Devices descending from K123281
146 later devices reach Acculif TL-Peek Cage through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +7 | K251335 | Tera Lumbar Interbody Fusion System (Various PNs) | Acuity Surgical Devices, LLC | 2025 | 1 | — |
| +7 | K250603 | AxTiHA® Stand-Alone ALIF System | Innovasis | 2025 | 0 | — |
| +7 | K243739 | AxCess® Expandable Interbody System | Elliquence, LLC | 2025 | 0 | — |
| +7 | K242364 | IdentiTi™ II Interbody System | Alphatec Spine, Inc. | 2024 | 4 | — |
| +7 | K242147 | Calibrate LTX Interbody System; Calibrate NanoTec LTX Interbody System | Alphatec Spine, Inc. | 2024 | 1 | — |
| +7 | K241846 | E3D™-C Interbody System | Evolution Spine | 2024 | 6 | — |
| +7 | K241413 | sagAlign Lumbar Cage System (Various PNs) | Acuity Surgical Devices, LLC | 2024 | 0 | — |
| +7 | K240830 | Reef TO/TA System; Regatta Lateral System; Explorer TO System; WaveForm C Interbody… | Orthofix Medical, Inc. | 2024 | 2 | — |
| +7 | K240368 | E3D™-A Interbody System | Evolution Spine | 2024 | 7 | — |
| +7 | K233509 | Zavation IBF System, Zavation Varisync Plate System and Varisync Spacer System… | Zavation Medical Products, LLC | 2024 | 1 | — |
| +7 | K223174 | X-Pac Expandable LLIF Cage System | Expanding Innovations, Inc. | 2023 | 3 | — |
| +7 | K223474 | PathLoc-TA Expandable Lumbar Cage System | L&K BIOMED Co., Ltd. | 2023 | 1 | — |
| +7 | K222973 | IdentiTi and Transcend Interbody Systems: IndentiTi Cervical Porous Ti Interbody System… | Alphatec Spine, Inc. | 2022 | 13 | — |
| +7 | K222028 | IdentiTi™ Porous Ti Interbody System, IdentiTi™ NanoTec™ Interbody System, Transcend™… | Alphatec Spine | 2022 | 28 | — |
| +7 | K220782 | IdentiTi™ Porous Ti Interbody System, IdentiTi™ NanoTec™ Interbody System, Transcend™… | Alphatec Spine, Inc. | 2022 | 36 | — |
| +8 | K262094 | E3D™-C Interbody System | Evolution Spine | 2026 | 0 | — |
| +8 | K261020 | Symmetrix™ L Spinal System | Medtronic Sofamor Danek USA, Inc. | 2026 | 0 | — |
| +8 | K254130 | C.A. Medical Interbody Fusion System | C.A. Medical, LLC | 2026 | 0 | — |
| +8 | K253420 | Admiral ACP System; Explorer TO System; Laminoplasty System; Manta Ray TDF Spacer… | SeaSpine Orthopedics Corporation | 2026 | 0 | — |
| +8 | K260036 | NeckTune™ 3D SA Cervical Cage | Medyssey Co, Ltd. | 2026 | 0 | — |
| +8 | K254105 | Hive™ Standalone Cervical System and Hive™ C Interbody System | NanoHive Medical, LLC | 2026 | 0 | — |
| +8 | K252894 | aprevo® cervical interbody system | Carlsmed, Inc. | 2026 | 1 | — |
| +8 | K250769 | Dakota LP System | Precision Spine, Inc. | 2025 | 0 | — |
| +8 | K251575 | IdentiTi™ II ALIF Standalone Interbody System; Transcend™ ALIF Standalone Interbody System | Alphatec Spine | 2025 | 0 | — |
| +8 | K251080 | IdentiTi II Cervical Interbody System | Alphatec Spine, Inc. | 2025 | 0 | — |
| +8 | K251003 | X-PAC® LLIF Expandable Lateral Cage System | Expanding Innovations, Inc. | 2025 | 0 | — |
| +8 | K251617 | X-PAC® TLIF Expandable Posterior Cage System; X-PAC® LLIF Expandable Lateral Cage System | Expanding Innovations, Inc. | 2025 | 0 | — |
| +8 | K250602 | X-PAC® N-GAGE™ Lumbar Plate System | Expanding Innovations, Inc. | 2025 | 0 | — |
| +8 | K243461 | Calibrate Interbody Systems | Alphatec Spine, Inc. | 2025 | 0 | — |
| +8 | K241375 | IdentiTi Porous Ti Interbody System; IdentiTi NanoTec Interbody System; IdentiTi… | Alphatec Spine | 2025 | 3 | — |
| +8 | K243635 | aprevo® anterior lumbar interbody fusion device with interfixation | Carlsmed, Inc. | 2024 | 5 | — |
| +8 | K242260 | aprevo® Cervical ACDF; aprevo® Cervical ACDF-X; aprevo® Cervical ACDF-X NO CAM | Carlsmed, Inc. | 2024 | 3 | — |
| +8 | K233640 | Segmental Plating System (SPS);IdentiTi SPS Interbody System;IdentiTi NanoTec SPS… | Alphatec Spine, Inc. | 2024 | 5 | — |
| +8 | K232504 | Calibrate CCX Interbody System | Alphatec Spine, Inc. | 2023 | 1 | 1 |
| +8 | K232097 | IdentiTi ALIF Interbody Systems | Alphatec Spine, Inc. | 2023 | 7 | 1 |
| +8 | K231438 | Calibrate PSX Interbody System, Calibrate NanoTec PSX Interbody System | Alphatec Spine, Inc. | 2023 | 7 | — |
| +8 | K223513 | UniVy™ OsteoVy™-Ti Cervical IBF System | Vy Spine, LLC | 2023 | 1 | — |
| +9 | K260385 | aprevo® anterior and lateral lumbar interbody system; aprevo® posterior and… | Carlsmed, Inc. | 2026 | 0 | — |
| +9 | K251965 | Proximity Anterior Cervical Plate System; Segmental Plating System (SPS) | Alphatec Spine, Inc. | 2025 | 0 | — |
| +9 | K252113 | PRADO™ Lumbar Interbody Fusion System | Bethesda Medical Devices | 2025 | 0 | — |
| +9 | K250827 | aprevo® anterior lumbar interbody fusion device; aprevo® lateral lumbar interbody fusion… | Carlsmed, Inc. | 2025 | 2 | — |
| +9 | K241783 | FortiVy™ OsteoVy™ Lumbar IBF | Vy Spine, LLC | 2025 | 0 | — |
| +9 | K243802 | aprevo® anterior and lateral lumbar interbody fusion device, aprevo® anterior lumbar… | Carlsmed, Inc. | 2025 | 3 | — |
| +9 | K240126 | ProAM ALIF System | Pro Surgical, Inc. | 2024 | 2 | — |
| +10 | K251644 | ProAM ALIF System | Pro Surgical, Inc. | 2025 | 0 | — |
| +10 | K242517 | ProAM ACDF System | Pro Surgical, Inc. | 2024 | 0 | — |