510(k) Report

510(k) · Cleared

Cleared

TransContinental® M Spacers and InterContinental® Plate-Spacers

K161223510(k) TraditionalCleared Jul 15, 201677-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 Jul 15, 2016 as substantially equivalent to K140479 (Nu Vasive, Incorporated, 2014) and 5 other predicates after a 77-day review. Its family tree reaches back 15 generations to 1984. 117 later devices descend from it.

Decided
Jul 15, 2016
Review
77 days
Class
Class II
Product code
OVD
Recalls
None
Predicates
6

Its longest line of descent runs back 15 generations to K841189 (1984). 201 ancestors in all, the oldest K792352 (1979). 117 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2016: 1 other ancestor2015: 1 other ancestor2012: 8 other ancestors2011: 9 other ancestors2010: 8 other ancestors2014: 4 other ancestors2013: 10 other ancestors2009: 13 other ancestors2008: 26 other ancestors2007: 14 other ancestors2006: 12 other ancestors2004: 24 other ancestors2005: 15 other ancestors2003: 13 other ancestors2002: 9 other ancestors2001: 10 other ancestors1999: 2 other ancestors2000: 2 other ancestors1996: 2 other ancestors1998: 1 other ancestor1980: 1 other ancestor1979: 1 other ancestor2021: 7 descendants cleared2018: 1 descendant cleared2017: 1 descendant cleared2023: 18 descendants cleared2019: 2 descendants cleared2020: 5 descendants cleared2025: 22 descendants cleared2024: 30 descendants cleared2022: 12 descendants cleared2026: 19 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. · 2007×4: 4 generations cleared close together, K072120 (2007), K080083 (2008), K073109 (2008), K081849 (2008) K100043 · Coroent XLR Standalone System · Nuvasive, Inc. · 2010K123045 · Brigade Standalone System · Nuvasive, Inc. · 2013K140479 · Coroent XL-F System · Nu Vasive, Incorporated · 201419801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 5 other ancestors2 generations back: 28 other ancestors3 generations back: 44 other ancestors4 generations back: 45 other ancestors5 generations back: 34 other ancestors6 generations back: 15 other ancestors7 generations back: 9 other ancestors8 generations back: 5 other ancestors9 generations back: 1 other ancestor 1 generation forward: 3 descendants2 generations forward: 13 descendants3 generations forward: 35 descendants4 generations forward: 39 descendants5 generations forward: 23 descendants6 generations forward: 3 descendants7 generations forward: 1 descendant K140479 · Coroent XL-F System · Nu Vasive, Incorporated · 2014K123045 · Brigade Standalone System · Nuvasive, Inc. · 2013K100043 · Coroent XLR Standalone System · Nuvasive, Inc. · 2010K081849 · 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 · 15 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 11 generations between
  3. 3 generations backK100043 Coroent XLR Standalone SystemNuvasive, Inc. · 2010
  4. 2 generations backK123045 Brigade Standalone SystemNuvasive, Inc. · 2013
  5. 1 generation backK140479 Coroent XL-F SystemNu Vasive, Incorporated · 2014
  6. This deviceK161223 TransContinental® M Spacers and InterContinental® Plate-SpacersGlobus Medical, Inc. · 2016
  7. Descendant · cites it directly · 97 of its ownK181357 PATRIOT® Lumbar Spacers, SUSTAIN® SpacersGlobus Medical, Inc. · 2018
  8. Descendant · 2 generations on · 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 · 2 generations on · 37 of its ownK192115 SABLE Expandable SpacerGlobus Medical, Inc. · 2020
  11. Descendant · 3 generations on · 36 of its ownK201087 CORBEL SpacersGlobus Medical, Inc. · 2020
Show all 15 generations
  1. Root · 15 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 14 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 13 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 12 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 11 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 10 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 9 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 8 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 7 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 6 generations backK080083 Intrepid Spinal SystemMedtronic Sofamor Danek · 2008 · Recalled
  11. 5 generations backK073109 Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd. · 2008
  12. 4 generations backK081849 Blackstone Pillar SA Partial Vertebral Body Replacement DeviceBlackstone Medical, Inc. · 2008 · Recalled
  13. 3 generations backK100043 Coroent XLR Standalone SystemNuvasive, Inc. · 2010
  14. 2 generations backK123045 Brigade Standalone SystemNuvasive, Inc. · 2013
  15. 1 generation backK140479 Coroent XL-F SystemNu Vasive, Incorporated · 2014
  16. This deviceK161223 TransContinental® M Spacers and InterContinental® Plate-SpacersGlobus Medical, Inc. · 2016

Showing 5 of 117 descendants. See all descendants

Descendants cleared per year

2017: 12018: 12019: 22020: 52021: 72022: 122023: 182024: 302025: 222026: 19
2017high 30 (2024) · low 1 (2017)2026

Most influential descendants

Showing 5 of 117 · See all
  • K181357PATRIOT® Lumbar Spacers, SUSTAIN® SpacersGlobus Medical, Inc. · 2018 · cites it directly97descendants
  • K191391HEDRON Lumbar SpacersGlobus Medical, Inc. · 2019 · 2 generations on84descendants
  • K171848FORTIFY and FORTIFY Integrated Corpectomy Spacers, XPand Corpectomy Spacers, NIKO…Globus Medical, Inc. · 2017 · cites it directly55descendants
  • K192115SABLE Expandable SpacerGlobus Medical, Inc. · 2020 · 2 generations on37descendants
  • K201087CORBEL SpacersGlobus Medical, Inc. · 2020 · 3 generations on36descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−15K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−14K990148Stackable Cage SystemDepuy Motech Acromed1999—
−13K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−12K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−11K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−10K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−9K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−8K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−7K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−6K080083Intrepid Spinal SystemMedtronic Sofamor Danek20088
−5K073109Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd.2008—
−4K081849Blackstone Pillar SA Partial Vertebral Body Replacement DeviceBlackstone Medical, Inc.20081
−3K100043Coroent XLR Standalone SystemNuvasive, Inc.2010—
−2K123045Brigade Standalone SystemNuvasive, Inc.2013—
−1K140479Coroent XL-F SystemNu Vasive, Incorporated2014—
0 (this device)K161223TransContinental® M Spacers and InterContinental® Plate-SpacersGlobus Medical, Inc.2016—
+1K181357PATRIOT® Lumbar Spacers, SUSTAIN® SpacersGlobus Medical, Inc.2018—
+2K191391HEDRON Lumbar SpacersGlobus Medical, Inc.2019—
+1K171848FORTIFY and FORTIFY Integrated Corpectomy Spacers, XPand Corpectomy Spacers…Globus Medical, Inc.2017—
+2K192115SABLE Expandable SpacerGlobus Medical, Inc.2020—
+3K201087CORBEL SpacersGlobus Medical, Inc.2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
199620
199810
199920
200020
2001100
200290
2003130
2004240
2005150
2006120
2007140
2008260
2009130
201080
201190
201280
2013100
201440
201510
201610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201710
201810
201920
202050
202170
2022120
2023180
2024300
2025220
2026190
FIG. 1 — Lineage of K161223, 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? (6)

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
*K140479Coroent XL-F System
Summary page 5
…ervertebral Body Fusion Device Product Codes: OVD, MAX Regulatory Class: II, Panel Code: 87 Primary Predicate: NuVasive CoRoent (K140479 & K141665) Additional TransContinental® M Spacers (K102313 & K122097) Predicates: InterContinental® Plate-Space…
Nu Vasive, Incorporated2014—
*K141665NuVasive CoRoent System
Summary page 5
…l Body Fusion Device Product Codes: OVD, MAX Regulatory Class: II, Panel Code: 87 Primary Predicate: NuVasive CoRoent (K140479 & K141665) Additional TransContinental® M Spacers (K102313 & K122097) Predicates: InterContinental® Plate-Spacer (K103382…
Nuvasive, Inc.2015—
*K102313Patriot Transcontinental M Spacers
Summary page 5
…, MAX Regulatory Class: II, Panel Code: 87 Primary Predicate: NuVasive CoRoent (K140479 & K141665) Additional TransContinental® M Spacers (K102313 & K122097) Predicates: InterContinental® Plate-Spacer (K103382) TPS Spacers (K143578) Purpose: The p…
Globus Medical, Inc.2010—
*K122097Patriot Spacers
Summary page 5
…Regulatory Class: II, Panel Code: 87 Primary Predicate: NuVasive CoRoent (K140479 & K141665) Additional TransContinental® M Spacers (K102313 & K122097) Predicates: InterContinental® Plate-Spacer (K103382) TPS Spacers (K143578) Purpose: The purpose of…
Globus Medical, Inc.2012—
*K103382Intercontinental Plate-Spacer
Summary page 5
…Predicate: NuVasive CoRoent (K140479 & K141665) Additional TransContinental® M Spacers (K102313 & K122097) Predicates: InterContinental® Plate-Spacer (K103382) TPS Spacers (K143578) Purpose: The purpose of this submission is to request clearance for TransContinental®…
Globus Medical, Inc.2011—
*K143578SUSTAIN R TPS Spacers, PATRIOT TPS Spacers, CALIBER TPS Spacer, COALITION TPS Spacers…
Summary page 5
…41665) Additional TransContinental® M Spacers (K102313 & K122097) Predicates: InterContinental® Plate-Spacer (K103382) TPS Spacers (K143578) Purpose: The purpose of this submission is to request clearance for TransContinental® M and InterContinental® Additional Implan…
Globus Medical, Inc.2016—

Also cleared against K140479: 7 other devices →

What descends from it? (117)

See all 117

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

NumberDeviceApplicantDecidedDescendants
K181357PATRIOT® Lumbar Spacers, SUSTAIN® SpacersGlobus Medical, Inc.201897
K171848FORTIFY and FORTIFY Integrated Corpectomy Spacers, XPand Corpectomy Spacers, NIKO…Globus Medical, Inc.201755
K203278INDEPENDENCE Spacers, HEDRON IA, MAGNIFY-S Spacers, MONUMENT Spacers, InterContinental…Globus Medical, Inc.202135

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 13 companies; a new generation was cleared every 1.3 years on median.
  • 24 of the 201 ancestors have a recall of any class.
  • Of its descendants, K181357 (Globus Medical, Inc., 2018) has gone furthest, with 97 descendants of its own.
  • 7 other devices also cite its predicate K140479.

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?

PATRIOT® Spacers (including Constitution®, Constitution® TPS, Signature®, Signature® TPS, Continental®, Continental® TPS, TransContinental®, TransContinental® TPS, TransContinental® M and TransContinental® M TPS) are 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 as confirmed by…

Read the full statement (292 words)

PATRIOT® Spacers (including Constitution®, Constitution® TPS, Signature®, Signature® TPS, Continental®, Continental® TPS, TransContinental®, TransContinental® TPS, TransContinental® M and TransContinental® M TPS) are 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 as 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 1 spondylolisthesis or retrolisthesis at the involved level(s). PATRIOT® Spacers are to be filled with autogenous bone graft material. These devices are intended to be used with supplemental fixation systems that have been cleared for use in the lumbosacral spine (e.g. posterior pedicle screw and rod systems, anterior plate systems, and anterior screw and rod systems). Hyperlordotic interbody devices (•20° lordosis) must be used with at least anterior supplemental fixation.

InterContinental® Plate-Spacers (including InterContinental® TPS) are lateral lumbar 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 1 spondylolisthesis or retrolisthesis at the involved level(s). InterContinental® Plate-Spacers are to be filled with autogenous bone graft material, and are to be used with two titanium alloy screws which accompany the implant. These devices are intended to be used with supplemental fixation (e.g. pedicle or facet screw systems) in addition to the integrated screws.

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. “K161223: TransContinental® M Spacers and InterContinental® Plate-Spacers.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K161223

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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