510(k) · Cleared
ClearedTiWAVE-L Porous Titanium Lumbar Cage
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Kalitec Medical, LLC · MAX Intervertebral Fusion Device With Bone Graft, Lumbar
Cleared on Jan 7, 2019 as substantially equivalent to K170318 (Ht Medical, LLC, 2017) and 8 other predicates after a 145-day review. Its family tree reaches back 22 generations to 1984. 1 of the 321 devices in its family, counting itself, has a Class I recall. 3 later devices descend from it.
- Decided
- Jan 7, 2019
- Review
- 145 days
- Class
- Class II
- Product code
- MAX
- Recalls
- None
- Predicates
- 9
Its longest line of descent runs back 22 generations to K841189 (1984). 317 ancestors in all, the oldest K792352 (1979). 3 later devices descend from it, 1 citing it directly. 1 of the 321 devices in this family, counting this one, has a Class I recall.
- Root · 22 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
- 18 generations between
- 3 generations backK160125 Cascadia Interbody SystemK2m · 2016
- 2 generations backK162264 Cascadia Interbody SystemK2m, Inc. · 2016
- 1 generation backK172009 Cascadia Interbody SystemK2m, Inc. · 2017 · Recalled
- This deviceK182210 TiWAVE-L Porous Titanium Lumbar CageKalitec Medical, LLC · 2019
- Descendant · cites it directly · 2 of its ownK222988 neoWave LS Lumbar Straight, neoWave C Cervical, and Ti3D CervicalHt Medical D.B.A. Xenix Medical · 2023
- Descendant · 2 generations on · 0 of its ownK252240 Spectrum Spine Cervical Cage System; Spectrum Spine Lumbar Cage SystemSpectrum Spine · 2026
- Descendant · 2 generations on · 0 of its ownK253583 LUX Expandable Lumbar Interbody SystemXenix Medical · 2026
Show all 22 generations
- Root · 22 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
- 21 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
- 20 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
- 19 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
- 18 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
- 17 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
- 16 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
- 15 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
- 14 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
- 13 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
- 12 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
- 11 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
- 10 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
- 9 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
- 8 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
- 7 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
- 6 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
- 5 generations backK143616 AccuLIF TL and PL CageStryker Corporation · 2015 · Recalled
- 4 generations backK152304 Tritanium PL CageStryker · 2015 · Recalled
- 3 generations backK160125 Cascadia Interbody SystemK2m · 2016
- 2 generations backK162264 Cascadia Interbody SystemK2m, Inc. · 2016
- 1 generation backK172009 Cascadia Interbody SystemK2m, Inc. · 2017 · Recalled
- This deviceK182210 TiWAVE-L Porous Titanium Lumbar CageKalitec Medical, LLC · 2019
Class I recalls in this family
- K073202 Ardis Spacer4 generations back · 2008
Most influential descendants
Showing 3 of 3 · See all- K222988neoWave LS Lumbar Straight, neoWave C Cervical, and Ti3D CervicalHt Medical D.B.A. Xenix Medical · 2023 · cites it directly2descendants
- K252240Spectrum Spine Cervical Cage System; Spectrum Spine Lumbar Cage SystemSpectrum Spine · 2026 · 2 generations on0descendants
- K253583LUX Expandable Lumbar Interbody SystemXenix Medical · 2026 · 2 generations on0descendants
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −22 | K841189 | Oec/Rezaian Spinal Fixator | Orthopedic Equipment Co., Inc. | 1984 | — |
| −21 | K990148 | Stackable Cage System | Depuy Motech Acromed | 1999 | — |
| −20 | K003043 | Surgical Titanium Mesh System | Depuyacromed | 2001 | — |
| −19 | K022793 | Tetris Spinal Implant | Signus Medical, LLC | 2003 | — |
| −18 | K031757 | Peek Tetris Spinal Implant | Signus Medical, LLC | 2003 | — |
| −17 | K041888 | Curved Peek Tetris Spinal Implant | Signus Medizintechnik GmbH | 2004 | — |
| −16 | K042930 | Spacevision Cage System | Spine Vision, Inc. | 2004 | — |
| −15 | K062759 | Paramount VBR System | Innovative Spinal Technologies, Inc. | 2007 | — |
| −14 | K072120 | Paramount Intervertebral Body Fusion Device | Innovative Spinal Technologies, Inc. | 2007 | — |
| −13 | K073291 | Capstone Spinal System | Medtronic Sofamor Danek USA, Inc. | 2008 | — |
| −12 | K094025 | Crescent Spinal System | Medtronic Sofamor Danek | 2010 | — |
| −11 | K110543 | Crescent (R) Spinal System Titanium | Medtronic Sofamor Danek USA, Inc. | 2011 | — |
| −10 | K121683 | Acculif TL Cage | Coalign Innovations, Inc. | 2012 | — |
| −9 | K123752 | Acculif TL and PL Cage | Coalign Innovations, Inc. | 2013 | — |
| −8 | K132505 | Acculif TL and PL Cage | Coalign Innovations, Inc. | 2013 | 3 |
| −7 | K141217 | Acculif TL and PL Cage | Stryker Corporation | 2014 | 3 |
| −6 | K143163 | AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK… | Stryker Corporation | 2015 | — |
| −5 | K143616 | AccuLIF TL and PL Cage | Stryker Corporation | 2015 | 4 |
| −4 | K152304 | Tritanium PL Cage | Stryker | 2015 | 1 |
| −3 | K160125 | Cascadia Interbody System | K2m | 2016 | — |
| −2 | K162264 | Cascadia Interbody System | K2m, Inc. | 2016 | — |
| −1 | K172009 | Cascadia Interbody System | K2m, Inc. | 2017 | 3 |
| 0 (this device) | K182210 | TiWAVE-L Porous Titanium Lumbar Cage | Kalitec Medical, LLC | 2019 | — |
| +1 | K222988 | neoWave LS Lumbar Straight, neoWave C Cervical, and Ti3D Cervical | Ht Medical D.B.A. Xenix Medical | 2023 | — |
| +2 | K252240 | Spectrum Spine Cervical Cage System; Spectrum Spine Lumbar Cage System | Spectrum Spine | 2026 | — |
| +2 | K253583 | LUX Expandable Lumbar Interbody System | Xenix Medical | 2026 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1979 | 1 | 0 |
| 1980 | 1 | 0 |
| 1988 | 1 | 0 |
| 1993 | 2 | 0 |
| 1995 | 1 | 0 |
| 1996 | 3 | 0 |
| 1997 | 4 | 0 |
| 1998 | 3 | 0 |
| 1999 | 3 | 0 |
| 2000 | 6 | 0 |
| 2001 | 13 | 0 |
| 2002 | 11 | 0 |
| 2003 | 17 | 0 |
| 2004 | 24 | 0 |
| 2005 | 16 | 0 |
| 2006 | 11 | 0 |
| 2007 | 16 | 0 |
| 2008 | 45 | 1 |
| 2009 | 28 | 0 |
| 2010 | 16 | 0 |
| 2011 | 22 | 0 |
| 2012 | 13 | 0 |
| 2013 | 17 | 0 |
| 2014 | 13 | 0 |
| 2015 | 5 | 0 |
| 2016 | 1 | 0 |
| 2017 | 1 | 0 |
| 2018 | 1 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2023 | 1 | 0 |
| 2026 | 2 | 0 |
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 K203714 NuVasive Thoracolumbar Interbody Systems…score 102.5 · 24 generations · no Class I recall
- #2 Held for the reportin the report
- #3 Held for the reportin the report
What was it cleared against? (9)
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.
| Type | Number | Device | Decided |
|---|---|---|---|
| * | K170318 | NeoFuse Ti3D PLIF/TLIF/Cervical InterbodySummary page 4…R section 888.3080 Device Panel Orthopedic Primary Predicate NeoFuseTM Ti3D PLIF/TLIF/Cervical Interbody, HT Medical, LLC (K170318) Device CascadiaTM Interbody System, K2M, Inc. (K160125/ K162264/ K172009/ K172941/… | 2017 |
| * | K160125 | Cascadia Interbody SystemSummary page 4…NeoFuseTM Ti3D PLIF/TLIF/Cervical Interbody, HT Medical, LLC (K170318) Device CascadiaTM Interbody System, K2M, Inc. (K160125/ K162264/ K172009/ K172941/ K170318) Additional Predicate BAK/L Interbody Fusion System, Zim… | 2016 |
| * | K162264 | Cascadia Interbody SystemSummary page 4…NeoFuseTM Ti3D PLIF/TLIF/Cervical Interbody, HT Medical, LLC (K170318) Device CascadiaTM Interbody System, K2M, Inc. (K160125/ K162264/ K172009/ K172941/ K170318) Additional Predicate BAK/L Interbody Fusion System, Zimmer (P950… | 2016 |
| * | K172009 | Cascadia Interbody SystemSummary page 4…NeoFuseTM Ti3D PLIF/TLIF/Cervical Interbody, HT Medical, LLC (K170318) Device CascadiaTM Interbody System, K2M, Inc. (K160125/ K162264/ K172009/ K172941/ K170318) Additional Predicate BAK/L Interbody Fusion System, Zimmer (P950002) Devi… | 2017 |
| * | K172941 | CASCADIA Interbody SystemSummary page 4…seTM Ti3D PLIF/TLIF/Cervical Interbody, HT Medical, LLC (K170318) Device CascadiaTM Interbody System, K2M, Inc. (K160125/ K162264/ K172009/ K172941/ K170318) Additional Predicate BAK/L Interbody Fusion System, Zimmer (P950002) Devices… | 2018 |
| * | P950002 | Bak Interbody Fusion SystemSummary page 4…nterbody System, K2M, Inc. (K160125/ K162264/ K172009/ K172941/ K170318) Additional Predicate BAK/L Interbody Fusion System, Zimmer (P950002) Devices Brantigan I/F Cage, DePuy Spine, Inc. (P960025) InTess Lumbar Cage Sys… | 1996 |
| * | P960025 | Brantigen I/F Cage (R) Used with VSP (R) Spine Plates and Pedicle ScrewsSummary page 4…K170318) Additional Predicate BAK/L Interbody Fusion System, Zimmer (P950002) Devices Brantigan I/F Cage, DePuy Spine, Inc. (P960025) InTess Lumbar Cage System, Kalitec Direct, LLC (K133815) InTess Cervic… | 1999 |
| * | K133815 | Intess Cervical Cage SystemSummary page 4…immer (P950002) Devices Brantigan I/F Cage, DePuy Spine, Inc. (P960025) InTess Lumbar Cage System, Kalitec Direct, LLC (K133815) InTess Cervical Cage System, Kalitec Direct, LLC (K123100) The TiWAVE… | 2014 |
| * | K123100 | Intess Lumbar CageSummary page 4…025) InTess Lumbar Cage System, Kalitec Direct, LLC (K133815) InTess Cervical Cage System, Kalitec Direct, LLC (K123100) The TiWAVE-L Porous Titanium Lumbar Cages are lumbar intervertebral body fusion… | 2013 |
What descends from it? (3)
1 later device cites it directly; ranked here by how many devices descend from each in turn.
| Number | Device | Decided | Descendants |
|---|---|---|---|
| K222988 | neoWave LS Lumbar Straight, neoWave C Cervical, and Ti3D Cervical | 2023 | 2 |
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 10 months on median.
- 40 of the 317 ancestors have a recall of any class; 1 has a Class I recall.
- Of its descendants, K222988 (Ht Medical D.B.A. Xenix Medical, 2023) has gone furthest, with 2 descendants of its own.
- 4 other devices also cite its predicate K170318.
How does its category compare?
All MAX devicesMAX 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
2026 to Oct 25, outlined.
Median 510(k) review, days · MAX
85in 2025
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · MAX
5in 2025
Class I (1 since 2007) Class II/III not classified
Adverse event reports per year · MAX
811in 2025
MAUDE reports naming product code MAX, not matched to any one device; reports are not rates.
View these four charts as a table
| Year | Decisions | Median 510(k) review, days | Recalls (Class I) | MAUDE reports |
|---|---|---|---|---|
| 2007 | 7 | 86 | 0 | 12 |
| 2008 | 35 | 88 | 2 | 19 |
| 2009 | 31 | 102 | 9 | 90 |
| 2010 | 29 | 137 | 0 | 154 |
| 2011 | 49 | 98 | 3 | 201 |
| 2012 | 48 | 69 | 11 (1) | 327 |
| 2013 | 58 | 102 | 0 | 380 |
| 2014 | 58 | 115 | 3 | 366 |
| 2015 | 53 | 113 | 1 | 524 |
| 2016 | 64 | 124 | 6 | 647 |
| 2017 | 76 | 116 | 1 | 596 |
| 2018 | 64 | 114 | 4 | 616 |
| 2019 | 60 | 131 | 1 | 699 |
| 2020 | 56 | 106 | 0 | 640 |
| 2021 | 53 | 109 | 0 | 622 |
| 2022 | 41 | 95 | 1 | 618 |
| 2023 | 30 | 87 | 0 | 576 |
| 2024 | 38 | 91 | 1 | 729 |
| 2025 | 29 | 85 | 5 | 811 |
| 2026 | 18 | 95 | 0 | — |
What is it indicated for?
The TiWAVE-L™ Porous Titanium Lumbar Cage is indicated for intervertebral body fusion procedures in skeletally mature patients with degenerative disc disease (DDD) of the lumbar spine at one or two contiguous levels from L.2-S1. Degenerative disc disease is defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies. These DDD patients may have up to Grade 1 spondylolisthesis or retrolisthesis at the…
Read the full statement (150 words)
The TiWAVE-L™ Porous Titanium Lumbar Cage is indicated for intervertebral body fusion procedures in skeletally mature patients with degenerative disc disease (DDD) of the lumbar spine at one or two contiguous levels from L.2-S1. Degenerative disc disease is defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies. These DDD patients may have up to Grade 1 spondylolisthesis or retrolisthesis at the involved level(s). TIWAVE-L™ Porous Titanium Lumbar Cage implants are to be used with autogenous bone graft and/or allograft comprised of cancellous and/or corticocancellous bone graft and implanted via a transforaminal approach or an open posterior approach. The TIWAVE-L™ Porous Titanium Lumbar Cage implants are to be used with supplemental fixation. Patients should have at least (6) months of non-operative treatment prior to treatment with an intervertebral cage. Patients with previous non-fusion spinal surgery at involved level may be treated with the device.
Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.
https://510kreport.com/device/K182210 · printed Nov 6, 2026
Cite this page
510(k) Report. “K182210: TiWAVE-L Porous Titanium Lumbar Cage.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K182210
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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