510(k) Report

510(k) · Cleared

Cleared

Australis Anterior Lumbar Cage System

K202820510(k) TraditionalCleared Dec 22, 202089-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

Prism Surgical Designs Pty, Ltd. · MAX Intervertebral Fusion Device With Bone Graft, Lumbar

Cleared on Dec 22, 2020 as substantially equivalent to K122639 (Synthes (USA) Products, LLC, 2013) and 4 other predicates after an 89-day review. Its family tree reaches back 25 generations to 1984. 1 of the 486 devices in its family, counting itself, has a Class I recall.

Decided
Dec 22, 2020
Review
89 days
Class
Class II
Product code
MAX
Recalls
None
Predicates
5

Its longest line of descent runs back 25 generations to K841189 (1984). 485 ancestors in all, the oldest K792352 (1979). No later device cites it as a predicate yet. 1 of the 486 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2020: 2 other ancestors2017: 9 other ancestors2013: 28 other ancestors2018: 6 other ancestors2015: 21 other ancestors2014: 29 other ancestors2009: 36 other ancestors2008: 52 other ancestors, 1 with a Class I recall12007: 19 other ancestors2016: 9 other ancestors2012: 22 other ancestors2011: 35 other ancestors2010: 26 other ancestors2005: 23 other ancestors2004: 30 other ancestors2003: 19 other ancestors2001: 15 other ancestors1999: 7 other ancestors1996: 3 other ancestors2006: 16 other ancestors2002: 13 other ancestors2000: 9 other ancestors1998: 6 other ancestors1997: 5 other ancestors1995: 4 other ancestors1994: 2 other ancestors1993: 4 other ancestors1992: 6 other ancestors1990: 2 other ancestors1980: 1 other ancestor1979: 1 other ancestorK841189 · 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 · 2015×2: 2 generations cleared close together, K153782 (2016), K161230 (2016) ×2: 2 generations cleared close together, K170962 (2017), K171633 (2017) ×4: 4 generations cleared close together, K180480 (2018), K181453 (2018), K182746 (2018), K183705 (2019) 19801990200020102020
Other ancestors, by generation 1 generation back: 4 other ancestors2 generations back: 16 other ancestors3 generations back: 54 other ancestors4 generations back: 92 other ancestors5 generations back: 122 other ancestors6 generations back: 99 other ancestors, 1 with a Class I recall17 generations back: 46 other ancestors8 generations back: 17 other ancestors9 generations back: 7 other ancestors10 generations back: 3 other ancestors K183705 · IdentiTi Porous Ti Interbody System · Alphatec Spine, Inc. · 2019K182746 · ATEC ALIF and LLIF Spacer System · Alphatec Spine, Inc. · 2018K181453 · ATEC ALIF Spacer System · Alphatec Spine, Inc. · 2018K180480 · ATEC Universal Spacer System · Alphatec Spine, Inc. · 2018K171633 · NuVasive TLX Interbody System · Nu Vasive, Incorporated · 2017K170962 · NuVasive® CoRoent® Thoracolumbar System · Nu Vasive, Incorporated · 2017K161230 · NuVasive Lumbar Interbody Implants · Nu Vasive, Incorporated · 2016K153782 · NuVasive® Lumbar Interbody Implants · Nu Vasive, Incorporated · 2016K143163 · 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. · 1984−25−20−15−10−50
  1. Root · 25 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 21 generations between
  3. 3 generations backK181453 ATEC ALIF Spacer SystemAlphatec Spine, Inc. · 2018
  4. 2 generations backK182746 ATEC ALIF and LLIF Spacer SystemAlphatec Spine, Inc. · 2018
  5. 1 generation backK183705 IdentiTi Porous Ti Interbody SystemAlphatec Spine, Inc. · 2019
  6. This deviceK202820 Australis Anterior Lumbar Cage SystemPrism Surgical Designs Pty, Ltd. · 2020
Show all 25 generations
  1. Root · 25 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 24 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 23 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 22 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 21 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 20 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 19 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 18 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 17 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 16 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 15 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 14 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 13 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 12 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 11 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 10 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 9 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 8 generations backK153782 NuVasive® Lumbar Interbody ImplantsNu Vasive, Incorporated · 2016
  19. 7 generations backK161230 NuVasive Lumbar Interbody ImplantsNu Vasive, Incorporated · 2016
  20. 6 generations backK170962 NuVasive® CoRoent® Thoracolumbar SystemNu Vasive, Incorporated · 2017
  21. 5 generations backK171633 NuVasive TLX Interbody SystemNu Vasive, Incorporated · 2017
  22. 4 generations backK180480 ATEC Universal Spacer SystemAlphatec Spine, Inc. · 2018
  23. 3 generations backK181453 ATEC ALIF Spacer SystemAlphatec Spine, Inc. · 2018
  24. 2 generations backK182746 ATEC ALIF and LLIF Spacer SystemAlphatec Spine, Inc. · 2018
  25. 1 generation backK183705 IdentiTi Porous Ti Interbody SystemAlphatec Spine, Inc. · 2019
  26. This deviceK202820 Australis Anterior Lumbar Cage SystemPrism Surgical Designs Pty, Ltd. · 2020

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−25K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−24K990148Stackable Cage SystemDepuy Motech Acromed1999—
−23K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−22K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−21K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−20K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−19K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−18K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−17K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−16K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−15K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−14K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−13K121683Acculif TL CageCoalign Innovations, Inc.2012—
−12K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−11K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−10K141217Acculif TL and PL CageStryker Corporation20143
−9K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−8K153782NuVasive® Lumbar Interbody ImplantsNu Vasive, Incorporated2016—
−7K161230NuVasive Lumbar Interbody ImplantsNu Vasive, Incorporated2016—
−6K170962NuVasive® CoRoent® Thoracolumbar SystemNu Vasive, Incorporated2017—
−5K171633NuVasive TLX Interbody SystemNu Vasive, Incorporated2017—
−4K180480ATEC Universal Spacer SystemAlphatec Spine, Inc.2018—
−3K181453ATEC ALIF Spacer SystemAlphatec Spine, Inc.2018—
−2K182746ATEC ALIF and LLIF Spacer SystemAlphatec Spine, Inc.2018—
−1K183705IdentiTi Porous Ti Interbody SystemAlphatec Spine, Inc.2019—
0 (this device)K202820Australis Anterior Lumbar Cage SystemPrism Surgical Designs Pty, Ltd.2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
199020
199260
199340
199420
199540
199630
199750
199860
199970
200090
2001150
2002130
2003190
2004300
2005230
2006160
2007190
2008521
2009360
2010260
2011350
2012220
2013280
2014290
2015210
201690
201790
201860
202020
FIG. 1 — Lineage of K202820, 1984–2020Source: 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 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
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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
*K122639Synthes Syncage Evolution Spacer
Summary page 5
…Trade or Proprietary or Model Manufacturer Predicate Number Name Type K122639 SynCage Evolution Spacer DePuy Synthes Spine Primary K172349 InFill® Interbody Fusion Devic…
Synthes (USA) Products, LLC2013—
*K172349InFill® Interbody Fusion Device
Summary page 5
…Name Type K122639 SynCage Evolution Spacer DePuy Synthes Spine Primary K172349 InFill® Interbody Fusion Device Pinnacle Spine Group, LLC Additional K200541 Hive™ Stand-alone Anterior…
Pinnacle Spine Group, LLC2017—
*K200541Hive™ Stand-alone Anterior Lumbar Interbody System
Summary page 5
…nCage Evolution Spacer DePuy Synthes Spine Primary K172349 InFill® Interbody Fusion Device Pinnacle Spine Group, LLC Additional K200541 Hive™ Stand-alone Anterior HD LifeSciences LLC Additional Lumbar Interbody System K1…
Hd Lifesciences, LLC2020—
*K183705IdentiTi Porous Ti Interbody System
Summary page 5
…ine Group, LLC Additional K200541 Hive™ Stand-alone Anterior HD LifeSciences LLC Additional Lumbar Interbody System K183705 IndentiTi Porous Ti Interbody Alphatec Spine, Inc. Additional System K200352 Axis…
Alphatec Spine, Inc.2019—
*K200352Axis Spine Technologies ALIF
Summary page 5
…Additional Lumbar Interbody System K183705 IndentiTi Porous Ti Interbody Alphatec Spine, Inc. Additional System K200352 Axis Spine Technologies ALIF Axis Spine Technologies Ltd Additional PERFORMANCE DATA The Australis® Anterior L…
Axis Spine Technologies, Ltd.2020—

Also cleared against K122639: 4 other devices →

What descends from it?

No later submission names this one as a predicate yet.

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 · 6 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 14 companies; a new generation was cleared every 9 months on median.
  • 55 of the 485 ancestors have a recall of any class; 1 has a Class I recall.
  • 4 other devices also cite its predicate K122639.

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 Australis Spinal System is indicated for use as lumbar intervertebral body fusion devices for spinal fusion procedures in skeletally mature patients with symptomatic 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. The Australis Spinal System is intended to be used with autograft and/or allograft bone…

Read the full statement (120 words)

The Australis Spinal System is indicated for use as lumbar intervertebral body fusion devices for spinal fusion procedures in skeletally mature patients with symptomatic 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. The Australis Spinal System is intended to be used with autograft and/or allograft bone graft material comprised of cancellous and/or corticocancellous bone graft. Patients receiving the device should have had at least six months of nonoperative treatment prior to receiving the Australis ALIF cage. The Australis Spinal System is indended for use with supplemental fixation, such as the Prism Surgical Aurora® Anterior Lumbar Plate System.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K202820: Australis Anterior Lumbar Cage System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K202820

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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