510(k) Report

510(k) · Cleared

Cleared

HALF DOME Posterior Lumbar Interbody System

K182877510(k) TraditionalCleared May 3, 2019200-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

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

Cleared on May 3, 2019 as substantially equivalent to K113447 (Globus Medical, Inc., 2012) and 7 other predicates after a 200-day review. Its family tree reaches back 15 generations to 2001. 21 later devices descend from it.

Decided
May 3, 2019
Review
200 days
Class
Class II
Product code
MAX
Recalls
None
Predicates
8

Its longest line of descent runs back 15 generations to K003155 (2001). 121 ancestors in all, the oldest K841189 (1984). 21 later devices descend from it, 7 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2018: 1 other ancestor2016: 1 other ancestor2013: 2 other ancestors2012: 2 other ancestors2011: 4 other ancestors2008: 14 other ancestors2007: 8 other ancestors2015: 1 other ancestor2010: 6 other ancestors2009: 9 other ancestors1999: 3 other ancestors1996: 2 other ancestors2003: 14 other ancestors2001: 9 other ancestors2005: 7 other ancestors2004: 15 other ancestors2002: 6 other ancestors2000: 1 other ancestor1984: 1 other ancestor2023: 5 descendants cleared2025: 4 descendants cleared2021: 1 descendant cleared2022: 2 descendants cleared2020: 2 descendants cleared2024: 5 descendants cleared2026: 2 descendants clearedK003155 · Vertebral Body Replacement · Osteotech, Inc. · 2001K012254 · VBR · Osteotech, Inc. · 2001×2: 2 generations cleared close together, K021791 (2002), K023570 (2002) K031780 · Verte-Stack Spinal System · Medtronic Sofamor Danek · 2003K040731 · Stryker Spine Vertebral Spacer · Stryker Spine · 2004×2: 2 generations cleared close together, K042571 (2005), K050624 (2005) K051205 · Stryker Spine Avs Asl Peek Spacer · Stryker Spine · 2005K060762 · Aesculap Peek Vertebral Body Replacement System · Aesculap, Inc. · 2006K071983 · Aesculap Peek Intervertebral Body Fusion System: a Space, Cespace, Prospace, T-Space · Aesculap Implant Systems, Inc. · 2008 · recalledK083311 · Aesculap Cespace Peek Intervertebral Body Fusion System · Aesculap Implant Systems, Inc. · 2009K100889 · Endoskeleton TC · Titan Spine, LLC · 2010K160154 · ALTA Anterior Cervical Interbody Spacer · Astura Medical · 2016K163481 · HALF DOME Posterior Lumbar Interbody System · Astura Medical · 201719801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 7 other ancestors2 generations back: 12 other ancestors3 generations back: 19 other ancestors4 generations back: 24 other ancestors5 generations back: 21 other ancestors6 generations back: 18 other ancestors7 generations back: 3 other ancestors8 generations back: 2 other ancestors 1 generation forward: 7 descendants2 generations forward: 8 descendants3 generations forward: 4 descendants4 generations forward: 2 descendants K163481 · HALF DOME Posterior Lumbar Interbody System · Astura Medical · 2017K160154 · ALTA Anterior Cervical Interbody Spacer · Astura Medical · 2016K100889 · Endoskeleton TC · Titan Spine, LLC · 2010K083311 · Aesculap Cespace Peek Intervertebral Body Fusion System · Aesculap Implant Systems, Inc. · 2009K071983 · Aesculap Peek Intervertebral Body Fusion System: a Space, Cespace, Prospace, T-Space · Aesculap Implant Systems, Inc. · 2008 · recalledK060762 · Aesculap Peek Vertebral Body Replacement System · Aesculap, Inc. · 2006K051205 · Stryker Spine Avs Asl Peek Spacer · Stryker Spine · 2005K050624 · Stryker Spine Avs PL Peek Spacer · Stryker Spine · 2005K042571 · Stryker Spine Avs TL Peek Spacer · Stryker Spine · 2005K040731 · Stryker Spine Vertebral Spacer · Stryker Spine · 2004K031780 · Verte-Stack Spinal System · Medtronic Sofamor Danek · 2003K023570 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2002K021791 · Verte-Stack Spinal System · Medtronic Sofamor Danek · 2002K012254 · VBR · Osteotech, Inc. · 2001K003155 · Vertebral Body Replacement · Osteotech, Inc. · 2001−15−10−50
  1. Root · 15 generations backK003155 Vertebral Body ReplacementOsteotech, Inc. · 2001
  2. 11 generations between
  3. 3 generations backK100889 Endoskeleton TCTitan Spine, LLC · 2010
  4. 2 generations backK160154 ALTA Anterior Cervical Interbody SpacerAstura Medical · 2016
  5. 1 generation backK163481 HALF DOME Posterior Lumbar Interbody SystemAstura Medical · 2017
  6. This deviceK182877 HALF DOME Posterior Lumbar Interbody SystemAstura Medical, LLC · 2019
  7. Descendant · cites it directly · 14 of its ownK192006 SIRION Lateral Lumbar Interbody SystemAstura Medical, LLC · 2020
  8. Descendant · cites it directly · 10 of its ownK192492 EL CAPITAN Anterior Lumber Interbody SystemAstura Medical, LLC · 2020
  9. Descendant · cites it directly · 6 of its ownK202495 SIRION Lateral Lumbar Interbody FusionAstura Medical, LLC · 2021
  10. Descendant · cites it directly · 5 of its ownK222554 EL CAPITAN Anterior Lumbar Interbody FusionAstura Medical · 2023
  11. Descendant · 2 generations on · 3 of its ownK231743 F3D Lateral Lumbar Interbody System, CL5 Lateral Lumbar Interbody…Corelink, LLC · 2023
Show all 15 generations
  1. Root · 15 generations backK003155 Vertebral Body ReplacementOsteotech, Inc. · 2001
  2. 14 generations backK012254 VBROsteotech, Inc. · 2001
  3. 13 generations backK021791 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2002
  4. 12 generations backK023570 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2002
  5. 11 generations backK031780 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2003
  6. 10 generations backK040731 Stryker Spine Vertebral SpacerStryker Spine · 2004
  7. 9 generations backK042571 Stryker Spine Avs TL Peek SpacerStryker Spine · 2005
  8. 8 generations backK050624 Stryker Spine Avs PL Peek SpacerStryker Spine · 2005
  9. 7 generations backK051205 Stryker Spine Avs Asl Peek SpacerStryker Spine · 2005
  10. 6 generations backK060762 Aesculap Peek Vertebral Body Replacement SystemAesculap, Inc. · 2006
  11. 5 generations backK071983 Aesculap Peek Intervertebral Body Fusion System: a Space, Cespace…Aesculap Implant Systems, Inc. · 2008 · Recalled
  12. 4 generations backK083311 Aesculap Cespace Peek Intervertebral Body Fusion SystemAesculap Implant Systems, Inc. · 2009
  13. 3 generations backK100889 Endoskeleton TCTitan Spine, LLC · 2010
  14. 2 generations backK160154 ALTA Anterior Cervical Interbody SpacerAstura Medical · 2016
  15. 1 generation backK163481 HALF DOME Posterior Lumbar Interbody SystemAstura Medical · 2017
  16. This deviceK182877 HALF DOME Posterior Lumbar Interbody SystemAstura Medical, LLC · 2019

Showing 5 of 21 descendants. See all descendants

Descendants cleared per year

2020: 22021: 12022: 22023: 52024: 52025: 42026: 2
2020high 5 (2023) · low 1 (2021)2026

Most influential descendants

Showing 5 of 21 · See all
  • K192006SIRION Lateral Lumbar Interbody SystemAstura Medical, LLC · 2020 · cites it directly14descendants
  • K192492EL CAPITAN Anterior Lumber Interbody SystemAstura Medical, LLC · 2020 · cites it directly10descendants
  • K202495SIRION Lateral Lumbar Interbody FusionAstura Medical, LLC · 2021 · cites it directly6descendants
  • K222554EL CAPITAN Anterior Lumbar Interbody FusionAstura Medical · 2023 · cites it directly5descendants
  • K231743F3D Lateral Lumbar Interbody System, CL5 Lateral Lumbar Interbody System, and Oro…Corelink, LLC · 2023 · 2 generations on3descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−15K003155Vertebral Body ReplacementOsteotech, Inc.2001—
−14K012254VBROsteotech, Inc.2001—
−13K021791Verte-Stack Spinal SystemMedtronic Sofamor Danek2002—
−12K023570Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2002—
−11K031780Verte-Stack Spinal SystemMedtronic Sofamor Danek2003—
−10K040731Stryker Spine Vertebral SpacerStryker Spine2004—
−9K042571Stryker Spine Avs TL Peek SpacerStryker Spine2005—
−8K050624Stryker Spine Avs PL Peek SpacerStryker Spine2005—
−7K051205Stryker Spine Avs Asl Peek SpacerStryker Spine2005—
−6K060762Aesculap Peek Vertebral Body Replacement SystemAesculap, Inc.2006—
−5K071983Aesculap Peek Intervertebral Body Fusion System: a Space, Cespace, Prospace…Aesculap Implant Systems, Inc.20081
−4K083311Aesculap Cespace Peek Intervertebral Body Fusion SystemAesculap Implant Systems, Inc.2009—
−3K100889Endoskeleton TCTitan Spine, LLC2010—
−2K160154ALTA Anterior Cervical Interbody SpacerAstura Medical2016—
−1K163481HALF DOME Posterior Lumbar Interbody SystemAstura Medical2017—
0 (this device)K182877HALF DOME Posterior Lumbar Interbody SystemAstura Medical, LLC2019—
+1K192006SIRION Lateral Lumbar Interbody SystemAstura Medical, LLC2020—
+1K192492EL CAPITAN Anterior Lumber Interbody SystemAstura Medical, LLC2020—
+1K202495SIRION Lateral Lumbar Interbody FusionAstura Medical, LLC2021—
+1K222554EL CAPITAN Anterior Lumbar Interbody FusionAstura Medical2023—
+2K231743F3D Lateral Lumbar Interbody System, CL5 Lateral Lumbar Interbody System, and…Corelink, LLC2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198410
199620
199930
200010
200190
200260
2003140
2004150
200570
200780
2008140
200990
201060
201140
201220
201320
201510
201610
201810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202020
202110
202220
202350
202450
202540
202620
FIG. 1 — Lineage of K182877, 2001–2026Source: 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 MAX? 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? (8)

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
*K113447Rise Spacer
Summary page 4
…MAX CFR Section 21 CFR section 888.3080 Device Panel Orthopedic Primary Predicate Globus Medical Rise® Intervertebral Body Fusion Device (K113447) Device Secondary Predicate Spinal Elements Lucent Spacer (K071724, K081968) Device Globus Medical Caliber® Spacers…
Globus Medical, Inc.2012—
*K071724Lucent
Summary page 4
…el Orthopedic Primary Predicate Globus Medical Rise® Intervertebral Body Fusion Device (K113447) Device Secondary Predicate Spinal Elements Lucent Spacer (K071724, K081968) Device Globus Medical Caliber® Spacers (K102293, K123231) Half Dome Posterior Lumbar I…
Spinal Elements, Inc.2007—
*K081968Modification to Lucent
Summary page 4
…Orthopedic Primary Predicate Globus Medical Rise® Intervertebral Body Fusion Device (K113447) Device Secondary Predicate Spinal Elements Lucent Spacer (K071724, K081968) Device Globus Medical Caliber® Spacers (K102293, K123231) Half Dome Posterior Lumbar Interbody…
Spinal Elements, Inc.2008—
*K102293Caliber Spacer
Summary page 4
…ervertebral Body Fusion Device (K113447) Device Secondary Predicate Spinal Elements Lucent Spacer (K071724, K081968) Device Globus Medical Caliber® Spacers (K102293, K123231) Half Dome Posterior Lumbar Interbody System (K152512, K163481, K172947) Device Description The Ha…
Globus Medical, Inc.2011—
*K123231Caliber Spacers
Summary page 4
…al Body Fusion Device (K113447) Device Secondary Predicate Spinal Elements Lucent Spacer (K071724, K081968) Device Globus Medical Caliber® Spacers (K102293, K123231) Half Dome Posterior Lumbar Interbody System (K152512, K163481, K172947) Device Description The Half Dome P…
Globus Medical, Inc.2013—
*K152512Half Dome Posterior Lumbar Interbody System
Summary page 4
…Lucent Spacer (K071724, K081968) Device Globus Medical Caliber® Spacers (K102293, K123231) Half Dome Posterior Lumbar Interbody System (K152512, K163481, K172947) Device Description The Half Dome Posterior Lumbar Interbody devices are implants developed for…
Astura Medical2016—
*K163481HALF DOME Posterior Lumbar Interbody System
Summary page 4
…pacer (K071724, K081968) Device Globus Medical Caliber® Spacers (K102293, K123231) Half Dome Posterior Lumbar Interbody System (K152512, K163481, K172947) Device Description The Half Dome Posterior Lumbar Interbody devices are implants developed for t…
Astura Medical2017—
*K172947HALF DOME Posterior Lumbar Interbody System
Summary page 4
…71724, K081968) Device Globus Medical Caliber® Spacers (K102293, K123231) Half Dome Posterior Lumbar Interbody System (K152512, K163481, K172947) Device Description The Half Dome Posterior Lumbar Interbody devices are implants developed for the substi…
Astura Medical2018—

Also cleared against K113447: 26 other devices →

What descends from it? (21)

See all 21

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

NumberDeviceApplicantDecidedDescendants
K192006SIRION Lateral Lumbar Interbody SystemAstura Medical, LLC202014
K192492EL CAPITAN Anterior Lumber Interbody SystemAstura Medical, LLC202010
K202495SIRION Lateral Lumbar Interbody FusionAstura Medical, LLC20216
K222554EL CAPITAN Anterior Lumbar Interbody FusionAstura Medical20235
K214047EL CAPITAN Anterior Lumbar Interbody Fusion SystemAstura Medical20223
K243739AxCess® Expandable Interbody SystemElliquence, LLC20250
K223335SIRION Lateral Lumbar Interbody SystemAstura Medical20230

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 18 years and passes through 8 companies; a new generation was cleared every 10 months on median.
  • 11 of the 121 ancestors have a recall of any class.
  • Of its descendants, K192006 (Astura Medical, LLC, 2020) has gone furthest, with 14 descendants of its own.
  • 26 other devices also cite its predicate K113447.

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?

The HALF DOME POSTERIOR LUMBAR INTERBODY SYSTEM 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 L1-L2 to L5-S1. DDD is defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies. These DDD patients may also have up to Grade I spondylolisthesis or retrolisthesis at the involved level(s). HALF DOME SYSTEM implants are to be used with autogenous bone graft and supplemental fixation. Patients should have at least six (6) months of non-operative treatment prior to treatment with an intervertebral cage.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K182877: HALF DOME Posterior Lumbar Interbody System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K182877

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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