# K133514: Xcage Interbody Fusion System

- Pathway: 510(k) (Traditional)
- Applicant: Ouroboros Medical
- Decided: May 1, 2014 after 167 days
- Product code: MAX (Intervertebral Fusion Device With Bone Graft, Lumbar)
- Device class: 2
- Regulation: 21 CFR 888.3080
- Recalls of this device: none
- Data: FDA decisions to Oct 25, 2026; recalls to Oct 12, 2026

## Lineage
Longest line of descent: 13 generations back to K841189 (1984). 24 ancestors in all.
15 later devices descend from it; 3 cite it directly.
0 of 40 devices in its family (counting itself) have a Class I recall.

## Predicates on the family tree (from the FDA summary)
- K102293: Caliber Spacer, Globus Medical, Inc. (2011) Summary page 1.
- K072970: Patriot Spacers, Globus Medical, Inc. (2008) Summary page 1.
- K123461: Staxx (R) IB System, Spine Wave, Inc. (2013) Summary page 3.

## Most influential descendants
- K160076: XCage™ Interbody Fusion System (2016), 14 descendants of its own
- K183184: FlareHawk Interbody Fusion System (2019), 12 descendants of its own
- K182114: FlareHawk Interbody Fusion System (2019), 6 descendants of its own
- K203038: Toro-L Interbody Fusion System (2021), 5 descendants of its own
- K213355: Toro-L Interbody Fusion System (2022), 4 descendants of its own

## Indications for use
The XCageTM Interbody Fusion System is indicated for spinal intervertebral body fusion with autogenous bone graft in skeletally mature individuals with degenerative disc disease (DDD) at one or two contiguous levels from L2 to SI1, following discectomy. DDD is defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies. These patients should have at least six (6) months of' non-operative treatment. Additionally, these patients may have up to Grade I spondylolisthesis or retrolisthesis at the involved level(s). XCageTrM system Spacers are intended to be used with supplemental fixation instrumentation, which has been cleared for use in the lumbar spine.

Source page: https://510kreport.com/device/K133514
Methodology: https://510kreport.com/methodology
