510(k) Report

510(k) · Cleared

Cleared

Biolign Acif Systems, Biolign Stacc Acif System, Biolign Tlif System

K130274510(k) TraditionalCleared Oct 29, 2013267-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

Elite Surgical Supplies (Pty), Ltd. · MAX Intervertebral Fusion Device With Bone Graft, Lumbar

Cleared on Oct 29, 2013 as substantially equivalent to K090887 (SpineCraft, 2009) and 2 other predicates after a 267-day review. Its family tree reaches back 10 generations to 1984. 9 later devices descend from it.

Decided
Oct 29, 2013
Review
267 days
Class
Class II
Product code
MAX
Recalls
None
Predicates
3

Its longest line of descent runs back 10 generations to K841189 (1984). 31 ancestors in all. 9 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2009: 1 other ancestor2008: 1 other ancestor2007: 1 other ancestor2002: 4 other ancestors2001: 4 other ancestors1999: 1 other ancestor1996: 1 other ancestor2005: 1 other ancestor2004: 4 other ancestors2003: 2 other ancestors2000: 1 other ancestor2014: 1 descendant cleared2016: 1 descendant cleared2023: 2 descendants cleared2026: 1 descendant cleared2024: 3 descendants cleared2025: 1 descendant 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. · 2007K080401 · Shell Cage, Wave Cage, Loop Cage · Advanced Medical Technologies AG · 200819801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 4 other ancestors3 generations back: 1 other ancestor4 generations back: 2 other ancestors5 generations back: 4 other ancestors6 generations back: 5 other ancestors7 generations back: 2 other ancestors8 generations back: 1 other ancestor 1 generation forward: 2 descendants2 generations forward: 2 descendants3 generations forward: 2 descendants4 generations forward: 3 descendants K080401 · Shell Cage, Wave Cage, Loop Cage · Advanced Medical Technologies AG · 2008K072120 · 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
  1. Root · 10 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 6 generations between
  3. 3 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  4. 2 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  5. 1 generation backK080401 Shell Cage, Wave Cage, Loop CageAdvanced Medical Technologies AG · 2008
  6. This deviceK130274 Biolign Acif Systems, Biolign Stacc Acif System, Biolign Tlif SystemElite Surgical Supplies (Pty), Ltd. · 2013
  7. Descendant · cites it directly · 7 of its ownK153629 ArcadiusXP C Spinal SystemAesculap Implant Systems, Inc. · 2016
  8. Descendant · 2 generations on · 6 of its ownK231763 Stable-C Interbody SystemNexus Spine, LLC · 2023
  9. Descendant · 3 generations on · 5 of its ownK232530 Stable-L Standalone Lumbar Interbody System, Stable-C Interbody SystemNexus Spine, LLC · 2023
  10. Descendant · 4 generations on · 3 of its ownK240416 Tranquil-C Interbody SystemNexus Spine, LLC · 2024
  11. Descendant · 3 generations on · 2 of its ownK241467 Stable-C Interbody SystemNexus Spine, LLC · 2024
Show all 10 generations
  1. Root · 10 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 9 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 8 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 7 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 6 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 5 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 4 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 3 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 2 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 1 generation backK080401 Shell Cage, Wave Cage, Loop CageAdvanced Medical Technologies AG · 2008
  11. This deviceK130274 Biolign Acif Systems, Biolign Stacc Acif System, Biolign Tlif SystemElite Surgical Supplies (Pty), Ltd. · 2013

Showing 5 of 9 descendants. See all descendants

Descendants cleared per year

2014: 12016: 12023: 22024: 32025: 12026: 1
2014high 3 (2024) · low 0 (2015)2026

Most influential descendants

Showing 5 of 9 · See all
  • K153629ArcadiusXP C Spinal SystemAesculap Implant Systems, Inc. · 2016 · cites it directly7descendants
  • K231763Stable-C Interbody SystemNexus Spine, LLC · 2023 · 2 generations on6descendants
  • K232530Stable-L Standalone Lumbar Interbody System, Stable-C Interbody SystemNexus Spine, LLC · 2023 · 3 generations on5descendants
  • K240416Tranquil-C Interbody SystemNexus Spine, LLC · 2024 · 4 generations on3descendants
  • K241467Stable-C Interbody SystemNexus Spine, LLC · 2024 · 3 generations on2descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−9K990148Stackable Cage SystemDepuy Motech Acromed1999—
−8K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−7K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−6K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−5K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−4K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−3K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−2K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−1K080401Shell Cage, Wave Cage, Loop CageAdvanced Medical Technologies AG2008—
0 (this device)K130274Biolign Acif Systems, Biolign Stacc Acif System, Biolign Tlif SystemElite Surgical Supplies (Pty), Ltd.2013—
+1K153629ArcadiusXP C Spinal SystemAesculap Implant Systems, Inc.2016—
+2K231763Stable-C Interbody SystemNexus Spine, LLC2023—
+3K232530Stable-L Standalone Lumbar Interbody System, Stable-C Interbody SystemNexus Spine, LLC2023—
+4K240416Tranquil-C Interbody SystemNexus Spine, LLC2024—
+3K241467Stable-C Interbody SystemNexus Spine, LLC2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199610
199910
200010
200140
200240
200320
200440
200510
200710
200810
200910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201410
201610
202320
202430
202510
202610
FIG. 1 — Lineage of K130274, 1984–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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 MAX? 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 MAX device

  1. #1 K203714 NuVasive Thoracolumbar Interbody Systems…score 102.5 · 24 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
*K090887Orio-C Cervical, Orio-TL Tlif, Orio-PL Plif, Orio-AL Alif Intervedrtebral Body Fusion…
Summary page 2
…ion Devices Panel (87) Product Code MAX (Intervertebral body fusion device with bone graft, Lumbar). Predicates Spinecraft ORIO-TL - K090887 Device The Biolign TLIF device is a slightly curved cage manufactured Description from Invibia PEEK Optima LT1 with…
SpineCraft2009—
*K080401Shell Cage, Wave Cage, Loop Cage
Summary page 3
…es Panel (87) Product Code ODP (Intervertebral body fusion device with bone graft, Cervical). Predicates AMT Shell Cervical cage- K080401 Device The Biolign ACIF device is an anatomically correct cage Description manufactured from lnvibio PEEK Optima L…
Advanced Medical Technologies AG2008—
*K072415Stalif (TM) C
Summary page 4
…Panel (87) Product Code OVE (Intervertebral fusion device with integrated fixation, cervical). P-redicates Surgicraft Ltd Stalif - K072415 Device The BiolignO STACC ACIF Interbody Fusion Device is a stand- Description alone device and does not rely on ad…
Surgicraft, Ltd.2008—

Also cleared against K090887: 4 other devices →

What descends from it? (9)

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

NumberDeviceApplicantDecidedDescendants
K153629ArcadiusXP C Spinal SystemAesculap Implant Systems, Inc.20167
K140303Alamo TAlliance Partners, LLC20140

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 29 years and passes through 9 companies; a new generation was cleared every 1.7 years on median.
  • 2 of the 31 ancestors have a recall of any class.
  • Of its descendants, K153629 (Aesculap Implant Systems, Inc., 2016) has gone furthest, with 7 descendants of its own.
  • 4 other devices also cite its predicate K090887.

How does its category compare?

All MAX devices

MAX Intervertebral Fusion Device With Bone Graft, Lumbar: FDA decisions, review times, recalls and adverse event reports over 20 years. 2013, this device’s year, is highlighted.

FDA decisions per year · MAX

29in 2025

2007: 72008: 352009: 312010: 292011: 492012: 482013: 582014: 582015: 532016: 642017: 762018: 642019: 602020: 562021: 532022: 412023: 302024: 382025: 292026 (partial year): 18
2007high 76 (2017) · low 7 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MAX

85in 2025

2007: 86 days median2008: 88 days median2009: 102 days median2010: 137 days median2011: 98 days median2012: 69 days median2013: 102 days median2014: 115 days median2015: 113 days median2016: 124 days median2017: 116 days median2018: 114 days median2019: 131 days median2020: 106 days median2021: 109 days median2022: 95 days median2023: 87 days median2024: 91 days median2025: 85 days median2026 (partial year): 95 days median
2007high 137 (2010) · low 69 (2012)2026

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

Recalls per year · MAX

5in 2025

2008: 22009: 92011: 32012: 11, 1 Class I2014: 32015: 12016: 62017: 12018: 42019: 12022: 12024: 12025: 5
2007high 11 (2012) · low 0 (2007)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · MAX

811in 2025

2007: 122008: 192009: 902010: 1542011: 2012012: 3272013: 3802014: 3662015: 5242016: 6472017: 5962018: 6162019: 6992020: 6402021: 6222022: 6182023: 5762024: 7292025: 811
2007high 811 (2025) · low 12 (2007)2025

MAUDE reports naming product code MAX, 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
2007786012
20083588219
200931102990
2010291370154
201149983201
2012486911 (1)327
2013581020380
2014581153366
2015531131524
2016641246647
2017761161596
2018641144616
2019601311699
2020561060640
2021531090622
202241951618
202330870576
202438911729
202529855811
202618950—

What is it indicated for?

The Biolign® ACIF System is indicated for use as an intervertebral body fusion device in skeletally mature patients with degenerative disc disease at one level from C3-C7. Cervical disc disease is defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies. Patients should have six (6) weeks of non-operative treatment. The Bioligne ACIF System is to be used with autograft bone graft and is implanted via an open…

Read the full statement (359 words)

The Biolign® ACIF System is indicated for use as an intervertebral body fusion device in skeletally mature patients with degenerative disc disease at one level from C3-C7. Cervical disc disease is defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies. Patients should have six (6) weeks of non-operative treatment. The Bioligne ACIF System is to be used with autograft bone graft and is implanted via an open anterior approach. The Biolign® ACIF System is intended to be used with supplemental fixation systems such as Anterior Cervical plating systems.

The Biolign® TLIF Intervertebral Body Fusion Devices are indicated for use with autograft bone graft in skeletally mature patients with degenerative disc disease (DDD) at one level or two contiguous levels of the lumbar spine (L-2 - SI).

DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. The DDD patients may also have up to Grade I spondylolisthesis at the involved level(s). These patients should be skeletally mature and have six (6) months of non-operative therapy.

The Biolign® TLIF Intervertebral Body Fusion Devices are used to facilitate fusion in the lumbar spine and are implanted via a postero-lateral approach.

The Biolign® Intervertebral Body Fusion Devices are intended to be used with supplemental fixation systems that have been cleared for use in the lumbosacral spine, for example posterior pedicle screw and rod systems.

The Biolign® STACC ACIF System is indicated for use as an intervertebral body fusion device in skeletally mature patients with degenerative disc disease at one level from C3-C7. Cervical disc disease is defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies. Patients should have six (6) weeks of non-operative treatment. The Biolign® STACC ACIF System is to be used with autograft bone graft and is implanted via an open anterior approach. The Biolign® STACC ACIF system is intended to be used as a stand-alone system using the bone screws provided for fixation. It may also be used with supplemental fixation systems that have been cleared for use in the cervical spine, such as cervical plating systems.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K130274: Biolign Acif Systems, Biolign Stacc Acif System, Biolign Tlif System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K130274

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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