510(k) Report

510(k) · Cleared

Cleared

INDEPENDENCE MIS Spacers

K160597510(k) TraditionalCleared Aug 29, 2016180-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

Globus Medical, Inc. · OVD Intervertebral Fusion Device With Integrated Fixation, Lumbar

Cleared on Aug 29, 2016 as substantially equivalent to K082252 (Globus Medical, Inc., 2008) and 4 other predicates after a 180-day review. Its family tree reaches back 17 generations to 1984. 111 later devices descend from it.

Decided
Aug 29, 2016
Review
180 days
Class
Class II
Product code
OVD
Recalls
None
Predicates
5

Its longest line of descent runs back 17 generations to K841189 (1984). 113 ancestors in all. 111 later devices descend from it, 8 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2013: 1 other ancestor2012: 1 other ancestor2011: 2 other ancestors2008: 13 other ancestors2010: 4 other ancestors2009: 6 other ancestors2007: 8 other ancestors2014: 1 other ancestor2005: 11 other ancestors2004: 13 other ancestors1999: 2 other ancestors2006: 3 other ancestors2003: 10 other ancestors2002: 8 other ancestors2001: 10 other ancestors2000: 1 other ancestor1996: 2 other ancestors2021: 6 descendants cleared2020: 5 descendants cleared2019: 2 descendants cleared2025: 21 descendants cleared2017: 2 descendants cleared2023: 16 descendants cleared2026: 17 descendants cleared2022: 11 descendants cleared2024: 31 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. · 2014K150643 · Centinel Spine STALIF TT, STALIF MIDLINE, MIDLINE II, MIDLINE II-Ti · Centinel Spine, Inc. · 201519801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 4 other ancestors2 generations back: 7 other ancestors3 generations back: 12 other ancestors4 generations back: 20 other ancestors5 generations back: 16 other ancestors6 generations back: 17 other ancestors7 generations back: 11 other ancestors8 generations back: 7 other ancestors9 generations back: 2 other ancestors 1 generation forward: 8 descendants2 generations forward: 29 descendants3 generations forward: 36 descendants4 generations forward: 28 descendants5 generations forward: 9 descendants6 generations forward: 1 descendant K150643 · Centinel Spine STALIF TT, STALIF MIDLINE, MIDLINE II, MIDLINE II-Ti · Centinel Spine, Inc. · 2015K141942 · 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
  1. Root · 17 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 13 generations between
  3. 3 generations backK111122 Aesculap Sibd XP Spinal SystemAesculap Implant Systems, Inc. · 2011
  4. 2 generations backK141942 Midline II TICentinel Spine, Inc. · 2014
  5. 1 generation backK150643 Centinel Spine STALIF TT, STALIF MIDLINE, MIDLINE II, MIDLINE II-TiCentinel Spine, Inc. · 2015
  6. This deviceK160597 INDEPENDENCE MIS SpacersGlobus Medical, Inc. · 2016
  7. Descendant · cites it directly · 109 of its ownK170157 INDEPENDENCE® SpacersGlobus Medical, Inc. · 2017
  8. Descendant · cites it directly · 84 of its ownK191391 HEDRON Lumbar SpacersGlobus Medical, Inc. · 2019
  9. Descendant · cites it directly · 55 of its ownK171848 FORTIFY and FORTIFY Integrated Corpectomy Spacers, XPand Corpectomy…Globus Medical, Inc. · 2017
  10. Descendant · cites it directly · 36 of its ownK201087 CORBEL SpacersGlobus Medical, Inc. · 2020
  11. Descendant · cites it directly · 35 of its ownK203278 INDEPENDENCE Spacers, HEDRON IA, MAGNIFY-S Spacers, MONUMENT…Globus Medical, Inc. · 2021
Show all 17 generations
  1. Root · 17 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 16 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 15 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 14 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 13 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 12 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 11 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 10 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 9 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 8 generations backK080083 Intrepid Spinal SystemMedtronic Sofamor Danek · 2008 · Recalled
  11. 7 generations backK073109 Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd. · 2008
  12. 6 generations backK081849 Blackstone Pillar SA Partial Vertebral Body Replacement DeviceBlackstone Medical, Inc. · 2008 · Recalled
  13. 5 generations backK091301 Life Spine Stand-Alone Spacer SystemLife Spine · 2009
  14. 4 generations backK100802 Aesculap Implant Systems Sibd Spinal SystemAesculap Implant Systems, Inc. · 2010
  15. 3 generations backK111122 Aesculap Sibd XP Spinal SystemAesculap Implant Systems, Inc. · 2011
  16. 2 generations backK141942 Midline II TICentinel Spine, Inc. · 2014
  17. 1 generation backK150643 Centinel Spine STALIF TT, STALIF MIDLINE, MIDLINE II, MIDLINE II-TiCentinel Spine, Inc. · 2015
  18. This deviceK160597 INDEPENDENCE MIS SpacersGlobus Medical, Inc. · 2016

Showing 5 of 111 descendants. See all descendants

Descendants cleared per year

2017: 22019: 22020: 52021: 62022: 112023: 162024: 312025: 212026: 17
2017high 31 (2024) · low 0 (2018)2026

Most influential descendants

Showing 5 of 111 · See all
  • K170157INDEPENDENCE® SpacersGlobus Medical, Inc. · 2017 · cites it directly109descendants
  • K191391HEDRON Lumbar SpacersGlobus Medical, Inc. · 2019 · cites it directly84descendants
  • K171848FORTIFY and FORTIFY Integrated Corpectomy Spacers, XPand Corpectomy Spacers, NIKO…Globus Medical, Inc. · 2017 · cites it directly55descendants
  • K201087CORBEL SpacersGlobus Medical, Inc. · 2020 · cites it directly36descendants
  • K203278INDEPENDENCE Spacers, HEDRON IA, MAGNIFY-S Spacers, MONUMENT Spacers, InterContinental…Globus Medical, Inc. · 2021 · cites it directly35descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−17K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−16K990148Stackable Cage SystemDepuy Motech Acromed1999—
−15K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−14K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−13K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−12K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−11K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−10K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−9K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−8K080083Intrepid Spinal SystemMedtronic Sofamor Danek20088
−7K073109Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd.2008—
−6K081849Blackstone Pillar SA Partial Vertebral Body Replacement DeviceBlackstone Medical, Inc.20081
−5K091301Life Spine Stand-Alone Spacer SystemLife Spine2009—
−4K100802Aesculap Implant Systems Sibd Spinal SystemAesculap Implant Systems, Inc.2010—
−3K111122Aesculap Sibd XP Spinal SystemAesculap Implant Systems, Inc.2011—
−2K141942Midline II TICentinel Spine, Inc.2014—
−1K150643Centinel Spine STALIF TT, STALIF MIDLINE, MIDLINE II, MIDLINE II-TiCentinel Spine, Inc.2015—
0 (this device)K160597INDEPENDENCE MIS SpacersGlobus Medical, Inc.2016—
+1K170157INDEPENDENCE® SpacersGlobus Medical, Inc.2017—
+1K191391HEDRON Lumbar SpacersGlobus Medical, Inc.2019—
+1K171848FORTIFY and FORTIFY Integrated Corpectomy Spacers, XPand Corpectomy Spacers…Globus Medical, Inc.2017—
+1K201087CORBEL SpacersGlobus Medical, Inc.2020—
+1K203278INDEPENDENCE Spacers, HEDRON IA, MAGNIFY-S Spacers, MONUMENT Spacers…Globus Medical, Inc.2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199620
199920
200010
2001100
200280
2003100
2004130
2005110
200630
200780
2008130
200960
201040
201120
201210
201310
201410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201720
201920
202050
202160
2022110
2023160
2024310
2025210
2026170
FIG. 1 — Lineage of K160597, 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 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. #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? (5)

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
*K082252Independence Spacer
Summary page 4
…bral Body Fusion Device Product Code(s): OVD, MAX Regulatory Class: II, Panel Code: 87 Primary Predicate: INDEPENDENCE® Spacers (K082252) Additional INDEPENDENCE® Spacers (K120101) Predicates: ROI-A Implant System (K110327) STAL…
Globus Medical, Inc.2008—
*K120101Independence Spacer
Summary page 4
…ode(s): OVD, MAX Regulatory Class: II, Panel Code: 87 Primary Predicate: INDEPENDENCE® Spacers (K082252) Additional INDEPENDENCE® Spacers (K120101) Predicates: ROI-A Implant System (K110327) STALIF TT (K150643) Brigade Hyperlord…
Globus Medical, Inc.2012—
*K110327LDR Spine Roi-a Interbody Fusion System
Summary page 4
…ss: II, Panel Code: 87 Primary Predicate: INDEPENDENCE® Spacers (K082252) Additional INDEPENDENCE® Spacers (K120101) Predicates: ROI-A Implant System (K110327) STALIF TT (K150643) Brigade Hyperlordotic System (K123045) Purpose: The purpose of this…
Ldr Spine USA2011—
*K150643Centinel Spine STALIF TT, STALIF MIDLINE, MIDLINE II, MIDLINE II-Ti
Summary page 4
…e: INDEPENDENCE® Spacers (K082252) Additional INDEPENDENCE® Spacers (K120101) Predicates: ROI-A Implant System (K110327) STALIF TT (K150643) Brigade Hyperlordotic System (K123045) Purpose: The purpose of this submission is to request clearance for…
Centinel Spine, Inc.2015—
*K123045Brigade Standalone System
Summary page 4
…EPENDENCE® Spacers (K120101) Predicates: ROI-A Implant System (K110327) STALIF TT (K150643) Brigade Hyperlordotic System (K123045) Purpose: The purpose of this submission is to request clearance for additional INDEPENDENCE® MIS implants; and to update indica…
Nuvasive, Inc.2013—

Also cleared against K082252: 12 other devices →

What descends from it? (111)

See all 111

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

NumberDeviceApplicantDecidedDescendants
K170157INDEPENDENCE® SpacersGlobus Medical, Inc.2017109
K191391HEDRON Lumbar SpacersGlobus Medical, Inc.201984
K171848FORTIFY and FORTIFY Integrated Corpectomy Spacers, XPand Corpectomy Spacers, NIKO…Globus Medical, Inc.201755
K201087CORBEL SpacersGlobus Medical, Inc.202036
K203278INDEPENDENCE Spacers, HEDRON IA, MAGNIFY-S Spacers, MONUMENT Spacers, InterContinental…Globus Medical, Inc.202135
K250845Curiteva Porous PEEK Standalone ALIF SystemCuriteva, Inc.20251
K251575IdentiTi™ II ALIF Standalone Interbody System; Transcend™ ALIF Standalone Interbody SystemAlphatec Spine20250
K210590Axis Spine Technologies ALIFAxis Spine Technologies, Ltd.20210

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 32 years and passes through 14 companies; a new generation was cleared every 1.0 years on median.
  • 17 of the 113 ancestors have a recall of any class.
  • Of its descendants, K170157 (Globus Medical, Inc., 2017) has gone furthest, with 109 descendants of its own.
  • 12 other devices also cite its predicate K082252.

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. 2016, 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?

INDEPENDENCE® (including INDEPENDENCE® MIS) Spacers interbody fusion devices intended for use in patients with degenerative disc disease (DDD) at one or two contiguous levels of the lumbosacral spine (L2-S1). 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 at least six (6) months of non-operative treatment. In addition, these…

Read the full statement (197 words)

INDEPENDENCE® (including INDEPENDENCE® MIS) Spacers interbody fusion devices intended for use in patients with degenerative disc disease (DDD) at one or two contiguous levels of the lumbosacral spine (L2-S1). 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 at least six (6) months of non-operative treatment. In addition, these patients may have up to Grade | spondylolisthesis or retrolisthesis at the involved level(s). INDEPENDENCE® Spacers are to be filled with autograft bone and/or allogenic bone graft composed of cancellous and/or corticocancellous bone.

The INDEPENDENCE® Spacer is a stand-alone interbody fusion device intended to be used with three titanium alloy screws which accompany the implant.

The INDEPENDENCE® MIS Spacer is an interbody fusion device to be used with three titanium alloy screws or anchors which accompany the implants. When used with screws, the INDEPENDENCE® MIS Spacer is a stand-alone interbody fusion device. When used with anchors, the INDEPENDENCE® MIS Spacer is intended for use with supplemental fixation (e.g. facet screws or posterior fixation). Hyperlordotic implants (>25° lordosis) are intended for use with supplemental fixation (e.g. facet screws or posterior fixation).

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K160597: INDEPENDENCE MIS Spacers.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K160597

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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