510(k) Report

510(k) · Cleared

Cleared

TirboLOX-L Lumbar IBFD

K180990510(k) TraditionalCleared Aug 13, 2018119-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

Captiva Spine, Inc. · MAX Intervertebral Fusion Device With Bone Graft, Lumbar

Cleared on Aug 13, 2018 as substantially equivalent to K171351 (4Web, Inc., 2017) and 5 other predicates after a 119-day review. Its family tree reaches back 20 generations to 1984. 1 of the 293 devices in its family, counting itself, has a Class I recall. 1 later device descends from it.

Decided
Aug 13, 2018
Review
119 days
Class
Class II
Product code
MAX
Recalls
None
Predicates
6

Its longest line of descent runs back 20 generations to K841189 (1984). 291 ancestors in all. 1 later device descends from it, 1 citing it directly. 1 of the 293 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2017: 4 other ancestors2016: 2 other ancestors2015: 8 other ancestors2012: 14 other ancestors2014: 16 other ancestors2013: 16 other ancestors2011: 27 other ancestors2010: 16 other ancestors2009: 28 other ancestors2008: 41 other ancestors, 1 with a Class I recall11999: 2 other ancestors2007: 13 other ancestors2005: 18 other ancestors2003: 15 other ancestors2000: 1 other ancestor1996: 2 other ancestors2004: 23 other ancestors2002: 8 other ancestors2001: 10 other ancestors2006: 7 other ancestors2018: 1 descendant 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. · 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 · 2015K150788 · Talos Intervertebral Body Fusion Devices, Talos -C Cervical Intervertebral Body Fusion Devices, Talos -C (HA) Cervical Intervertebral Body Fusion Devices · Meditech Spine, LLC · 2015K160924 · Amendia Interbody Fusion Devices · Amendia, Inc. · 2016K171351 · Posterior Spine Truss System (PSTS) Interbody Fusion Device · 4Web, Inc. · 201719801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 5 other ancestors2 generations back: 22 other ancestors3 generations back: 38 other ancestors, 1 with a Class I recall14 generations back: 49 other ancestors5 generations back: 53 other ancestors6 generations back: 50 other ancestors7 generations back: 34 other ancestors8 generations back: 13 other ancestors9 generations back: 4 other ancestors10 generations back: 3 other ancestors 1 generation forward: 1 descendant K171351 · Posterior Spine Truss System (PSTS) Interbody Fusion Device · 4Web, Inc. · 2017K160924 · Amendia Interbody Fusion Devices · Amendia, Inc. · 2016K150788 · Talos Intervertebral Body Fusion Devices, Talos -C Cervical Intervertebral Body Fusion Devices, Talos -C (HA) Cervical Intervertebral Body Fusion Devices · Meditech Spine, LLC · 2015K143163 · 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. · 1984−20−15−10−50
  1. Root · 20 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 16 generations between
  3. 3 generations backK150788 Talos Intervertebral Body Fusion Devices, Talos -C Cervical…Meditech Spine, LLC · 2015
  4. 2 generations backK160924 Amendia Interbody Fusion DevicesAmendia, Inc. · 2016
  5. 1 generation backK171351 Posterior Spine Truss System (PSTS) Interbody Fusion Device4Web, Inc. · 2017
  6. This deviceK180990 TirboLOX-L Lumbar IBFDCaptiva Spine, Inc. · 2018
  7. Descendant · cites it directly · 0 of its ownK181229 TirboLOX-C Cervical IBFDCaptiva Spine, Inc. · 2018
Show all 20 generations
  1. Root · 20 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 19 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 18 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 17 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 16 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 15 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 14 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 13 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 12 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 11 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 10 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 9 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 8 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 7 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 6 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 5 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 4 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 3 generations backK150788 Talos Intervertebral Body Fusion Devices, Talos -C Cervical…Meditech Spine, LLC · 2015
  19. 2 generations backK160924 Amendia Interbody Fusion DevicesAmendia, Inc. · 2016
  20. 1 generation backK171351 Posterior Spine Truss System (PSTS) Interbody Fusion Device4Web, Inc. · 2017
  21. This deviceK180990 TirboLOX-L Lumbar IBFDCaptiva Spine, Inc. · 2018

Class I recalls in this family

Most influential descendants

Showing 1 of 1 · See all
  • K181229TirboLOX-C Cervical IBFDCaptiva Spine, Inc. · 2018 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−20K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−19K990148Stackable Cage SystemDepuy Motech Acromed1999—
−18K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−17K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−16K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−15K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−14K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−13K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−12K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−11K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−10K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−9K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−8K121683Acculif TL CageCoalign Innovations, Inc.2012—
−7K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−6K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−5K141217Acculif TL and PL CageStryker Corporation20143
−4K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−3K150788Talos Intervertebral Body Fusion Devices, Talos -C Cervical Intervertebral…Meditech Spine, LLC2015—
−2K160924Amendia Interbody Fusion DevicesAmendia, Inc.2016—
−1K171351Posterior Spine Truss System (PSTS) Interbody Fusion Device4Web, Inc.2017—
0 (this device)K180990TirboLOX-L Lumbar IBFDCaptiva Spine, Inc.2018—
+1K181229TirboLOX-C Cervical IBFDCaptiva Spine, Inc.2018—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199620
199920
200010
2001100
200280
2003150
2004230
2005180
200670
2007130
2008411
2009280
2010160
2011270
2012140
2013160
2014160
201580
201620
201740

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201810
FIG. 1 — Lineage of K180990, 1984–2018Source: 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.

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
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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
*K171351Posterior Spine Truss System (PSTS) Interbody Fusion Device
Summary page 4
…sion Device (21 CFR §888.3080) Name Product Code MAX Classification Division of Orthopedic Devices Panel Predicate Primary Predicate: Devices • K171351 Posterior Spine Truss System (PSTS) Interbody Fusion Device, 4WEB, Inc. Additional Predi…
4Web, Inc.2017—
*K122956Fuselox Lumbar Interbody Fusion Device
Summary page 4
…• K171351 Posterior Spine Truss System (PSTS) Interbody Fusion Device, 4WEB, Inc. Additional Predicates: • K122956 FuseLOX® Lumbar Interbody System, Captiva Spine, Inc. • K150481 Cascadia Interbody System, K2M…
Captiva Spine2012—
*K150481Cascadia Interbody System
Summary page 4
…Device, 4WEB, Inc. Additional Predicates: • K122956 FuseLOX® Lumbar Interbody System, Captiva Spine, Inc. • K150481 Cascadia Interbody System, K2M • K172888 EIT Cellular Titanium PLIF Cages, EIT Emerging Implant…
K2m, Inc.20153
*K172888EIT Cellular Titanium® Cervical Cages, EIT Cellular Titanium® PLIF Cages, EIT Cellular…
Summary page 4
…• K122956 FuseLOX® Lumbar Interbody System, Captiva Spine, Inc. • K150481 Cascadia Interbody System, K2M • K172888 EIT Cellular Titanium PLIF Cages, EIT Emerging Implant Technologies GmbH • K170341 M…
Eit Emerging Implant Technologies GmbH2017—
*K170341Medussa-PL Cage
Summary page 4
…erbody System, K2M • K172888 EIT Cellular Titanium PLIF Cages, EIT Emerging Implant Technologies GmbH • K170341 Medussa-PL Cage, Medyssey USA, Inc. • K153400 ProLift® Expandable System, Life Spine Submission The pu…
Medyssey USA, Inc.2017—
*K153400ProLift Expandable System
Summary page 4
…nium PLIF Cages, EIT Emerging Implant Technologies GmbH • K170341 Medussa-PL Cage, Medyssey USA, Inc. • K153400 ProLift® Expandable System, Life Spine Submission The purpose of this submission is to request market clearance for a new S…
Life Spine, Inc.2016—

Also cleared against K171351: 2 other devices →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K181229TirboLOX-C Cervical IBFDCaptiva Spine, Inc.20180

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 15 companies; a new generation was cleared every 11 months on median.
  • 34 of the 291 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K181229 (Captiva Spine, Inc., 2018) has gone furthest, with 0 descendants of its own.
  • 2 other devices also cite its predicate K171351.

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?

The Captiva Spine TirboLOX-L™ Lumbar IBFD is indicated for use in skeletally mature patients with Degenerative Disc Disease (DDD) at one or two contiguous levels from L2-S1. DDD is defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies. Patients should have received 6 months of non-operative treatment prior to treatment with the devices. The device must be used with supplemental fixation and must be used with autograft and/or allogenic bone graft comprised of cancellous and/or corticocortical bone graft. The DDD patients may also have up to a Grade I spondylolisthesis or retrolisthesis at the involved level(s).

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. “K180990: TirboLOX-L Lumbar IBFD.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K180990

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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