510(k) Report

510(k) · Cleared

Cleared

CancelleX Porous Titanium Lumbar Interbody Device

K180373510(k) TraditionalCleared Aug 24, 2018193-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

Xenco Medical, LLC · MAX Intervertebral Fusion Device With Bone Graft, Lumbar

Cleared on Aug 24, 2018 as substantially equivalent to K143158 (Xenco Medical, LLC, 2015) and 2 other predicates after a 193-day review. Its family tree reaches back 15 generations to 1984. 1 of the 114 devices in its family, counting itself, has a Class I recall.

Decided
Aug 24, 2018
Review
193 days
Class
Class II
Product code
MAX
Recalls
None
Predicates
3

Its longest line of descent runs back 15 generations to K841189 (1984). 113 ancestors in all. No later device cites it as a predicate yet. 1 of the 114 devices in this family, counting this one, has a Class I recall.

  1. Root · 15 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 11 generations between
  3. 3 generations backK130699 Aleutian Spinal SystemK2m, Inc. · 2013
  4. 2 generations backK133614 Aleutian Ibf SystemK2m, Inc. · 2014
  5. 1 generation backK150481 Cascadia Interbody SystemK2m, Inc. · 2015 · Recalled
  6. This deviceK180373 CancelleX Porous Titanium Lumbar Interbody DeviceXenco Medical, LLC · 2018
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 backK051454 Aleutian Spacer SystemK2m, LLC · 2005
  9. 7 generations backK063399 Aleutian Spacer SystemK2m, Inc. · 2007
  10. 6 generations backK082698 Aleutian Ibf SystemK2m, Inc. · 2009
  11. 5 generations backK101302 Aleutian Ibf SystemK2m, Inc. · 2010
  12. 4 generations backK103169 AleuttianK2m, Inc. · 2011
  13. 3 generations backK130699 Aleutian Spinal SystemK2m, Inc. · 2013
  14. 2 generations backK133614 Aleutian Ibf SystemK2m, Inc. · 2014
  15. 1 generation backK150481 Cascadia Interbody SystemK2m, Inc. · 2015 · Recalled
  16. This deviceK180373 CancelleX Porous Titanium Lumbar Interbody DeviceXenco Medical, LLC · 2018

Class I recalls in this family

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—
−8K051454Aleutian Spacer SystemK2m, LLC2005—
−7K063399Aleutian Spacer SystemK2m, Inc.2007—
−6K082698Aleutian Ibf SystemK2m, Inc.2009—
−5K101302Aleutian Ibf SystemK2m, Inc.2010—
−4K103169AleuttianK2m, Inc.2011—
−3K130699Aleutian Spinal SystemK2m, Inc.2013—
−2K133614Aleutian Ibf SystemK2m, Inc.2014—
−1K150481Cascadia Interbody SystemK2m, Inc.20153
0 (this device)K180373CancelleX Porous Titanium Lumbar Interbody DeviceXenco Medical, LLC2018—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199620
199920
200010
2001100
200270
200390
200490
200540
200790
2008161
200980
201020
201170
201250
201330
201410
201520
201610
FIG. 1 — Lineage of K180373, 1984–2018Source: 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 MAX device

  1. #1 K203714 NuVasive Thoracolumbar Interbody Systems…score 102.5 · 24 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
*K143158Xenco Medical Lumbar Interbody System
Summary page 4
…&RGH Primary Xenco Medical, K143158 Xenco Medical Lumbar Interbody System MAX Predicate…
Xenco Medical, LLC2015—
*K150481Cascadia Interbody System
Summary page 4
…r Interbody System MAX Predicate LLC. $GGLWLRQDO3UHGLFDWHV Predicate K150481 Cascadia Interbody System K2M MAX…
K2m, Inc.20153
*K152011Lucent Intervertebral Body Fusion Device
Summary page 4
…scadia Interbody System K2M MAX Spinal Elements, Predicate K152011 Lucent XP Ti-Bond® MAX…
Spinal Elements, Inc.2016—
†K081171Tritanium Acetabular Shell SystemHowmedica Osteonics Corp.2008—

Also cleared against K143158: 2 other devices →

What descends from it?

No later submission names this one as a predicate yet.

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.

  • K073202Ardis SpacerAbbott Spine, Inc. · 2008 · 3 generations back · ◆ in the 2008 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 34 years and passes through 9 companies; a new generation was cleared every 1.4 years on median.
  • 17 of the 113 ancestors have a recall of any class; 1 has a Class I recall.
  • 2 other devices also cite its predicate K143158.

How does its category compare?

All MAX devices

MAX Intervertebral Fusion Device With Bone Graft, Lumbar: FDA decisions, review times, recalls and adverse event reports over 20 years. 2018, this device’s year, is highlighted.

FDA decisions per year · MAX

29in 2025

2007: 72008: 352009: 312010: 292011: 492012: 482013: 582014: 582015: 532016: 642017: 762018: 642019: 602020: 562021: 532022: 412023: 302024: 382025: 292026 (partial year): 18
2007high 76 (2017) · low 7 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MAX

85in 2025

2007: 86 days median2008: 88 days median2009: 102 days median2010: 137 days median2011: 98 days median2012: 69 days median2013: 102 days median2014: 115 days median2015: 113 days median2016: 124 days median2017: 116 days median2018: 114 days median2019: 131 days median2020: 106 days median2021: 109 days median2022: 95 days median2023: 87 days median2024: 91 days median2025: 85 days median2026 (partial year): 95 days median
2007high 137 (2010) · low 69 (2012)2026

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

Recalls per year · MAX

5in 2025

2008: 22009: 92011: 32012: 11, 1 Class I2014: 32015: 12016: 62017: 12018: 42019: 12022: 12024: 12025: 5
2007high 11 (2012) · low 0 (2007)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · MAX

811in 2025

2007: 122008: 192009: 902010: 1542011: 2012012: 3272013: 3802014: 3662015: 5242016: 6472017: 5962018: 6162019: 6992020: 6402021: 6222022: 6182023: 5762024: 7292025: 811
2007high 811 (2025) · low 12 (2007)2025

MAUDE reports naming product code MAX, 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
2007786012
20083588219
200931102990
2010291370154
201149983201
2012486911 (1)327
2013581020380
2014581153366
2015531131524
2016641246647
2017761161596
2018641144616
2019601311699
2020561060640
2021531090622
202241951618
202330870576
202438911729
202529855811
202618950—

What is it indicated for?

CancelleX Porous Titanium Lumbar Interbody System devices are intended for spinal fusion procedures at one or two contiguous levels (L2-S1) in skeletally mature patients with degenerative disc disease (DDD). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. DDD patients may also have up to Grade 1 spondylolisthesis or retrolisthesis at the involved levels. These patients may have…

Read the full statement (165 words)

CancelleX Porous Titanium Lumbar Interbody System devices are intended for spinal fusion procedures at one or two contiguous levels (L2-S1) in skeletally mature patients with degenerative disc disease (DDD). DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. DDD patients may also have up to Grade 1 spondylolisthesis or retrolisthesis at the involved levels. These patients may have had a previous non- fusion spinal surgery at the involved spinal level(s). The device is intended to be used with supplemental fixation systems that have been cleared for use in the lumbrosacral 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. The device is intended to be used with autogenous bone graft. Patients must have undergone a regimen of at least six months of non-operative treatment prior to being treated with the CancelleX device.

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. “K180373: CancelleX Porous Titanium Lumbar Interbody Device.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K180373

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