510(k) Report

510(k) · Cleared

Cleared

ORIO-Ti Intervertebral Body Fusion Cage System

K211935510(k) TraditionalCleared Sep 30, 2021100-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

Spinecraft, LLC · ODP Intervertebral Fusion Device With Bone Graft, Cervical

Cleared on Sep 30, 2021 as substantially equivalent to K090887 (SpineCraft, 2009) and 6 other predicates after a 100-day review. Its family tree reaches back 17 generations to 2001.

Decided
Sep 30, 2021
Review
100 days
Class
Class II
Product code
ODP
Recalls
None
Predicates
7

Its longest line of descent runs back 17 generations to K003155 (2001). 347 ancestors in all, the oldest K781443 (1978). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2017: 1 other ancestor2015: 3 other ancestors2013: 5 other ancestors2009: 17 other ancestors2001: 24 other ancestors2016: 2 other ancestors2014: 3 other ancestors2012: 4 other ancestors2011: 7 other ancestors2010: 14 other ancestors2008: 30 other ancestors2007: 18 other ancestors2006: 17 other ancestors2000: 19 other ancestors1998: 15 other ancestors1997: 7 other ancestors1996: 11 other ancestors1995: 7 other ancestors2005: 21 other ancestors2004: 35 other ancestors2003: 24 other ancestors2002: 16 other ancestors1999: 12 other ancestors1994: 3 other ancestors1993: 3 other ancestors1992: 5 other ancestors1990: 2 other ancestors1978: 1 other ancestor1984: 1 other ancestor1985: 1 other ancestor1980: 1 other ancestor1979: 1 other ancestorK003155 · Vertebral Body Replacement · Osteotech, Inc. · 2001K012254 · VBR · Osteotech, Inc. · 2001×3: 3 generations cleared close together, K021791 (2002), K023570 (2002), K030601 (2003) ×2: 2 generations cleared close together, K040536 (2004), K041556 (2004) K043561 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2004×3: 3 generations cleared close together, K060719 (2006), K062133 (2006), K070173 (2007) K073285 · Peek Prevail Cervical Interbody Device · Medtronic Sofamor Danek USA, Inc. · 2008K112459 · Synthes Zero-P · Synthes Spine Co.Lp · 2011K131449 · Coalition Spacer · Globus Medical, Inc. · 2013K151939 · COALITION Spacers · Globus Medical, Inc. · 2016K161081 · SeaSpine Shoreline ACS - Anterior Cervical Standalone System · SeaSpine Orthopedics Corporation · 2016K170569 · SeaSpine Shoreline ACS - Anterior Cervical Standalone System · SeaSpine Orthopedics Corporation · 201719801990200020102020
Other ancestors, by generation 1 generation back: 6 other ancestors2 generations back: 25 other ancestors3 generations back: 76 other ancestors4 generations back: 73 other ancestors5 generations back: 63 other ancestors6 generations back: 44 other ancestors7 generations back: 24 other ancestors8 generations back: 15 other ancestors9 generations back: 4 other ancestors K170569 · SeaSpine Shoreline ACS - Anterior Cervical Standalone System · SeaSpine Orthopedics Corporation · 2017K161081 · SeaSpine Shoreline ACS - Anterior Cervical Standalone System · SeaSpine Orthopedics Corporation · 2016K151939 · COALITION Spacers · Globus Medical, Inc. · 2016K131449 · Coalition Spacer · Globus Medical, Inc. · 2013K112459 · Synthes Zero-P · Synthes Spine Co.Lp · 2011K073285 · Peek Prevail Cervical Interbody Device · Medtronic Sofamor Danek USA, Inc. · 2008K070173 · Verte-Stack Spinal System · Medtronic Sofamor Danek, Inc. · 2007K062133 · Modification to Verte-Stack Spinal System · Medtronic Spinal and Biologics Div · 2006K060719 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2006K043561 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2004K041556 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2004K040536 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2004K030601 · Verte-Stack Spinal System · Medtronic Sofamor Danek · 2003K023570 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2002K021791 · Verte-Stack Spinal System · Medtronic Sofamor Danek · 2002K012254 · VBR · Osteotech, Inc. · 2001K003155 · Vertebral Body Replacement · Osteotech, Inc. · 2001−15−10−50
  1. Root · 17 generations backK003155 Vertebral Body ReplacementOsteotech, Inc. · 2001
  2. 13 generations between
  3. 3 generations backK151939 COALITION SpacersGlobus Medical, Inc. · 2016
  4. 2 generations backK161081 SeaSpine Shoreline ACS - Anterior Cervical Standalone SystemSeaSpine Orthopedics Corporation · 2016
  5. 1 generation backK170569 SeaSpine Shoreline ACS - Anterior Cervical Standalone SystemSeaSpine Orthopedics Corporation · 2017
  6. This deviceK211935 ORIO-Ti Intervertebral Body Fusion Cage SystemSpinecraft, LLC · 2021
Show all 17 generations
  1. Root · 17 generations backK003155 Vertebral Body ReplacementOsteotech, Inc. · 2001
  2. 16 generations backK012254 VBROsteotech, Inc. · 2001
  3. 15 generations backK021791 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2002
  4. 14 generations backK023570 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2002
  5. 13 generations backK030601 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2003
  6. 12 generations backK040536 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
  7. 11 generations backK041556 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
  8. 10 generations backK043561 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
  9. 9 generations backK060719 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2006
  10. 8 generations backK062133 Modification to Verte-Stack Spinal SystemMedtronic Spinal and Biologics Div · 2006
  11. 7 generations backK070173 Verte-Stack Spinal SystemMedtronic Sofamor Danek, Inc. · 2007
  12. 6 generations backK073285 Peek Prevail Cervical Interbody DeviceMedtronic Sofamor Danek USA, Inc. · 2008
  13. 5 generations backK112459 Synthes Zero-PSynthes Spine Co.Lp · 2011
  14. 4 generations backK131449 Coalition SpacerGlobus Medical, Inc. · 2013
  15. 3 generations backK151939 COALITION SpacersGlobus Medical, Inc. · 2016
  16. 2 generations backK161081 SeaSpine Shoreline ACS - Anterior Cervical Standalone SystemSeaSpine Orthopedics Corporation · 2016
  17. 1 generation backK170569 SeaSpine Shoreline ACS - Anterior Cervical Standalone SystemSeaSpine Orthopedics Corporation · 2017
  18. This deviceK211935 ORIO-Ti Intervertebral Body Fusion Cage SystemSpinecraft, LLC · 2021
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−17K003155Vertebral Body ReplacementOsteotech, Inc.2001—
−16K012254VBROsteotech, Inc.2001—
−15K021791Verte-Stack Spinal SystemMedtronic Sofamor Danek2002—
−14K023570Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2002—
−13K030601Verte-Stack Spinal SystemMedtronic Sofamor Danek2003—
−12K040536Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2004—
−11K041556Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2004—
−10K043561Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2004—
−9K060719Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2006—
−8K062133Modification to Verte-Stack Spinal SystemMedtronic Spinal and Biologics Div2006—
−7K070173Verte-Stack Spinal SystemMedtronic Sofamor Danek, Inc.2007—
−6K073285Peek Prevail Cervical Interbody DeviceMedtronic Sofamor Danek USA, Inc.2008—
−5K112459Synthes Zero-PSynthes Spine Co.Lp2011—
−4K131449Coalition SpacerGlobus Medical, Inc.2013—
−3K151939COALITION SpacersGlobus Medical, Inc.2016—
−2K161081SeaSpine Shoreline ACS - Anterior Cervical Standalone SystemSeaSpine Orthopedics Corporation2016—
−1K170569SeaSpine Shoreline ACS - Anterior Cervical Standalone SystemSeaSpine Orthopedics Corporation2017—
0 (this device)K211935ORIO-Ti Intervertebral Body Fusion Cage SystemSpinecraft, LLC2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197810
197910
198010
198410
198510
199020
199250
199330
199430
199570
1996110
199770
1998150
1999120
2000190
2001240
2002160
2003240
2004350
2005210
2006170
2007180
2008300
2009170
2010140
201170
201240
201350
201430
201530
201620
201710
FIG. 1 — Lineage of K211935, 2001–2021Source: 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.

Planning a device in ODP? 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 ODP device

  1. #1 K222276 CONDUIT Cages; FIBERGRAFT BG Puttyscore 53.4 · 25 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? (7)

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
*K090887Orio-C Cervical, Orio-TL Tlif, Orio-PL Plif, Orio-AL Alif Intervedrtebral Body Fusion…
Summary page 4
…Class II 3. Predicate or legally marketed devices which are substantially equivalent: Primary  ORIO Intervertebral Body Fusion Cages (K090887) SpineCraft, LLC Additional predicate devices  BAK/C Vista Interbody Fusion (P980048) Zimmer  Shoreline A…
SpineCraft2009—
*P980048Bak/Cervical (Bak/C) Interbody Fusion System
Summary page 4
…ent: Primary  ORIO Intervertebral Body Fusion Cages (K090887) SpineCraft, LLC Additional predicate devices  BAK/C Vista Interbody Fusion (P980048) Zimmer  Shoreline ACS Anterior Cervical Standalone (K170569) SeaSpine  IVA Cage Ti (ACIF, PLIF, TLIF, DLIF, and…
Sulzer Spine-Tech2001—
*K170569SeaSpine Shoreline ACS - Anterior Cervical Standalone System
Summary page 4
…K090887) SpineCraft, LLC Additional predicate devices  BAK/C Vista Interbody Fusion (P980048) Zimmer  Shoreline ACS Anterior Cervical Standalone (K170569) SeaSpine  IVA Cage Ti (ACIF, PLIF, TLIF, DLIF, and ALIF) (K173080) Huvexel Co., Ltd  Brigade Hyperlordotic ALIF…
SeaSpine Orthopedics Corporation2017—
*K173080IVA Cage Ti (ACIF, PLIF, TLIF, DLIF, and ALIF)
Summary page 4
…C Vista Interbody Fusion (P980048) Zimmer  Shoreline ACS Anterior Cervical Standalone (K170569) SeaSpine  IVA Cage Ti (ACIF, PLIF, TLIF, DLIF, and ALIF) (K173080) Huvexel Co., Ltd  Brigade Hyperlordotic ALIF Lumbar Cage (K123045) Nuvasive  APEX-DL Spine System (K143683) Spin…
Huvexel Co., Ltd.2017—
*K123045Brigade Standalone System
Summary page 4
…ervical Standalone (K170569) SeaSpine  IVA Cage Ti (ACIF, PLIF, TLIF, DLIF, and ALIF) (K173080) Huvexel Co., Ltd  Brigade Hyperlordotic ALIF Lumbar Cage (K123045) Nuvasive  APEX-DL Spine System (K143683) SpineCraft, LLC  ASTRA Spine System (K150417) SpineCraft, LLC 4. Descri…
Nuvasive, Inc.2013—
*K143683APEX-DL Spine System
Summary page 4
…A Cage Ti (ACIF, PLIF, TLIF, DLIF, and ALIF) (K173080) Huvexel Co., Ltd  Brigade Hyperlordotic ALIF Lumbar Cage (K123045) Nuvasive  APEX-DL Spine System (K143683) SpineCraft, LLC  ASTRA Spine System (K150417) SpineCraft, LLC 4. Description of the device: The subject devices a…
Spinecraft, LLC2015—
*K150417Astra Spine System
Summary page 4
…Huvexel Co., Ltd  Brigade Hyperlordotic ALIF Lumbar Cage (K123045) Nuvasive  APEX-DL Spine System (K143683) SpineCraft, LLC  ASTRA Spine System (K150417) SpineCraft, LLC 4. Description of the device: The subject devices are intervertebral body fusion devices for use in cervi…
Spinecraft, LLC2015—

Also cleared against K090887: 4 other devices →

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 20 years and passes through 9 companies; a new generation was cleared every 9 months on median.
  • 31 of the 347 ancestors have a recall of any class.
  • 4 other devices also cite its predicate K090887.

How does its category compare?

All ODP devices

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

FDA decisions per year · ODP

11in 2025

2008: 82009: 122010: 92011: 252012: 172013: 182014: 262015: 242016: 172017: 332018: 252019: 222020: 142021: 182022: 122023: 342024: 102025: 112026 (partial year): 19
2007high 34 (2023) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · ODP

87in 2025

2008: 89 days median2009: 127 days median2010: 151 days median2011: 113 days median2012: 93 days median2013: 187 days median2014: 118 days median2015: 180 days median2016: 112 days median2017: 104 days median2018: 133 days median2019: 92 days median2020: 89 days median2021: 121 days median2022: 92 days median2023: 165 days median2024: 76 days median2025: 87 days median2026 (partial year): 117 days median
2007high 187 (2013) · low 76 (2024)2026

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

Recalls per year · ODP

2in 2025

2009: 12011: 12013: 12020: 12025: 2
2007high 2 (2025) · low 0 (2007)2026

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

Adverse event reports per year · ODP

57in 2025

2008: 22009: 212010: 542011: 382012: 922013: 782014: 432015: 512016: 372017: 392018: 512019: 1412020: 862021: 1612022: 502023: 362024: 552025: 57
2007high 161 (2021) · low 0 (2007)2025

MAUDE reports naming product code ODP, 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
20070—00
200888902
200912127121
20109151054
201125113138
20121793092
201318187178
201426118043
201524180051
201617112037
201733104039
201825133051
201922920141
20201489186
2021181210161
20221292050
202334165036
20241076055
20251187257
2026191170—

What is it indicated for?

The ORIO-Ti cervical intervertebral body fusion cage is indicated for use in skeletally mature patients with degenerative disc disease (DDD) of the cervical spine with accompanying radicular symptoms at one disc level. Degenerative disc disease is defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies. These patients should have had at least six (6) weeks of non-operative treatment prior to treatment with…

Read the full statement (294 words)

The ORIO-Ti cervical intervertebral body fusion cage is indicated for use in skeletally mature patients with degenerative disc disease (DDD) of the cervical spine with accompanying radicular symptoms at one disc level. Degenerative disc disease is defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies. These patients should have had at least six (6) weeks of non-operative treatment prior to treatment with an intervertebral cage. ORIO-Ti cervical intervertebral body fusion implants are used to facilitate intervertebral body fusion in the cervical spine and are placed via an anterior approach at the C-3 to C-7 disc levels using autogenous and/or allogeneic bone graft comprised of cancellous and/or corticocancellous bone graft. ORIO-Ti cervical intervertebral body fusion implant is to be used with supplemental fixation that has been cleared for use in the cervical spine.

The ORIO-Ti lumbar intervertebral body fusion cage is indicated for intervertebral body fusion procedures in skeletally mature patients with degenerative disc disease (DDD) of the lumbar spine at one or two contiguous levels from L2-S1. Degenerative disc disease is defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies. These patients may have up to Grade 1 spondylolisthesis or retrolisthesis at the involved level(s). These patients may have had a previous non-fusion spinal surgery at the involved spinal level(s). These patients should have had at least six (6) months of non-operative treatment. ORIO-Ti lumbar intervertebral body fusion implants are to be used with autogenous and/or allogeneic bone graft comprised of cancellous and/or corticocancellous bone graft and implanted via a transforaminal, open posterior, anterior/anterolateral, or lateral approach. The ORIO-Ti lumbar intervertebral body fusion implants are to be used with supplemental fixation that have been cleared for use in the lumbosacral 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. “K211935: ORIO-Ti Intervertebral Body Fusion 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/K211935

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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