510(k) Report

510(k) · Cleared

Cleared

EVOL Spinal Interbody System

K200991510(k) SpecialCleared May 13, 202028-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

Cutting Edge Spine, LLC · MAX Intervertebral Fusion Device With Bone Graft, Lumbar

Cleared on May 13, 2020 as substantially equivalent to K102957 (Cutting Edge Spine, LLC, 2011) and 2 other predicates after a 28-day review. Its family tree reaches back 20 generations to 1984.

Decided
May 13, 2020
Review
28 days
Class
Class II
Product code
MAX
Recalls
None
Predicates
3

Its longest line of descent runs back 20 generations to K841189 (1984). 234 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 2020: 1 other ancestor2011: 15 other ancestors2018: 1 other ancestor2016: 1 other ancestor2015: 5 other ancestors2009: 23 other ancestors2007: 12 other ancestors1999: 2 other ancestors1996: 2 other ancestors2014: 12 other ancestors2013: 11 other ancestors2012: 8 other ancestors2010: 14 other ancestors2008: 35 other ancestors2004: 18 other ancestors2006: 6 other ancestors2005: 13 other ancestors2003: 14 other ancestors2002: 9 other ancestors2001: 10 other ancestors2000: 2 other ancestorsK841189 · 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 · 2015K150788 · Talos Intervertebral Body Fusion Devices, Talos -C Cervical Intervertebral Body Fusion Devices, Talos -C (HA) Cervical Intervertebral Body Fusion Devices · Meditech Spine, LLC · 2015K170395 · Talos® Lumbar (HA) PEEK IBF Devices · Meditech Spine, LLC · 2017K180891 · EVOL Spinal Interbody System, EVOS Lumbar Interbody System · Cutting Edge Spine, LLC · 201819801990200020102020
Other ancestors, by generation 1 generation back: 2 other ancestors2 generations back: 7 other ancestors3 generations back: 10 other ancestors4 generations back: 43 other ancestors5 generations back: 68 other ancestors6 generations back: 43 other ancestors7 generations back: 20 other ancestors8 generations back: 9 other ancestors9 generations back: 7 other ancestors10 generations back: 3 other ancestors11 generations back: 2 other ancestors K180891 · EVOL Spinal Interbody System, EVOS Lumbar Interbody System · Cutting Edge Spine, LLC · 2018K170395 · Talos® Lumbar (HA) PEEK IBF Devices · Meditech Spine, LLC · 2017K150788 · Talos Intervertebral Body Fusion Devices, Talos -C Cervical Intervertebral Body Fusion Devices, Talos -C (HA) Cervical Intervertebral Body Fusion Devices · Meditech Spine, LLC · 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 backK150788 Talos Intervertebral Body Fusion Devices, Talos -C Cervical…Meditech Spine, LLC · 2015
  4. 2 generations backK170395 Talos® Lumbar (HA) PEEK IBF DevicesMeditech Spine, LLC · 2017
  5. 1 generation backK180891 EVOL Spinal Interbody System, EVOS Lumbar Interbody SystemCutting Edge Spine, LLC · 2018
  6. This deviceK200991 EVOL Spinal Interbody SystemCutting Edge Spine, LLC · 2020
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 backK150788 Talos Intervertebral Body Fusion Devices, Talos -C Cervical…Meditech Spine, LLC · 2015
  19. 2 generations backK170395 Talos® Lumbar (HA) PEEK IBF DevicesMeditech Spine, LLC · 2017
  20. 1 generation backK180891 EVOL Spinal Interbody System, EVOS Lumbar Interbody SystemCutting Edge Spine, LLC · 2018
  21. This deviceK200991 EVOL Spinal Interbody SystemCutting Edge Spine, LLC · 2020
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—
−3K150788Talos Intervertebral Body Fusion Devices, Talos -C Cervical Intervertebral…Meditech Spine, LLC2015—
−2K170395Talos® Lumbar (HA) PEEK IBF DevicesMeditech Spine, LLC2017—
−1K180891EVOL Spinal Interbody System, EVOS Lumbar Interbody SystemCutting Edge Spine, LLC2018—
0 (this device)K200991EVOL Spinal Interbody SystemCutting Edge Spine, LLC2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199620
199920
200020
2001100
200290
2003140
2004180
2005130
200660
2007120
2008350
2009230
2010140
2011150
201280
2013110
2014120
201550
201610
201810
202010
FIG. 1 — Lineage of K200991, 1984–2020Source: 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 MAX? 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 MAX device

  1. #1 K203714 NuVasive Thoracolumbar Interbody Systems…score 102.5 · 24 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? (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
*K102957Cutting Edge Spine Interbody Fusion Device
Summary page 5
…510(k) Number Device Manufacturer Primary Cutting Edge Spine K102957 Cutting Edge Spine Predicate Interbody Device…
Cutting Edge Spine, LLC2011—
*K180891EVOL Spinal Interbody System, EVOS Lumbar Interbody System
Summary page 5
…Device Additional EVOL® Spinal Predicate Interbody System K180891 Cutting Edge Spine (formerly Cutting Edge…
Cutting Edge Spine, LLC2018—
*K192497EVOL ha - D Lateral Interbody Fusion System
Summary page 5
…Spine Interbody Device) Additional EVOL® ha - D Lateral Predicate K192497 Interbody Fusion Cutting Edge Spine System IV. D…
Cutting Edge Spine, LLC2020—

Also cleared against K102957: 4 other devices →

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 36 years and passes through 13 companies; a new generation was cleared every 11 months on median.
  • 25 of the 234 ancestors have a recall of any class.
  • 4 other devices also cite its predicate K102957.

How does its category compare?

All MAX devices

MAX Intervertebral Fusion Device With Bone Graft, Lumbar: FDA decisions, review times, recalls and adverse event reports over 20 years. 2020, this device’s year, is highlighted.

FDA decisions per year · MAX

29in 2025

2007: 72008: 352009: 312010: 292011: 492012: 482013: 582014: 582015: 532016: 642017: 762018: 642019: 602020: 562021: 532022: 412023: 302024: 382025: 292026 (partial year): 18
2007high 76 (2017) · low 7 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MAX

85in 2025

2007: 86 days median2008: 88 days median2009: 102 days median2010: 137 days median2011: 98 days median2012: 69 days median2013: 102 days median2014: 115 days median2015: 113 days median2016: 124 days median2017: 116 days median2018: 114 days median2019: 131 days median2020: 106 days median2021: 109 days median2022: 95 days median2023: 87 days median2024: 91 days median2025: 85 days median2026 (partial year): 95 days median
2007high 137 (2010) · low 69 (2012)2026

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

Recalls per year · MAX

5in 2025

2008: 22009: 92011: 32012: 11, 1 Class I2014: 32015: 12016: 62017: 12018: 42019: 12022: 12024: 12025: 5
2007high 11 (2012) · low 0 (2007)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · MAX

811in 2025

2007: 122008: 192009: 902010: 1542011: 2012012: 3272013: 3802014: 3662015: 5242016: 6472017: 5962018: 6162019: 6992020: 6402021: 6222022: 6182023: 5762024: 7292025: 811
2007high 811 (2025) · low 12 (2007)2025

MAUDE reports naming product code MAX, 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
2007786012
20083588219
200931102990
2010291370154
201149983201
2012486911 (1)327
2013581020380
2014581153366
2015531131524
2016641246647
2017761161596
2018641144616
2019601311699
2020561060640
2021531090622
202241951618
202330870576
202438911729
202529855811
202618950—

What is it indicated for?

The EVOL® Spinal Interbody System is an intervertebral body device intended for use in skeletally mature patients with Degenerative Disc Disease (DDD) of the lumbar spine with up to Grade 1 spondylolisthesis at one or two contiguous levels from L2-S1. Degenerative disc disease is defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies. The EVOL® Spinal Interbody System is intended to be used with…

Read the full statement (136 words)

The EVOL® Spinal Interbody System is an intervertebral body device intended for use in skeletally mature patients with

Degenerative Disc Disease (DDD) of the lumbar spine with up to Grade 1 spondylolisthesis at one or two contiguous

levels from L2-S1. Degenerative disc disease is defined as discogenic back pain with degeneration of the disc confirmed

by history and radiographic studies.

The EVOL® Spinal Interbody System is intended to be used with autograft and/or allograft comprised of cancellous and/

or corticocancellous bone graft to facilitate fusion. It is to be used in patients who have had six months of non-operative

treatment and is to be implanted via a direct posterior, transforaminal or anterior approach. The CES-LIF is implanted in

pairs in the lumbosacral spine. The EVOL® Spinal Interbody System is intended to be used with supplemental fixation.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K200991: EVOL Spinal Interbody System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K200991

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