510(k) Report

510(k) · Cleared

Cleared

ChoiceSpine Blackhawk Ti Cervical Spacer System

K203311510(k) TraditionalCleared May 10, 2021181-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

Choice Spine, LLC · OVE Intervertebral Fusion Device With Integrated Fixation, Cervical

Cleared on May 10, 2021 as substantially equivalent to K191621 (Choice Spine, LLC, 2019) and 4 other predicates after a 181-day review. Its family tree reaches back 23 generations to 1984. 1 of the 461 devices in its family, counting itself, has a Class I recall. 3 later devices descend from it.

Decided
May 10, 2021
Review
181 days
Class
Class II
Product code
OVE
Recalls
None
Predicates
5

Its longest line of descent runs back 23 generations to K841189 (1984). 457 ancestors in all, the oldest K792352 (1979). 3 later devices descend from it, 2 citing it directly. 1 of the 461 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2019: 1 other ancestor2017: 6 other ancestors2014: 27 other ancestors2015: 18 other ancestors2013: 22 other ancestors2011: 39 other ancestors2008: 50 other ancestors, 1 with a Class I recall12018: 1 other ancestor2016: 11 other ancestors2012: 23 other ancestors2010: 27 other ancestors2009: 39 other ancestors2007: 22 other ancestors2001: 11 other ancestors1999: 4 other ancestors1996: 3 other ancestors2006: 18 other ancestors2005: 30 other ancestors2002: 13 other ancestors2004: 40 other ancestors2003: 20 other ancestors2000: 4 other ancestors1998: 2 other ancestors1993: 1 other ancestor1980: 1 other ancestor1979: 1 other ancestor2024: 1 descendant cleared2023: 1 descendant cleared2026: 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. · 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) ×3: 3 generations cleared close together, K153782 (2016), K160916 (2016), K162138 (2016) K172676 · NuVasive® Modulus-C Interbody System · Nu Vasive, Incorporated · 2017K183397 · ChoiceSpine Stealth Cervical Spacer System · Choicespine, LP · 2019K201643 · ChoiceSpine Tiger Shark Cervical Spacer System · Choice Spine, LLC · 202019801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 4 other ancestors2 generations back: 13 other ancestors3 generations back: 29 other ancestors4 generations back: 66 other ancestors5 generations back: 79 other ancestors6 generations back: 84 other ancestors, 1 with a Class I recall17 generations back: 68 other ancestors8 generations back: 50 other ancestors9 generations back: 32 other ancestors10 generations back: 6 other ancestors11 generations back: 3 other ancestors 1 generation forward: 2 descendants2 generations forward: 1 descendant K201643 · ChoiceSpine Tiger Shark Cervical Spacer System · Choice Spine, LLC · 2020K183397 · ChoiceSpine Stealth Cervical Spacer System · Choicespine, LP · 2019K172676 · NuVasive® Modulus-C Interbody System · Nu Vasive, Incorporated · 2017K162138 · NuVasive CoRoent Small Ti-C System · Nu Vasive, Incorporated · 2016K160916 · CoRoent® Ti-C System · 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
  1. Root · 23 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 19 generations between
  3. 3 generations backK172676 NuVasive® Modulus-C Interbody SystemNu Vasive, Incorporated · 2017
  4. 2 generations backK183397 ChoiceSpine Stealth Cervical Spacer SystemChoicespine, LP · 2019
  5. 1 generation backK201643 ChoiceSpine Tiger Shark Cervical Spacer SystemChoice Spine, LLC · 2020
  6. This deviceK203311 ChoiceSpine Blackhawk Ti Cervical Spacer SystemChoice Spine, LLC · 2021
  7. Descendant · cites it directly · 2 of its ownK223869 ChoiceSpine Blackhawk Ti Cervical Spacer SystemChoice Spine, LLC · 2023
  8. Descendant · 2 generations on · 0 of its ownK261882 Pisces-SC Standalone Cervical Interbody SystemOsseus Fusions Systems, LLC · 2026
  9. Descendant · cites it directly · 0 of its ownK240699 SCARLET® AC-TiSpineart SA · 2024
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 backK153782 NuVasive® Lumbar Interbody ImplantsNu Vasive, Incorporated · 2016
  19. 5 generations backK160916 CoRoent® Ti-C SystemNu Vasive, Incorporated · 2016
  20. 4 generations backK162138 NuVasive CoRoent Small Ti-C SystemNu Vasive, Incorporated · 2016
  21. 3 generations backK172676 NuVasive® Modulus-C Interbody SystemNu Vasive, Incorporated · 2017
  22. 2 generations backK183397 ChoiceSpine Stealth Cervical Spacer SystemChoicespine, LP · 2019
  23. 1 generation backK201643 ChoiceSpine Tiger Shark Cervical Spacer SystemChoice Spine, LLC · 2020
  24. This deviceK203311 ChoiceSpine Blackhawk Ti Cervical Spacer SystemChoice Spine, LLC · 2021

Class I recalls in this family

Most influential descendants

Showing 3 of 3 · See all
  • K223869ChoiceSpine Blackhawk Ti Cervical Spacer SystemChoice Spine, LLC · 2023 · cites it directly2descendants
  • K261882Pisces-SC Standalone Cervical Interbody SystemOsseus Fusions Systems, LLC · 2026 · 2 generations on0descendants
  • K240699SCARLET® AC-TiSpineart SA · 2024 · 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—
−6K153782NuVasive® Lumbar Interbody ImplantsNu Vasive, Incorporated2016—
−5K160916CoRoent® Ti-C SystemNu Vasive, Incorporated2016—
−4K162138NuVasive CoRoent Small Ti-C SystemNu Vasive, Incorporated2016—
−3K172676NuVasive® Modulus-C Interbody SystemNu Vasive, Incorporated2017—
−2K183397ChoiceSpine Stealth Cervical Spacer SystemChoicespine, LP2019—
−1K201643ChoiceSpine Tiger Shark Cervical Spacer SystemChoice Spine, LLC2020—
0 (this device)K203311ChoiceSpine Blackhawk Ti Cervical Spacer SystemChoice Spine, LLC2021—
+1K223869ChoiceSpine Blackhawk Ti Cervical Spacer SystemChoice Spine, LLC2023—
+2K261882Pisces-SC Standalone Cervical Interbody SystemOsseus Fusions Systems, LLC2026—
+1K240699SCARLET® AC-TiSpineart SA2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
199310
199630
199820
199940
200040
2001110
2002130
2003200
2004400
2005300
2006180
2007220
2008501
2009390
2010270
2011390
2012230
2013220
2014270
2015180
2016110
201760
201810
201910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
202410
202610
FIG. 1 — Lineage of K203311, 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 OVE device

  1. #1 K241846 E3D™-C Interbody Systemscore 32.1 · 32 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? (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
*K191621ChoiceSpine Octane A/T/P Spinal Implant System, ChoiceSpine Cervical Interbody Spacer…
Summary page 5
…TM F136), and polyphenylsulfone (Radel R5000 Series). Predicate Devices: Primary Predicate: ChoiceSpine BlackhawkTM Cervical Spacer System (K191621 and K171489) Additional Predicates:…
Choice Spine, LLC2019—
*K171489Acapella Cervical Spacer System
Summary page 5
…d polyphenylsulfone (Radel R5000 Series). Predicate Devices: Primary Predicate: ChoiceSpine BlackhawkTM Cervical Spacer System (K191621 and K171489) Additional Predicates: (K170953)…
Choicespine, LP2017—
*K170953Tomcat Cervical Spinal System
Summary page 5
…awkTM Cervical Spacer System (K191621 and K171489) Additional Predicates: (K170953) Exactech Acapella One Cervical Spacer System (K132582) ChoiceSpine Tiger Shark C…
Choicespine, LP2017—
*K132582Exactech Acapella One Cervical Spacer System
Summary page 5
…tional Predicates: (K170953) Exactech Acapella One Cervical Spacer System (K132582) ChoiceSpine Tiger Shark C TM Cervical Spacer System (K201643) Non-clinical Testing: Static subsidence…
Exactech, Inc.20141
*K201643ChoiceSpine Tiger Shark Cervical Spacer System
Cleared while this submission was under review
Summary page 5
…(K170953) Exactech Acapella One Cervical Spacer System (K132582) ChoiceSpine Tiger Shark C TM Cervical Spacer System (K201643) Non-clinical Testing: Static subsidence per ASTM F2267-04 Expulsion (standard N/A)…
Choice Spine, LLC2020—

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K223869ChoiceSpine Blackhawk Ti Cervical Spacer SystemChoice Spine, LLC20232
K240699SCARLET® AC-TiSpineart SA20240

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 37 years and passes through 14 companies; a new generation was cleared every 11 months on median.
  • 51 of the 457 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K223869 (Choice Spine, LLC, 2023) has gone furthest, with 2 descendants of its own.

How does its category compare?

All OVE devices

OVE Intervertebral Fusion Device With Integrated Fixation, Cervical: FDA decisions, review times, recalls and adverse event reports over 20 years. 2021, this device’s year, is highlighted.

FDA decisions per year · OVE

10in 2025

2007: 12008: 42009: 12010: 42011: 82012: 72013: 52014: 112015: 122016: 152017: 92018: 72019: 72020: 132021: 102022: 102023: 162024: 62025: 102026 (partial year): 13
2007high 16 (2023) · low 1 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OVE

105in 2025

2008: 131 days median2010: 210 days median2011: 139 days median2012: 125 days median2013: 71 days median2014: 168 days median2015: 113 days median2016: 149 days median2017: 100 days median2018: 105 days median2019: 87 days median2020: 149 days median2021: 93 days median2022: 144 days median2023: 97 days median2024: 56 days median2025: 105 days median2026 (partial year): 66 days median
2007high 210 (2010) · low 56 (2024)2026

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

Recalls per year · OVE

2in 2021

2013: 12014: 12015: 12016: 12017: 12021: 2
2007high 2 (2021) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · OVE

132in 2025

2010: 22011: 192012: 592013: 2502014: 1502015: 1732016: 1452017: 1342018: 2102019: 1692020: 1622021: 1862022: 2002023: 1482024: 1422025: 132
2007high 250 (2013) · low 0 (2007)2025

MAUDE reports naming product code OVE, 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
20071—00
2008413100
20091—00
2010421002
20118139019
20127125059
20135711250
2014111681150
2015121131173
2016151491145
201791001134
201871050210
20197870169
2020131490162
202110932186
2022101440200
202316970148
20246560142
2025101050132
202613660—

What is it indicated for?

The Blackhawk'™ Ti Cervical Spacer System is indicated for anterior cervical interbody fusion procedures in skeletally mature patients with degenerative disc disease at one disc level from C2-T1. Degenerative Disc Disease (DDD) is defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies. These patients should have had six weeks of non-operative treatment. The Blackhawk™ Ti Cervical Spacer System is to be used with autogenous bone and/or allogenic bone graft composed of cancellous and /or corticocancellous bone graft, and supplemental fixation (i.e., an anterior cervical plate), and is implanted via an open, anterior approach.

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. “K203311: ChoiceSpine Blackhawk Ti Cervical Spacer System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K203311

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