510(k) Report

510(k) · Cleared

Cleared

Pantheon IBFD

K203003510(k) SpecialCleared Jul 7, 2021279-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

Pantheon Spinal · MAX Intervertebral Fusion Device With Bone Graft, Lumbar

Cleared on Jul 7, 2021 as substantially equivalent to K181548 (Pantheon Spinal, 2019) and 2 other predicates after a 279-day review. Its family tree reaches back 26 generations to 1984. 1 of the 422 devices in its family, counting itself, has a Class I recall.

Decided
Jul 7, 2021
Review
279 days
Class
Class II
Product code
MAX
Recalls
None
Predicates
3

Its longest line of descent runs back 26 generations to K841189 (1984). 421 ancestors in all, the oldest K792352 (1979). No later device cites it as a predicate yet. 1 of the 422 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2019: 2 other ancestors2013: 22 other ancestors2017: 9 other ancestors2014: 28 other ancestors2008: 47 other ancestors, 1 with a Class I recall12018: 1 other ancestor2016: 17 other ancestors2015: 21 other ancestors2011: 38 other ancestors2010: 27 other ancestors2007: 17 other ancestors2005: 20 other ancestors2004: 27 other ancestors2003: 17 other ancestors1999: 2 other ancestors1996: 2 other ancestors2012: 26 other ancestors2009: 36 other ancestors2002: 9 other ancestors2001: 10 other ancestors2000: 2 other ancestors2006: 12 other ancestors1998: 1 other ancestor1980: 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 · recalled×2: 2 generations cleared close together, K143163 (2015), K143616 (2015) K152304 · Tritanium PL Cage · Stryker · 2015 · recalled×2: 2 generations cleared close together, K160955 (2016), K162262 (2016) K171496 · Tritanium C Anterior Cervical Cage · Stryker Spine · 2017K180364 · HD LifeSciences Cervical IBFD System · Hd Lifesciences, LLC · 2018K183557 · Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS Interbody Fusion Device, Endoskeleton® TO Interbody Fusion Device, Endoskeleton® TT Interbody Fusion Device, Endoskeleton® TC Interbody Fusion Device, Endoskeleton® TCS Interbody Fusion Device, Endoskeleton® TL Interbody Fusion Device, Endoskeleton® TA Vertebral Body Replacement (VBR) Device · Titan Spine, Inc. · 2019 · recalled×2: 2 generations cleared close together, K192018 (2019), K191581 (2020) 19801990200020102020
Other ancestors, by generation 1 generation back: 2 other ancestors2 generations back: 6 other ancestors3 generations back: 19 other ancestors4 generations back: 32 other ancestors5 generations back: 57 other ancestors, 1 with a Class I recall16 generations back: 90 other ancestors7 generations back: 80 other ancestors8 generations back: 67 other ancestors9 generations back: 30 other ancestors10 generations back: 11 other ancestors11 generations back: 1 other ancestor K191581 · Endoskeleton TL Interbody Fusion Device, Endoskeleton TL Hyperlordotic Interbody Fusion Device · Titan Spine, Inc. · 2020K192018 · Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS Hyperlordotic Interbody Fusion Device, Endoskeleton TO Interbody Fusion Device, Endoskeleton TT Interbody Fusion Device, Endoskeleton TC Interbody Fusion Device, Endoskeleton TCS Interbody Fusion Device, Endoskeleton TL Interbody Fusion Device · Titan Spine, Inc. · 2019 · recalledK183557 · Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS Interbody Fusion Device, Endoskeleton® TO Interbody Fusion Device, Endoskeleton® TT Interbody Fusion Device, Endoskeleton® TC Interbody Fusion Device, Endoskeleton® TCS Interbody Fusion Device, Endoskeleton® TL Interbody Fusion Device, Endoskeleton® TA Vertebral Body Replacement (VBR) Device · Titan Spine, Inc. · 2019 · recalledK180364 · HD LifeSciences Cervical IBFD System · Hd Lifesciences, LLC · 2018K171496 · Tritanium C Anterior Cervical Cage · Stryker Spine · 2017K162262 · Tritanium® PL Cage · Stryker · 2016K160955 · Tritanium® PL Cage · Stryker · 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. · 1984−25−20−15−10−50
  1. Root · 26 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 22 generations between
  3. 3 generations backK183557 Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS…Titan Spine, Inc. · 2019 · Recalled
  4. 2 generations backK192018 Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS…Titan Spine, Inc. · 2019 · Recalled
  5. 1 generation backK191581 Endoskeleton TL Interbody Fusion Device, Endoskeleton TL…Titan Spine, Inc. · 2020
  6. This deviceK203003 Pantheon IBFDPantheon Spinal · 2021
Show all 26 generations
  1. Root · 26 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 25 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 24 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 23 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 22 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 21 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 20 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 19 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 18 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 17 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 16 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 15 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 14 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 13 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 12 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 11 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 10 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 9 generations backK143616 AccuLIF TL and PL CageStryker Corporation · 2015 · Recalled
  19. 8 generations backK152304 Tritanium PL CageStryker · 2015 · Recalled
  20. 7 generations backK160955 Tritanium® PL CageStryker · 2016
  21. 6 generations backK162262 Tritanium® PL CageStryker · 2016
  22. 5 generations backK171496 Tritanium C Anterior Cervical CageStryker Spine · 2017
  23. 4 generations backK180364 HD LifeSciences Cervical IBFD SystemHd Lifesciences, LLC · 2018
  24. 3 generations backK183557 Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS…Titan Spine, Inc. · 2019 · Recalled
  25. 2 generations backK192018 Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS…Titan Spine, Inc. · 2019 · Recalled
  26. 1 generation backK191581 Endoskeleton TL Interbody Fusion Device, Endoskeleton TL…Titan Spine, Inc. · 2020
  27. This deviceK203003 Pantheon IBFDPantheon Spinal · 2021

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−26K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−25K990148Stackable Cage SystemDepuy Motech Acromed1999—
−24K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−23K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−22K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−21K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−20K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−19K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−18K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−17K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−16K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−15K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−14K121683Acculif TL CageCoalign Innovations, Inc.2012—
−13K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−12K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−11K141217Acculif TL and PL CageStryker Corporation20143
−10K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−9K143616AccuLIF TL and PL CageStryker Corporation20154
−8K152304Tritanium PL CageStryker20151
−7K160955Tritanium® PL CageStryker2016—
−6K162262Tritanium® PL CageStryker2016—
−5K171496Tritanium C Anterior Cervical CageStryker Spine2017—
−4K180364HD LifeSciences Cervical IBFD SystemHd Lifesciences, LLC2018—
−3K183557Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS Interbody Fusion…Titan Spine, Inc.20193
−2K192018Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS…Titan Spine, Inc.20194
−1K191581Endoskeleton TL Interbody Fusion Device, Endoskeleton TL Hyperlordotic…Titan Spine, Inc.2020—
0 (this device)K203003Pantheon IBFDPantheon Spinal2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
199620
199810
199920
200020
2001100
200290
2003170
2004270
2005200
2006120
2007170
2008471
2009360
2010270
2011380
2012260
2013220
2014280
2015210
2016170
201790
201810
201920
FIG. 1 — Lineage of K203003, 1984–2021Source: 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.

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
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
*K181548Pantheon Spinal Pontus Interbody Fusion Device
Summary page 4
…Intervertebral fusion device Product Code MAX Regulation Number 888.3080 Primary Predicate: Pantheon Spinal Interbody Fusion Device K181548, K113781 Additional Predicates Titan Spine Endoskeleton TL Hyperlordotic Interbody Fusion Device…
Pantheon Spinal2019—
*K113781Pantheon Spinal Ibfd System
Summary page 4
…rtebral fusion device Product Code MAX Regulation Number 888.3080 Primary Predicate: Pantheon Spinal Interbody Fusion Device K181548, K113781 Additional Predicates Titan Spine Endoskeleton TL Hyperlordotic Interbody Fusion Device K19158…
Pantheon Spinal2013—
*K191581Endoskeleton TL Interbody Fusion Device, Endoskeleton TL Hyperlordotic Interbody Fusion…
Summary page 4
…pinal Interbody Fusion Device K181548, K113781 Additional Predicates Titan Spine Endoskeleton TL Hyperlordotic Interbody Fusion Device K191581 Device Description: The Pantheon IBFD is oval in shape with one or more openings through the structure. Pyramidal teet…
Titan Spine, Inc.2020—

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 · 5 generations back · ◆ in the 2008 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 37 years and passes through 16 companies; a new generation was cleared every 9 months on median.
  • 50 of the 421 ancestors have a recall of any class; 1 has a Class I recall.

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. 2021, 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?

When used as an intervertebral fusion device, the Pantheon IBFD devices are intended for use as either one level or two contiguous levels in the lumbar spine from L2 to S1, for the treatment of treatment of degenerative disc disease (DDD) with up to Grade 1 spondylolisthesis. DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. The lumbar device is to be used in patients who are…

Read the full statement (125 words)

When used as an intervertebral fusion device, the Pantheon IBFD devices are intended for use as either one level or two contiguous levels in the lumbar spine from L2 to S1, for the treatment of treatment of degenerative disc disease (DDD) with up to Grade 1 spondylolisthesis. DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. The lumbar device is to be used in patients who are skeletally mature and have had six months of non-operative treatment. Patients with previous non-fusion spinal surgery at involved level may be treated with the device. The devices are intended for use with supplemental fixation cleared for use in the lumbar spine and with autograft to facilitate fusion.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K203003: Pantheon IBFD.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K203003

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