510(k) Report

510(k) · Cleared

Cleared

Centinel Spine STALIF TT, STALIF MIDLINE, MIDLINE II, MIDLINE II-Ti

K150643510(k) TraditionalCleared Jun 8, 201588-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

Centinel Spine, Inc. · OVD Intervertebral Fusion Device With Integrated Fixation, Lumbar

Cleared on Jun 8, 2015 as substantially equivalent to K141942 (Centinel Spine, Inc., 2014) and 2 other predicates after an 88-day review. Its family tree reaches back 16 generations to 1984. 1 of the 466 devices in its family, counting itself, has a Class I recall. 368 later devices descend from it.

Decided
Jun 8, 2015
Review
88 days
Class
Class II
Product code
OVD
Recalls
None
Predicates
3

Its longest line of descent runs back 16 generations to K841189 (1984). 97 ancestors in all. 368 later devices descend from it, 11 citing it directly. 1 of the 466 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2010: 4 other ancestors2014: 1 other ancestor2013: 1 other ancestor2008: 10 other ancestors2005: 10 other ancestors2004: 12 other ancestors1999: 2 other ancestors2009: 3 other ancestors2007: 8 other ancestors2002: 7 other ancestors2001: 10 other ancestors2000: 1 other ancestor1996: 2 other ancestors2003: 7 other ancestors2006: 3 other ancestors2016: 10 descendants cleared2018: 15 descendants cleared2019: 22 descendants cleared2021: 34 descendants cleared, 1 with a Class I recall12017: 7 descendants cleared2020: 33 descendants cleared2022: 46 descendants cleared2025: 52 descendants cleared2023: 46 descendants cleared2024: 58 descendants cleared2026: 45 descendants 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. · 2007×3: 3 generations cleared close together, K080083 (2008), K073109 (2008), K081849 (2008) K091301 · Life Spine Stand-Alone Spacer System · Life Spine · 2009K100802 · Aesculap Implant Systems Sibd Spinal System · Aesculap Implant Systems, Inc. · 2010K111122 · Aesculap Sibd XP Spinal System · Aesculap Implant Systems, Inc. · 2011K141942 · Midline II TI · Centinel Spine, Inc. · 201419801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 8 other ancestors3 generations back: 16 other ancestors4 generations back: 9 other ancestors5 generations back: 18 other ancestors6 generations back: 15 other ancestors7 generations back: 8 other ancestors8 generations back: 6 other ancestors 1 generation forward: 11 descendants2 generations forward: 49 descendants3 generations forward: 76 descendants, 1 with a Class I recall14 generations forward: 84 descendants5 generations forward: 73 descendants6 generations forward: 26 descendants7 generations forward: 15 descendants8 generations forward: 14 descendants9 generations forward: 12 descendants10 generations forward: 6 descendants11 generations forward: 1 descendant12 generations forward: 1 descendant K141942 · Midline II TI · Centinel Spine, Inc. · 2014K111122 · Aesculap Sibd XP Spinal System · Aesculap Implant Systems, Inc. · 2011K100802 · Aesculap Implant Systems Sibd Spinal System · Aesculap Implant Systems, Inc. · 2010K091301 · Life Spine Stand-Alone Spacer System · Life Spine · 2009K081849 · Blackstone Pillar SA Partial Vertebral Body Replacement Device · Blackstone Medical, Inc. · 2008 · recalledK073109 · Stalif TT Intervertebral Body Fusion System · Surgicraft, Ltd. · 2008K080083 · Intrepid Spinal System · Medtronic Sofamor Danek · 2008 · recalledK072120 · 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. · 1984−15−10−50+5+10
  1. Root · 16 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 12 generations between
  3. 3 generations backK100802 Aesculap Implant Systems Sibd Spinal SystemAesculap Implant Systems, Inc. · 2010
  4. 2 generations backK111122 Aesculap Sibd XP Spinal SystemAesculap Implant Systems, Inc. · 2011
  5. 1 generation backK141942 Midline II TICentinel Spine, Inc. · 2014
  6. This deviceK150643 Centinel Spine STALIF TT, STALIF MIDLINE, MIDLINE II, MIDLINE II-TiCentinel Spine, Inc. · 2015
  7. Descendant · cites it directly · 236 of its ownK152475 FORZA PTC Spacer SystemOrthofix, Inc. · 2016
  8. Descendant · cites it directly · 189 of its ownK153495 Avenue L Lateral Lumbar Cage, Avenue T TLIF Cage System, ROI-A ALIF…Ldr Spine USA · 2016 · Recalled
  9. Descendant · 2 generations on · 161 of its ownK162103 Choice Spine Lumbar Spacer System (Sabre™, Shark™, Hornet™…Choicespine, LP · 2016
  10. Descendant · cites it directly · 155 of its ownK161379 ELSA SpacersGlobus Medical, Inc. · 2016
  11. Descendant · 3 generations on · 116 of its ownK171686 Choice Spine Hawkeye™ Vertebral Body Replacement (VBR) SystemChoicespine · 2017
Show all 16 generations
  1. Root · 16 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 15 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 14 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 13 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 12 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 11 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 10 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 9 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 8 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 7 generations backK080083 Intrepid Spinal SystemMedtronic Sofamor Danek · 2008 · Recalled
  11. 6 generations backK073109 Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd. · 2008
  12. 5 generations backK081849 Blackstone Pillar SA Partial Vertebral Body Replacement DeviceBlackstone Medical, Inc. · 2008 · Recalled
  13. 4 generations backK091301 Life Spine Stand-Alone Spacer SystemLife Spine · 2009
  14. 3 generations backK100802 Aesculap Implant Systems Sibd Spinal SystemAesculap Implant Systems, Inc. · 2010
  15. 2 generations backK111122 Aesculap Sibd XP Spinal SystemAesculap Implant Systems, Inc. · 2011
  16. 1 generation backK141942 Midline II TICentinel Spine, Inc. · 2014
  17. This deviceK150643 Centinel Spine STALIF TT, STALIF MIDLINE, MIDLINE II, MIDLINE II-TiCentinel Spine, Inc. · 2015

Showing 5 of 368 descendants. See all descendants

Descendants cleared per year

2016: 102017: 72018: 152019: 222020: 332021: 342022: 462023: 462024: 582025: 522026: 45
2016high 58 (2024) · low 7 (2017)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 368 · See all
  • K152475FORZA PTC Spacer SystemOrthofix, Inc. · 2016 · cites it directly236descendants
  • K153495Avenue L Lateral Lumbar Cage, Avenue T TLIF Cage System, ROI-A ALIF Cage System, ROI-T…Ldr Spine USA · 2016 · cites it directly189descendants
  • K162103Choice Spine Lumbar Spacer System (Sabre™, Shark™, Hornet™, Harpoon™), Choice Spine…Choicespine, LP · 2016 · 2 generations on161descendants
  • K161379ELSA SpacersGlobus Medical, Inc. · 2016 · cites it directly155descendants
  • K171686Choice Spine Hawkeye™ Vertebral Body Replacement (VBR) SystemChoicespine · 2017 · 3 generations on116descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−16K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−15K990148Stackable Cage SystemDepuy Motech Acromed1999—
−14K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−13K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−12K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−11K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−10K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−9K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−8K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−7K080083Intrepid Spinal SystemMedtronic Sofamor Danek20088
−6K073109Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd.2008—
−5K081849Blackstone Pillar SA Partial Vertebral Body Replacement DeviceBlackstone Medical, Inc.20081
−4K091301Life Spine Stand-Alone Spacer SystemLife Spine2009—
−3K100802Aesculap Implant Systems Sibd Spinal SystemAesculap Implant Systems, Inc.2010—
−2K111122Aesculap Sibd XP Spinal SystemAesculap Implant Systems, Inc.2011—
−1K141942Midline II TICentinel Spine, Inc.2014—
0 (this device)K150643Centinel Spine STALIF TT, STALIF MIDLINE, MIDLINE II, MIDLINE II-TiCentinel Spine, Inc.2015—
+1K152475FORZA PTC Spacer SystemOrthofix, Inc.2016—
+1K153495Avenue L Lateral Lumbar Cage, Avenue T TLIF Cage System, ROI-A ALIF Cage…Ldr Spine USA20161
+2K162103Choice Spine Lumbar Spacer System (Sabre™, Shark™, Hornet™, Harpoon™), Choice…Choicespine, LP2016—
+1K161379ELSA SpacersGlobus Medical, Inc.2016—
+3K171686Choice Spine Hawkeye™ Vertebral Body Replacement (VBR) SystemChoicespine2017—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199620
199920
200010
2001100
200270
200370
2004120
2005100
200630
200780
2008100
200930
201040
201310
201410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
2016100
201770
2018150
2019220
2020330
2021341
2022460
2023460
2024580
2025520
2026450
FIG. 1 — Lineage of K150643, 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.

1 device in this family has a Class I recall. 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. #1 K222009 aprevo® anterior lumbar interbody fusion…score 26.0 · 23 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
*K141942Midline II TI
Summary page 4
…ations: 21 CFR §888.3080, Intervertebral Body Fusion Device. Class: II Product Codes: OVD Primary Predicate Device: K141942, (Centinel Spine MIDLINE II™, and MIDLINE II-Ti™) Additional Predicate Devices: K101301, K073109 (Centinel…
Centinel Spine, Inc.2014—
*K101301Stalif Midline
Summary page 4
…roduct Codes: OVD Primary Predicate Device: K141942, (Centinel Spine MIDLINE II™, and MIDLINE II-Ti™) Additional Predicate Devices: K101301, K073109 (Centinel Spine STALIF TTTM, STALIF MIDLINE®) Indications For Use: The STALIF TT™, STALIF…
Centinel Spine2010—
*K073109Stalif TT Intervertebral Body Fusion System
Summary page 4
…des: OVD Primary Predicate Device: K141942, (Centinel Spine MIDLINE II™, and MIDLINE II-Ti™) Additional Predicate Devices: K101301, K073109 (Centinel Spine STALIF TTTM, STALIF MIDLINE®) Indications For Use: The STALIF TT™, STALIF MIDLINE®…
Surgicraft, Ltd.2008—

Also cleared against K141942: 3 other devices →

What descends from it? (368)

See all 368

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

NumberDeviceApplicantDecidedDescendants
K152475FORZA PTC Spacer SystemOrthofix, Inc.2016236
K153495Avenue L Lateral Lumbar Cage, Avenue T TLIF Cage System, ROI-A ALIF Cage System, ROI-T…Ldr Spine USA2016189
K161379ELSA SpacersGlobus Medical, Inc.2016155
K160597INDEPENDENCE MIS SpacersGlobus Medical, Inc.2016111
K181818Scarlet AL-TSpineart201864
K203742IdentiTi ALIF Standalone Interbody SystemAlphatec Spine, Inc.202159
K161129Pillar SA PTCOrthofix, Inc.201619
K173347STALIF C FLX, STALIF M FLX, STALIF L FLX and STALIF Lateral-Oblique FLX, ACTILIF C FLX…Centinel Spine, Inc.201812
K190483SPIRA Open Matrix ALIF and LLIFCamber Spine Technologies20199
K173082Arco™-SA Lumbar Cage SystemNeurostructures, Inc.20185

Has anything in its family been recalled? (1 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K211616ExcelsiusHubGlobus Medical, Inc. · 2021 · 3 generations on · ◆ in the 2021 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 31 years and passes through 13 companies; a new generation was cleared every 1.0 years on median.
  • 16 of the 97 ancestors have a recall of any class.
  • Of its descendants, K152475 (Orthofix, Inc., 2016) has gone furthest, with 236 descendants of its own.
  • 3 other devices also cite its predicate K141942.

How does its category compare?

All OVD devices

OVD Intervertebral Fusion Device With Integrated Fixation, Lumbar: FDA decisions, review times, recalls and adverse event reports over 20 years. 2015, this device’s year, is highlighted.

FDA decisions per year · OVD

10in 2025

2007: 22008: 82009: 32010: 82011: 92012: 102013: 112014: 142015: 122016: 132017: 122018: 142019: 122020: 142021: 72022: 142023: 122024: 122025: 102026 (partial year): 8
2007high 14 (2014) · low 2 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OVD

100in 2025

2008: 84 days median2009: 152 days median2010: 117 days median2011: 167 days median2012: 78 days median2013: 137 days median2014: 139 days median2015: 166 days median2016: 127 days median2017: 127 days median2018: 126 days median2019: 91 days median2020: 91 days median2021: 108 days median2022: 133 days median2023: 92 days median2024: 110 days median2025: 100 days median2026 (partial year): 93 days median
2007high 167 (2011) · low 78 (2012)2026

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

Recalls per year · OVD

1in 2025

2013: 42016: 12021: 12022: 12025: 12026 (partial year): 1
2007high 4 (2013) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · OVD

50in 2025

2009: 22010: 22011: 62012: 162013: 172014: 352015: 432016: 552017: 722018: 1122019: 1712020: 2032021: 2212022: 742023: 672024: 922025: 50
2007high 221 (2021) · low 0 (2007)2025

MAUDE reports naming product code OVD, 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
20072—00
200888400
2009315202
2010811702
2011916706
20121078016
201311137417
201414139035
201512166043
201613127155
201712127072
2018141260112
201912910171
202014910203
202171081221
202214133174
20231292067
202412110092
202510100150
20268931—

What is it indicated for?

The STALIF TT™, STALIF MIDLINE®, MIDLINE II™, and MIDLINE II-Ti™ is indicated for use with bone graft (autograft bone and/or allogenic bone graft composed of cancellous and/or corticocancellous bone graft) in patients with degenerative disc disease (DDD) at one or two contiguous levels from L2 to S1. These DDD patients may also have up to Grade I Spondylolisthesis or retrolisthesis at the involved levels. DDD is defined as discogenic back pain with…

Read the full statement (179 words)

The STALIF TT™, STALIF MIDLINE®, MIDLINE II™, and MIDLINE II-Ti™ is indicated for use with bone graft (autograft bone and/or allogenic bone graft composed of cancellous and/or corticocancellous bone graft) in patients with degenerative disc disease (DDD) at one or two contiguous levels from L2 to S1. These DDD patients may also have up to Grade I Spondylolisthesis or retrolisthesis at the involved levels. DDD is defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies. These patients should be skeletally mature and have had six months of non-operative treatment. Patients with previous non-fusion spinal surgery at the treated level may be treated. These implants may be implanted via a laparoscopic or an open anterior approach.

The STALIF TT™, STALIF MIDLINE®, MIDLINE II™, and MIDLINE II-Ti™ is a stand-alone system intended to be used with the bone screws provided and requires no additional supplementary fixation systems.

The STALIF TT™, STALIF MIDLINE®, MIDLINE II™, and MIDLINE II-Ti™ system must be used with autograft and/or allogenic bone graft composed of cancellous and/or corticocancellous bone graft.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K150643: Centinel Spine STALIF TT, STALIF MIDLINE, MIDLINE II, MIDLINE II-Ti.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K150643

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