# K142587: Vertical Expandable Prosthetic Titanium Rib

- Pathway: 510(k) (Traditional)
- Applicant: Depuy Synthes Spine, Inc.
- Decided: Nov 18, 2014 after 64 days
- Product code: MDI (Prosthesis, Rib Replacement)
- Device class: 2
- Regulation: 21 CFR 888.3070
- Recalls of this device: 1 (0 Class I)
- Data: FDA decisions to Oct 25, 2026; recalls to Oct 12, 2026

## Lineage
Longest line of descent: 6 generations back to K013962 (2002). 11 ancestors in all.
1 later device descends from it; 1 cites it directly.
0 of 13 devices in its family (counting itself) have a Class I recall.

## Predicates on the family tree (from the FDA summary)
- K133904: CD Horizon Spinal System Growth Rod Set, Medtronic Sofamor Danek USA (2014) Summary page 5.
- K141509: Isola and Expedium Growing Spine Systems, Medos Sarl (2014) Summary page 5.

## Most influential descendants
- K233105: RESPONSE™ Rib and Pelvic System (2024), 0 descendants of its own

## Recalls of this device
- Jul 29, 2015 · Class II · Z-2488-2015: The last hole on certain VEPTR Inferior Cradles may be partially formed. Fully lengthening the construct to the partially formed last hole may result in mechanical failure of the construct due to rib 

## Indications for use
The VEPTR/VEPTR II device is indicated for skeletally immature patients with severe, progressive spinal deformities and/or three dimensional deformity of the thorax associated with or at risk of Thoracic Insufficiency Syndrome (TIS). TIS is defined as the inability of the thorax to support normal respiration or lung growth. This would include patients with progressive congenital, neuromuscular, idiopathic, or syndromic scoliosis.

Source page: https://510kreport.com/device/K142587
Methodology: https://510kreport.com/methodology