, 1 with a Class I recall12015: 15 descendants cleared2019: 60 descendants cleared2016: 29 descendants cleared2014: 2 descendants cleared2017: 39 descendants cleared2018: 46 descendants cleared2020: 78 descendants cleared2023: 78 descendants cleared2026: 60 descendants cleared2022: 66 descendants cleared2025: 74 descendants cleared2024: 87 descendants clearedK841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 1984K990148 · Stackable Cage System · Depuy Motech Acromed · 1999K003043 · Surgical Titanium Mesh System · Depuyacromed · 2001×2: 2 generations cleared close together, K022793 (2003), K031757 (2003) ×2: 2 generations cleared close together, K041888 (2004), K042930 (2004) K062759 · Paramount VBR System · Innovative Spinal Technologies, Inc. · 2007K072120 · Paramount Intervertebral Body Fusion Device · Innovative Spinal Technologies, Inc. · 2007×3: 3 generations cleared close together, K080083 (2008), K073109 (2008), K081849 (2008) K100043 · Coroent XLR Standalone System · Nuvasive, Inc. · 201019801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 8 other ancestors3 generations back: 16 other ancestors4 generations back: 9 other ancestors5 generations back: 6 other ancestors6 generations back: 6 other ancestors7 generations back: 5 other ancestors8 generations back: 2 other ancestors 1 generation forward: 17 descendants2 generations forward: 76 descendants3 generations forward: 155 descendants4 generations forward: 203 descendants, 1 with a Class I recall15 generations forward: 133 descendants6 generations forward: 65 descendants7 generations forward: 29 descendants8 generations forward: 12 descendants9 generations forward: 5 descendants10 generations forward: 1 descendant K100043 · Coroent XLR Standalone System · Nuvasive, Inc. · 2010K081849 · Blackstone Pillar SA Partial Vertebral Body Replacement Device · Blackstone Medical, Inc. · 2008 · recalledK073109 · Stalif TT Intervertebral Body Fusion System · Surgicraft, Ltd. · 2008K080083 · Intrepid Spinal System · Medtronic Sofamor Danek · 2008 · recalledK072120 · Paramount Intervertebral Body Fusion Device · Innovative Spinal Technologies, Inc. · 2007K062759 · Paramount VBR System · Innovative Spinal Technologies, Inc. · 2007K042930 · Spacevision Cage System · Spine Vision, Inc. · 2004K041888 · Curved Peek Tetris Spinal Implant · Signus Medizintechnik GmbH · 2004K031757 · Peek Tetris Spinal Implant · Signus Medical, LLC · 2003K022793 · Tetris Spinal Implant · Signus Medical, LLC · 2003K003043 · Surgical Titanium Mesh System · Depuyacromed · 2001K990148 · Stackable Cage System · Depuy Motech Acromed · 1999K841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 1984−10−50+5+10
  1. Root · 13 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 9 generations between
  3. 3 generations backK073109 Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd. · 2008
  4. 2 generations backK081849 Blackstone Pillar SA Partial Vertebral Body Replacement DeviceBlackstone Medical, Inc. · 2008 · Recalled
  5. 1 generation backK100043 Coroent XLR Standalone SystemNuvasive, Inc. · 2010
  6. This deviceK123045 Brigade Standalone SystemNuvasive, Inc. · 2013
  7. Descendant · cites it directly · 588 of its ownK141665 NuVasive CoRoent SystemNuvasive, Inc. · 2015
  8. Descendant · 2 generations on · 479 of its ownK151472 NuVasive CoRoent Lumbar SystemNu Vasive, Incorporated · 2015
  9. Descendant · cites it directly · 465 of its ownK140479 Coroent XL-F SystemNu Vasive, Incorporated · 2014
  10. Descendant · cites it directly · 459 of its ownK141942 Midline II TICentinel Spine, Inc. · 2014
  11. Descendant · 2 generations on · 402 of its ownK150994 NuVasive CoRoent Thoracolumbar ImplantsNu Vasive, Incorporated · 2015
Show all 13 generations
  1. Root · 13 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 12 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 11 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 10 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 9 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 8 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 7 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 6 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 5 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 4 generations backK080083 Intrepid Spinal SystemMedtronic Sofamor Danek · 2008 · Recalled
  11. 3 generations backK073109 Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd. · 2008
  12. 2 generations backK081849 Blackstone Pillar SA Partial Vertebral Body Replacement DeviceBlackstone Medical, Inc. · 2008 · Recalled
  13. 1 generation backK100043 Coroent XLR Standalone SystemNuvasive, Inc. · 2010
  14. This deviceK123045 Brigade Standalone SystemNuvasive, Inc. · 2013

Showing 5 of 696 descendants. See all descendants

Descendants cleared per year

2014: 22015: 152016: 292017: 392018: 462019: 602020: 782021: 622022: 662023: 782024: 872025: 742026: 60
2014high 87 (2024) · low 2 (2014)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 696 · See all
  • K141665NuVasive CoRoent SystemNuvasive, Inc. · 2015 · cites it directly588descendants
  • K151472NuVasive CoRoent Lumbar SystemNu Vasive, Incorporated · 2015 · 2 generations on479descendants
  • K140479Coroent XL-F SystemNu Vasive, Incorporated · 2014 · cites it directly465descendants
  • K141942Midline II TICentinel Spine, Inc. · 2014 · cites it directly459descendants
  • K150994NuVasive CoRoent Thoracolumbar ImplantsNu Vasive, Incorporated · 2015 · 2 generations on402descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−12K990148Stackable Cage SystemDepuy Motech Acromed1999—
−11K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−10K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−9K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−8K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−7K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−6K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−5K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−4K080083Intrepid Spinal SystemMedtronic Sofamor Danek20088
−3K073109Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd.2008—
−2K081849Blackstone Pillar SA Partial Vertebral Body Replacement DeviceBlackstone Medical, Inc.20081
−1K100043Coroent XLR Standalone SystemNuvasive, Inc.2010—
0 (this device)K123045Brigade Standalone SystemNuvasive, Inc.2013—
+1K141665NuVasive CoRoent SystemNuvasive, Inc.2015—
+2K151472NuVasive CoRoent Lumbar SystemNu Vasive, Incorporated2015—
+1K140479Coroent XL-F SystemNu Vasive, Incorporated2014—
+1K141942Midline II TICentinel Spine, Inc.2014—
+2K150994NuVasive CoRoent Thoracolumbar ImplantsNu Vasive, Incorporated2015—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199620
199920
200010
200190
200270
200350
200470
200540
200620
200770
200860
200910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201420
2015150
2016290
2017390
2018460
2019600
2020780
2021621
2022660
2023780
2024870
2025740
2026600
FIG. 1 — Lineage of K123045, 1984–2026Source: 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.

1 device in this family has a Class I recall. 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? (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
*K100043Coroent XLR Standalone System
Summary page 1
…OVD C. Predicate Devices The subject NuVasive Brigade Hyperlordotic System is substantially equivalent to the following devices: * K 100043 -NuVasive, Inc. CoRoent® XLR Standalone System * K07 1309- Surgicraft Limited STALIF TmTT Intervertebral Body Fusion Syste…
Nuvasive, Inc.2010—
*K073109Stalif TT Intervertebral Body Fusion System
Our reading of the summary gave K071309, FDA’s number for Blue Max Balloon Dilatation Catheter (Boston Scientific Corp). Corrected to the number with two digits swapped whose FDA name carries the summary’s words for the device, “Surgicraft Limited STALIF TmTT Intervertebral Body Fusion System”.
Surgicraft, Ltd.2008—
*K071795Nuvasive Coroent System
Summary page 1
…ng devices: * K 100043 -NuVasive, Inc. CoRoent® XLR Standalone System * K07 1309- Surgicraft Limited STALIF TmTT Intervertebral Body Fusion System * K071795 -NuVasive, Inc. CoRoent System D. Device Description The NuVasive Brigade Hyperlordolic System is an interbody system man…
Nuvasive, Inc.2007—

Also cleared against K100043: 10 other devices →

What descends from it? (696)

See all 696

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

NumberDeviceApplicantDecidedDescendants
K141665NuVasive CoRoent SystemNuvasive, Inc.2015588
K140479Coroent XL-F SystemNu Vasive, Incorporated2014465
K141942Midline II TICentinel Spine, Inc.2014459
K160051NuVasive® Interfixated Interbody SystemNu Vasive, Incorporated2016396
K153782NuVasive® Lumbar Interbody ImplantsNu Vasive, Incorporated2016390
K150135DIVERGENCE-L Anterior/Oblique Lumbar Fusion SystemMedtronic Sofamor Danek USA, Inc.2015228
K151214ALIF Interfixated SystemNu Vasive, Incorporated2015220
K152943NuVasive Foundation-LL SystemNu Vasive, Incorporated2015187
K181386NuVasive Brigade Lateral SystemNu Vasive, Incorporated2018158
K163269Endoskeleton (R) TAS Interbody Fusion Device / Endoskeleton (R) TAS Hyperlordotic…Titan Spine, LLC2017143

Has anything in its family been recalled? (1 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K211616ExcelsiusHubGlobus Medical, Inc. · 2021 · 4 generations on · ◆ in the 2021 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 29 years and passes through 11 companies; a new generation was cleared every 1.0 years on median.
  • 9 of the 66 ancestors have a recall of any class.
  • Of its descendants, K141665 (Nuvasive, Inc., 2015) has gone furthest, with 588 descendants of its own.
  • 10 other devices also cite its predicate K100043.

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. 2013, 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 Brigade Hyperlordotic System is indicated for spinal fusion procedures in skeletally mature patients with degenerative disc disease (DDD) at one or two contiguous levels in the lumbar spine (L2 to S1). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies. DDD patients may also have up to Grade I spondylolisthesis or retrolisthesis at the involved levels. These patients…

Read the full statement (149 words)

The Brigade Hyperlordotic System is indicated for spinal fusion procedures in skeletally mature patients with degenerative disc disease (DDD) at one or two contiguous levels in the lumbar spine (L2 to S1). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies. DDD patients may also have up to Grade I spondylolisthesis or retrolisthesis at the involved levels. These patients may have had a previous non-fusion spinal surgery at the involved level(s). The Brigade Hyperlordotic System is intended for use with autograft. The Brigade Hyperlordotic System must be used with supplemental internal spinal fixation systems (i.e. posterior pedicle screw and rod system) that are cleared by the FDA for use in the lumbar spine.

Patients must have undergone a regimen of at least six (6) months of non-operative treatment prior to being treated with the Brigade Hyperlordotic System.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K123045: Brigade Standalone System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K123045

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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