510(k) Report

510(k) · Cleared

Cleared

Arco™-SA Lumbar Cage System

K173082510(k) TraditionalCleared Mar 29, 2018181-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

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

Cleared on Mar 29, 2018 as substantially equivalent to K161230 (Nu Vasive, Incorporated, 2016) and 6 other predicates after a 181-day review. Its family tree reaches back 19 generations to 1984. 5 later devices descend from it.

Decided
Mar 29, 2018
Review
181 days
Class
Class II
Product code
OVD
Recalls
None
Predicates
7

Its longest line of descent runs back 19 generations to K841189 (1984). 263 ancestors in all. 5 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2015: 4 other ancestors2014: 12 other ancestors2013: 13 other ancestors2012: 11 other ancestors2016: 2 other ancestors2011: 18 other ancestors2010: 19 other ancestors2009: 23 other ancestors2008: 37 other ancestors2007: 14 other ancestors1996: 2 other ancestors2006: 8 other ancestors2005: 19 other ancestors2004: 23 other ancestors2003: 16 other ancestors2002: 9 other ancestors2001: 10 other ancestors1999: 2 other ancestors2000: 2 other ancestors2020: 3 descendants cleared2022: 1 descendant cleared2018: 1 descendant clearedReference device: K171914 · Cortina™ Lumbar Cage System · Neurostructures, Inc. · 2017K841189 · 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. · 2007K073291 · Capstone Spinal System · Medtronic Sofamor Danek USA, Inc. · 2008K094025 · Crescent Spinal System · Medtronic Sofamor Danek · 2010K110543 · Crescent (R) Spinal System Titanium · Medtronic Sofamor Danek USA, Inc. · 2011K121683 · Acculif TL Cage · Coalign Innovations, Inc. · 2012K123752 · Acculif TL and PL Cage · Coalign Innovations, Inc. · 2013K132505 · Acculif TL and PL Cage · Coalign Innovations, Inc. · 2013 · recalledK141217 · Acculif TL and PL Cage · Stryker Corporation · 2014 · recalledK143163 · AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK Spacer, AVS® Navigator PEEK Spacer, AVS® ARIA PEEK Spacer, AccuLIF TL and PL Cage, AVS® Anchor-L Spacer, Aero-AL Lumbar Cage System · Stryker Corporation · 2015×2: 2 generations cleared close together, K153782 (2016), K161230 (2016) 19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 6 other ancestors2 generations back: 26 other ancestors3 generations back: 57 other ancestors4 generations back: 65 other ancestors5 generations back: 51 other ancestors6 generations back: 30 other ancestors7 generations back: 7 other ancestors8 generations back: 2 other ancestors 1 generation forward: 3 descendants2 generations forward: 1 descendant3 generations forward: 1 descendant K161230 · NuVasive Lumbar Interbody Implants · Nu Vasive, Incorporated · 2016K153782 · NuVasive® Lumbar Interbody Implants · Nu Vasive, Incorporated · 2016K143163 · AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK Spacer, AVS® Navigator PEEK Spacer, AVS® ARIA PEEK Spacer, AccuLIF TL and PL Cage, AVS® Anchor-L Spacer, Aero-AL Lumbar Cage System · Stryker Corporation · 2015K141217 · Acculif TL and PL Cage · Stryker Corporation · 2014 · recalledK132505 · Acculif TL and PL Cage · Coalign Innovations, Inc. · 2013 · recalledK123752 · Acculif TL and PL Cage · Coalign Innovations, Inc. · 2013K121683 · Acculif TL Cage · Coalign Innovations, Inc. · 2012K110543 · Crescent (R) Spinal System Titanium · Medtronic Sofamor Danek USA, Inc. · 2011K094025 · Crescent Spinal System · Medtronic Sofamor Danek · 2010K073291 · Capstone Spinal System · Medtronic Sofamor Danek USA, Inc. · 2008K072120 · 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
  1. Root · 19 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 15 generations between
  3. 3 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  4. 2 generations backK153782 NuVasive® Lumbar Interbody ImplantsNu Vasive, Incorporated · 2016
  5. 1 generation backK161230 NuVasive Lumbar Interbody ImplantsNu Vasive, Incorporated · 2016
  6. This deviceK173082 Arco™-SA Lumbar Cage SystemNeurostructures, Inc. · 2018
  7. Descendant · cites it directly · 3 of its ownK182195 Arco™-SA Lumbar Cage SystemNeurostructures, Inc. · 2018
  8. Descendant · 2 generations on · 1 of its ownK200541 Hive™ Stand-alone Anterior Lumbar Interbody SystemHd Lifesciences, LLC · 2020
  9. Descendant · cites it directly · 0 of its ownK213118 Dakota ALIF SystemPrecision Spine, Inc. · 2022
  10. Descendant · 3 generations on · 0 of its ownK202820 Australis Anterior Lumbar Cage SystemPrism Surgical Designs Pty, Ltd. · 2020
  11. Descendant · cites it directly · 0 of its ownK202190 Oculus-SA Lumbar Cage SystemNeurostructures · 2020
Show all 19 generations
  1. Root · 19 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 18 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 17 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 16 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 15 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 14 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 13 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 12 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 11 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 10 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 9 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 8 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 7 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 6 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 5 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 4 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 3 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 2 generations backK153782 NuVasive® Lumbar Interbody ImplantsNu Vasive, Incorporated · 2016
  19. 1 generation backK161230 NuVasive Lumbar Interbody ImplantsNu Vasive, Incorporated · 2016
  20. This deviceK173082 Arco™-SA Lumbar Cage SystemNeurostructures, Inc. · 2018

Most influential descendants

Showing 5 of 5 · See all
  • K182195Arco™-SA Lumbar Cage SystemNeurostructures, Inc. · 2018 · cites it directly3descendants
  • K200541Hive™ Stand-alone Anterior Lumbar Interbody SystemHd Lifesciences, LLC · 2020 · 2 generations on1descendant
  • K213118Dakota ALIF SystemPrecision Spine, Inc. · 2022 · cites it directly0descendants
  • K202820Australis Anterior Lumbar Cage SystemPrism Surgical Designs Pty, Ltd. · 2020 · 3 generations on0descendants
  • K202190Oculus-SA Lumbar Cage SystemNeurostructures · 2020 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−19K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−18K990148Stackable Cage SystemDepuy Motech Acromed1999—
−17K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−16K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−15K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−14K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−13K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−12K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−11K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−10K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−9K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−8K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−7K121683Acculif TL CageCoalign Innovations, Inc.2012—
−6K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−5K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−4K141217Acculif TL and PL CageStryker Corporation20143
−3K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−2K153782NuVasive® Lumbar Interbody ImplantsNu Vasive, Incorporated2016—
−1K161230NuVasive Lumbar Interbody ImplantsNu Vasive, Incorporated2016—
0 (this device)K173082Arco™-SA Lumbar Cage SystemNeurostructures, Inc.2018—
+1K182195Arco™-SA Lumbar Cage SystemNeurostructures, Inc.2018—
+2K200541Hive™ Stand-alone Anterior Lumbar Interbody SystemHd Lifesciences, LLC2020—
+1K213118Dakota ALIF SystemPrecision Spine, Inc.2022—
+3K202820Australis Anterior Lumbar Cage SystemPrism Surgical Designs Pty, Ltd.2020—
+1K202190Oculus-SA Lumbar Cage SystemNeurostructures2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199620
199920
200020
2001100
200290
2003160
2004230
2005190
200680
2007140
2008370
2009230
2010190
2011180
2012110
2013130
2014120
201540
201620

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201810
202030
202210
FIG. 1 — Lineage of K173082, 1984–2022Source: 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.

TypeNumberDeviceApplicantDecidedRecalls
*K161230NuVasive Lumbar Interbody Implants
Summary page 5
…e Implant Materials e Implant Sizes e Surgical Approach Table 5-1: Predicate Devices 510k Trade or Proprietary or Model Manufacturer | Predicate Type Number | Name K161230 | Lumbar Interbody Implants NuVasive® Primary K131276 | SYNFIX Lateral/SynFix-LR System Synthes Additional K133967 | IBFD Aurora…
Nu Vasive, Incorporated2016—
*K131276Lateral Synfix
Summary page 5
…roach Table 5-1: Predicate Devices 510k Trade or Proprietary or Model Manufacturer | Predicate Type Number | Name K161230 | Lumbar Interbody Implants NuVasive® Primary K131276 | SYNFIX Lateral/SynFix-LR System Synthes Additional K133967 | IBFD Aurora Spine Additional K132421 | Implant Systems Aesculap® A…
Synthes (USA) Products, LLC2014—
*K133967Interbody Cage System
Summary page 5
…y or Model Manufacturer | Predicate Type Number | Name K161230 | Lumbar Interbody Implants NuVasive® Primary K131276 | SYNFIX Lateral/SynFix-LR System Synthes Additional K133967 | IBFD Aurora Spine Additional K132421 | Implant Systems Aesculap® Additional K131122 | Stand-Alone ALIF System Renovis Additiona…
Aurora Spine2014—
*K132421Aesculap Peek XP Spinal Implant System
Summary page 5
…e Number | Name K161230 | Lumbar Interbody Implants NuVasive® Primary K131276 | SYNFIX Lateral/SynFix-LR System Synthes Additional K133967 | IBFD Aurora Spine Additional K132421 | Implant Systems Aesculap® Additional K131122 | Stand-Alone ALIF System Renovis Additional K150643 | MIDLINE [I™ Centinel Spine…
Aesculap Implant Systems, Inc.2014—
*K131122S128 Anterior Lumbar Interbody Fusion (Alif) System
Summary page 5
…ants NuVasive® Primary K131276 | SYNFIX Lateral/SynFix-LR System Synthes Additional K133967 | IBFD Aurora Spine Additional K132421 | Implant Systems Aesculap® Additional K131122 | Stand-Alone ALIF System Renovis Additional K150643 | MIDLINE [I™ Centinel Spine | Additional K120966 | Lumbar System Depuy Addi…
Renovis Surgical Technologies, LLC2013—
*K150643Centinel Spine STALIF TT, STALIF MIDLINE, MIDLINE II, MIDLINE II-Ti
Summary page 5
…x-LR System Synthes Additional K133967 | IBFD Aurora Spine Additional K132421 | Implant Systems Aesculap® Additional K131122 | Stand-Alone ALIF System Renovis Additional K150643 | MIDLINE [I™ Centinel Spine | Additional K120966 | Lumbar System Depuy Additional K171914 | Cortina™ Lumbar Cage System NeuroStr…
Centinel Spine, Inc.2015—
*K120966Depuy Pulse Lumbar Cage System
Summary page 5
…ra Spine Additional K132421 | Implant Systems Aesculap® Additional K131122 | Stand-Alone ALIF System Renovis Additional K150643 | MIDLINE [I™ Centinel Spine | Additional K120966 | Lumbar System Depuy Additional K171914 | Cortina™ Lumbar Cage System NeuroStructures | Reference PERFORMANCE DATA The Arco™-SA…
Medos International SARL2012—
†K171914Cortina™ Lumbar Cage SystemNeurostructures, Inc.2017—

Also cleared against K161230: 15 other devices →

What descends from it? (5)

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

NumberDeviceApplicantDecidedDescendants
K182195Arco™-SA Lumbar Cage SystemNeurostructures, Inc.20183
K213118Dakota ALIF SystemPrecision Spine, Inc.20220
K202190Oculus-SA Lumbar Cage SystemNeurostructures20200

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 34 years and passes through 13 companies; a new generation was cleared every 11 months on median.
  • 30 of the 263 ancestors have a recall of any class.
  • Of its descendants, K182195 (Neurostructures, Inc., 2018) has gone furthest, with 3 descendants of its own.
  • 15 other devices also cite its predicate K161230.

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. 2018, 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 Arco™-SA Lumbar Cage System is intended for spinal fusion procedures at one level (L2 to S1) in skeletally mature patients with degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies) of the non-cervical spine. Implants are intended to be implanted via an open, anterior approach and packed with bone graft. These patients should be skeletally mature and have had…

Read the full statement (175 words)

The Arco™-SA Lumbar Cage System is intended for spinal fusion procedures at one level (L2 to S1) in skeletally mature patients with degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies) of the non-cervical spine. Implants are intended to be implanted via an open, anterior approach and packed with bone graft. 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 a Grade 1 spondylolisthesis or retrolisthesis at the involved levels(s). These implants are used to facilitate fusion in the lumbar spine and are placed via an anterior (ALIF) approach. Hyperlordotic implants (those with a lordotic angle greater than or equal to 20°) are indicated for use with a supplemental spinal fixation system that has been cleared by the FDA. The Arco™-SA Lumbar Cage System interbody implants with a lordotic angle less than 20°, when used with the internal fixation screws, do not require use of supplemental 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. “K173082: Arco™-SA Lumbar Cage System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K173082

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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