510(k) Report

510(k) · Cleared

Cleared

PYRENEES Cervical Plate System, BLUE RIDGE Cervical Plate System, OZARK Cervical Plate System, CAYMAN Thoracolumbar and Buttress Plate Systems

K182473510(k) TraditionalCleared Dec 12, 201893-day reviewClass II21 CFR 888.3060

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

K2m, Inc. · KWQ Appliance, Fixation, Spinal Intervertebral Body

Cleared on Dec 12, 2018 as substantially equivalent to K172104 (K2m, Inc., 2017) and 3 other predicates after a 93-day review. Its family tree reaches back 8 generations to 1999. 4 later devices descend from it.

Decided
Dec 12, 2018
Review
93 days
Class
Class II
Product code
KWQ
Recalls
None
Predicates
4

Its longest line of descent runs back 8 generations to K990745 (1999). 105 ancestors in all, the oldest K792352 (1979). 4 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2017: 1 other ancestor2016: 2 other ancestors2012: 2 other ancestors2015: 2 other ancestors2013: 1 other ancestor2011: 2 other ancestors2010: 4 other ancestors2009: 1 other ancestor2008: 6 other ancestors2007: 6 other ancestors2006: 5 other ancestors2004: 9 other ancestors2003: 7 other ancestors2002: 6 other ancestors1997: 6 other ancestors1993: 3 other ancestors2005: 7 other ancestors2000: 10 other ancestors1995: 3 other ancestors1994: 1 other ancestor1992: 1 other ancestor2001: 5 other ancestors1998: 3 other ancestors1988: 1 other ancestor1980: 1 other ancestor1979: 1 other ancestor1996: 1 other ancestor2022: 1 descendant cleared2024: 1 descendant cleared2023: 1 descendant cleared2026: 1 descendant clearedK990745 · Modification to Synthes Universal Spinal System · Synthes Spine · 1999K992739 · Click'x · Synthes Spine · 2000 · recalledK040442 · Protex Stabilization System · Globus Medical, Inc. · 2004K052069 · Protex Stabilization System with Additional Componentes · Globus Medical, Inc. · 2005×2: 2 generations cleared close together, K061202 (2006), K062407 (2006) K100061 · Cayman Screws Model K2-12-1000-XX, K2-12-1001-XX · K2m, Inc. · 2010K131533 · Cayman MI Plate System · K2m, Inc. · 201319801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors2 generations back: 15 other ancestors3 generations back: 28 other ancestors4 generations back: 29 other ancestors5 generations back: 14 other ancestors6 generations back: 7 other ancestors7 generations back: 1 other ancestor 1 generation forward: 2 descendants2 generations forward: 2 descendants K131533 · Cayman MI Plate System · K2m, Inc. · 2013K100061 · Cayman Screws Model K2-12-1000-XX, K2-12-1001-XX · K2m, Inc. · 2010K062407 · Gateway Thoracolumbar Plate System · Globus Medical, Inc. · 2006K061202 · Revere Stabilization System · Globus Medical, Inc. · 2006K052069 · Protex Stabilization System with Additional Componentes · Globus Medical, Inc. · 2005K040442 · Protex Stabilization System · Globus Medical, Inc. · 2004K992739 · Click'x · Synthes Spine · 2000 · recalledK990745 · Modification to Synthes Universal Spinal System · Synthes Spine · 1999−50
  1. Root · 8 generations backK990745 Modification to Synthes Universal Spinal SystemSynthes Spine · 1999
  2. 7 generations backK992739 Click'xSynthes Spine · 2000 · Recalled
  3. 6 generations backK040442 Protex Stabilization SystemGlobus Medical, Inc. · 2004
  4. 5 generations backK052069 Protex Stabilization System with Additional ComponentesGlobus Medical, Inc. · 2005
  5. 4 generations backK061202 Revere Stabilization SystemGlobus Medical, Inc. · 2006
  6. 3 generations backK062407 Gateway Thoracolumbar Plate SystemGlobus Medical, Inc. · 2006
  7. 2 generations backK100061 Cayman Screws Model K2-12-1000-XX, K2-12-1001-XXK2m, Inc. · 2010
  8. 1 generation backK131533 Cayman MI Plate SystemK2m, Inc. · 2013
  9. This deviceK182473 PYRENEES Cervical Plate System, BLUE RIDGE Cervical Plate System…K2m, Inc. · 2018
  10. Descendant · cites it directly · 1 of its ownK242361 OZARK Cervical Plate System; PYRENEES® Cervical Plate System…Stryker Spine · 2024
  11. Descendant · cites it directly · 1 of its ownK221728 Aviator® Anterior Cervical Plating (ACP) System, LITe® Plate System…Stryker Corporation · 2022
  12. Descendant · 2 generations on · 0 of its ownK253545 Vulcan Spinal SystemK2m, Inc. · 2026
  13. Descendant · 2 generations on · 0 of its ownK230424 Omnia Medical Coupler-A™ Anterior Lumbar Plate System; Omnia Medical…Omnia Medical, LLC · 2023

Most influential descendants

Showing 4 of 4 · See all
  • K242361OZARK Cervical Plate System; PYRENEES® Cervical Plate System; EVEREST® Spinal System…Stryker Spine · 2024 · cites it directly1descendant
  • K221728Aviator® Anterior Cervical Plating (ACP) System, LITe® Plate System, DynaTran™ Anterior…Stryker Corporation · 2022 · cites it directly1descendant
  • K253545Vulcan Spinal SystemK2m, Inc. · 2026 · 2 generations on0descendants
  • K230424Omnia Medical Coupler-A™ Anterior Lumbar Plate System; Omnia Medical Coupler-L™ Lateral…Omnia Medical, LLC · 2023 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K990745Modification to Synthes Universal Spinal SystemSynthes Spine1999—
−7K992739Click'xSynthes Spine20001
−6K040442Protex Stabilization SystemGlobus Medical, Inc.2004—
−5K052069Protex Stabilization System with Additional ComponentesGlobus Medical, Inc.2005—
−4K061202Revere Stabilization SystemGlobus Medical, Inc.2006—
−3K062407Gateway Thoracolumbar Plate SystemGlobus Medical, Inc.2006—
−2K100061Cayman Screws Model K2-12-1000-XX, K2-12-1001-XXK2m, Inc.2010—
−1K131533Cayman MI Plate SystemK2m, Inc.2013—
0 (this device)K182473PYRENEES Cervical Plate System, BLUE RIDGE Cervical Plate System, OZARK…K2m, Inc.2018—
+1K242361OZARK Cervical Plate System; PYRENEES® Cervical Plate System; EVEREST® Spinal…Stryker Spine2024—
+1K221728Aviator® Anterior Cervical Plating (ACP) System, LITe® Plate System, DynaTran™…Stryker Corporation2022—
+2K253545Vulcan Spinal SystemK2m, Inc.2026—
+2K230424Omnia Medical Coupler-A™ Anterior Lumbar Plate System; Omnia Medical…Omnia Medical, LLC2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
198810
199210
199330
199410
199530
199610
199760
199830
2000100
200150
200260
200370
200490
200570
200650
200760
200860
200910
201040
201120
201220
201310
201520
201620
201710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202210
202310
202410
202610
FIG. 1 — Lineage of K182473, 1999–2026Source: 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.

Planning a device in KWQ? 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 KWQ device

  1. #1 K233640 Segmental Plating System (SPS);IdentiTi SPS…score 21.9 · 31 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? (4)

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
*K172104Ozark (tm) Cervical Plate System
Summary page 7
…nen phenolic, Ultem, Radel, polypropylene, acetal copolymer, or silicone in the handles or retractor blades. Primary Predicate: OZARK Cervical Plate System (K2M Inc. — K172104) Additional Predicates: PYRENEES and BLUE RIDGE Cervical Plate Systems (K2M Inc. — K162664 and K113329, respectively), CAYMAN T…
K2m, Inc.2017—
*K162664Pyrenees Cervical Plate System
Summary page 7
…tractor blades. Primary Predicate: OZARK Cervical Plate System (K2M Inc. — K172104) Additional Predicates: PYRENEES and BLUE RIDGE Cervical Plate Systems (K2M Inc. — K162664 and K113329, respectively), CAYMAN Thoracolumbar and Buttress Plate Systems (K2M Inc. — K131533) Performance Data: MR Compatibi…
K2m, Inc.2016—
*K113329K2M, Pyrenees Cervical Plate System
Summary page 7
…es. Primary Predicate: OZARK Cervical Plate System (K2M Inc. — K172104) Additional Predicates: PYRENEES and BLUE RIDGE Cervical Plate Systems (K2M Inc. — K162664 and K113329, respectively), CAYMAN Thoracolumbar and Buttress Plate Systems (K2M Inc. — K131533) Performance Data: MR Compatibility testing…
K2m, Inc.2012—
*K131533Cayman MI Plate System
Summary page 7
…l Predicates: PYRENEES and BLUE RIDGE Cervical Plate Systems (K2M Inc. — K162664 and K113329, respectively), CAYMAN Thoracolumbar and Buttress Plate Systems (K2M Inc. — K131533) Performance Data: MR Compatibility testing per ASTM F2503 was performed. The test results demonstrate that the PYRENEES, BLUE…
K2m, Inc.2013—

Also cleared against K172104: 1 other device →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K242361OZARK Cervical Plate System; PYRENEES® Cervical Plate System; EVEREST® Spinal System…Stryker Spine20241
K221728Aviator® Anterior Cervical Plating (ACP) System, LITe® Plate System, DynaTran™ Anterior…Stryker Corporation20221

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 19 years and passes through 3 companies; a new generation was cleared every 3.4 years on median.
  • 13 of the 105 ancestors have a recall of any class.
  • Of its descendants, K242361 (Stryker Spine, 2024) has gone furthest, with 1 descendant of its own.
  • 1 other device also cites its predicate K172104.

How does its category compare?

All KWQ devices

KWQ Appliance, Fixation, Spinal Intervertebral Body: FDA decisions, review times, recalls and adverse event reports over 20 years. 2018, this device’s year, is highlighted.

FDA decisions per year · KWQ

7in 2025

2007: 272008: 322009: 232010: 232011: 222012: 262013: 222014: 172015: 252016: 152017: 202018: 222019: 262020: 262021: 172022: 182023: 162024: 172025: 72026 (partial year): 10
2007high 32 (2008) · low 7 (2025)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KWQ

64in 2025

2007: 101 days median2008: 70 days median2009: 90 days median2010: 104 days median2011: 95 days median2012: 90 days median2013: 88 days median2014: 124 days median2015: 102 days median2016: 121 days median2017: 67 days median2018: 95 days median2019: 81 days median2020: 55 days median2021: 59 days median2022: 85 days median2023: 59 days median2024: 64 days median2025: 64 days median2026 (partial year): 76 days median
2007high 124 (2014) · low 55 (2020)2026

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

Recalls per year · KWQ

1in 2018

2007: 22008: 332009: 352010: 22011: 52012: 72013: 62015: 22016: 92017: 82018: 1
2007high 35 (2009) · low 0 (2014)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · KWQ

248in 2025

2007: 2882008: 3482009: 3552010: 6912011: 4152012: 5442013: 7962014: 5462015: 5622016: 5022017: 4922018: 3412019: 2982020: 4002021: 5912022: 3922023: 3202024: 4192025: 248
2007high 796 (2013) · low 248 (2025)2025

MAUDE reports naming product code KWQ, 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
2007271012288
2008327033348
2009239035355
2010231042691
201122955415
201226907544
201322886796
2014171240546
2015251022562
2016151219502
201720678492
201822951341
201926810298
202026550400
202117590591
202218850392
202316590320
202417640419
20257640248
202610760—

What is it indicated for?

PYRENEES and BLUE RIDGE Cervical Plate Systems are indicated for use in anterior screw fixation to the cervical spine (C2-T1) for the following indications: degenerative disc disease (DDD) (defined as neck pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies), spondylolisthesis, trauma (including fractures), spinal stenosis and tumors (primary and metastatic), failed previous fusions (pseudarthrosis) and…

Read the full statement (320 words)

PYRENEES and BLUE RIDGE Cervical Plate Systems are indicated for use in anterior screw fixation to the cervical spine (C2-T1) for the following indications: degenerative disc disease (DDD) (defined as neck pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies), spondylolisthesis, trauma (including fractures), spinal stenosis and tumors (primary and metastatic), failed previous fusions (pseudarthrosis) and deformity (defined as scoliosis, kyphosis or lordosis).

OZARK Cervical Plate System is indicated for use in anterior screw fixation to the cervical spine (C2-T1) for the following indications: degenerative disc disease (DDD) (defined as neck pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies), spondylolisthesis, trauma (including fractures), spinal stenosis and tumors (primary and metastatic), failed previous fusions (pseudarthrosis) and deformity (defined as scoliosis, kyphosis or lordosis).

The CAYMAN Buttress Plates are intended for use in spinal fusion procedures as a means to maintain the relative position of weak bony tissue such as allografts or autografts. The device is not intended for load bearing indications. The CAYMAN Thoracolumbar Plates are indicated for use via the lateral or anterolateral surgical approach in the treatment of thoracic and thoracolumbar (T1-L5) spine and for use as an anteriorly placed supplemental fixation device for the lumbosacral level below the bifurcation of the vascular structures (L5-S1). The Cayman Thoracolumbar Plate System is intended to provide temporary stabilization during fusion using autograph or allograft in skeletally mature patients in the treatment of the following acute and chronic instabilities and deformities: a) degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies), b) pseudoarthrosis, ¢) spondylolysis, d) spondylolisthesis, €) fracture, f) neoplastic disease, g) unsuccessful previous fusion surgery, h) lordotic deformities of the spine, i) thoracolumbar or lumbar scoliosis, j) deformity (i.e., scoliosis, kyphosis, and/or lordosis) associated with deficient posterior elements such as that resulting from laminectomy.

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. “K182473: PYRENEES Cervical Plate System, BLUE RIDGE Cervical Plate System, OZARK Cervical Plate System, CAYMAN Thoracolumbar and Buttress Plate Systems.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K182473

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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