510(k) Report

510(k) · Cleared

Cleared

NEXXT MATRIXX System

K193412510(k) TraditionalCleared Feb 24, 202077-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

Nexxt Spine, LLC · PLR Spinal Vertebral Body Replacement Device - Cervical

Cleared on Feb 24, 2020 as substantially equivalent to K171140 (Nexxt Spine, LLC, 2017) and 2 other predicates after a 77-day review. Its family tree reaches back 23 generations to 1984. 1 of the 258 devices in its family, counting itself, has a Class I recall. 1 later device descends from it.

Decided
Feb 24, 2020
Review
77 days
Class
Class II
Product code
PLR
Recalls
None
Predicates
3

Its longest line of descent runs back 23 generations to K841189 (1984). 256 ancestors in all, the oldest K792352 (1979). 1 later device descends from it, 1 citing it directly. 1 of the 258 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2017: 3 other ancestors2012: 11 other ancestors2015: 5 other ancestors2009: 21 other ancestors2008: 37 other ancestors, 1 with a Class I recall12006: 13 other ancestors2005: 18 other ancestors1999: 2 other ancestors2016: 1 other ancestor2014: 11 other ancestors2011: 17 other ancestors2007: 12 other ancestors2004: 27 other ancestors2003: 16 other ancestors2001: 10 other ancestors1996: 2 other ancestors2013: 6 other ancestors2010: 9 other ancestors2002: 8 other ancestors2000: 1 other ancestor1998: 1 other ancestor1980: 1 other ancestor1979: 1 other ancestor2023: 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) ×2: 2 generations cleared close together, K170055 (2017), K171704 (2017) K180665 · SANTORINI Corpectomy Cage System, CAPRI Corpectomy Cage System · K2m, LLC · 201819801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 15 other ancestors3 generations back: 29 other ancestors4 generations back: 51 other ancestors5 generations back: 58 other ancestors, 1 with a Class I recall16 generations back: 41 other ancestors7 generations back: 19 other ancestors8 generations back: 14 other ancestors9 generations back: 4 other ancestors 1 generation forward: 1 descendant K180665 · SANTORINI Corpectomy Cage System, CAPRI Corpectomy Cage System · K2m, LLC · 2018K171704 · CAPRI Corpectomy Cage System · K2m · 2017K170055 · CAPRI Corpectomy Cage System · K2m · 2017K160125 · 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 · 23 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 19 generations between
  3. 3 generations backK170055 CAPRI Corpectomy Cage SystemK2m · 2017
  4. 2 generations backK171704 CAPRI Corpectomy Cage SystemK2m · 2017
  5. 1 generation backK180665 SANTORINI Corpectomy Cage System, CAPRI Corpectomy Cage SystemK2m, LLC · 2018
  6. This deviceK193412 NEXXT MATRIXX SystemNexxt Spine, LLC · 2020
  7. Descendant · cites it directly · 0 of its ownK232481 RIGEL™ 3DR Anterior Cervical Corpectomy SystemMiRus, LLC · 2023
Show all 23 generations
  1. Root · 23 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 22 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 21 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 20 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 19 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 18 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 17 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 16 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 15 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 14 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 13 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 12 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 11 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 10 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 9 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 8 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 7 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 6 generations backK143616 AccuLIF TL and PL CageStryker Corporation · 2015 · Recalled
  19. 5 generations backK152304 Tritanium PL CageStryker · 2015 · Recalled
  20. 4 generations backK160125 Cascadia Interbody SystemK2m · 2016
  21. 3 generations backK170055 CAPRI Corpectomy Cage SystemK2m · 2017
  22. 2 generations backK171704 CAPRI Corpectomy Cage SystemK2m · 2017
  23. 1 generation backK180665 SANTORINI Corpectomy Cage System, CAPRI Corpectomy Cage SystemK2m, LLC · 2018
  24. This deviceK193412 NEXXT MATRIXX SystemNexxt Spine, LLC · 2020

Class I recalls in this family

Most influential descendants

Showing 1 of 1 · See all
  • K232481RIGEL™ 3DR Anterior Cervical Corpectomy SystemMiRus, LLC · 2023 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−23K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−22K990148Stackable Cage SystemDepuy Motech Acromed1999—
−21K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−20K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−19K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−18K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−17K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−16K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−15K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−14K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−13K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−12K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−11K121683Acculif TL CageCoalign Innovations, Inc.2012—
−10K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−9K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−8K141217Acculif TL and PL CageStryker Corporation20143
−7K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−6K143616AccuLIF TL and PL CageStryker Corporation20154
−5K152304Tritanium PL CageStryker20151
−4K160125Cascadia Interbody SystemK2m2016—
−3K170055CAPRI Corpectomy Cage SystemK2m2017—
−2K171704CAPRI Corpectomy Cage SystemK2m2017—
−1K180665SANTORINI Corpectomy Cage System, CAPRI Corpectomy Cage SystemK2m, LLC2018—
0 (this device)K193412NEXXT MATRIXX SystemNexxt Spine, LLC2020—
+1K232481RIGEL™ 3DR Anterior Cervical Corpectomy SystemMiRus, LLC2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
199620
199810
199920
200010
2001100
200280
2003160
2004270
2005180
2006130
2007120
2008371
2009210
201090
2011170
2012110
201360
2014110
201550
201610
201730

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
FIG. 1 — Lineage of K193412, 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 PLR device

  1. #1 K232481 RIGEL™ 3DR Anterior Cervical Corpectomy Systemscore 13.1 · 24 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? (3)

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
*K171140Matrixx System
Summary page 5
…RIXX® implants are manufactured from Ti-6Al-4V ELI titanium alloy (ASTM F3001). Primary Predicate: NEXXT MATRIXX® System (Nexxt Spine, LLC – K171140) Additional Predicate: Honour System (Nexxt Spine, LLC – K120345), Capri® Corpectomy Cage System (K2M I…
Nexxt Spine, LLC2017—
*K120345Honour Spacer System
Summary page 5
…alloy (ASTM F3001). Primary Predicate: NEXXT MATRIXX® System (Nexxt Spine, LLC – K171140) Additional Predicate: Honour System (Nexxt Spine, LLC – K120345), Capri® Corpectomy Cage System (K2M Inc. – K180665) Performance Data: The modified corpectomy devi…
Nexxt Spine, LLC2012—
*K180665SANTORINI Corpectomy Cage System, CAPRI Corpectomy Cage System
Summary page 5
…System (Nexxt Spine, LLC – K171140) Additional Predicate: Honour System (Nexxt Spine, LLC – K120345), Capri® Corpectomy Cage System (K2M Inc. – K180665) Performance Data: The modified corpectomy device was evaluated via mechanical testing including in…
K2m, LLC2018—

Also cleared against K171140: 13 other devices →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K232481RIGEL™ 3DR Anterior Cervical Corpectomy SystemMiRus, 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 · 5 generations back · ◆ in the 2008 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 36 years and passes through 15 companies; a new generation was cleared every 10 months on median.
  • 29 of the 256 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K232481 (MiRus, LLC, 2023) has gone furthest, with 0 descendants of its own.
  • 13 other devices also cite its predicate K171140.

How does its category compare?

All PLR devices

PLR Spinal Vertebral Body Replacement Device - Cervical: FDA decisions, review times, recalls and adverse event reports over 20 years. 2020, this device’s year, is highlighted.

FDA decisions per year · PLR

1in 2025

2015: 12016: 12017: 12018: 32019: 52020: 22022: 22023: 22025: 12026 (partial year): 1
2007high 5 (2019) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PLR

69in 2019

2018: 259 days median2019: 69 days median
2007high 259 (2018) · low 69 (2019)2026

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

Recalls per year · PLR

No recall names PLR since 2007.

Adverse event reports per year · PLR

1in 2025

2018: 12019: 12020: 22021: 42022: 12025: 1
2007high 4 (2021) · low 0 (2007)2025

MAUDE reports naming product code PLR, 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
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20151—00
20161—00
20171—00
2018325901
201956901
20202—02
20210—04
20222—01
20232—00
20240—00
20251—01
20261—0—

What is it indicated for?

The NEXXT MATRIXX® corpectomy devices are indicated for use in the cervical spine (C2-T1) and thoracolumbar spine (T1-L5) in skeletally mature patients to replace a diseased, collapsed, damaged, or unstable vertebral body due to tumor, osteomyelitis, trauma (i.e. fracture), or for reconstruction following corpectomy performed to achieve decompression of the spinal cord and neural tissues in degenerative disorders. The NEXXT MATRIXX® corpectomy devices…

Read the full statement (152 words)

The NEXXT MATRIXX® corpectomy devices are indicated for use in the cervical spine (C2-T1) and thoracolumbar spine (T1-L5) in skeletally mature patients to replace a diseased, collapsed, damaged, or unstable vertebral body due to tumor, osteomyelitis, trauma (i.e. fracture), or for reconstruction following corpectomy performed to achieve decompression of the spinal cord and neural tissues in degenerative disorders. The NEXXT MATRIXX® corpectomy devices are also intended to restore the integrity of the spinal column even in the absence of fusion for a limited time period in patients with advanced stage tumors involving the cervical, thoracic, and lumbar spine in whom life expectancy is of insufficient duration to permit achievement of fusion, with bone graft used at the surgeon’s discretion. The NEXXT MATRIXX® corpectomy devices are intended for use with autograft or allogenic bone graft comprised of cancellous and/or corticocancellous bone graft, as an adjunct to fusion and with FDA-cleared supplemental internal fixation.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K193412: NEXXT MATRIXX System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K193412

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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