510(k) Report

510(k) · Cleared

Cleared

UNiD Patient-matched PLIF cage

K182158510(k) TraditionalCleared Jul 15, 2019340-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

Medicrea International SA · MAX Intervertebral Fusion Device With Bone Graft, Lumbar

Cleared on Jul 15, 2019 as substantially equivalent to K163595 (Medicrea International SA, 2017) and 1 other predicate after a 340-day review. Its family tree reaches back 19 generations to 1984. 1 of the 192 devices in its family, counting itself, has a Class I recall. 21 later devices descend from it.

Decided
Jul 15, 2019
Review
340 days
Class
Class II
Product code
MAX
Recalls
None
Predicates
2

Its longest line of descent runs back 19 generations to K841189 (1984). 170 ancestors in all. 21 later devices descend from it, 3 citing it directly. 1 of the 192 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2015: 1 other ancestor2012: 6 other ancestors2010: 10 other ancestors2007: 11 other ancestors2014: 3 other ancestors2013: 3 other ancestors2011: 9 other ancestors2009: 10 other ancestors2008: 24 other ancestors, 1 with a Class I recall12001: 10 other ancestors1999: 2 other ancestors1996: 2 other ancestors2005: 15 other ancestors2004: 18 other ancestors2003: 15 other ancestors2006: 3 other ancestors2002: 8 other ancestors2000: 1 other ancestor2020: 1 descendant cleared2021: 1 descendant cleared2024: 8 descendants cleared2022: 2 descendants cleared2025: 5 descendants cleared2023: 1 descendant cleared2026: 3 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. · 2007K072120 · Paramount Intervertebral Body Fusion Device · Innovative Spinal Technologies, Inc. · 2007×3: 3 generations cleared close together, 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. · 2014K151214 · ALIF Interfixated System · Nu Vasive, Incorporated · 2015×2: 2 generations cleared close together, K163595 (2017), K173782 (2018) 19801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 4 other ancestors3 generations back: 22 other ancestors4 generations back: 35 other ancestors, 1 with a Class I recall15 generations back: 40 other ancestors6 generations back: 29 other ancestors7 generations back: 11 other ancestors8 generations back: 5 other ancestors9 generations back: 3 other ancestors10 generations back: 2 other ancestors 1 generation forward: 3 descendants2 generations forward: 5 descendants3 generations forward: 9 descendants4 generations forward: 4 descendants K173782 · UNiD Patient Specific 3D printed cage · Medicrea International SA · 2018K163595 · IMPIX 3D Print Cages · Medicrea International SA · 2017 · recalledK151214 · ALIF Interfixated System · Nu Vasive, Incorporated · 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
  1. Root · 19 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 15 generations between
  3. 3 generations backK151214 ALIF Interfixated SystemNu Vasive, Incorporated · 2015
  4. 2 generations backK163595 IMPIX 3D Print CagesMedicrea International SA · 2017 · Recalled
  5. 1 generation backK173782 UNiD Patient Specific 3D printed cageMedicrea International SA · 2018
  6. This deviceK182158 UNiD Patient-matched PLIF cageMedicrea International SA · 2019
  7. Descendant · cites it directly · 17 of its ownK202034 aprevo Intervertebral Body Fusion DeviceCarlsmed, Inc. · 2020
  8. Descendant · 2 generations on · 12 of its ownK222009 aprevo® anterior lumbar interbody fusion device with interfixationCarlsmed, Inc. · 2022
  9. Descendant · cites it directly · 12 of its ownK210542 aprevo Transforaminal IBFCarlsmed, Inc. · 2021
  10. Descendant · 2 generations on · 11 of its ownK222082 aprevo® anterior and lateral lumbar interbody fusion devices…Carlsmed, Inc. · 2022
  11. Descendant · 3 generations on · 6 of its ownK241477 aprevo® anterior lumbar interbody fusion device with interfixationCarlsmed, Inc. · 2024
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 backK080083 Intrepid Spinal SystemMedtronic Sofamor Danek · 2008 · Recalled
  11. 9 generations backK073109 Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd. · 2008
  12. 8 generations backK081849 Blackstone Pillar SA Partial Vertebral Body Replacement DeviceBlackstone Medical, Inc. · 2008 · Recalled
  13. 7 generations backK091301 Life Spine Stand-Alone Spacer SystemLife Spine · 2009
  14. 6 generations backK100802 Aesculap Implant Systems Sibd Spinal SystemAesculap Implant Systems, Inc. · 2010
  15. 5 generations backK111122 Aesculap Sibd XP Spinal SystemAesculap Implant Systems, Inc. · 2011
  16. 4 generations backK141942 Midline II TICentinel Spine, Inc. · 2014
  17. 3 generations backK151214 ALIF Interfixated SystemNu Vasive, Incorporated · 2015
  18. 2 generations backK163595 IMPIX 3D Print CagesMedicrea International SA · 2017 · Recalled
  19. 1 generation backK173782 UNiD Patient Specific 3D printed cageMedicrea International SA · 2018
  20. This deviceK182158 UNiD Patient-matched PLIF cageMedicrea International SA · 2019

Showing 5 of 21 descendants. See all descendants

Descendants cleared per year

2020: 12021: 12022: 22023: 12024: 82025: 52026: 3
2020high 8 (2024) · low 1 (2020)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 21 · See all
  • K202034aprevo Intervertebral Body Fusion DeviceCarlsmed, Inc. · 2020 · cites it directly17descendants
  • K222009aprevo® anterior lumbar interbody fusion device with interfixationCarlsmed, Inc. · 2022 · 2 generations on12descendants
  • K210542aprevo Transforaminal IBFCarlsmed, Inc. · 2021 · cites it directly12descendants
  • K222082aprevo® anterior and lateral lumbar interbody fusion devices, aprevo® transforaminal…Carlsmed, Inc. · 2022 · 2 generations on11descendants
  • K241477aprevo® anterior lumbar interbody fusion device with interfixationCarlsmed, Inc. · 2024 · 3 generations on6descendants
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—
−10K080083Intrepid Spinal SystemMedtronic Sofamor Danek20088
−9K073109Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd.2008—
−8K081849Blackstone Pillar SA Partial Vertebral Body Replacement DeviceBlackstone Medical, Inc.20081
−7K091301Life Spine Stand-Alone Spacer SystemLife Spine2009—
−6K100802Aesculap Implant Systems Sibd Spinal SystemAesculap Implant Systems, Inc.2010—
−5K111122Aesculap Sibd XP Spinal SystemAesculap Implant Systems, Inc.2011—
−4K141942Midline II TICentinel Spine, Inc.2014—
−3K151214ALIF Interfixated SystemNu Vasive, Incorporated2015—
−2K163595IMPIX 3D Print CagesMedicrea International SA20172
−1K173782UNiD Patient Specific 3D printed cageMedicrea International SA2018—
0 (this device)K182158UNiD Patient-matched PLIF cageMedicrea International SA2019—
+1K202034aprevo Intervertebral Body Fusion DeviceCarlsmed, Inc.2020—
+2K222009aprevo® anterior lumbar interbody fusion device with interfixationCarlsmed, Inc.2022—
+1K210542aprevo Transforaminal IBFCarlsmed, Inc.2021—
+2K222082aprevo® anterior and lateral lumbar interbody fusion devices, aprevo®…Carlsmed, Inc.2022—
+3K241477aprevo® anterior lumbar interbody fusion device with interfixationCarlsmed, Inc.2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199620
199920
200010
2001100
200280
2003150
2004180
2005150
200630
2007110
2008241
2009100
2010100
201190
201260
201330
201430
201510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202010
202110
202220
202310
202480
202550
202630
FIG. 1 — Lineage of K182158, 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.

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? (2)

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
*K163595IMPIX 3D Print Cages
Summary page 4
…X Class II 3. Predicate or legally marketed devices which are substantially equivalent: Primary predicate: x MEDICREA INTERNATIONAL, IMPIX 3D printed cage (K163595) Additional predicate: x MEDICREA INTERNATIONAL, UNiD Patient Specific 3D Printed cage (K173782) 4. Description of the…
Medicrea International SA20172
*K173782UNiD Patient Specific 3D printed cage
Summary page 4
…edicate: x MEDICREA INTERNATIONAL, IMPIX 3D printed cage (K163595) Additional predicate: x MEDICREA INTERNATIONAL, UNiD Patient Specific 3D Printed cage (K173782) 4. Description of the device: The UNiD patient-matched PLIF cage is an intervertebral lumbar device, designed to match the a…
Medicrea International SA2018—

Also cleared against K163595: 4 other devices →

What descends from it? (21)

See all 21

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

NumberDeviceApplicantDecidedDescendants
K202034aprevo Intervertebral Body Fusion DeviceCarlsmed, Inc.202017
K210542aprevo Transforaminal IBFCarlsmed, Inc.202112
K241077DeGen Medical Patient Specific Implant (PSI) SystemDegen Medical20242

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 · 4 generations back · ◆ in the 2008 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 35 years and passes through 15 companies; a new generation was cleared every 1.0 years on median.
  • 27 of the 170 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K202034 (Carlsmed, Inc., 2020) has gone furthest, with 17 descendants of its own.
  • 4 other devices also cite its predicate K163595.

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. 2019, 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?

UNiD Patient-matched PLIF cage is indicated for lumbar spinal fusion procedures in skeletally mature patients with

degenerative disc disease (DDD) at one or two contiguous levels form L2-S1. DDD is defined as discogenic back pain

with degeneration of the disc confirmed by patient history and radiographic studies. These DDD patients may also have

up to Grade I Spondylolisthesis or Retrolisthesis at the involved level(s). This device is to be used with bone graft.

UNiD Patient-matched PLIF cage is to be used with supplemental fixation. Patients should have at least six (6) months of

non-operative treatment prior to treatment with an intervertebral cage.

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. “K182158: UNiD Patient-matched PLIF cage.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K182158

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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