510(k) Report

510(k) · Cleared

Cleared

4CIS Marlin PEEK ACIF Cage

K192044510(k) TraditionalCleared Dec 19, 2019141-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

Solco Biomedical Co., Ltd. · ODP Intervertebral Fusion Device With Bone Graft, Cervical

Cleared on Dec 19, 2019 as substantially equivalent to K162402 (Solco Biomedical Co., Ltd., 2017) and 3 other predicates after a 141-day review. Its family tree reaches back 15 generations to 2001.

Decided
Dec 19, 2019
Review
141 days
Class
Class II
Product code
ODP
Recalls
None
Predicates
4

Its longest line of descent runs back 15 generations to K003155 (2001). 102 ancestors in all, the oldest K792352 (1979). No later device cites it as a predicate yet.

Other ancestors, by generation 1 generation back: 3 other ancestors2 generations back: 5 other ancestors3 generations back: 7 other ancestors4 generations back: 10 other ancestors5 generations back: 21 other ancestors6 generations back: 21 other ancestors7 generations back: 15 other ancestors8 generations back: 5 other ancestors K162402 · 4CIS® Marlin ACIF Cage System · Solco Biomedical Co., Ltd. · 2017K120275 · Synthes Acis/Vertebral Spacer CR · Synthes (Usa), LLC · 2012K100214 · Cornerstone PSR Cervical Interbody Fusion Device · Medtronic Sofamor Danek · 2010K073285 · Peek Prevail Cervical Interbody Device · Medtronic Sofamor Danek USA, Inc. · 2008K070173 · Verte-Stack Spinal System · Medtronic Sofamor Danek, Inc. · 2007K062133 · Modification to Verte-Stack Spinal System · Medtronic Spinal and Biologics Div · 2006K060719 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2006K043561 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2004K041556 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2004K040536 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2004K030601 · Verte-Stack Spinal System · Medtronic Sofamor Danek · 2003K023570 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2002K021791 · Verte-Stack Spinal System · Medtronic Sofamor Danek · 2002K012254 · VBR · Osteotech, Inc. · 2001K003155 · Vertebral Body Replacement · Osteotech, Inc. · 2001−15−10−50
  1. Root · 15 generations backK003155 Vertebral Body ReplacementOsteotech, Inc. · 2001
  2. 11 generations between
  3. 3 generations backK100214 Cornerstone PSR Cervical Interbody Fusion DeviceMedtronic Sofamor Danek · 2010
  4. 2 generations backK120275 Synthes Acis/Vertebral Spacer CRSynthes (Usa), LLC · 2012
  5. 1 generation backK162402 4CIS® Marlin ACIF Cage SystemSolco Biomedical Co., Ltd. · 2017
  6. This deviceK192044 4CIS Marlin PEEK ACIF CageSolco Biomedical Co., Ltd. · 2019
Show all 15 generations
  1. Root · 15 generations backK003155 Vertebral Body ReplacementOsteotech, Inc. · 2001
  2. 14 generations backK012254 VBROsteotech, Inc. · 2001
  3. 13 generations backK021791 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2002
  4. 12 generations backK023570 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2002
  5. 11 generations backK030601 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2003
  6. 10 generations backK040536 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
  7. 9 generations backK041556 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
  8. 8 generations backK043561 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
  9. 7 generations backK060719 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2006
  10. 6 generations backK062133 Modification to Verte-Stack Spinal SystemMedtronic Spinal and Biologics Div · 2006
  11. 5 generations backK070173 Verte-Stack Spinal SystemMedtronic Sofamor Danek, Inc. · 2007
  12. 4 generations backK073285 Peek Prevail Cervical Interbody DeviceMedtronic Sofamor Danek USA, Inc. · 2008
  13. 3 generations backK100214 Cornerstone PSR Cervical Interbody Fusion DeviceMedtronic Sofamor Danek · 2010
  14. 2 generations backK120275 Synthes Acis/Vertebral Spacer CRSynthes (Usa), LLC · 2012
  15. 1 generation backK162402 4CIS® Marlin ACIF Cage SystemSolco Biomedical Co., Ltd. · 2017
  16. This deviceK192044 4CIS Marlin PEEK ACIF CageSolco Biomedical Co., Ltd. · 2019
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−15K003155Vertebral Body ReplacementOsteotech, Inc.2001—
−14K012254VBROsteotech, Inc.2001—
−13K021791Verte-Stack Spinal SystemMedtronic Sofamor Danek2002—
−12K023570Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2002—
−11K030601Verte-Stack Spinal SystemMedtronic Sofamor Danek2003—
−10K040536Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2004—
−9K041556Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2004—
−8K043561Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2004—
−7K060719Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2006—
−6K062133Modification to Verte-Stack Spinal SystemMedtronic Spinal and Biologics Div2006—
−5K070173Verte-Stack Spinal SystemMedtronic Sofamor Danek, Inc.2007—
−4K073285Peek Prevail Cervical Interbody DeviceMedtronic Sofamor Danek USA, Inc.2008—
−3K100214Cornerstone PSR Cervical Interbody Fusion DeviceMedtronic Sofamor Danek2010—
−2K120275Synthes Acis/Vertebral Spacer CRSynthes (Usa), LLC2012—
−1K1624024CIS® Marlin ACIF Cage SystemSolco Biomedical Co., Ltd.2017—
0 (this device)K1920444CIS Marlin PEEK ACIF CageSolco Biomedical Co., Ltd.2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
198410
199620
199810
199920
200010
200180
200250
200370
2004170
200590
200640
200770
2008130
200960
201010
201710
FIG. 1 — Lineage of K192044, 2001–2019Source: 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 ODP? 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
*K1624024CIS® Marlin ACIF Cage System
Summary page 5
…K192044 Page 2 of 3 G 4CIS® Marlin ACIF Cage System (K162402) [Solco Biomedical Co., Ltd.] – Primary Predicate PATRIOT SPACERS: COLONI…
Solco Biomedical Co., Ltd.2017—
*K072991Patriot Spacers: Colonial Acdf
Summary page 5
…arlin ACIF Cage System (K162402) [Solco Biomedical Co., Ltd.] – Primary Predicate PATRIOT SPACERS: COLONIAL ACDF (K072991, Predicate Device Additional) TRYPTIK Ca (K091873, Additional)…
Globus Medical, Inc.2008—
*K091873Tryptik CA Anterior Intersomatic Cervical Cage, Models Mos-CA 12 05-S, Mos-CA 12 O6-S
Summary page 5
…– Primary Predicate PATRIOT SPACERS: COLONIAL ACDF (K072991, Predicate Device Additional) TRYPTIK Ca (K091873, Additional) MATISSE Anterior Cervical Interbody Fusion Cage System (K162…
Spineart2009—
*K162682MATISSE Anterior Cervical Interbody Fusion Cage System
Summary page 5
…TRYPTIK Ca (K091873, Additional) MATISSE Anterior Cervical Interbody Fusion Cage System (K162682, Additional) 4CIS® Marlin PEEK ACIF Cage is single component devices used…
Ctl Medical Corporation2017—

What descends from it?

No later submission names this one as a predicate yet.

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 18 years and passes through 7 companies; a new generation was cleared every 10 months on median.
  • 8 of the 102 ancestors have a recall of any class.

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?

4CIS® Marlin PEEK ACIF Cage is indicated for use in cervical intervertebral body fusion procedures in skeletally mature patients with degenerative disc disease (DDD) at the levels from the C2-C3 disc to the C7-T1 disc. DDD is defined as neck pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies. These patients should have six weeks of non-operative therapy in advance. The 4CIS® Marlin PEEK ACIF Cage…

Read the full statement (129 words)

4CIS® Marlin PEEK ACIF Cage is indicated for use in cervical intervertebral body fusion procedures in skeletally mature patients with degenerative disc disease (DDD) at the levels from the C2-C3 disc to the C7-T1 disc. DDD is defined as neck pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies. These patients should have six weeks of non-operative therapy in advance. The 4CIS® Marlin PEEK ACIF Cage is to be used with autogenous bone graft and/or allogenic bone graft comprised of cancellous and/or corticocancellous bone graft, and is to be implanted via an open, anterior approach. It is intended to be used with supplemental spinal fixation systems that have been cleared for use in the cervical spine, such as Anterior Cervical Plate system.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K192044: 4CIS Marlin PEEK ACIF Cage.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K192044

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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