510(k) · Cleared
ClearedS128 Anterior Lumbar Interbody Fusion (Alif) System
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Renovis Surgical Technologies, LLC · OVD Intervertebral Fusion Device With Integrated Fixation, Lumbar
Cleared on Sep 18, 2013 as substantially equivalent to K081177 (Blackstone Medical, Inc., 2008) and 6 other predicates after a 149-day review. Its family tree reaches back 13 generations to 1984. 269 later devices descend from it.
- Decided
- Sep 18, 2013
- Review
- 149 days
- Class
- Class II
- Product code
- OVD
- Recalls
- None
- Predicates
- 7
Its longest line of descent runs back 13 generations to K841189 (1984). 67 ancestors in all. 269 later devices descend from it, 6 citing it directly.
- Root · 13 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
- 9 generations between
- 3 generations backK073109 Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd. · 2008
- 2 generations backK083475 Lucent MagnumSpinal Elements, Inc. · 2009
- 1 generation backK092211 Chesapeake Spinal SystemK2m, Inc. · 2010
- This deviceK131122 S128 Anterior Lumbar Interbody Fusion (Alif) SystemRenovis Surgical Technologies, LLC · 2013
- Descendant · cites it directly · 265 of its ownK140106 S128 Anterior Lumbar Interbody Fusion (Alif) SystemRenovis Surgical Technologies, Inc. · 2014
- Descendant · 2 generations on · 254 of its ownK142095 Renovis S134 Anterior Lumbar Interbody Fusion (Alif) SystemRenovis Surgical Technologies, Inc. · 2014
- Descendant · 3 generations on · 237 of its ownK143126 Renovis S141 Lumbar Interbody Cage SystemRenovis Surgical Technologies · 2015
- Descendant · 4 generations on · 235 of its ownK151374 NuVasive MLX-Medial Lateral Expandable Lumbar Interbody System…Nu Vasive, Incorporated · 2015
- Descendant · 5 generations on · 234 of its ownK153105 MLX™ - Medial Lateral Expandable Lumbar Interbody SystemNu Vasive, Incorporated · 2016
Show all 13 generations
- Root · 13 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
- 12 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
- 11 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
- 10 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
- 9 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
- 8 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
- 7 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
- 6 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
- 5 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
- 4 generations backK080083 Intrepid Spinal SystemMedtronic Sofamor Danek · 2008 · Recalled
- 3 generations backK073109 Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd. · 2008
- 2 generations backK083475 Lucent MagnumSpinal Elements, Inc. · 2009
- 1 generation backK092211 Chesapeake Spinal SystemK2m, Inc. · 2010
- This deviceK131122 S128 Anterior Lumbar Interbody Fusion (Alif) SystemRenovis Surgical Technologies, LLC · 2013
Showing 5 of 269 descendants. See all descendants
Descendants cleared per year
Most influential descendants
Showing 5 of 269 · See all- K140106S128 Anterior Lumbar Interbody Fusion (Alif) SystemRenovis Surgical Technologies, Inc. · 2014 · cites it directly265descendants
- K142095Renovis S134 Anterior Lumbar Interbody Fusion (Alif) SystemRenovis Surgical Technologies, Inc. · 2014 · 2 generations on254descendants
- K143126Renovis S141 Lumbar Interbody Cage SystemRenovis Surgical Technologies · 2015 · 3 generations on237descendants
- K151374NuVasive MLX-Medial Lateral Expandable Lumbar Interbody System, NuVasive AP Expandable…Nu Vasive, Incorporated · 2015 · 4 generations on235descendants
- K153105MLX™ - Medial Lateral Expandable Lumbar Interbody SystemNu Vasive, Incorporated · 2016 · 5 generations on234descendants
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −13 | K841189 | Oec/Rezaian Spinal Fixator | Orthopedic Equipment Co., Inc. | 1984 | — |
| −12 | K990148 | Stackable Cage System | Depuy Motech Acromed | 1999 | — |
| −11 | K003043 | Surgical Titanium Mesh System | Depuyacromed | 2001 | — |
| −10 | K022793 | Tetris Spinal Implant | Signus Medical, LLC | 2003 | — |
| −9 | K031757 | Peek Tetris Spinal Implant | Signus Medical, LLC | 2003 | — |
| −8 | K041888 | Curved Peek Tetris Spinal Implant | Signus Medizintechnik GmbH | 2004 | — |
| −7 | K042930 | Spacevision Cage System | Spine Vision, Inc. | 2004 | — |
| −6 | K062759 | Paramount VBR System | Innovative Spinal Technologies, Inc. | 2007 | — |
| −5 | K072120 | Paramount Intervertebral Body Fusion Device | Innovative Spinal Technologies, Inc. | 2007 | — |
| −4 | K080083 | Intrepid Spinal System | Medtronic Sofamor Danek | 2008 | 8 |
| −3 | K073109 | Stalif TT Intervertebral Body Fusion System | Surgicraft, Ltd. | 2008 | — |
| −2 | K083475 | Lucent Magnum | Spinal Elements, Inc. | 2009 | — |
| −1 | K092211 | Chesapeake Spinal System | K2m, Inc. | 2010 | — |
| 0 (this device) | K131122 | S128 Anterior Lumbar Interbody Fusion (Alif) System | Renovis Surgical Technologies, LLC | 2013 | — |
| +1 | K140106 | S128 Anterior Lumbar Interbody Fusion (Alif) System | Renovis Surgical Technologies, Inc. | 2014 | — |
| +2 | K142095 | Renovis S134 Anterior Lumbar Interbody Fusion (Alif) System | Renovis Surgical Technologies, Inc. | 2014 | — |
| +3 | K143126 | Renovis S141 Lumbar Interbody Cage System | Renovis Surgical Technologies | 2015 | — |
| +4 | K151374 | NuVasive MLX-Medial Lateral Expandable Lumbar Interbody System, NuVasive AP… | Nu Vasive, Incorporated | 2015 | — |
| +5 | K153105 | MLX™ - Medial Lateral Expandable Lumbar Interbody System | Nu Vasive, Incorporated | 2016 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1996 | 2 | 0 |
| 1999 | 2 | 0 |
| 2000 | 1 | 0 |
| 2001 | 5 | 0 |
| 2002 | 5 | 0 |
| 2003 | 5 | 0 |
| 2004 | 7 | 0 |
| 2005 | 5 | 0 |
| 2006 | 1 | 0 |
| 2007 | 7 | 0 |
| 2008 | 10 | 0 |
| 2009 | 2 | 0 |
| 2011 | 1 | 0 |
| 2013 | 1 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2014 | 2 | 0 |
| 2015 | 2 | 0 |
| 2016 | 1 | 0 |
| 2017 | 1 | 0 |
| 2018 | 12 | 0 |
| 2019 | 6 | 0 |
| 2020 | 21 | 0 |
| 2021 | 21 | 0 |
| 2022 | 28 | 0 |
| 2023 | 38 | 0 |
| 2024 | 54 | 0 |
| 2025 | 44 | 0 |
| 2026 | 39 | 0 |
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 K222009 aprevo® anterior lumbar interbody fusion…score 26.0 · 23 generations · no Class I recall
- #2 Held for the reportin the report
- #3 Held for the reportin the report
What was it cleared against? (7)
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.
| Type | Number | Device | Decided |
|---|---|---|---|
| * | K081177 | Blackstone Medical, Inc., Pillar Spacer System | 2008 |
| * | K092211 | Chesapeake Spinal SystemSummary page 1…OVID - Intervertebral body fusion device Product code: Classification panel: Orthopedic C) Predicates: a K081 1177 Blackstone Orthofix Pillar a K092211I K2M Chesapeake * K 123 767 Lanx Lateral -SA System * K 102738 Lanx Fusion System * K083815 Lanx Fusion System… | 2010 |
| * | K123767 | Lanx Fusion System- SASummary page 1…ion device Product code: Classification panel: Orthopedic C) Predicates: a K081 1177 Blackstone Orthofix Pillar a K092211I K2M Chesapeake * K 123 767 Lanx Lateral -SA System * K 102738 Lanx Fusion System * K083815 Lanx Fusion System * K073 144 Lanx Intervertebral… | 2013 |
| * | K102738 | Lanx Fusion SystemSummary page 1…ification panel: Orthopedic C) Predicates: a K081 1177 Blackstone Orthofix Pillar a K092211I K2M Chesapeake * K 123 767 Lanx Lateral -SA System * K 102738 Lanx Fusion System * K083815 Lanx Fusion System * K073 144 Lanx Intervertebral Body Fusion Device * K082260 Calvar… | 2011 |
| * | K083815 | Lanx Fusion SystemSummary page 1…Predicates: a K081 1177 Blackstone Orthofix Pillar a K092211I K2M Chesapeake * K 123 767 Lanx Lateral -SA System * K 102738 Lanx Fusion System * K083815 Lanx Fusion System * K073 144 Lanx Intervertebral Body Fusion Device * K082260 Calvary Spine Petra PLIF Cage System ==… | 2009 |
| * | K073144 | Lanx Intervertebral Body Fusion DeviceSummary page 1…stone Orthofix Pillar a K092211I K2M Chesapeake * K 123 767 Lanx Lateral -SA System * K 102738 Lanx Fusion System * K083815 Lanx Fusion System * K073 144 Lanx Intervertebral Body Fusion Device * K082260 Calvary Spine Petra PLIF Cage System… | 2008 |
| * | K082260 | Integra Cervical and Petra Plif Lumbar CagesSummary page 1…* K 123 767 Lanx Lateral -SA System * K 102738 Lanx Fusion System * K083815 Lanx Fusion System * K073 144 Lanx Intervertebral Body Fusion Device * K082260 Calvary Spine Petra PLIF Cage System… | 2008 |
What descends from it? (269)
See all 2696 later devices cite it directly; ranked here by how many devices descend from each in turn.
| Number | Device | Decided | Descendants |
|---|---|---|---|
| K140106 | S128 Anterior Lumbar Interbody Fusion (Alif) System | 2014 | 265 |
| K180502 | S128 Anterior Lumbar Interbody Fusion (ALIF) System | 2018 | 11 |
| K173082 | Arco™-SA Lumbar Cage System | 2018 | 5 |
| K181655 | Renovis S180 Lateral Lumbar Interbody Fusion System | 2018 | 4 |
| K193320 | KMTI Tesera SA Anterior Lumbar Interbody Fusion (ALIF) System | 2020 | 3 |
| K230808 | PEEK SA Anterior Lumbar Interbody Fusion (ALIF) System | 2023 | 0 |
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 12 companies; a new generation was cleared every 1.0 years on median.
- 11 of the 67 ancestors have a recall of any class.
- Of its descendants, K140106 (Renovis Surgical Technologies, Inc., 2014) has gone furthest, with 265 descendants of its own.
- 4 other devices also cite its predicate K081177.
How does its category compare?
All OVD devicesOVD 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
2026 to Oct 25, outlined.
Median 510(k) review, days · OVD
100in 2025
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · OVD
1in 2025
Class I (0 since 2007) Class II/III not classified
Adverse event reports per year · OVD
50in 2025
MAUDE reports naming product code OVD, not matched to any one device; reports are not rates.
View these four charts as a table
| Year | Decisions | Median 510(k) review, days | Recalls (Class I) | MAUDE reports |
|---|---|---|---|---|
| 2007 | 2 | — | 0 | 0 |
| 2008 | 8 | 84 | 0 | 0 |
| 2009 | 3 | 152 | 0 | 2 |
| 2010 | 8 | 117 | 0 | 2 |
| 2011 | 9 | 167 | 0 | 6 |
| 2012 | 10 | 78 | 0 | 16 |
| 2013 | 11 | 137 | 4 | 17 |
| 2014 | 14 | 139 | 0 | 35 |
| 2015 | 12 | 166 | 0 | 43 |
| 2016 | 13 | 127 | 1 | 55 |
| 2017 | 12 | 127 | 0 | 72 |
| 2018 | 14 | 126 | 0 | 112 |
| 2019 | 12 | 91 | 0 | 171 |
| 2020 | 14 | 91 | 0 | 203 |
| 2021 | 7 | 108 | 1 | 221 |
| 2022 | 14 | 133 | 1 | 74 |
| 2023 | 12 | 92 | 0 | 67 |
| 2024 | 12 | 110 | 0 | 92 |
| 2025 | 10 | 100 | 1 | 50 |
| 2026 | 8 | 93 | 1 | — |
What is it indicated for?
The Renovis S 128 Anterior Lumbar Interbody Fusion (ALIF) System is indicated for intervertebral body fusion procedures in skeletally mature patients with degenerative disc disease (DDD) of the lumbar spine at one or two contiguous levels from L2-S1. Degenerative disc disease is defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies. These DDD patients may have up to Grade I spondylolisthesis or…
Read the full statement (175 words)
The Renovis S 128 Anterior Lumbar Interbody Fusion (ALIF) System is indicated for intervertebral body fusion procedures in skeletally mature patients with degenerative disc disease (DDD) of the lumbar spine at one or two contiguous levels from L2-S1. Degenerative disc disease is defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies. These DDD patients may have up to Grade I spondylolisthesis or retrolisthesis at the involved level(s). Renovis S128 ALIF System implants are to be used with autogenous bone graft.
Patients should be skeletally mature and have at least six months of non-operative treatment.
The Renovis S 128 ALIF System is a stand-alone device and is intended to be used with the cover plate and screws provided and requires no additional supplementary fixation. The anterior cover plate must be utilized whenever the device is implanted using the bone screws provided. Should the physician choose to use fewer than the four screws provided, additional supplemental fixation cleared by the FDA for use in the lumbar spine must be used.
Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.
https://510kreport.com/device/K131122 · printed Nov 6, 2026
Cite this page
510(k) Report. “K131122: S128 Anterior Lumbar Interbody Fusion (Alif) System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K131122
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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