510(k) Report

510(k) · Cleared

Cleared

INDEPENDENCE Spacers, HEDRON IA, MAGNIFY-S Spacers, MONUMENT Spacers, InterContinental Plate-Spacer, ELSA Spacers

K203278510(k) TraditionalCleared Feb 2, 202188-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

Globus Medical, Inc. · MAX Intervertebral Fusion Device With Bone Graft, Lumbar

Cleared on Feb 2, 2021 as substantially equivalent to K201087 (Globus Medical, Inc., 2020) and 14 other predicates after an 88-day review. Its family tree reaches back 24 generations to 1984. 1 of the 490 devices in its family, counting itself, has a Class I recall. 35 later devices descend from it.

Decided
Feb 2, 2021
Review
88 days
Class
Class II
Product code
MAX
Recalls
None
Predicates
15

Its longest line of descent runs back 24 generations to K841189 (1984). 454 ancestors in all, the oldest K792352 (1979). 35 later devices descend from it, 8 citing it directly. 1 of the 490 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2020: 2 other ancestors2019: 2 other ancestors2018: 3 other ancestors2017: 9 other ancestors2016: 12 other ancestors2015: 20 other ancestors2013: 27 other ancestors2012: 23 other ancestors2011: 34 other ancestors2008: 50 other ancestors, 1 with a Class I recall12014: 21 other ancestors2010: 26 other ancestors2009: 35 other ancestors2007: 20 other ancestors2006: 15 other ancestors1996: 3 other ancestors2005: 27 other ancestors2004: 40 other ancestors2003: 22 other ancestors2001: 11 other ancestors1999: 4 other ancestors2002: 13 other ancestors2000: 4 other ancestors1993: 2 other ancestors1998: 2 other ancestors1997: 1 other ancestor1980: 1 other ancestor1979: 1 other ancestor2025: 8 descendants cleared2023: 5 descendants cleared2024: 10 descendants cleared2022: 2 descendants cleared2026: 10 descendants 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. · 2007×2: 2 generations cleared close together, K072120 (2007), K073291 (2008) K094025 · 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×2: 2 generations cleared close together, K141217 (2014), K143163 (2015) ×2: 2 generations cleared close together, K153782 (2016), K161230 (2016) ×3: 3 generations cleared close together, K170962 (2017), K171633 (2017), K172341 (2017) ×2: 2 generations cleared close together, K193593 (2020), K201820 (2020) 19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 14 other ancestors2 generations back: 39 other ancestors3 generations back: 60 other ancestors4 generations back: 106 other ancestors, 1 with a Class I recall15 generations back: 92 other ancestors6 generations back: 68 other ancestors7 generations back: 28 other ancestors8 generations back: 11 other ancestors9 generations back: 4 other ancestors10 generations back: 6 other ancestors11 generations back: 2 other ancestors 1 generation forward: 8 descendants2 generations forward: 9 descendants3 generations forward: 12 descendants4 generations forward: 4 descendants5 generations forward: 1 descendant6 generations forward: 1 descendant K201820 · NuVasive Thoracolumbar Interbody Systems: CoRoent Thoracolumbar System, CoRoent XL Interfixated System, Brigade Standalone System and Brigade Hyperlordotic System, Brigade Lateral System, BASE Interfixated Titanium System, Coalesce Thoracolumbar Interbody Fusion System, Cohere Thoracolumbar Interbody System, Modulus XLIF Interbody System, Modulus TLIF Interbody System, 3DP Interfixated ALIF System · Nu Vasive, Incorporated · 2020K193593 · NuVasive 3DP Interfixated ALIF System · Nu Vasive, Incorporated · 2020K172341 · NuVasive® Modulus TLIF Interbody System · Nu Vasive, Incorporated · 2017K171633 · 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. · 1984−20−15−10−50+5
  1. Root · 24 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 20 generations between
  3. 3 generations backK172341 NuVasive® Modulus TLIF Interbody SystemNu Vasive, Incorporated · 2017
  4. 2 generations backK193593 NuVasive 3DP Interfixated ALIF SystemNu Vasive, Incorporated · 2020
  5. 1 generation backK201820 NuVasive Thoracolumbar Interbody Systems: CoRoent Thoracolumbar…Nu Vasive, Incorporated · 2020
  6. This deviceK203278 INDEPENDENCE Spacers, HEDRON IA, MAGNIFY-S Spacers, MONUMENT…Globus Medical, Inc. · 2021
  7. Descendant · cites it directly · 23 of its ownK222270 HEDRON Cervical Spacers, HEDRON Lumbar Spacers, SABLE Expandable…Globus Medical, Inc. · 2022
  8. Descendant · cites it directly · 7 of its ownK212498 Stable-L Standalone Lumbar Interbody SystemNexus Spine, LLC · 2022
  9. Descendant · 2 generations on · 6 of its ownK241846 E3D™-C Interbody SystemEvolution Spine · 2024
  10. Descendant · 2 generations on · 5 of its ownK243635 aprevo® anterior lumbar interbody fusion device with interfixationCarlsmed, Inc. · 2024
  11. Descendant · 2 generations on · 5 of its ownK232530 Stable-L Standalone Lumbar Interbody System, Stable-C Interbody SystemNexus Spine, LLC · 2023
Show all 24 generations
  1. Root · 24 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 23 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 22 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 21 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 20 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 19 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 18 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 17 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 16 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 15 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 14 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 13 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 12 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 11 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 10 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 9 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 8 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 7 generations backK153782 NuVasive® Lumbar Interbody ImplantsNu Vasive, Incorporated · 2016
  19. 6 generations backK161230 NuVasive Lumbar Interbody ImplantsNu Vasive, Incorporated · 2016
  20. 5 generations backK170962 NuVasive® CoRoent® Thoracolumbar SystemNu Vasive, Incorporated · 2017
  21. 4 generations backK171633 NuVasive TLX Interbody SystemNu Vasive, Incorporated · 2017
  22. 3 generations backK172341 NuVasive® Modulus TLIF Interbody SystemNu Vasive, Incorporated · 2017
  23. 2 generations backK193593 NuVasive 3DP Interfixated ALIF SystemNu Vasive, Incorporated · 2020
  24. 1 generation backK201820 NuVasive Thoracolumbar Interbody Systems: CoRoent Thoracolumbar…Nu Vasive, Incorporated · 2020
  25. This deviceK203278 INDEPENDENCE Spacers, HEDRON IA, MAGNIFY-S Spacers, MONUMENT…Globus Medical, Inc. · 2021

Showing 5 of 35 descendants. See all descendants

Descendants cleared per year

2022: 22023: 52024: 102025: 82026: 10
2022high 10 (2024) · low 2 (2022)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 35 · See all
  • K222270HEDRON Cervical Spacers, HEDRON Lumbar Spacers, SABLE Expandable Spacer, ExcelsiusGPS…Globus Medical, Inc. · 2022 · cites it directly23descendants
  • K212498Stable-L Standalone Lumbar Interbody SystemNexus Spine, LLC · 2022 · cites it directly7descendants
  • K241846E3D™-C Interbody SystemEvolution Spine · 2024 · 2 generations on6descendants
  • K243635aprevo® anterior lumbar interbody fusion device with interfixationCarlsmed, Inc. · 2024 · 2 generations on5descendants
  • K232530Stable-L Standalone Lumbar Interbody System, Stable-C Interbody SystemNexus Spine, LLC · 2023 · 2 generations on5descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−24K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−23K990148Stackable Cage SystemDepuy Motech Acromed1999—
−22K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−21K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−20K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−19K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−18K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−17K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−16K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−15K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−14K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−13K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−12K121683Acculif TL CageCoalign Innovations, Inc.2012—
−11K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−10K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−9K141217Acculif TL and PL CageStryker Corporation20143
−8K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−7K153782NuVasive® Lumbar Interbody ImplantsNu Vasive, Incorporated2016—
−6K161230NuVasive Lumbar Interbody ImplantsNu Vasive, Incorporated2016—
−5K170962NuVasive® CoRoent® Thoracolumbar SystemNu Vasive, Incorporated2017—
−4K171633NuVasive TLX Interbody SystemNu Vasive, Incorporated2017—
−3K172341NuVasive® Modulus TLIF Interbody SystemNu Vasive, Incorporated2017—
−2K193593NuVasive 3DP Interfixated ALIF SystemNu Vasive, Incorporated2020—
−1K201820NuVasive Thoracolumbar Interbody Systems: CoRoent Thoracolumbar System…Nu Vasive, Incorporated2020—
0 (this device)K203278INDEPENDENCE Spacers, HEDRON IA, MAGNIFY-S Spacers, MONUMENT Spacers…Globus Medical, Inc.2021—
+1K222270HEDRON Cervical Spacers, HEDRON Lumbar Spacers, SABLE Expandable Spacer…Globus Medical, Inc.2022—
+1K212498Stable-L Standalone Lumbar Interbody SystemNexus Spine, LLC2022—
+2K241846E3D™-C Interbody SystemEvolution Spine2024—
+2K243635aprevo® anterior lumbar interbody fusion device with interfixationCarlsmed, Inc.2024—
+2K232530Stable-L Standalone Lumbar Interbody System, Stable-C Interbody SystemNexus Spine, LLC2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
199320
199630
199710
199820
199940
200040
2001110
2002130
2003220
2004400
2005270
2006150
2007200
2008501
2009350
2010260
2011340
2012230
2013270
2014210
2015200
2016120
201790
201830
201920
202020

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202220
202350
2024100
202580
2026100
FIG. 1 — Lineage of K203278, 1984–2026Source: 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? (15)

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
*K201087CORBEL Spacers
Summary page 9
…Intervertebral Body Fusion Device Product Code(s): MAX, OVD Regulatory Class: II, Panel Code: 87 Primary Predicate: CORBEL™ Spacers (K201087) Other Predicates: INDEPENDENCE® Spacers (K082252, K120101, K171848) INDEPENDENCE MIS® Spacers (K160597)…
Globus Medical, Inc.2020—
*K082252Independence Spacer
Summary page 9
…Product Code(s): MAX, OVD Regulatory Class: II, Panel Code: 87 Primary Predicate: CORBEL™ Spacers (K201087) Other Predicates: INDEPENDENCE® Spacers (K082252, K120101, K171848) INDEPENDENCE MIS® Spacers (K160597) INDEPENDENCE MIS AGX™ Spacers (K170157…
Globus Medical, Inc.2008—
*K120101Independence Spacer
Summary page 9
…Code(s): MAX, OVD Regulatory Class: II, Panel Code: 87 Primary Predicate: CORBEL™ Spacers (K201087) Other Predicates: INDEPENDENCE® Spacers (K082252, K120101, K171848) INDEPENDENCE MIS® Spacers (K160597) INDEPENDENCE MIS AGX™ Spacers (K170157)…
Globus Medical, Inc.2012—
*K171848FORTIFY and FORTIFY Integrated Corpectomy Spacers, XPand Corpectomy Spacers, NIKO…
Summary page 9
…MAX, OVD Regulatory Class: II, Panel Code: 87 Primary Predicate: CORBEL™ Spacers (K201087) Other Predicates: INDEPENDENCE® Spacers (K082252, K120101, K171848) INDEPENDENCE MIS® Spacers (K160597) INDEPENDENCE MIS AGX™ Spacers (K170157)…
Globus Medical, Inc.2017—
*K160597INDEPENDENCE MIS Spacers
Summary page 9
…Code: 87 Primary Predicate: CORBEL™ Spacers (K201087) Other Predicates: INDEPENDENCE® Spacers (K082252, K120101, K171848) INDEPENDENCE MIS® Spacers (K160597) INDEPENDENCE MIS AGX™ Spacers (K170157) HEDRON™ Lumbar Spacers (K191391) M…
Globus Medical, Inc.2016—
*K170157INDEPENDENCE® Spacers
Summary page 9
…ther Predicates: INDEPENDENCE® Spacers (K082252, K120101, K171848) INDEPENDENCE MIS® Spacers (K160597) INDEPENDENCE MIS AGX™ Spacers (K170157) HEDRON™ Lumbar Spacers (K191391) MAGNIFY®-S Spacers (K142498) MONUMENT® Sp…
Globus Medical, Inc.2017—
*K191391HEDRON Lumbar Spacers
Summary page 9
…20101, K171848) INDEPENDENCE MIS® Spacers (K160597) INDEPENDENCE MIS AGX™ Spacers (K170157) HEDRON™ Lumbar Spacers (K191391) MAGNIFY®-S Spacers (K142498) MONUMENT® Spacers (K132559) InterContinental®…
Globus Medical, Inc.2019—
*K142498MAGNIFY and MAGNIFY-S Spacers
Summary page 9
…MIS® Spacers (K160597) INDEPENDENCE MIS AGX™ Spacers (K170157) HEDRON™ Lumbar Spacers (K191391) MAGNIFY®-S Spacers (K142498) MONUMENT® Spacers (K132559) InterContinental® Plate-Spacer (K103382, K161223, K171848)…
Globus Medical, Inc.2015—
*K132559Monument Spacers
Summary page 9
…ENDENCE MIS AGX™ Spacers (K170157) HEDRON™ Lumbar Spacers (K191391) MAGNIFY®-S Spacers (K142498) MONUMENT® Spacers (K132559) InterContinental® Plate-Spacer (K103382, K161223, K171848) ELSA® Spacers (K161379)…
Globus Medical, Inc.2013—
*K103382Intercontinental Plate-Spacer
Summary page 9
…™ Lumbar Spacers (K191391) MAGNIFY®-S Spacers (K142498) MONUMENT® Spacers (K132559) InterContinental® Plate-Spacer (K103382, K161223, K171848) ELSA® Spacers (K161379) LDR Avenue-L Lateral Lumbar Cage (K153495)…
Globus Medical, Inc.2011—
*K161223TransContinental® M Spacers and InterContinental® Plate-Spacers
Summary page 9
…Spacers (K191391) MAGNIFY®-S Spacers (K142498) MONUMENT® Spacers (K132559) InterContinental® Plate-Spacer (K103382, K161223, K171848) ELSA® Spacers (K161379) LDR Avenue-L Lateral Lumbar Cage (K153495)…
Globus Medical, Inc.2016—
*K161379ELSA Spacers
Summary page 9
…ers (K142498) MONUMENT® Spacers (K132559) InterContinental® Plate-Spacer (K103382, K161223, K171848) ELSA® Spacers (K161379) LDR Avenue-L Lateral Lumbar Cage (K153495) NuVasive Brigade Lateral System (K181386)…
Globus Medical, Inc.2016—
*K153495Avenue L Lateral Lumbar Cage, Avenue T TLIF Cage System, ROI-A ALIF Cage System, ROI-T…
Summary page 9
…InterContinental® Plate-Spacer (K103382, K161223, K171848) ELSA® Spacers (K161379) LDR Avenue-L Lateral Lumbar Cage (K153495) NuVasive Brigade Lateral System (K181386) NuVasive CoRoent XL (K201820)…
Ldr Spine USA20161
*K181386NuVasive Brigade Lateral System
Summary page 9
…61223, K171848) ELSA® Spacers (K161379) LDR Avenue-L Lateral Lumbar Cage (K153495) NuVasive Brigade Lateral System (K181386) NuVasive CoRoent XL (K201820)…
Nu Vasive, Incorporated2018—
*K201820NuVasive Thoracolumbar Interbody Systems: CoRoent Thoracolumbar System, CoRoent XL…
Summary page 9
…(K161379) LDR Avenue-L Lateral Lumbar Cage (K153495) NuVasive Brigade Lateral System (K181386) NuVasive CoRoent XL (K201820) K203278…
Nu Vasive, Incorporated2020—

Also cleared against K201087: 1 other device →

What descends from it? (35)

See all 35

8 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K222270HEDRON Cervical Spacers, HEDRON Lumbar Spacers, SABLE Expandable Spacer, ExcelsiusGPS…Globus Medical, Inc.202223
K212498Stable-L Standalone Lumbar Interbody SystemNexus Spine, LLC20227
K221894Lumbar Expandable lnterbody Spacers -Additional Indications/ImplantsGlobus Medical, Inc.20232
K261408SABER-XA SystemElevation Spine20260
K250599ExcelsiusGPS™ InstrumentsGlobus Medical, Inc.20250
K234035COSINE™ SpacerGlobus Medical, Inc.20240
K234077SPIRA® Anterior Lumbar SpacersCamber Spine Technologies20240
K233735ADIRA™ Lateral Plate SystemGlobus Medical, Inc.20240

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 · 4 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 13 companies; a new generation was cleared every 10 months on median.
  • 48 of the 454 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K222270 (Globus Medical, Inc., 2022) has gone furthest, with 23 descendants of its own.
  • 1 other device also cites its predicate K201087.

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?

INDEPENDENCE® Spacers (including INDEPENDENCE MIS® and INDEPENDENCE MIS AGX™) are integrated anterior lumbar interbody fusion devices indicated for use at one or more levels of the lumbosacral spine (L1-S1), as an adjunct to fusion in patients with the following indications: degenerative disc disease (DDD), disc herniation (with myelopathy and/or radiculopathy), spondylolisthesis, deformity (degenerative scoliosis or kyphosis), spinal stenosis, and…

Read the full statement (1,078 words)

INDEPENDENCE® Spacers (including INDEPENDENCE MIS® and INDEPENDENCE MIS AGX™) are integrated anterior lumbar interbody fusion devices indicated for use at one or more levels of the lumbosacral spine (L1-S1), as an adjunct to fusion in patients with the following indications: degenerative disc disease (DDD), disc herniation (with myelopathy and/or radiculopathy), spondylolisthesis, deformity (degenerative scoliosis or kyphosis), spinal stenosis, and failed previous fusion (pseudarthrosis). DDD is defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies. These patients should be skeletally mature and have had at least six (6) months of non-operative treatment. All INDEPENDENCE® TPS coated spacers are indicated for the same use as non-coated PEEK versions.

INDEPENDENCE® Spacers are intended to be used with or without three screws which accompany the implants. INDEPENDENCE MIS® and INDEPENDENCE MIS AGX™ Integrated Spacers are intended to be used with or without three screws and/or anchors which accompany the implants. These devices are intended for use with supplemental fixation (e.g. facet screws or posterior fixation). In addition, these devices are intended for stand-alone use in patients with DDD at one or two levels only when <25° lordotic implants are used with three screws per implant.

INDEPENDENCE MIS AGX™ Spacers are C-shaped, non-integrated PEEK spacers that are intended to be used with supplemental fixation (e.g. facet screws or posterior fixation). When used in conjunction with the INDEPENDENCE MIS AGX™ Integrated Ti Spacer, these devices become the INDEPENDENCE MIS AGX™ Integrated Spacer.

All INDEPENDENCE® Spacers are to be filled with autograft bone and/or allogenic bone graft composed of cancellous and/or corticocancellous bone.

HEDRON IA™ Integrated Lumbar Spacers are integrated lumbar interbody fusion devices indicated for use at one or more levels of the lumbosacral spine (L1-S1), as an adjunct to fusion in patients with the following indications: degenerative disc disease (DDD), disc herniation (with myelopathy and/or radiculopathy), spondylolisthesis, deformity (degenerative scoliosis or kyphosis), spinal stenosis, and failed previous fusion (pseudarthrosis). DDD is defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies. These patients should be skeletally mature and have had at least six (6) months of non-operative treatment. These devices are intended to be used with or without three screws and/or anchors which accompany the implants. These devices are intended for use with supplemental fixation (e.g. facet screws or posterior fixation). In addition, these devices are intended for stand-alone use in patients with DDD at one or two levels only when <25° lordotic implants are used with three screws per implant. HEDRON IA™ Spacers are to be filled with autograft bone and/or allogenic bone graft composed of cancellous and/or corticocancellous bone.

The MAGNIFY®-S Spacer is an interbody fusion device indicated for use at one or more levels of the lumbosacral spine (L1-S1), as an adjunct to fusion in patients with the following indications: degenerative disc disease (DDD), disc herniation (with myelopathy and/or radiculopathy), spondylolisthesis, deformity (degenerative scoliosis or kyphosis), spinal stenosis, and failed previous fusion (pseudarthrosis). DDD is defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies. These patients should be skeletally mature and have had at least six (6) months of non-operative treatment.

The MAGNIFY®-S Spacer is to be used with or without three screws which accompany the implant. These devices are intended for use with supplemental fixation (e.g. facet screws or posterior fixation). In addition, these devices are intended for stand-alone use in patients with DDD at one or two levels only when used with three screws per implant. The MAGNIFY®-S Spacer is to be filled with autograft bone and/or allogenic bone graft composed of cancellous and/or corticocancellous bone.

The MONUMENT® Spacer is an interbody fusion device indicated for use at one or more levels of the lumbosacral spine (L1-S1), as an adjunct to fusion in patients with the following indications: degenerative disc disease (DDD), disc herniation (with myelopathy and/or radiculopathy), deformity (degenerative scoliosis or kyphosis), spinal stenosis, and failed previous fusion (pseudarthrosis). In addition, these patients may have up to Grade 1 spondylolisthesis or retrolisthesis at the involved level(s). DDD is defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies. These patients should be skeletally mature and have had at least six (6) months of non-operative treatment.

The MONUMENT® Spacer is to be used with four screws that accompany the implant. These devices are intended for use with supplemental fixation (e.g. facet screws or posterior fixation). The MONUMENT® Spacer is to be filled with autograft bone and/or allogenic bone graft composed of cancellous and/or corticocancellous bone.

InterContinental® Plate-Spacers are lateral lumbar interbody fusion devices indicated for use at one or more levels of the lumbosacral spine (L1-S1), as an adjunct to fusion in patients with the following indications: degenerative disc disease (DDD), disc herniation (with myelopathy and/or radiculopathy), spondylolisthesis, deformity (degenerative scoliosis or kyphosis), spinal stenosis, and failed previous fusion (pseudarthrosis). DDD is defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies. These patients should be skeletally mature and have had at least six (6) months of non-operative treatment. All InterContinental® TPS coated spacers are indicated for the same use as non-coated PEEK versions.

InterContinental® Plate-Spacers are intended to be used with or without two screws and/or anchors which accompany the implants. These devices are intended for use with supplemental fixation (e.g. facet screws or posterior fixation). InterContinental® Plate-Spacers are to be filled with autograft bone and/or allogenic bone graft composed of cancellous and/or corticocancellous bone.

The ELSA® Spacer is an interbody fusion device indicated for use at one or more levels of the lumbosacral spine (L1-S1), as an adjunct to fusion in patients with the following indications: degenerative disc disease (DDD), disc herniation (with myelopathy and/or radiculopathy), spondylolisthesis, deformity (degenerative scoliosis or kyphosis), spinal stenosis, and failed previous fusion (pseudarthrosis). DDD is defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies. These patients should be skeletally mature and have had at least six (6) months of non-operative treatment.

The ELSA® Spacer is intended to be used with or without two screws and/or anchors which accompany the implants. These devices are intended for use with supplemental fixation. Hyperlordotic (>20°) implants must be used with the two screws and/or anchors and supplemental fixation in addition to the two screws and/or anchors. The ELSA® Spacer is to be filled with autograft and/or allogenic bone graft comprised of cancellous and/or corticocancellous bone.

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. “K203278: INDEPENDENCE Spacers, HEDRON IA, MAGNIFY-S Spacers, MONUMENT Spacers, InterContinental Plate-Spacer, ELSA Spacers.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K203278

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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