510(k) Report

510(k) · Cleared

Cleared

Integra Expandable Interverebral Body Fusion Device (Ibd) System

K133418510(k) TraditionalCleared May 1, 2014175-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

Seaspine, Inc. · MAX Intervertebral Fusion Device With Bone Graft, Lumbar

Cleared on May 1, 2014 as substantially equivalent to K082310 (Seaspine, Inc., 2008) and 2 other predicates after a 175-day review. Its family tree reaches back 11 generations to 1984. 5 later devices descend from it.

Decided
May 1, 2014
Review
175 days
Class
Class II
Product code
MAX
Recalls
None
Predicates
4

Its longest line of descent runs back 11 generations to K841189 (1984). 23 ancestors in all. 5 later devices descend from it, 1 citing it directly.

  1. Root · 11 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 7 generations between
  3. 3 generations backK090899 Depuy Spine Lateral SystemDepuy Spine, Inc. · 2009
  4. 2 generations backK093242 Patriot Transcontinental Llif SpacerGlobus Medical, Inc. · 2009
  5. 1 generation backK102293 Caliber SpacerGlobus Medical, Inc. · 2011
  6. This deviceK133418 Integra Expandable Interverebral Body Fusion Device (Ibd) SystemSeaspine, Inc. · 2014
  7. Descendant · cites it directly · 4 of its ownK193418 SeaSpine Skipjack SystemSeaSpine Orthopedics Corporation · 2020
  8. Descendant · 2 generations on · 3 of its ownK212540 Explorer TO SystemSeaSpine Orthopedics Corporation · 2021
  9. Descendant · 3 generations on · 2 of its ownK240830 Reef TO/TA System; Regatta Lateral System; Explorer TO System…Orthofix Medical, Inc. · 2024
  10. Descendant · 4 generations on · 0 of its ownK253420 Admiral ACP System; Explorer TO System; Laminoplasty System; Manta…SeaSpine Orthopedics Corporation · 2026
  11. Descendant · 4 generations on · 0 of its ownK251617 X-PAC® TLIF Expandable Posterior Cage System; X-PAC® LLIF Expandable…Expanding Innovations, Inc. · 2025
Show all 11 generations
  1. Root · 11 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 10 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 9 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 8 generations backK020522 Modification to Surgical Titanium Mesh SystemDepuyacromed · 2002
  5. 7 generations backK030833 Depuy Acromed VBR SystemDepuyacromed · 2003
  6. 6 generations backK031635 Depuy Acromed VBR SystemDepuyacromed · 2003
  7. 5 generations backK041722 Modification to VBR Spinal SystemDepuy Spine, Inc. · 2004
  8. 4 generations backK052746 Concorde VBR Spinal SystemDepuy Spine, Inc. · 2005
  9. 3 generations backK090899 Depuy Spine Lateral SystemDepuy Spine, Inc. · 2009
  10. 2 generations backK093242 Patriot Transcontinental Llif SpacerGlobus Medical, Inc. · 2009
  11. 1 generation backK102293 Caliber SpacerGlobus Medical, Inc. · 2011
  12. This deviceK133418 Integra Expandable Interverebral Body Fusion Device (Ibd) SystemSeaspine, Inc. · 2014

Most influential descendants

Showing 5 of 5 · See all
  • K193418SeaSpine Skipjack SystemSeaSpine Orthopedics Corporation · 2020 · cites it directly4descendants
  • K212540Explorer TO SystemSeaSpine Orthopedics Corporation · 2021 · 2 generations on3descendants
  • K240830Reef TO/TA System; Regatta Lateral System; Explorer TO System; WaveForm C Interbody…Orthofix Medical, Inc. · 2024 · 3 generations on2descendants
  • K253420Admiral ACP System; Explorer TO System; Laminoplasty System; Manta Ray TDF Spacer…SeaSpine Orthopedics Corporation · 2026 · 4 generations on0descendants
  • K251617X-PAC® TLIF Expandable Posterior Cage System; X-PAC® LLIF Expandable Lateral Cage SystemExpanding Innovations, Inc. · 2025 · 4 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−10K990148Stackable Cage SystemDepuy Motech Acromed1999—
−9K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−8K020522Modification to Surgical Titanium Mesh SystemDepuyacromed2002—
−7K030833Depuy Acromed VBR SystemDepuyacromed2003—
−6K031635Depuy Acromed VBR SystemDepuyacromed2003—
−5K041722Modification to VBR Spinal SystemDepuy Spine, Inc.2004—
−4K052746Concorde VBR Spinal SystemDepuy Spine, Inc.2005—
−3K090899Depuy Spine Lateral SystemDepuy Spine, Inc.2009—
−2K093242Patriot Transcontinental Llif SpacerGlobus Medical, Inc.2009—
−1K102293Caliber SpacerGlobus Medical, Inc.2011—
0 (this device)K133418Integra Expandable Interverebral Body Fusion Device (Ibd) SystemSeaspine, Inc.2014—
+1K193418SeaSpine Skipjack SystemSeaSpine Orthopedics Corporation2020—
+2K212540Explorer TO SystemSeaSpine Orthopedics Corporation2021—
+3K240830Reef TO/TA System; Regatta Lateral System; Explorer TO System; WaveForm C…Orthofix Medical, Inc.2024—
+4K253420Admiral ACP System; Explorer TO System; Laminoplasty System; Manta Ray TDF…SeaSpine Orthopedics Corporation2026—
+4K251617X-PAC® TLIF Expandable Posterior Cage System; X-PAC® LLIF Expandable Lateral…Expanding Innovations, Inc.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199910
200010
200120
200310
200730
200840

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202010
202110
202410
202510
202610
FIG. 1 — Lineage of K133418, 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.

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? (4)

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; numbers the summary cites that cannot be its predicate are marked – and kept off the family tree.

TypeNumberDeviceApplicantDecidedRecalls
*K082310Hollywood, Pacifica, Redondo, Ventura
Summary page 1
…Product Code: MAX, Class 11,Orthopedic Review Panel 3. Legally Marketed Predicate Devices ~ Prodct,coe Trad NaeManufacturer K(082310 MAX jSeaSpine Spacer System - Pacifica TM…
Seaspine, Inc.2008—
*K071724Lucent
Summary page 1
…310 MAX jSeaSpine Spacer System - Pacifica TM SeaSpine K(071724 MAX Lucent TM Intervertebral Body Fusion Device Sp…
Spinal Elements, Inc.2007—
*K102293Caliber Spacer
Summary page 1
…SeaSpine K(071724 MAX Lucent TM Intervertebral Body Fusion Device Spinal Etements 1(102293,K1123231 MAX CaliberTM Spacers Globus Medical 4. Device Description The Integra…
Globus Medical, Inc.2011—
Kept off the family treeK112323FDA’s K112323 is Cardia-Cath
Our reading of the summary gave K112323, FDA’s number for Cardia-Cath (Millar Instruments, Inc.). Its FDA name has none of the distinctive words the summary uses for the device it names, “Caliber Spacers”. Kept off the family tree.
Summary page 1
…SeaSpine K(071724 MAX Lucent TM Intervertebral Body Fusion Device Spinal Etements 1(102293,K1123231 MAX CaliberTM Spacers Globus Medical 4. Device Description The Integra Expanda…
Millar Instruments, Inc.2011—

Also cleared against K082310: 17 other devices →

What descends from it? (5)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K193418SeaSpine Skipjack SystemSeaSpine Orthopedics Corporation20204

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 30 years and passes through 6 companies; a new generation was cleared every 1.1 years on median.
  • 1 of the 23 ancestors has a recall of any class.
  • Of its descendants, K193418 (SeaSpine Orthopedics Corporation, 2020) has gone furthest, with 4 descendants of its own.
  • 17 other devices also cite its predicate K082310.

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. 2014, 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 Integra Expandable Intervertebral Body Fusion Device (IBD) System is intended for spinal fusion procedures at one or two contiguous levels (L2-S1) in skeletally mature patients with degenerative disc disease (DDD). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. DDD patients may also have up to Grade 1 spondylolisthesis or retrolisthesis at the involved level(s). These…

Read the full statement (106 words)

The Integra Expandable Intervertebral Body Fusion Device (IBD) System is intended for spinal fusion procedures at one or two contiguous levels (L2-S1) in skeletally mature patients with degenerative disc disease (DDD). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. DDD patients may also have up to Grade 1 spondylolisthesis or retrolisthesis at the involved level(s). These patients may have had a previous non-fusion spinal surgery at the involved spinal level(s). These patients should have had six months of non-operative treatment. The device is intended to be used with autogenous bone graft and supplemental fixation.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K133418: Integra Expandable Interverebral Body Fusion Device (Ibd) System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K133418

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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