510(k) Report

510(k) · Cleared

Cleared

CarboClear VBR System

K192214510(k) TraditionalCleared Oct 11, 201957-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

CarboFix Orthopedics, Ltd. · MQP Spinal Vertebral Body Replacement Device

Cleared on Oct 11, 2019 as substantially equivalent to K112429 (Eden Spine, LLC, 2012) and 4 other predicates after a 57-day review. Its family tree reaches back 20 generations to 1984. 1 later device descends from it.

Decided
Oct 11, 2019
Review
57 days
Class
Class II
Product code
MQP
Recalls
None
Predicates
5

Its longest line of descent runs back 20 generations to K841189 (1984). 207 ancestors in all. 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2014: 7 other ancestors2012: 10 other ancestors2008: 30 other ancestors2007: 12 other ancestors2015: 3 other ancestors2011: 13 other ancestors2010: 13 other ancestors2009: 18 other ancestors2006: 7 other ancestors2005: 11 other ancestors2003: 14 other ancestors2002: 8 other ancestors2001: 10 other ancestors2000: 1 other ancestor1999: 2 other ancestors1990: 1 other ancestor2013: 8 other ancestors2004: 17 other ancestors1996: 2 other ancestors2023: 1 descendant clearedReference device: K173487 · CarboClear® Pedicle Screw System · CarboFix Orthopedics, Ltd. · 2018Reference device: K182377 · CarboClear® Pedicle Screw System · CarboFix Orthopedics, Ltd. · 2018Reference device: K152475 · FORZA PTC Spacer System · Orthofix, Inc. · 2016K841189 · 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. · 2011K121683 · Acculif TL Cage · Coalign Innovations, Inc. · 2012K123752 · Acculif TL and PL Cage · Coalign Innovations, Inc. · 2013K132505 · Acculif TL and PL Cage · Coalign Innovations, Inc. · 2013 · recalledK141217 · Acculif TL and PL Cage · Stryker Corporation · 2014 · 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 · 2015K151773 · CONCORDE Bullet Lumbar Interbody System · Medos International SARL · 2015K162327 · COUGAR® LS Lateral Cage System and COUGAR® System · Medos International SARL · 2016K173787 · X-MESH® Expandable Cage System, OCELOT® Stackable Cage System, Stackable Cage System, Surgical Titanium Mesh System, BENGAL Stackable Cage System, BENGAL System, CONCORDE® System, CONCORDE® Inline Lumbar Interbody System, CONCORDE® Curve Lumbar Interbody System, CONCORDE® Bullet Lumbar Interbody System, COUGAR® System, COUGAR® LS Lateral Cage System, DEVEX® System, LEOPARD® System, DePuy PULSE Cervical Cage System, DePuy PULSE Lumbar Cage System, LUMBAR I/F CAGE® System · Medos International SARL · 201819801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 4 other ancestors2 generations back: 24 other ancestors3 generations back: 21 other ancestors4 generations back: 25 other ancestors5 generations back: 39 other ancestors6 generations back: 37 other ancestors7 generations back: 17 other ancestors8 generations back: 12 other ancestors9 generations back: 7 other ancestors10 generations back: 1 other ancestor 1 generation forward: 1 descendant K173787 · X-MESH® Expandable Cage System, OCELOT® Stackable Cage System, Stackable Cage System, Surgical Titanium Mesh System, BENGAL Stackable Cage System, BENGAL System, CONCORDE® System, CONCORDE® Inline Lumbar Interbody System, CONCORDE® Curve Lumbar Interbody System, CONCORDE® Bullet Lumbar Interbody System, COUGAR® System, COUGAR® LS Lateral Cage System, DEVEX® System, LEOPARD® System, DePuy PULSE Cervical Cage System, DePuy PULSE Lumbar Cage System, LUMBAR I/F CAGE® System · Medos International SARL · 2018K162327 · COUGAR® LS Lateral Cage System and COUGAR® System · Medos International SARL · 2016K151773 · CONCORDE Bullet Lumbar Interbody System · Medos International SARL · 2015K143163 · 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 backK151773 CONCORDE Bullet Lumbar Interbody SystemMedos International SARL · 2015
  4. 2 generations backK162327 COUGAR® LS Lateral Cage System and COUGAR® SystemMedos International SARL · 2016
  5. 1 generation backK173787 X-MESH® Expandable Cage System, OCELOT® Stackable Cage System…Medos International SARL · 2018
  6. This deviceK192214 CarboClear VBR SystemCarboFix Orthopedics, Ltd. · 2019
  7. Descendant · cites it directly · 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 backK151773 CONCORDE Bullet Lumbar Interbody SystemMedos International SARL · 2015
  19. 2 generations backK162327 COUGAR® LS Lateral Cage System and COUGAR® SystemMedos International SARL · 2016
  20. 1 generation backK173787 X-MESH® Expandable Cage System, OCELOT® Stackable Cage System…Medos International SARL · 2018
  21. This deviceK192214 CarboClear VBR SystemCarboFix Orthopedics, Ltd. · 2019

Most influential descendants

Showing 1 of 1 · See all
  • K222874CarboClear Cervical Cage System, CarboClear Cervical VBR SystemCarbofix Orthpedics, Ltd. · 2023 · cites it directly0descendants
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—
−3K151773CONCORDE Bullet Lumbar Interbody SystemMedos International SARL2015—
−2K162327COUGAR® LS Lateral Cage System and COUGAR® SystemMedos International SARL2016—
−1K173787X-MESH® Expandable Cage System, OCELOT® Stackable Cage System, Stackable Cage…Medos International SARL2018—
0 (this device)K192214CarboClear VBR SystemCarboFix Orthopedics, Ltd.2019—
+1K222874CarboClear Cervical Cage System, CarboClear Cervical VBR SystemCarbofix Orthpedics, Ltd.2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199010
199620
199920
200010
2001100
200280
2003140
2004170
2005110
200670
2007120
2008300
2009180
2010130
2011130
2012100
201380
201470
201530

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
FIG. 1 — Lineage of K192214, 1984–2023Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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 MQP? 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 MQP device

  1. #1 K261810 Vertiwedge® Intraosseous Systemscore 18.1 · 22 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? (5)

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
*K112429Giza (R) Vertebral Body Replacement
Summary page 5
…K192214 - Page 2 of 3 CarboFix Orthopedics, Ltd. CarboClear® VBR System Predicate Devices Primary  Giza® Vertebral Body Replacement (Eden Spine, LLC; K112429, and more) Additional  X-MESH™ Cage System (DePuy Spine; K173787, and more)  Ocelot Stackable Cage System (DePuy Spine;…
Eden Spine, LLC20121
*K173787X-MESH® Expandable Cage System, OCELOT® Stackable Cage System, Stackable Cage System…
Summary page 5
…ear® VBR System Predicate Devices Primary  Giza® Vertebral Body Replacement (Eden Spine, LLC; K112429, and more) Additional  X-MESH™ Cage System (DePuy Spine; K173787, and more)  Ocelot Stackable Cage System (DePuy Spine; K140759, and more)  Bengal Cage System (DePuy Synthes Spine; K07…
Medos International SARL2018—
*K140759Bengal System, Bengal Stackable System, Concorde Bullet Lumbar, Concorde Inline Lumbar…
Summary page 5
…y Replacement (Eden Spine, LLC; K112429, and more) Additional  X-MESH™ Cage System (DePuy Spine; K173787, and more)  Ocelot Stackable Cage System (DePuy Spine; K140759, and more)  Bengal Cage System (DePuy Synthes Spine; K073649, and more)  VERTE-STACK™ (Medtronic Sofamor Danek; K070173…
Medos International SARL2014—
*K073649Bengal Stackable Cage System
Summary page 5
…X-MESH™ Cage System (DePuy Spine; K173787, and more)  Ocelot Stackable Cage System (DePuy Spine; K140759, and more)  Bengal Cage System (DePuy Synthes Spine; K073649, and more)  VERTE-STACK™ (Medtronic Sofamor Danek; K070173, and more) Reference  CarboClear Pedicle Screw System (Carbo…
Depuy Spine, Inc.2008—
*K070173Verte-Stack Spinal System
Summary page 5
…lot Stackable Cage System (DePuy Spine; K140759, and more)  Bengal Cage System (DePuy Synthes Spine; K073649, and more)  VERTE-STACK™ (Medtronic Sofamor Danek; K070173, and more) Reference  CarboClear Pedicle Screw System (CarboFix Orthopedics Ltd.; K173487, K182377)  FORZA® Space…
Medtronic Sofamor Danek, Inc.2007—
†K173487CarboClear® Pedicle Screw SystemCarboFix Orthopedics, Ltd.2018—
†K182377CarboClear® Pedicle Screw SystemCarboFix Orthopedics, Ltd.2018—
†K152475FORZA PTC Spacer SystemOrthofix, Inc.2016—

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K222874CarboClear Cervical Cage System, CarboClear Cervical VBR SystemCarbofix Orthpedics, Ltd.20230

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 35 years and passes through 13 companies; a new generation was cleared every 1.0 years on median.
  • 24 of the 207 ancestors have a recall of any class.
  • Of its descendants, K222874 (Carbofix Orthpedics, Ltd., 2023) has gone furthest, with 0 descendants of its own.

How does its category compare?

All MQP devices

MQP Spinal Vertebral Body Replacement Device: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · MQP

4in 2024

2007: 302008: 172009: 112010: 62011: 82012: 72013: 32014: 52015: 82017: 92018: 62019: 82020: 32022: 12023: 12024: 42026 (partial year): 3
2007high 30 (2007) · low 0 (2016)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MQP

187in 2024

2007: 107 days median2008: 47 days median2009: 115 days median2010: 174 days median2011: 237 days median2012: 82 days median2013: 90 days median2014: 125 days median2015: 126 days median2017: 97 days median2018: 152 days median2019: 93 days median2020: 103 days median2024: 187 days median2026 (partial year): 102 days median
2007high 237 (2011) · low 47 (2008)2026

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

Recalls per year · MQP

1in 2022

2007: 22009: 142010: 22011: 12012: 22020: 152022: 1
2007high 15 (2020) · low 0 (2008)2026

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

Adverse event reports per year · MQP

168in 2025

2007: 612008: 762009: 1112010: 1662011: 1212012: 1412013: 2072014: 2162015: 2582016: 1292017: 1412018: 1302019: 1172020: 1572021: 2082022: 1372023: 712024: 982025: 168
2007high 258 (2015) · low 61 (2007)2025

MAUDE reports naming product code MQP, 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
200730107261
20081747076
20091111514111
201061742166
201182371121
20127822141
20133900207
201451250216
201581260258
20160—0129
20179970141
201861520130
20198930117
2020310315157
20210—0208
20221—1137
20231—071
20244187098
20250—0168
202631020—

What is it indicated for?

The CarboClear Vertebral Body Replacement (VBR) System is intended for use during open surgical procedures in the thoracolumbar spine (T1-L5) to replace a collapsed, damaged, or unstable vertebral body due to tumor or trauma (e.g., fracture).

The CarboClear Vertebral Body Replacement device is intended to be used with supplemental internal spinal fixation systems that have been labeled for use in the thoracic and lumbar spine (i.e., posterior pedicle screw and rod systems, anterior plate systems, and anterior screw and rod systems).

The use of allograft or autograft with the CarboClear Vertebral Body Replacement device is optional.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K192214: CarboClear VBR System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K192214

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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