510(k) Report

510(k) · Cleared

Cleared

C-CURVE Interbody Fusion Device

K210470510(k) TraditionalCleared Sep 3, 2021198-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

Medicrea International SA · OVE Intervertebral Fusion Device With Integrated Fixation, Cervical

Cleared on Sep 3, 2021 as substantially equivalent to K192018 (Titan Spine, Inc., 2019) and 4 other predicates after a 198-day review. Its family tree reaches back 25 generations to 1984. 1 of the 428 devices in its family, counting itself, has a Class I recall.

Decided
Sep 3, 2021
Review
198 days
Class
Class II
Product code
OVE
Recalls
None
Predicates
5

Its longest line of descent runs back 25 generations to K841189 (1984). 427 ancestors in all, the oldest K792352 (1979). No later device cites it as a predicate yet. 1 of the 428 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2020: 1 other ancestor2016: 18 other ancestors2014: 29 other ancestors2008: 47 other ancestors, 1 with a Class I recall12019: 1 other ancestor2018: 1 other ancestor2017: 8 other ancestors2015: 21 other ancestors2013: 22 other ancestors2012: 27 other ancestors2011: 41 other ancestors2010: 27 other ancestors2007: 17 other ancestors2006: 14 other ancestors2001: 10 other ancestors2009: 36 other ancestors2005: 20 other ancestors2004: 27 other ancestors2003: 17 other ancestors2002: 9 other ancestors1999: 2 other ancestors1996: 2 other ancestors2000: 2 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 · recalledK192018 · 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 · recalled19801990200020102020
Other ancestors, by generation 1 generation back: 4 other ancestors2 generations back: 19 other ancestors3 generations back: 42 other ancestors4 generations back: 73 other ancestors5 generations back: 96 other ancestors, 1 with a Class I recall16 generations back: 74 other ancestors7 generations back: 57 other ancestors8 generations back: 23 other ancestors9 generations back: 12 other ancestors10 generations back: 2 other ancestors K192018 · 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 · 25 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 21 generations between
  3. 3 generations backK180364 HD LifeSciences Cervical IBFD SystemHd Lifesciences, LLC · 2018
  4. 2 generations backK183557 Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS…Titan Spine, Inc. · 2019 · Recalled
  5. 1 generation backK192018 Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS…Titan Spine, Inc. · 2019 · Recalled
  6. This deviceK210470 C-CURVE Interbody Fusion DeviceMedicrea International SA · 2021
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 backK143616 AccuLIF TL and PL CageStryker Corporation · 2015 · Recalled
  19. 7 generations backK152304 Tritanium PL CageStryker · 2015 · Recalled
  20. 6 generations backK160955 Tritanium® PL CageStryker · 2016
  21. 5 generations backK162262 Tritanium® PL CageStryker · 2016
  22. 4 generations backK171496 Tritanium C Anterior Cervical CageStryker Spine · 2017
  23. 3 generations backK180364 HD LifeSciences Cervical IBFD SystemHd Lifesciences, LLC · 2018
  24. 2 generations backK183557 Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS…Titan Spine, Inc. · 2019 · Recalled
  25. 1 generation backK192018 Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS…Titan Spine, Inc. · 2019 · Recalled
  26. This deviceK210470 C-CURVE Interbody Fusion DeviceMedicrea International SA · 2021

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—
−8K143616AccuLIF TL and PL CageStryker Corporation20154
−7K152304Tritanium PL CageStryker20151
−6K160955Tritanium® PL CageStryker2016—
−5K162262Tritanium® PL CageStryker2016—
−4K171496Tritanium C Anterior Cervical CageStryker Spine2017—
−3K180364HD LifeSciences Cervical IBFD SystemHd Lifesciences, LLC2018—
−2K183557Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS Interbody Fusion…Titan Spine, Inc.20193
−1K192018Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS…Titan Spine, Inc.20194
0 (this device)K210470C-CURVE Interbody Fusion DeviceMedicrea International SA2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
199620
199810
199920
200020
2001100
200290
2003170
2004270
2005200
2006140
2007170
2008471
2009360
2010270
2011410
2012270
2013220
2014290
2015210
2016180
201780
201810
201910
202010
FIG. 1 — Lineage of K210470, 1984–2021Source: 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 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
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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
*K192018Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS Hyperlordotic…
Summary page 4
…3. Predicate or legally marketed devices which are substantially equivalent: Primary predicate device: • Endoskeleton TCS Interbody Fusion Device (Titan Spine, K192018) Additional predicate devices: • HIJAK SA (Atlas Spine, K192570) • PEEK Prevail (Medtronic, K073285, K153373) • Opti…
Titan Spine, Inc.20194
*K192570Atlas Spine Expandable Cervical Standalone Interbody System
Summary page 4
…alent: Primary predicate device: • Endoskeleton TCS Interbody Fusion Device (Titan Spine, K192018) Additional predicate devices: • HIJAK SA (Atlas Spine, K192570) • PEEK Prevail (Medtronic, K073285, K153373) • Optio-C (ZIMMER SPINE, K132894) None of those devices have not been subjec…
Atlas Spine, Inc.2020—
*K073285Peek Prevail Cervical Interbody Device
Summary page 4
…• Endoskeleton TCS Interbody Fusion Device (Titan Spine, K192018) Additional predicate devices: • HIJAK SA (Atlas Spine, K192570) • PEEK Prevail (Medtronic, K073285, K153373) • Optio-C (ZIMMER SPINE, K132894) None of those devices have not been subject to a design-related recall. === Page…
Medtronic Sofamor Danek USA, Inc.2008—
*K153373CORNERSTONE PSR Cervical Fusion System, PERIMETER C Spinal System, PEEK PREVAIL Cervical…
Summary page 4
…skeleton TCS Interbody Fusion Device (Titan Spine, K192018) Additional predicate devices: • HIJAK SA (Atlas Spine, K192570) • PEEK Prevail (Medtronic, K073285, K153373) • Optio-C (ZIMMER SPINE, K132894) None of those devices have not been subject to a design-related recall.…
Medtronic Sofamor Danek2016—
*K132894Optio-C Anterior Cervical System
Summary page 4
…(Titan Spine, K192018) Additional predicate devices: • HIJAK SA (Atlas Spine, K192570) • PEEK Prevail (Medtronic, K073285, K153373) • Optio-C (ZIMMER SPINE, K132894) None of those devices have not been subject to a design-related recall.…
Zimmer Spine, Inc.2014—

Also cleared against K192018: 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 · 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 427 ancestors have a recall of any class; 1 has a Class I recall.
  • 4 other devices also cite its predicate K192018.

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 C-CURVE® Device is an anterior cervical intervertebral body fusion device indicated for use in skeletally mature patients with degenerative disc disease (DDD) (defined as pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies) at one disc level from C2 to T1. Patients should have received 6 weeks of non-operative treatment prior to treatment with the device. The device is indicated to be used with…

Read the full statement (117 words)

The C-CURVE® Device is an anterior cervical intervertebral body fusion device indicated for use in skeletally mature patients with degenerative disc disease (DDD) (defined as pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies) at one disc level from C2 to T1. Patients should have received 6 weeks of non-operative treatment prior to treatment with the device. The device is indicated to be used with autograft bone and/or allograft bone comprised of cancellous and/or corticocancellous bone and/or demineralized allograft bone with bone marrow aspirate. The device is a stand-alone system when used C-Curve screws and when used without the integrated screws it requires additional supplemental fixation cleared for the cervical spine.

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. “K210470: C-CURVE Interbody Fusion Device.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K210470

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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