510(k) Report

510(k) · Cleared

Cleared

FlareHawk Interbody Fusion System

K183184510(k) TraditionalCleared Apr 3, 2019135-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

Integrity Implants, Inc. · MAX Intervertebral Fusion Device With Bone Graft, Lumbar

Cleared on Apr 3, 2019 as substantially equivalent to K133514 (Ouroboros Medical, 2014) and 5 other predicates after a 135-day review. Its family tree reaches back 19 generations to 1984. 12 later devices descend from it.

Decided
Apr 3, 2019
Review
135 days
Class
Class II
Product code
MAX
Recalls
None
Predicates
6

Its longest line of descent runs back 19 generations to K841189 (1984). 241 ancestors in all. 12 later devices descend from it, 5 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2016: 2 other ancestors2015: 6 other ancestors2014: 10 other ancestors2011: 16 other ancestors2008: 35 other ancestors2013: 12 other ancestors2009: 24 other ancestors2012: 9 other ancestors2007: 11 other ancestors2010: 15 other ancestors2005: 16 other ancestors2004: 22 other ancestors2003: 14 other ancestors2001: 10 other ancestors2000: 1 other ancestor2006: 7 other ancestors2002: 8 other ancestors1999: 2 other ancestors1996: 2 other ancestors2021: 1 descendant cleared2020: 2 descendants cleared2022: 2 descendants cleared2024: 3 descendants cleared2025: 2 descendants cleared2023: 1 descendant cleared2026: 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. · 201619801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 5 other ancestors2 generations back: 5 other ancestors3 generations back: 15 other ancestors4 generations back: 43 other ancestors5 generations back: 59 other ancestors6 generations back: 47 other ancestors7 generations back: 26 other ancestors8 generations back: 14 other ancestors9 generations back: 7 other ancestors10 generations back: 1 other ancestor 1 generation forward: 5 descendants2 generations forward: 4 descendants3 generations forward: 3 descendants K160924 · 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. · 1984−15−10−50
  1. Root · 19 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 15 generations between
  3. 3 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  4. 2 generations backK150788 Talos Intervertebral Body Fusion Devices, Talos -C Cervical…Meditech Spine, LLC · 2015
  5. 1 generation backK160924 Amendia Interbody Fusion DevicesAmendia, Inc. · 2016
  6. This deviceK183184 FlareHawk Interbody Fusion SystemIntegrity Implants, Inc. · 2019
  7. Descendant · cites it directly · 5 of its ownK203038 Toro-L Interbody Fusion SystemIntegrity Implants, Inc. · 2021
  8. Descendant · cites it directly · 4 of its ownK213355 Toro-L Interbody Fusion SystemIntegrity Implants, Inc. · 2022
  9. Descendant · 2 generations on · 2 of its ownK221894 Lumbar Expandable lnterbody Spacers -Additional Indications/ImplantsGlobus Medical, Inc. · 2023
  10. Descendant · cites it directly · 2 of its ownK202198 FlareHawk Interbody Fusion SystemIntegrity Implants, Inc. · 2020
  11. Descendant · cites it directly · 2 of its ownK201367 FlareHawk TiHawk9 Interbody Fusion SystemIntegrity Implants, Inc. · 2020
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 backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 9 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 8 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 7 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 6 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 5 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 4 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 3 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 2 generations backK150788 Talos Intervertebral Body Fusion Devices, Talos -C Cervical…Meditech Spine, LLC · 2015
  19. 1 generation backK160924 Amendia Interbody Fusion DevicesAmendia, Inc. · 2016
  20. This deviceK183184 FlareHawk Interbody Fusion SystemIntegrity Implants, Inc. · 2019

Showing 5 of 12 descendants. See all descendants

Descendants cleared per year

2020: 22021: 12022: 22023: 12024: 32025: 22026: 1
2020high 3 (2024) · low 1 (2021)2026

Most influential descendants

Showing 5 of 12 · See all
  • K203038Toro-L Interbody Fusion SystemIntegrity Implants, Inc. · 2021 · cites it directly5descendants
  • K213355Toro-L Interbody Fusion SystemIntegrity Implants, Inc. · 2022 · cites it directly4descendants
  • K221894Lumbar Expandable lnterbody Spacers -Additional Indications/ImplantsGlobus Medical, Inc. · 2023 · 2 generations on2descendants
  • K202198FlareHawk Interbody Fusion SystemIntegrity Implants, Inc. · 2020 · cites it directly2descendants
  • K201367FlareHawk TiHawk9 Interbody Fusion SystemIntegrity Implants, Inc. · 2020 · cites it directly2descendants
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—
−10K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−9K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−8K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−7K121683Acculif TL CageCoalign Innovations, Inc.2012—
−6K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−5K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−4K141217Acculif TL and PL CageStryker Corporation20143
−3K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−2K150788Talos Intervertebral Body Fusion Devices, Talos -C Cervical Intervertebral…Meditech Spine, LLC2015—
−1K160924Amendia Interbody Fusion DevicesAmendia, Inc.2016—
0 (this device)K183184FlareHawk Interbody Fusion SystemIntegrity Implants, Inc.2019—
+1K203038Toro-L Interbody Fusion SystemIntegrity Implants, Inc.2021—
+1K213355Toro-L Interbody Fusion SystemIntegrity Implants, Inc.2022—
+2K221894Lumbar Expandable lnterbody Spacers -Additional Indications/ImplantsGlobus Medical, Inc.2023—
+1K202198FlareHawk Interbody Fusion SystemIntegrity Implants, Inc.2020—
+1K201367FlareHawk TiHawk9 Interbody Fusion SystemIntegrity Implants, Inc.2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199620
199920
200010
2001100
200280
2003140
2004220
2005160
200670
2007110
2008350
2009240
2010150
2011160
201290
2013120
2014100
201560
201620

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202020
202110
202220
202310
202430
202520
202610
FIG. 1 — Lineage of K183184, 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.

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? (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
*K133514Xcage Interbody Fusion System
Summary page 6
…stantial equivalence of the subject FlareHawk™ Interbody Fusion System to legally marketed predicate devices, FlareHawk™ Interbody Fusion System, K133514 (SE 05/01/2014) and K160076 (SE 10/13/2016), is used as the primary predicate device. Additional predica…
Ouroboros Medical2014—
*K160076XCage™ Interbody Fusion System
Summary page 6
…subject FlareHawk™ Interbody Fusion System to legally marketed predicate devices, FlareHawk™ Interbody Fusion System, K133514 (SE 05/01/2014) and K160076 (SE 10/13/2016), is used as the primary predicate device. Additional predicates are Amendia/Spinal Eleme…
Ouroboros Medical, Inc.20161
*K150395Omega LIF System
Summary page 6
…2014) and K160076 (SE 10/13/2016), is used as the primary predicate device. Additional predicates are Amendia/Spinal Elements’ OmegaLIF™ System, K150395 (SE 08/10/2015) and K160924 (SE 11/08/2016), Globus Medical’s PATRIOT® Spacers, K072970 (SE 01/18/2008),…
Amendia, Inc.20151
*K160924Amendia Interbody Fusion Devices
Summary page 6
…ed as the primary predicate device. Additional predicates are Amendia/Spinal Elements’ OmegaLIF™ System, K150395 (SE 08/10/2015) and K160924 (SE 11/08/2016), Globus Medical’s PATRIOT® Spacers, K072970 (SE 01/18/2008), and Globus Medical’s CALIBER® Spacers K1…
Amendia, Inc.2016—
*K072970Patriot Spacers
Summary page 6
…predicates are Amendia/Spinal Elements’ OmegaLIF™ System, K150395 (SE 08/10/2015) and K160924 (SE 11/08/2016), Globus Medical’s PATRIOT® Spacers, K072970 (SE 01/18/2008), and Globus Medical’s CALIBER® Spacers K102293 (SE 01/05/2011). X. Brief Discussion of the…
Globus Medical, Inc.2008—
*K102293Caliber Spacer
Summary page 6
…95 (SE 08/10/2015) and K160924 (SE 11/08/2016), Globus Medical’s PATRIOT® Spacers, K072970 (SE 01/18/2008), and Globus Medical’s CALIBER® Spacers K102293 (SE 01/05/2011). X. Brief Discussion of the Non-Clinical Tests Submitted Mechanical testing wa…
Globus Medical, Inc.2011—

Also cleared against K133514: 2 other devices →

What descends from it? (12)

See all 12

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

NumberDeviceApplicantDecidedDescendants
K203038Toro-L Interbody Fusion SystemIntegrity Implants, Inc.20215
K213355Toro-L Interbody Fusion SystemIntegrity Implants, Inc.20224
K202198FlareHawk Interbody Fusion SystemIntegrity Implants, Inc.20202
K201367FlareHawk TiHawk9 Interbody Fusion SystemIntegrity Implants, Inc.20202
K220453FlareHawk Interbody Fusion SystemIntegrity Implants, Inc.20221

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 35 years and passes through 14 companies; a new generation was cleared every 11 months on median.
  • 28 of the 241 ancestors have a recall of any class.
  • Of its descendants, K203038 (Integrity Implants, Inc., 2021) has gone furthest, with 5 descendants of its own.
  • 2 other devices also cite its predicate K133514.

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?

FlareHawk™ Interbody Fusion System is indicated for spinal intervertebral body fusion with autogenous bone graft and/or allogeneic bone graft composed of cancellous and/or corticocancellous bone in skeletally mature individuals with degenerative disc disease (DDD) at one or two contiguous levels from L2 to S1, following discectomy. DDD is defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies. These…

Read the full statement (114 words)

FlareHawk™ Interbody Fusion System is indicated for spinal intervertebral body fusion with autogenous bone graft and/or allogeneic bone graft composed of cancellous and/or corticocancellous bone in skeletally mature individuals with degenerative disc disease (DDD) at one or two contiguous levels from L2 to S1, following discectomy. DDD is defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies. These patients should have at least six (6) months of non-operative treatment. Additionally, these patients may have up to Grade 1 spondylolisthesis or retrolisthesis at the involved level(s). FlareHawk™ system spacers are intended to be used with supplemental fixation instrumentation, which has been cleared for use in the lumbar spine.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K183184: FlareHawk Interbody Fusion System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K183184

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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