510(k) Report

510(k) · Cleared

Cleared

CastleLoc-P Anterior Cervical Plate System

K190425510(k) SpecialCleared Mar 21, 201927-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

L&K BIOMED Co., Ltd. · KWQ Appliance, Fixation, Spinal Intervertebral Body

Cleared on Mar 21, 2019 as substantially equivalent to K143271 (L&K BIOMED Co., Ltd., 2015) after a 27-day review. Its family tree reaches back 4 generations to 2000. 13 later devices descend from it.

Decided
Mar 21, 2019
Review
27 days
Class
Class II
Product code
KWQ
Recalls
None
Predicates
1

Its longest line of descent runs back 4 generations to K994239 (2000). 6 ancestors in all. 13 later devices descend from it, 4 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2003: 2 other ancestors2021: 3 descendants cleared2023: 6 descendants cleared2022: 1 descendant cleared2026: 2 descendants cleared2024: 1 descendant clearedK994239 · Zephir Anterior Cervical Plate System · Medtronic Sofamor Danek, Inc. · 2000K061002 · Maxima Anterior Cervical Plate System · U&I Corp. · 2006K113509 · Lexus Anterior Cervical Plate System · L&K BIOMED Co., Ltd. · 2012K143271 · CastleLoc-P Anterior Cervical Plate System · L&K BIOMED Co., Ltd. · 2015200020052010201520202025
Other ancestors, by generationDescendants, by generation 3 generations back: 2 other ancestors 1 generation forward: 4 descendants2 generations forward: 7 descendants3 generations forward: 2 descendants K143271 · CastleLoc-P Anterior Cervical Plate System · L&K BIOMED Co., Ltd. · 2015K113509 · Lexus Anterior Cervical Plate System · L&K BIOMED Co., Ltd. · 2012K061002 · Maxima Anterior Cervical Plate System · U&I Corp. · 2006K994239 · Zephir Anterior Cervical Plate System · Medtronic Sofamor Danek, Inc. · 20000
  1. Root · 4 generations backK994239 Zephir Anterior Cervical Plate SystemMedtronic Sofamor Danek, Inc. · 2000
  2. 3 generations backK061002 Maxima Anterior Cervical Plate SystemU&I Corp. · 2006
  3. 2 generations backK113509 Lexus Anterior Cervical Plate SystemL&K BIOMED Co., Ltd. · 2012
  4. 1 generation backK143271 CastleLoc-P Anterior Cervical Plate SystemL&K BIOMED Co., Ltd. · 2015
  5. This deviceK190425 CastleLoc-P Anterior Cervical Plate SystemL&K BIOMED Co., Ltd. · 2019
  6. Descendant · cites it directly · 10 of its ownK210035 ZESPIN SI Joint Fusion System, MegaCerfix Posterior Cervical…Aegis Spine · 2021
  7. Descendant · 2 generations on · 6 of its ownK221050 ZESPIN SI Joint Fusion System, Paeon Posterior Cervical Fixation…Aegis Spine, Inc. · 2022
  8. Descendant · cites it directly · 3 of its ownK223719 Paeon Anterior Cervical Plate System, Elatus Lumbar Plate SystemAegis Spine, Inc. · 2023
  9. Descendant · cites it directly · 2 of its ownK231839 CastleLoc-P Anterior Cervical Plate System, AccelFix Lumbar Plate…L&K BIOMED Co., Ltd. · 2023
  10. Descendant · 2 generations on · 2 of its ownK223521 ZESPIN SI Joint Fusion SystemAegis Spine, Inc. · 2023

Showing 5 of 13 descendants. See all descendants

Descendants cleared per year

2021: 32022: 12023: 62024: 12026: 2
2021high 6 (2023) · low 0 (2025)2026

Most influential descendants

Showing 5 of 13 · See all
  • K210035ZESPIN SI Joint Fusion System, MegaCerfix Posterior Cervical Fixation System, MegaCerfix…Aegis Spine · 2021 · cites it directly10descendants
  • K221050ZESPIN SI Joint Fusion System, Paeon Posterior Cervical Fixation System, Paeon Anterior…Aegis Spine, Inc. · 2022 · 2 generations on6descendants
  • K223719Paeon Anterior Cervical Plate System, Elatus Lumbar Plate SystemAegis Spine, Inc. · 2023 · cites it directly3descendants
  • K231839CastleLoc-P Anterior Cervical Plate System, AccelFix Lumbar Plate SystemL&K BIOMED Co., Ltd. · 2023 · cites it directly2descendants
  • K223521ZESPIN SI Joint Fusion SystemAegis Spine, Inc. · 2023 · 2 generations on2descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K994239Zephir Anterior Cervical Plate SystemMedtronic Sofamor Danek, Inc.2000—
−3K061002Maxima Anterior Cervical Plate SystemU&I Corp.2006—
−2K113509Lexus Anterior Cervical Plate SystemL&K BIOMED Co., Ltd.2012—
−1K143271CastleLoc-P Anterior Cervical Plate SystemL&K BIOMED Co., Ltd.2015—
0 (this device)K190425CastleLoc-P Anterior Cervical Plate SystemL&K BIOMED Co., Ltd.2019—
+1K210035ZESPIN SI Joint Fusion System, MegaCerfix Posterior Cervical Fixation System…Aegis Spine2021—
+2K221050ZESPIN SI Joint Fusion System, Paeon Posterior Cervical Fixation System, Paeon…Aegis Spine, Inc.2022—
+1K223719Paeon Anterior Cervical Plate System, Elatus Lumbar Plate SystemAegis Spine, Inc.2023—
+1K231839CastleLoc-P Anterior Cervical Plate System, AccelFix Lumbar Plate SystemL&K BIOMED Co., Ltd.2023—
+2K223521ZESPIN SI Joint Fusion SystemAegis Spine, Inc.2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200320

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202130
202210
202360
202410
202620
FIG. 1 — Lineage of K190425, 2000–2026Source: 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
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What was it cleared against? (1)

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
*K143271CastleLoc-P Anterior Cervical Plate System
Summary page 4
…KWQ 3. Purpose of 510(k) L&K BIOMED Co. Ltd., is submitting this Special 510(k) to add new components to own 510(k)-cleared device (K143271) 4. The name of the legally marketed (unmodified) device „ K143271 CastleLoc-P Anterior Cervical Plate System (primar…
L&K BIOMED Co., Ltd.2015—

Also cleared against K143271: 4 other devices →

What descends from it? (13)

See all 13

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

NumberDeviceApplicantDecidedDescendants
K210035ZESPIN SI Joint Fusion System, MegaCerfix Posterior Cervical Fixation System, MegaCerfix…Aegis Spine202110
K223719Paeon Anterior Cervical Plate System, Elatus Lumbar Plate SystemAegis Spine, Inc.20233
K231839CastleLoc-P Anterior Cervical Plate System, AccelFix Lumbar Plate SystemL&K BIOMED Co., Ltd.20232
K202878Prase-AP Anterior Cervical Plate SystemGbs Commonwealth Co., Ltd.20211

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 5.2 years on median.
  • None of the 6 ancestors has a recall.
  • Of its descendants, K210035 (Aegis Spine, 2021) has gone furthest, with 10 descendants of its own.
  • 4 other devices also cite its predicate K143271.

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. 2019, 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?

The Anterior Cervical Plate System is intended for anterior screw fixation to the cervical spine (C2-C7). The System is indicated for use in the immobilization and stabilization of the spine as an adjunct to fusions in patients with:

degenerative disc disease (as defined by neck pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies),

spondylolisthesis,

trauma (i.e. fractures or dislocations),

tumors,

deformity (defined as kyphosis, lordosis, or scoliosis),

pseudoarthrosis,

failed previous fusion,

spinal stenosis.

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. “K190425: CastleLoc-P Anterior Cervical Plate System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K190425

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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