510(k) Report

510(k) · Cleared

Cleared

NuVasive® ACP System

K191500510(k) TraditionalCleared Sep 3, 201989-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

Nu Vasive, Incorporated · KWQ Appliance, Fixation, Spinal Intervertebral Body

Cleared on Sep 3, 2019 as substantially equivalent to K122910 (Nu Vasive, Incorporated, 2012) and 3 other predicates after an 89-day review. Its family tree reaches back 4 generations to 1992. 4 later devices descend from it.

Decided
Sep 3, 2019
Review
89 days
Class
Class II
Product code
KWQ
Recalls
None
Predicates
4

Its longest line of descent runs back 4 generations to K922087 (1992). 17 ancestors in all. 4 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2008: 1 other ancestor2003: 1 other ancestor2002: 1 other ancestor2007: 1 other ancestor2006: 1 other ancestor1999: 3 other ancestors1998: 3 other ancestors1995: 1 other ancestor1993: 1 other ancestor2020: 2 descendants cleared2021: 1 descendant cleared2025: 1 descendant clearedReference device: K180198 · NuVasive® VuePoint® II OCT System · Nu Vasive, Incorporated · 2018K922087 · Anterior Cervical Plate System · Sofamor Danek Mfg., Inc. · 1992K990005 · Spinal Concepts, Inc. (Sci) Anterior Cervical Plate System · Spinal Concepts, Inc. · 1999 · recalledK000486 · Abc Cervical Plating System · Aesculap, Inc. · 2000K122910 · Archon Anterior Cervical Plate Syste, · Nu Vasive, Incorporated · 20121990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors2 generations back: 2 other ancestors3 generations back: 5 other ancestors4 generations back: 3 other ancestors 1 generation forward: 2 descendants2 generations forward: 1 descendant3 generations forward: 1 descendant K122910 · Archon Anterior Cervical Plate Syste, · Nu Vasive, Incorporated · 2012K000486 · Abc Cervical Plating System · Aesculap, Inc. · 2000K990005 · Spinal Concepts, Inc. (Sci) Anterior Cervical Plate System · Spinal Concepts, Inc. · 1999 · recalledK922087 · Anterior Cervical Plate System · Sofamor Danek Mfg., Inc. · 19920
  1. Root · 4 generations backK922087 Anterior Cervical Plate SystemSofamor Danek Mfg., Inc. · 1992
  2. 3 generations backK990005 Spinal Concepts, Inc. (Sci) Anterior Cervical Plate SystemSpinal Concepts, Inc. · 1999 · Recalled
  3. 2 generations backK000486 Abc Cervical Plating SystemAesculap, Inc. · 2000
  4. 1 generation backK122910 Archon Anterior Cervical Plate Syste,Nu Vasive, Incorporated · 2012
  5. This deviceK191500 NuVasive® ACP SystemNu Vasive, Incorporated · 2019
  6. Descendant · cites it directly · 3 of its ownK201078 NuVasive® ACP SystemNu Vasive, Incorporated · 2020
  7. Descendant · cites it directly · 2 of its ownK203253 NuVasive ACP SystemNu Vasive, Incorporated · 2020
  8. Descendant · 2 generations on · 1 of its ownK212446 NuVasive Anterior Cervical Plate SystemsNu Vasive, Incorporated · 2021
  9. Descendant · 3 generations on · 0 of its ownK251965 Proximity Anterior Cervical Plate System; Segmental Plating System…Alphatec Spine, Inc. · 2025

Most influential descendants

Showing 4 of 4 · See all
  • K201078NuVasive® ACP SystemNu Vasive, Incorporated · 2020 · cites it directly3descendants
  • K203253NuVasive ACP SystemNu Vasive, Incorporated · 2020 · cites it directly2descendants
  • K212446NuVasive Anterior Cervical Plate SystemsNu Vasive, Incorporated · 2021 · 2 generations on1descendant
  • K251965Proximity Anterior Cervical Plate System; Segmental Plating System (SPS)Alphatec Spine, Inc. · 2025 · 3 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K922087Anterior Cervical Plate SystemSofamor Danek Mfg., Inc.1992—
−3K990005Spinal Concepts, Inc. (Sci) Anterior Cervical Plate SystemSpinal Concepts, Inc.19991
−2K000486Abc Cervical Plating SystemAesculap, Inc.2000—
−1K122910Archon Anterior Cervical Plate Syste,Nu Vasive, Incorporated2012—
0 (this device)K191500NuVasive® ACP SystemNu Vasive, Incorporated2019—
+1K201078NuVasive® ACP SystemNu Vasive, Incorporated2020—
+1K203253NuVasive ACP SystemNu Vasive, Incorporated2020—
+2K212446NuVasive Anterior Cervical Plate SystemsNu Vasive, Incorporated2021—
+3K251965Proximity Anterior Cervical Plate System; Segmental Plating System (SPS)Alphatec Spine, Inc.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199310
199510
199830
199930
200210
200310
200610
200710
200810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202020
202110
202510
FIG. 1 — Lineage of K191500, 1992–2025Source: 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? (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
*K122910Archon Anterior Cervical Plate Syste,
Summary page 4
…KWQ C. Predicate Devices The subject NuVasive ACP System is substantially equivalent to the following devices: Primary Predicate • K122910 – NuVasive Archon Anterior Cervical Plate System Additional Predicates • K073275 – NuVasive Helix Mini ACP System…
Nu Vasive, Incorporated2012—
*K073275Nuvasive Helix Mini Acp System
Summary page 4
…tially equivalent to the following devices: Primary Predicate • K122910 – NuVasive Archon Anterior Cervical Plate System Additional Predicates • K073275 – NuVasive Helix Mini ACP System • K023133 – EBI VueLock Anterior Cervical Plate System • K030866 – Synthes Anterio…
Nuvasive, Inc.2008—
*K023133Modification to Ebi Vuelock Anterior Cervical Plate System
Summary page 4
…Primary Predicate • K122910 – NuVasive Archon Anterior Cervical Plate System Additional Predicates • K073275 – NuVasive Helix Mini ACP System • K023133 – EBI VueLock Anterior Cervical Plate System • K030866 – Synthes Anterior CSLP System Reference Predicate • K1…
Ebi, L.P.2002—
*K030866Synthes Anterior CSLP System
Summary page 4
…Cervical Plate System Additional Predicates • K073275 – NuVasive Helix Mini ACP System • K023133 – EBI VueLock Anterior Cervical Plate System • K030866 – Synthes Anterior CSLP System Reference Predicate • K180198 – NuVasive VuePoint II OCT System D. Device Descript…
Synthes (Usa)2003—
†K180198NuVasive® VuePoint® II OCT SystemNu Vasive, Incorporated2018—

Also cleared against K122910: 2 other devices →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K201078NuVasive® ACP SystemNu Vasive, Incorporated20203
K203253NuVasive ACP SystemNu Vasive, Incorporated20202

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 27 years and passes through 4 companies; a new generation was cleared every 6.9 years on median.
  • 1 of the 17 ancestors has a recall of any class.
  • Of its descendants, K201078 (Nu Vasive, Incorporated, 2020) has gone furthest, with 3 descendants of its own.
  • 2 other devices also cite its predicate K122910.

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 NuVasive® ACP System is intended for anterior screw fixation of the cervical spine C2-C7 for the following indications: degenerative disc disease (as defined by neck pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies), trauma (including fractures), tumors, deformity (defined as kyphosis, lordosis, or scoliosis), pseudarthrosis, failed previous fusion, spondylolisthesis, and spinal stenosis.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K191500: NuVasive® ACP System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K191500

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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