510(k) Report

510(k) · Cleared

Recalled · Class II · 2021

Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS Hyperlordotic Interbody Fusion Device, Endoskeleton TO Interbody Fusion Device, Endoskeleton TT Interbody Fusion Device, Endoskeleton TC Interbody Fusion Device, Endoskeleton TCS Interbody Fusion Device, Endoskeleton TL Interbody Fusion Device

K192018510(k) SpecialCleared Aug 16, 201918-day reviewClass II21 CFR 888.3080Recalls 4

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Titan Spine, Inc. · ODP Intervertebral Fusion Device With Bone Graft, Cervical

Cleared on Aug 16, 2019 as substantially equivalent to K190959 (Medtronic Sofamor Danek USA, Inc., 2019) and 5 other predicates after an 18-day review. Its family tree reaches back 24 generations to 1984. 1 of the 519 devices in its family, counting itself, has a Class I recall. 102 later devices descend from it. It has been recalled 4 times.

Decided
Aug 16, 2019
Review
18 days
Class
Class II
Product code
ODP
Recalls
4
Predicates
6

Its longest line of descent runs back 24 generations to K841189 (1984). 416 ancestors in all, the oldest K792352 (1979). 102 later devices descend from it, 5 citing it directly. 1 of the 519 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2019: 1 other ancestor2018: 1 other ancestor2017: 8 other ancestors2015: 21 other ancestors2014: 28 other ancestors2016: 17 other ancestors2011: 38 other ancestors2010: 27 other ancestors2009: 36 other ancestors2008: 47 other ancestors, 1 with a Class I recall12003: 17 other ancestors1999: 2 other ancestors1996: 2 other ancestors2013: 21 other ancestors2012: 26 other ancestors2007: 17 other ancestors2002: 9 other ancestors2001: 10 other ancestors2006: 12 other ancestors2005: 20 other ancestors2004: 27 other ancestors2000: 2 other ancestors1998: 1 other ancestor1980: 1 other ancestor1979: 1 other ancestor2020: 4 descendants cleared2019: 1 descendant cleared2021: 8 descendants cleared2024: 22 descendants cleared2023: 10 descendants cleared2025: 22 descendants cleared2022: 11 descendants cleared2026: 24 descendants 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. · 2007×2: 2 generations cleared close together, K072120 (2007), K073291 (2008) K094025 · 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) K152304 · Tritanium PL Cage · Stryker · 2015 · recalled×2: 2 generations cleared close together, K160955 (2016), K162262 (2016) K171496 · Tritanium C Anterior Cervical Cage · Stryker Spine · 2017K180364 · HD LifeSciences Cervical IBFD System · Hd Lifesciences, LLC · 2018K183557 · Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS Interbody Fusion Device, Endoskeleton® TO Interbody Fusion Device, Endoskeleton® TT Interbody Fusion Device, Endoskeleton® TC Interbody Fusion Device, Endoskeleton® TCS Interbody Fusion Device, Endoskeleton® TL Interbody Fusion Device, Endoskeleton® TA Vertebral Body Replacement (VBR) Device · Titan Spine, Inc. · 2019 · recalled19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 5 other ancestors2 generations back: 19 other ancestors3 generations back: 54 other ancestors4 generations back: 90 other ancestors, 1 with a Class I recall15 generations back: 95 other ancestors6 generations back: 81 other ancestors7 generations back: 34 other ancestors8 generations back: 12 other ancestors9 generations back: 2 other ancestors 1 generation forward: 5 descendants2 generations forward: 13 descendants3 generations forward: 26 descendants4 generations forward: 31 descendants5 generations forward: 18 descendants6 generations forward: 8 descendants7 generations forward: 1 descendant K183557 · Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS Interbody Fusion Device, Endoskeleton® TO Interbody Fusion Device, Endoskeleton® TT Interbody Fusion Device, Endoskeleton® TC Interbody Fusion Device, Endoskeleton® TCS Interbody Fusion Device, Endoskeleton® TL Interbody Fusion Device, Endoskeleton® TA Vertebral Body Replacement (VBR) Device · Titan Spine, Inc. · 2019 · recalledK180364 · HD LifeSciences Cervical IBFD System · Hd Lifesciences, LLC · 2018K171496 · Tritanium C Anterior Cervical Cage · Stryker Spine · 2017K162262 · Tritanium® PL Cage · Stryker · 2016K160955 · Tritanium® PL Cage · Stryker · 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+5
  1. Root · 24 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 20 generations between
  3. 3 generations backK171496 Tritanium C Anterior Cervical CageStryker Spine · 2017
  4. 2 generations backK180364 HD LifeSciences Cervical IBFD SystemHd Lifesciences, LLC · 2018
  5. 1 generation backK183557 Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS…Titan Spine, Inc. · 2019 · Recalled
  6. This deviceK192018 Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS…Titan Spine, Inc. · 2019
  7. Descendant · cites it directly · 81 of its ownK191581 Endoskeleton TL Interbody Fusion Device, Endoskeleton TL…Titan Spine, Inc. · 2020
  8. Descendant · 2 generations on · 79 of its ownK201267 Adaptix Interbody System with Titan nanoLOCK Surface TechnologyMedtronic Sofamor Danek · 2020
  9. Descendant · cites it directly · 75 of its ownK211258 Endoskeleton TC Interbody System, Endoskeleton TCS Interbody System…Medtronic Sofamor Danek USA, Inc. · 2021
  10. Descendant · 3 generations on · 56 of its ownK210425 Catalyft PL Expandable Interbody SystemMedtronic Sofamor Danek USA, Inc. · 2021 · Recalled
  11. Descendant · 2 generations on · 55 of its ownK212524 Anteralign Spinal System with Titan nanoLOCK Surface TechnologyMedtronic Sofamor Danek USA, Inc. · 2021
Show all 24 generations
  1. Root · 24 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 23 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 22 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 21 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 20 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 19 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 18 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 17 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 16 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 15 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 14 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 13 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 12 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 11 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 10 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 9 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 8 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 7 generations backK143616 AccuLIF TL and PL CageStryker Corporation · 2015 · Recalled
  19. 6 generations backK152304 Tritanium PL CageStryker · 2015 · Recalled
  20. 5 generations backK160955 Tritanium® PL CageStryker · 2016
  21. 4 generations backK162262 Tritanium® PL CageStryker · 2016
  22. 3 generations backK171496 Tritanium C Anterior Cervical CageStryker Spine · 2017
  23. 2 generations backK180364 HD LifeSciences Cervical IBFD SystemHd Lifesciences, LLC · 2018
  24. 1 generation backK183557 Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS…Titan Spine, Inc. · 2019 · Recalled
  25. This deviceK192018 Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS…Titan Spine, Inc. · 2019

Showing 5 of 102 descendants. See all descendants

Descendants cleared per year

2019: 12020: 42021: 82022: 112023: 102024: 222025: 222026: 24
2019high 24 (2026) · low 1 (2019)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 102 · See all
  • K191581Endoskeleton TL Interbody Fusion Device, Endoskeleton TL Hyperlordotic Interbody Fusion…Titan Spine, Inc. · 2020 · cites it directly81descendants
  • K201267Adaptix Interbody System with Titan nanoLOCK Surface TechnologyMedtronic Sofamor Danek · 2020 · 2 generations on79descendants
  • K211258Endoskeleton TC Interbody System, Endoskeleton TCS Interbody System, Endoskeleton TA…Medtronic Sofamor Danek USA, Inc. · 2021 · cites it directly75descendants
  • K210425Catalyft PL Expandable Interbody SystemMedtronic Sofamor Danek USA, Inc. · 2021 · 3 generations on56descendants
  • K212524Anteralign Spinal System with Titan nanoLOCK Surface TechnologyMedtronic Sofamor Danek USA, Inc. · 2021 · 2 generations on55descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−24K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−23K990148Stackable Cage SystemDepuy Motech Acromed1999—
−22K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−21K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−20K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−19K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−18K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−17K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−16K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−15K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−14K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−13K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−12K121683Acculif TL CageCoalign Innovations, Inc.2012—
−11K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−10K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−9K141217Acculif TL and PL CageStryker Corporation20143
−8K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−7K143616AccuLIF TL and PL CageStryker Corporation20154
−6K152304Tritanium PL CageStryker20151
−5K160955Tritanium® PL CageStryker2016—
−4K162262Tritanium® PL CageStryker2016—
−3K171496Tritanium C Anterior Cervical CageStryker Spine2017—
−2K180364HD LifeSciences Cervical IBFD SystemHd Lifesciences, LLC2018—
−1K183557Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS Interbody Fusion…Titan Spine, Inc.20193
0 (this device)K192018Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS…Titan Spine, Inc.2019—
+1K191581Endoskeleton TL Interbody Fusion Device, Endoskeleton TL Hyperlordotic…Titan Spine, Inc.2020—
+2K201267Adaptix Interbody System with Titan nanoLOCK Surface TechnologyMedtronic Sofamor Danek2020—
+1K211258Endoskeleton TC Interbody System, Endoskeleton TCS Interbody System…Medtronic Sofamor Danek USA, Inc.2021—
+3K210425Catalyft PL Expandable Interbody SystemMedtronic Sofamor Danek USA, Inc.20211
+2K212524Anteralign Spinal System with Titan nanoLOCK Surface TechnologyMedtronic Sofamor Danek USA, Inc.2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
199620
199810
199920
200020
2001100
200290
2003170
2004270
2005200
2006120
2007170
2008471
2009360
2010270
2011380
2012260
2013210
2014280
2015210
2016170
201780
201810
201910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201910
202040
202180
2022110
2023100
2024220
2025220
2026240
FIG. 1 — Lineage of K192018, 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.

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? (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
*K190959ARTiC-L 3D Ti Spinal System with TiONIC Technology, ARTiC-XL 3D Ti Spinal System with…
Summary page 10
…, MAX Predicate Devices: Primary Predicate: Medtronic Sofamor Danek USA, Inc. ARTiC-L™ 3D and ARTiC-XL™ 3D Ti Spinal System – K190959 Additional Predicates: Endoskeleton System – K183557 Endoskeleton…
Medtronic Sofamor Danek USA, Inc.2019—
*K183557Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS Interbody Fusion Device…
Summary page 10
…Inc. ARTiC-L™ 3D and ARTiC-XL™ 3D Ti Spinal System – K190959 Additional Predicates: Endoskeleton System – K183557 Endoskeleton® TAS and TCS – K173535 Endoskeleton® TO – K170399…
Titan Spine, Inc.20193
*K173535Endoskeleton® TAS Interbody Fusion Device, Endoskeleton® TAS Hyperlordotic Interbody…
Summary page 10
…Spinal System – K190959 Additional Predicates: Endoskeleton System – K183557 Endoskeleton® TAS and TCS – K173535 Endoskeleton® TO – K170399…
Titan Spine, LLC20182
*K170399Endoskeleton TO Interbody Fusion Device (IBD)
Summary page 10
…dditional Predicates: Endoskeleton System – K183557 Endoskeleton® TAS and TCS – K173535 Endoskeleton® TO – K170399 K192018…
Titan Spine, LLC2017—
*K141953Endoskeleton; TA Ibd and VBR, to and TT, Tas, TC, TL
Summary page 11
…Page 2 of 5 Endoskeleton® System (TA IBD and VBR, TO, TT, TAS, TC, TL) – K141953 Endoskeleton® TAS and TCS – K173535 Endoskeleton® TO – K170399…
Titan Spine, LLC20142
*K153122Endoskeleton (r) TCS System
Summary page 11
…141953 Endoskeleton® TAS and TCS – K173535 Endoskeleton® TO – K170399 Endoskeleton TCS nanoLOCK – K153122 K141953 Device Description: The current Endoskeleton® System is an interbody and vertebral body family c…
Titan Spine, LLC20151

Also cleared against K190959: 6 other devices →

What descends from it? (102)

See all 102

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

NumberDeviceApplicantDecidedDescendants
K191581Endoskeleton TL Interbody Fusion Device, Endoskeleton TL Hyperlordotic Interbody Fusion…Titan Spine, Inc.202081
K211258Endoskeleton TC Interbody System, Endoskeleton TCS Interbody System, Endoskeleton TA…Medtronic Sofamor Danek USA, Inc.202175
K192502Anatomic PEEK™ Cervical Fusion System, Anatomic PEEK™ PTC Cervical Fusion System…Medtronic Sofamor Danek USA, Inc.20204
K210470C-CURVE Interbody Fusion DeviceMedicrea International SA20210
K192054Endoskeleton TAS PlateTitan Spine, Inc.20190

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

Recalls of this device

DateClassRecallRoot causeReason
Sep 2, 2021Class IIZ-0086-2022Packaging change controlEngraving on implants may not match what is listed on the pouch labels.
Sep 2, 2021Class IIZ-0085-2022Packaging change controlEngraving on implants may not match what is listed on the pouch labels.
Mar 17, 2021Class IIZ-1439-2021Packaging process controlThe shelf box identifies a small device actually contains a large device, and the shelf box identifying a large device actually contains a small device.
Mar 17, 2021Class IIZ-1440-2021Packaging process controlThe shelf box identifies a small device actually contains a large device, and the shelf box identifying a large device actually contains a small 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 15 companies; a new generation was cleared every 9 months on median.
  • 49 of the 416 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K191581 (Titan Spine, Inc., 2020) has gone furthest, with 81 descendants of its own.
  • 6 other devices also cite its predicate K190959.

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 ENDOSKELETON® TA Interbody Fusion Device is indicated for use in skeletally mature patients with Degenerative Disc Disease (DDD) at one or two contiguous levels from L2-S1. DDD is defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies. Patients should have received 6 months of non-operative treatment prior to treatment with the devices. The device may be used with supplemental fixation that…

Read the full statement (1,047 words)

The ENDOSKELETON® TA Interbody Fusion Device is indicated for use in skeletally mature patients with Degenerative Disc Disease (DDD) at one or two contiguous levels from L2-S1. DDD is defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies. Patients should have received 6 months of non-operative treatment prior to treatment with the devices. The device may be used with supplemental fixation that has been cleared by the FDA for use in the lumbar spine. These DDD patients may also have up to Grade I spondylolisthesis or retrolisthesis at the involved level(s). ENDOSKELETON® TA is indicated to be used with autograft bone and/or allograft bone comprised of cancellous and/or corticocancellous bone and/or demineralized allograft bone with bone marrow aspirate.

The ENDOSKELETON® TAS Interbody Fusion device is indicated for use in skeletally mature patients with Degenerative Disc Disease (DDD) at one or two contiguous levels from L2-S1. DDD is defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies. These DDD patients may also have up to Grade I spondylolisthesis or retrolisthesis at the involved level(s). Patients should have received 6 months of non-operative treatment prior to treatment with the devices. The device is a standalone system that is intended to be used with the bone screws provided and requires no additional supplementary fixation. The Device is indicated to be used with autograft bone and/or allograft bone comprised of cancellous and/or corticocancellous bone and/or demineralized allograft bone with bone marrow aspirate.

Hyperlordotic Devices ≥16°: The ENDOSKELETON® TAS Hyperlordotic Interbody Fusion Device (≥ 16°) is indicated for use in skeletally mature patients with Degenerative Disc Disease (DDD) at one or two contiguous levels from L2-S1. DDD is defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies. These DDD patients may also have up to Grade I spondylolisthesis or retrolisthesis at the involved level(s). Patients should have received 6 months of non-operative treatment prior to treatment with the devices. The device is indicated to be used with autograft bone and/or allograft bone comprised of cancellous and/or corticocancellous bone and/or demineralized allograft bone with bone marrow aspirate.The ENDOSKELETON® TAS Hyperlordotic Interbody Fusion Device must be used with a posterior supplemental internal spinal fixation that has been cleared by the FDA for use in the lumbar spine must be used with a posterior supplemental internal spinal fixation that has been cleared by the FDA for use in the lumbar spine.

The ENDOSKELETON® TC is indicated for use for anterior cervical interbody fusion in skeletally mature patients with degenerative disc disease (DDD) of the cervical spine at one disc level from C-3 to C-7. DDD is defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies. Patients should have received 6 weeks of non-operative treatment prior to treatment with the device. The ENDOSKELETON® TC is indicated to be used with supplemental fixation that has been cleared by the FDA for use in the cervical spine and be used with autograft bone and/or allograft bone comprised of cancellous and/or corticocancellous bone and/or demineralized allograft bone with bone marrow aspirate.

The ENDOSKELETON® TCS System is an anterior cervical intervertebral body fusion device indicated for use in skeletally mature patients with degenerative disc disease (DDD) (defined as pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies) at one disc level from C2 to T1. Patients should have received 6 weeks of non-operative treatment prior to treatment with the device. The device is indicated to be used with autograft bone and/or allograft bone comprised of cancellous and/or corticocancellous bone and/or demineralized allograft bone with bone marrow aspirate. The device is a stand-alone system when used with ENDOSKELETON® TCS integrated screws and when used without the integrated screws it requires additional supplemental fixation cleared for the cervical spine.

The ENDOSKELETON® TL Interbody Fusion Device is indicated for use in spinal fusion procedures in skeletally mature patients with Degenerative Disc Disease (DDD) at one or two contiguous levels from L2-S1. DDD is defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies. Patients should have received 6 months of non-operative treatment prior to treatment with the devices. The device must be used with supplemental fixation systems that has been cleared by the FDA for use in the lumbar spine. These DDD patients may also have up to Grade I spondylolisthesis or retrolisthesis at the involved level(s). Patients with previous non-fusion spinal surgery at the involved level(s) may be treated with the device. It is indicated to be used with autograft bone and/or allograft bone comprised of cancellous and/or corticocancellous bone and/or demineralized allograft bone with bone marrow aspirate.

The ENDOSKELETON® TO Interbody Fusion Device is indicated for use in skeletally mature patients with Degenerative Disc Disease (DDD) at one or two contiguous levels from L2-S1. DDD is defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies. Patients should have received 6 months of non-operative treatment prior to treatment with the devices. The device must be used with supplemental fixation that has been cleared by the FDA for use in the lumbar spine. These DDD patients may also have up to Grade I spondylolisthesis or retrolisthesis at the involved level(s). It is indicated to be used with autograft bone and/or allograft bone comprised of cancellous and/or corticocancellous bone and/or demineralized allograft bone with bone marrow aspirate.

The ENDOSKELETON® TT Interbody Fusion Device is indicated for use in skeletally mature patients with Degenerative Disc Disease (DDD) at one or two contiguous levels from L2-S1. DDD is defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies. Patients should have received 6 months of non- operative treatment prior to treatment with the devices. The device must be used with supplemental fixation that has been cleared by the FDA for use in the lumbar spine. These DDD patients may also have up to Grade I spondylolisthesis or retrolisthesis at the involved level(s). It is indicated to be used with autograft bone and/or allograft bone comprised of cancellous and/or corticocancellous bone and/or demineralized allograft bone with bone marrow aspirate.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K192018: Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS Hyperlordotic Interbody Fusion Device, Endoskeleton TO Interbody Fusion Device, Endoskeleton TT Interbody Fusion Device, Endoskeleton TC Interbody Fusion Device, Endoskeleton TCS Interbody Fusion Device, Endoskeleton TL Interbody Fusion Device.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K192018

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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