510(k) Report

510(k) · Cleared

Cleared

INDEPENDENCE® Spacers

K170157510(k) TraditionalCleared Sep 25, 2017250-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 Sep 25, 2017 as substantially equivalent to K160597 (Globus Medical, Inc., 2016) and 5 other predicates after a 250-day review. Its family tree reaches back 18 generations to 1984. 109 later devices descend from it.

Decided
Sep 25, 2017
Review
250 days
Class
Class II
Product code
OVD
Recalls
None
Predicates
7

Its longest line of descent runs back 18 generations to K841189 (1984). 169 ancestors in all, the oldest K792352 (1979). 109 later devices descend from it, 6 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2016: 1 other ancestor2015: 1 other ancestor2012: 6 other ancestors2008: 19 other ancestors1996: 2 other ancestors2014: 2 other ancestors2013: 5 other ancestors2011: 6 other ancestors2010: 7 other ancestors2009: 11 other ancestors2007: 10 other ancestors2006: 9 other ancestors2004: 22 other ancestors2005: 14 other ancestors2003: 12 other ancestors2001: 10 other ancestors2002: 8 other ancestors2000: 1 other ancestor1999: 2 other ancestors1998: 1 other ancestor1980: 1 other ancestor1979: 1 other ancestor2020: 5 descendants cleared2021: 5 descendants cleared2019: 2 descendants cleared2017: 1 descendant cleared2023: 16 descendants cleared2026: 17 descendants cleared2022: 11 descendants cleared2024: 31 descendants cleared2025: 21 descendants clearedReference device: K142218 · Coalition AGX Plate and Coalition AGX Spacer · Globus Medical, Inc. · 2015K841189 · 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) 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. · 2015K160597 · INDEPENDENCE MIS Spacers · Globus Medical, Inc. · 201619801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 5 other ancestors2 generations back: 19 other ancestors3 generations back: 17 other ancestors4 generations back: 32 other ancestors5 generations back: 34 other ancestors6 generations back: 21 other ancestors7 generations back: 13 other ancestors8 generations back: 9 other ancestors9 generations back: 1 other ancestor 1 generation forward: 6 descendants2 generations forward: 30 descendants3 generations forward: 36 descendants4 generations forward: 26 descendants5 generations forward: 10 descendants6 generations forward: 1 descendant K160597 · INDEPENDENCE MIS Spacers · Globus Medical, Inc. · 2016K150643 · 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 · 18 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 14 generations between
  3. 3 generations backK141942 Midline II TICentinel Spine, Inc. · 2014
  4. 2 generations backK150643 Centinel Spine STALIF TT, STALIF MIDLINE, MIDLINE II, MIDLINE II-TiCentinel Spine, Inc. · 2015
  5. 1 generation backK160597 INDEPENDENCE MIS SpacersGlobus Medical, Inc. · 2016
  6. This deviceK170157 INDEPENDENCE® SpacersGlobus Medical, Inc. · 2017
  7. Descendant · cites it directly · 84 of its ownK191391 HEDRON Lumbar SpacersGlobus Medical, Inc. · 2019
  8. Descendant · cites it directly · 55 of its ownK171848 FORTIFY and FORTIFY Integrated Corpectomy Spacers, XPand Corpectomy…Globus Medical, Inc. · 2017
  9. Descendant · 2 generations on · 36 of its ownK201087 CORBEL SpacersGlobus Medical, Inc. · 2020
  10. Descendant · cites it directly · 35 of its ownK203278 INDEPENDENCE Spacers, HEDRON IA, MAGNIFY-S Spacers, MONUMENT…Globus Medical, Inc. · 2021
  11. Descendant · 2 generations on · 25 of its ownK201671 A-Link ZAcuity Surgical Devices, LLC · 2021
Show all 18 generations
  1. Root · 18 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 17 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 16 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 15 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 14 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 13 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 12 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 11 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 10 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 9 generations backK080083 Intrepid Spinal SystemMedtronic Sofamor Danek · 2008 · Recalled
  11. 8 generations backK073109 Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd. · 2008
  12. 7 generations backK081849 Blackstone Pillar SA Partial Vertebral Body Replacement DeviceBlackstone Medical, Inc. · 2008 · Recalled
  13. 6 generations backK091301 Life Spine Stand-Alone Spacer SystemLife Spine · 2009
  14. 5 generations backK100802 Aesculap Implant Systems Sibd Spinal SystemAesculap Implant Systems, Inc. · 2010
  15. 4 generations backK111122 Aesculap Sibd XP Spinal SystemAesculap Implant Systems, Inc. · 2011
  16. 3 generations backK141942 Midline II TICentinel Spine, Inc. · 2014
  17. 2 generations backK150643 Centinel Spine STALIF TT, STALIF MIDLINE, MIDLINE II, MIDLINE II-TiCentinel Spine, Inc. · 2015
  18. 1 generation backK160597 INDEPENDENCE MIS SpacersGlobus Medical, Inc. · 2016
  19. This deviceK170157 INDEPENDENCE® SpacersGlobus Medical, Inc. · 2017

Showing 5 of 109 descendants. See all descendants

Descendants cleared per year

2017: 12019: 22020: 52021: 52022: 112023: 162024: 312025: 212026: 17
2017high 31 (2024) · low 0 (2018)2026

Most influential descendants

Showing 5 of 109 · See all
  • 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 · 2 generations on36descendants
  • K203278INDEPENDENCE Spacers, HEDRON IA, MAGNIFY-S Spacers, MONUMENT Spacers, InterContinental…Globus Medical, Inc. · 2021 · cites it directly35descendants
  • K201671A-Link ZAcuity Surgical Devices, LLC · 2021 · 2 generations on25descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−18K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−17K990148Stackable Cage SystemDepuy Motech Acromed1999—
−16K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−15K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−14K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−13K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−12K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−11K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−10K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−9K080083Intrepid Spinal SystemMedtronic Sofamor Danek20088
−8K073109Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd.2008—
−7K081849Blackstone Pillar SA Partial Vertebral Body Replacement DeviceBlackstone Medical, Inc.20081
−6K091301Life Spine Stand-Alone Spacer SystemLife Spine2009—
−5K100802Aesculap Implant Systems Sibd Spinal SystemAesculap Implant Systems, Inc.2010—
−4K111122Aesculap Sibd XP Spinal SystemAesculap Implant Systems, Inc.2011—
−3K141942Midline II TICentinel Spine, Inc.2014—
−2K150643Centinel Spine STALIF TT, STALIF MIDLINE, MIDLINE II, MIDLINE II-TiCentinel Spine, Inc.2015—
−1K160597INDEPENDENCE MIS SpacersGlobus Medical, Inc.2016—
0 (this device)K170157INDEPENDENCE® SpacersGlobus Medical, Inc.2017—
+1K191391HEDRON Lumbar SpacersGlobus Medical, Inc.2019—
+1K171848FORTIFY and FORTIFY Integrated Corpectomy Spacers, XPand Corpectomy Spacers…Globus Medical, Inc.2017—
+2K201087CORBEL SpacersGlobus Medical, Inc.2020—
+1K203278INDEPENDENCE Spacers, HEDRON IA, MAGNIFY-S Spacers, MONUMENT Spacers…Globus Medical, Inc.2021—
+2K201671A-Link ZAcuity Surgical Devices, LLC2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
199620
199810
199920
200010
2001100
200280
2003120
2004220
2005140
200690
2007100
2008190
2009110
201070
201160
201260
201350
201420
201510
201610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201710
201920
202050
202150
2022110
2023160
2024310
2025210
2026170
FIG. 1 — Lineage of K170157, 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? (7)

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; numbers the summary cites that cannot be its predicate are marked – and kept off the family tree.

TypeNumberDeviceApplicantDecidedRecalls
*K160597INDEPENDENCE MIS Spacers
Summary page 5
…ody Fusion Device Product Code(s): OVD, MAX Regulatory Class: II, Panel Code: 87 Primary Predicate: INDEPENDENCE® MIS Spacers (K160597) Additional INDEPENDENCE® Spacers (K082252, K120101) Predicates: BAK INTERBODY FUSION SYSTEM (P950002, K14239…
Globus Medical, Inc.2016—
*K082252Independence Spacer
Summary page 5
…: OVD, MAX Regulatory Class: II, Panel Code: 87 Primary Predicate: INDEPENDENCE® MIS Spacers (K160597) Additional INDEPENDENCE® Spacers (K082252, K120101) Predicates: BAK INTERBODY FUSION SYSTEM (P950002, K142397) TPS Spacers (K143578)…
Globus Medical, Inc.2008—
*K120101Independence Spacer
Summary page 5
…X Regulatory Class: II, Panel Code: 87 Primary Predicate: INDEPENDENCE® MIS Spacers (K160597) Additional INDEPENDENCE® Spacers (K082252, K120101) Predicates: BAK INTERBODY FUSION SYSTEM (P950002, K142397) TPS Spacers (K143578)…
Globus Medical, Inc.2012—
*P950002Bak Interbody Fusion System
Summary page 5
…Primary Predicate: INDEPENDENCE® MIS Spacers (K160597) Additional INDEPENDENCE® Spacers (K082252, K120101) Predicates: BAK INTERBODY FUSION SYSTEM (P950002, K142397) TPS Spacers (K143578) MAGNIFY Spacers (K142498) Reference Device: COALITION®…
Zimmer Spine, Inc.1996—
Kept off the family treeK142397FDA’s K142397 is Predicate III Guidewire
Our reading of the summary gave K142397, FDA’s number for Predicate III Guidewire (Lake Region Medical). Its FDA name has none of the distinctive words the summary uses for the device it names, “BAK INTERBODY FUSION SYSTEM”. Kept off the family tree.
Summary page 5
…Predicate: INDEPENDENCE® MIS Spacers (K160597) Additional INDEPENDENCE® Spacers (K082252, K120101) Predicates: BAK INTERBODY FUSION SYSTEM (P950002, K142397) TPS Spacers (K143578) MAGNIFY Spacers (K142498) Reference Device: COALITION® AGX (K14…
Lake Region Medical2014—
*K143578SUSTAIN R TPS Spacers, PATRIOT TPS Spacers, CALIBER TPS Spacer, COALITION TPS Spacers…
Summary page 5
…597) Additional INDEPENDENCE® Spacers (K082252, K120101) Predicates: BAK INTERBODY FUSION SYSTEM (P950002, K142397) TPS Spacers (K143578) MAGNIFY Spacers (K142498) Reference Device: COALITION® AGX (K142218) Purpose: The purpose of this submiss…
Globus Medical, Inc.2016—
*K142498MAGNIFY and MAGNIFY-S Spacers
Summary page 5
…s (K082252, K120101) Predicates: BAK INTERBODY FUSION SYSTEM (P950002, K142397) TPS Spacers (K143578) MAGNIFY Spacers (K142498) Reference Device: COALITION® AGX (K142218) Purpose: The purpose of this submission is to request clearance for the following i…
Globus Medical, Inc.2015—
†K142218Coalition AGX Plate and Coalition AGX SpacerGlobus Medical, Inc.2015—

Also cleared against K160597: 7 other devices →

What descends from it? (109)

See all 109

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

NumberDeviceApplicantDecidedDescendants
K191391HEDRON Lumbar SpacersGlobus Medical, Inc.201984
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
K201585Monterey AL Interbody SystemStryker Corporation20204
K230731Zavation ALIF SystemZavation Medical Products, LLC20232
K203207Omnia Medical TiBrid-SAOmnia Medical, LLC20201

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 33 years and passes through 14 companies; a new generation was cleared every 1.0 years on median.
  • 24 of the 169 ancestors have a recall of any class.
  • Of its descendants, K191391 (Globus Medical, Inc., 2019) has gone furthest, with 84 descendants of its own.
  • 7 other devices also cite its predicate K160597.

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. 2017, 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® TPS, INDEPENDENCE MIS™, INDEPENDENCE MIS™ TPS, INDEPENDENCE MIS AGX™, and INDEPENDENCE MIS AGX™ TPS) Spacers 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 confirmed by history and radiographic studies. These patients should be…

Read the full statement (345 words)

INDEPENDENCE® (including INDEPENDENCE® TPS, INDEPENDENCE MIS™, INDEPENDENCE MIS™ TPS, INDEPENDENCE MIS AGX™, and INDEPENDENCE MIS AGX™ TPS) Spacers 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 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). INDEPENDENCE® Spacers are to be filled with autograft bone and/or allogenic bone graft composed of cancellous and/or corticocancellous bone.

INDEPENDENCE® and INDEPENDENCE® TPS Spacers are stand-alone interbody fusion devices intended to be used with three titanium alloy screws which accompany the implants.

INDEPENDENCE MIS™ and INDEPENDENCE MIS™ TPS Spacers are interbody fusion devices intended to be used with three titanium alloy screws or anchors which accompany the implants. When used with screws, these devices are stand-alone interbody fusion devices. When used with anchors, these devices are 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).

INDEPENDENCE MIS AGX™ Integrated Spacer, INDEPENDENCE MIS AGX™ TPS Integrated Spacer, and INDEPENDENCE MIS AGX™ Integrated Ti Spacer are interbody fusion devices that may be used with three titanium alloy screws or anchors which accompany the implants. When used with screws, these devices are stand-alone interbody fusion devices. When used with anchors, these devices are 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).

INDEPENDENCE MIS AGX™ Spacer and INDEPENDENCE MIS AGX™ TPS Spacer are C-shaped, non-integrated PEEK spacers that are intended to be used with supplemental fixation (e.g. facet screws or posterior fixation). When used in conjunction with the INDEPENDENCE MIS AGX™ Integrated Ti Spacer, these devices become the INDEPENDENCE MIS AGX™ Integrated Spacer.

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. “K170157: INDEPENDENCE® Spacers.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K170157

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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