510(k) Report

510(k) · Cleared

Cleared

eCarbon IBDs

K191537510(k) TraditionalCleared Sep 26, 2019108-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

Back 2 Basics Direct, LLC · ODP Intervertebral Fusion Device With Bone Graft, Cervical

Cleared on Sep 26, 2019 as substantially equivalent to K160125 (K2m, 2016) and 3 other predicates after a 108-day review. Its family tree reaches back 20 generations to 1984. 1 of the 206 devices in its family, counting itself, has a Class I recall. 3 later devices descend from it.

Decided
Sep 26, 2019
Review
108 days
Class
Class II
Product code
ODP
Recalls
None
Predicates
4

Its longest line of descent runs back 20 generations to K841189 (1984). 202 ancestors in all, the oldest K792352 (1979). 3 later devices descend from it, 2 citing it directly. 1 of the 206 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2012: 8 other ancestors2009: 18 other ancestors2005: 9 other ancestors2015: 2 other ancestors2014: 8 other ancestors2011: 15 other ancestors2008: 33 other ancestors, 1 with a Class I recall12004: 20 other ancestors2002: 8 other ancestors2001: 10 other ancestors1999: 2 other ancestors1996: 2 other ancestors2013: 5 other ancestors2010: 9 other ancestors2007: 11 other ancestors2006: 5 other ancestors2003: 13 other ancestors2000: 1 other ancestor1998: 1 other ancestor1980: 1 other ancestor1979: 1 other ancestor2023: 2 descendants cleared2021: 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. · 2011×2: 2 generations cleared close together, K121683 (2012), K123752 (2013) K132505 · Acculif TL and PL Cage · Coalign Innovations, Inc. · 2013 · recalled×3: 3 generations cleared close together, K141217 (2014), K143163 (2015), K143616 (2015) ×2: 2 generations cleared close together, K152304 (2015), K160125 (2016) 19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors2 generations back: 21 other ancestors3 generations back: 31 other ancestors4 generations back: 51 other ancestors, 1 with a Class I recall15 generations back: 36 other ancestors6 generations back: 18 other ancestors7 generations back: 18 other ancestors8 generations back: 4 other ancestors 1 generation forward: 2 descendants2 generations forward: 1 descendant K160125 · Cascadia Interbody System · K2m · 2016K152304 · Tritanium PL Cage · Stryker · 2015 · recalledK143616 · AccuLIF TL and PL Cage · Stryker Corporation · 2015 · 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 · 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. · 1984−20−15−10−50
  1. Root · 20 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 16 generations between
  3. 3 generations backK143616 AccuLIF TL and PL CageStryker Corporation · 2015 · Recalled
  4. 2 generations backK152304 Tritanium PL CageStryker · 2015 · Recalled
  5. 1 generation backK160125 Cascadia Interbody SystemK2m · 2016
  6. This deviceK191537 eCarbon IBDsBack 2 Basics Direct, LLC · 2019
  7. Descendant · cites it directly · 1 of its ownK203683 CarboClear Lumbar Cage SystemCarbofix Orthpedics, Ltd. · 2021
  8. Descendant · cites it directly · 0 of its ownK230478 Acro Composites Interbody SystemAcro Composites, LLC · 2023
  9. Descendant · 2 generations on · 0 of its ownK222874 CarboClear Cervical Cage System, CarboClear Cervical VBR SystemCarbofix Orthpedics, Ltd. · 2023
Show all 20 generations
  1. Root · 20 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 19 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 18 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 17 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 16 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 15 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 14 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 13 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 12 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 11 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 10 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 9 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 8 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 7 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 6 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 5 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 4 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 3 generations backK143616 AccuLIF TL and PL CageStryker Corporation · 2015 · Recalled
  19. 2 generations backK152304 Tritanium PL CageStryker · 2015 · Recalled
  20. 1 generation backK160125 Cascadia Interbody SystemK2m · 2016
  21. This deviceK191537 eCarbon IBDsBack 2 Basics Direct, LLC · 2019

Class I recalls in this family

Most influential descendants

Showing 3 of 3 · See all
  • K203683CarboClear Lumbar Cage SystemCarbofix Orthpedics, Ltd. · 2021 · cites it directly1descendant
  • K230478Acro Composites Interbody SystemAcro Composites, LLC · 2023 · cites it directly0descendants
  • K222874CarboClear Cervical Cage System, CarboClear Cervical VBR SystemCarbofix Orthpedics, Ltd. · 2023 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−20K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−19K990148Stackable Cage SystemDepuy Motech Acromed1999—
−18K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−17K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−16K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−15K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−14K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−13K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−12K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−11K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−10K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−9K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−8K121683Acculif TL CageCoalign Innovations, Inc.2012—
−7K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−6K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−5K141217Acculif TL and PL CageStryker Corporation20143
−4K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−3K143616AccuLIF TL and PL CageStryker Corporation20154
−2K152304Tritanium PL CageStryker20151
−1K160125Cascadia Interbody SystemK2m2016—
0 (this device)K191537eCarbon IBDsBack 2 Basics Direct, LLC2019—
+1K203683CarboClear Lumbar Cage SystemCarbofix Orthpedics, Ltd.2021—
+1K230478Acro Composites Interbody SystemAcro Composites, LLC2023—
+2K222874CarboClear Cervical Cage System, CarboClear Cervical VBR SystemCarbofix Orthpedics, Ltd.2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
199620
199810
199920
200010
2001100
200280
2003130
2004200
200590
200650
2007110
2008331
2009180
201090
2011150
201280
201350
201480
201520

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202110
202320
FIG. 1 — Lineage of K191537, 1984–2023Source: 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.

1 device in this family has a Class I recall. 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 ODP device

  1. #1 K222276 CONDUIT Cages; FIBERGRAFT BG Puttyscore 53.4 · 25 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
*K160125Cascadia Interbody System
Summary page 4
…carbon fibers). Integral markers are manufactured from gold wire (per ASTM B562). Primary Predicate: Cascadia Interbody System (K2M Inc. – K160125) K191537 - Page 2 of 2 Addi…
K2m2016—
*K111792Mobis, Moval, Semial, Tetrismodel Peek and Titanium, Kimba Model Standard and Mini
Summary page 5
…K191537 - Page 2 of 2 Additional Predicates: KIMBA® and KIMBA® Mini (SIGNUS Medizintechnik GmbH – K111792), MC+ (LDR Holding – K043479/K091088) Performance Data: Mechanical testing of the worst case eCar…
Signus Medizintechnik GmbH2012—
*K043479MC+ Partial VBR
Summary page 5
…K191537 - Page 2 of 2 Additional Predicates: KIMBA® and KIMBA® Mini (SIGNUS Medizintechnik GmbH – K111792), MC+ (LDR Holding – K043479/K091088) Performance Data: Mechanical testing of the worst case eCarbon cervical implant included…
Ldr Spine USA2005—
*K091088LDR Spine Cervical Interbody Fusion System
Summary page 5
…K191537 - Page 2 of 2 Additional Predicates: KIMBA® and KIMBA® Mini (SIGNUS Medizintechnik GmbH – K111792), MC+ (LDR Holding – K043479/K091088) Performance Data: Mechanical testing of the worst case eCarbon cervical implant included static…
Ldr Spine USA2009—

Also cleared against K160125: 20 other devices →

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K203683CarboClear Lumbar Cage SystemCarbofix Orthpedics, Ltd.20211
K230478Acro Composites Interbody SystemAcro Composites, LLC20230

Has anything in its family been recalled? (1 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K073202Ardis SpacerAbbott Spine, Inc. · 2008 · 4 generations back · ◆ in the 2008 ancestors bar of FIG. 11 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 10 months on median.
  • 26 of the 202 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K203683 (Carbofix Orthpedics, Ltd., 2021) has gone furthest, with 1 descendant of its own.
  • 20 other devices also cite its predicate K160125.

How does its category compare?

All ODP devices

ODP Intervertebral Fusion Device With Bone Graft, Cervical: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · ODP

11in 2025

2008: 82009: 122010: 92011: 252012: 172013: 182014: 262015: 242016: 172017: 332018: 252019: 222020: 142021: 182022: 122023: 342024: 102025: 112026 (partial year): 19
2007high 34 (2023) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · ODP

87in 2025

2008: 89 days median2009: 127 days median2010: 151 days median2011: 113 days median2012: 93 days median2013: 187 days median2014: 118 days median2015: 180 days median2016: 112 days median2017: 104 days median2018: 133 days median2019: 92 days median2020: 89 days median2021: 121 days median2022: 92 days median2023: 165 days median2024: 76 days median2025: 87 days median2026 (partial year): 117 days median
2007high 187 (2013) · low 76 (2024)2026

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

Recalls per year · ODP

2in 2025

2009: 12011: 12013: 12020: 12025: 2
2007high 2 (2025) · low 0 (2007)2026

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

Adverse event reports per year · ODP

57in 2025

2008: 22009: 212010: 542011: 382012: 922013: 782014: 432015: 512016: 372017: 392018: 512019: 1412020: 862021: 1612022: 502023: 362024: 552025: 57
2007high 161 (2021) · low 0 (2007)2025

MAUDE reports naming product code ODP, 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
20070—00
200888902
200912127121
20109151054
201125113138
20121793092
201318187178
201426118043
201524180051
201617112037
201733104039
201825133051
201922920141
20201489186
2021181210161
20221292050
202334165036
20241076055
20251187257
2026191170—

What is it indicated for?

The eCarbon-C is intended for anterior intervertebral body fusion in skeletally mature patients who have had at least six weeks of non-operative treatment. The eCarbon-C is indicated to treat cervical disc degeneration and/or cervical spinal instability, as confirmed by imaging studies (radiographs, CT, MRI), that results in radiculopathy, myelopathy, and/or pain at one level or two contiguous levels from C2 - T1. The eCarbon-C is to be used with…

Read the full statement (212 words)

The eCarbon-C is intended for anterior intervertebral body fusion in skeletally mature patients who have had at least six weeks of non-operative treatment. The eCarbon-C is indicated to treat cervical disc degeneration and/or cervical spinal instability, as confirmed by imaging studies (radiographs, CT, MRI), that results in radiculopathy, myelopathy, and/or pain at one level or two contiguous levels from C2 - T1. The eCarbon-C is to be used with supplemental fixation. The implants are designed for use with autogenous and/or allogeneic bone graft comprised of cancellous and/or corticocancellous bone to facilitate fusion.

The eCarbon-P is intended for spinal fusion procedures in skeletally mature patients with degenerative disc disease (defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies) at one or two contiguous spinal levels from L2-S1. These patients should have had six months of nonoperative treatment. These patients may have had a previous non-fusion spinal surgery and/or may have up to Grade 1 spondylolisthesis or retrolisthesis at the involved spinal level(s). Additionally, the eCarbon-P can be used as an adjunct to fusion in patients diagnosed with degenerative scoliosis. The eCarbon-P is to be used with autograft and/or allograft comprised of cancellous and/or corticocancellous bone graft and with supplemental fixation indicated for lumbar spinal fusion procedures.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K191537: eCarbon IBDs.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K191537

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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