510(k) Report

510(k) · Cleared

Cleared

MediExpand Cervical Expandable VBR System

K212126510(k) TraditionalCleared Apr 4, 2022271-day reviewClass II21 CFR 888.3060

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Cmf Medicon Surgical, Inc. · PLR Spinal Vertebral Body Replacement Device - Cervical

Cleared on Apr 4, 2022 as substantially equivalent to K151651 (Nu Vasive, Incorporated, 2015) and 1 other predicate after a 271-day review. Its family tree reaches back 16 generations to 2001.

Decided
Apr 4, 2022
Review
271 days
Class
Class II
Product code
PLR
Recalls
None
Predicates
2

Its longest line of descent runs back 16 generations to K003155 (2001). 58 ancestors in all, the oldest K841189 (1984). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2015: 2 other ancestors2008: 3 other ancestors2009: 1 other ancestor2006: 2 other ancestors2005: 4 other ancestors2003: 8 other ancestors2001: 8 other ancestors2000: 1 other ancestor1999: 1 other ancestor2007: 2 other ancestors2004: 5 other ancestors2002: 4 other ancestors1984: 1 other ancestorK003155 · Vertebral Body Replacement · Osteotech, Inc. · 2001K012254 · VBR · Osteotech, Inc. · 2001×2: 2 generations cleared close together, K021791 (2002), K023570 (2002) K031780 · Verte-Stack Spinal System · Medtronic Sofamor Danek · 2003K040731 · Stryker Spine Vertebral Spacer · Stryker Spine · 2004×2: 2 generations cleared close together, K042571 (2005), K050624 (2005) K051205 · Stryker Spine Avs Asl Peek Spacer · Stryker Spine · 2005K060762 · Aesculap Peek Vertebral Body Replacement System · Aesculap, Inc. · 2006K071983 · Aesculap Peek Intervertebral Body Fusion System: a Space, Cespace, Prospace, T-Space · Aesculap Implant Systems, Inc. · 2008 · recalledK083311 · Aesculap Cespace Peek Intervertebral Body Fusion System · Aesculap Implant Systems, Inc. · 2009K110864 · Biospine VBR System · Aesculap Implant Systems, LLC · 2011K133802 · Ais Modulift VBR System · Aesculap Implant System, Inc. · 2014K142150 · Ais Modulift VBR System · Aesculap Implant System, Inc. · 2014K172032 · Modulift Vertebral Body Replacement (VBR) System · Aesculap Implants Systems, Inc. · 201719801990200020102020
Other ancestors, by generation 1 generation back: 1 other ancestor2 generations back: 2 other ancestors3 generations back: 9 other ancestors4 generations back: 6 other ancestors5 generations back: 14 other ancestors6 generations back: 4 other ancestors7 generations back: 3 other ancestors8 generations back: 1 other ancestor9 generations back: 2 other ancestors K172032 · Modulift Vertebral Body Replacement (VBR) System · Aesculap Implants Systems, Inc. · 2017K142150 · Ais Modulift VBR System · Aesculap Implant System, Inc. · 2014K133802 · Ais Modulift VBR System · Aesculap Implant System, Inc. · 2014K110864 · Biospine VBR System · Aesculap Implant Systems, LLC · 2011K083311 · Aesculap Cespace Peek Intervertebral Body Fusion System · Aesculap Implant Systems, Inc. · 2009K071983 · Aesculap Peek Intervertebral Body Fusion System: a Space, Cespace, Prospace, T-Space · Aesculap Implant Systems, Inc. · 2008 · recalledK060762 · Aesculap Peek Vertebral Body Replacement System · Aesculap, Inc. · 2006K051205 · Stryker Spine Avs Asl Peek Spacer · Stryker Spine · 2005K050624 · Stryker Spine Avs PL Peek Spacer · Stryker Spine · 2005K042571 · Stryker Spine Avs TL Peek Spacer · Stryker Spine · 2005K040731 · Stryker Spine Vertebral Spacer · Stryker Spine · 2004K031780 · 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 · 16 generations backK003155 Vertebral Body ReplacementOsteotech, Inc. · 2001
  2. 12 generations between
  3. 3 generations backK133802 Ais Modulift VBR SystemAesculap Implant System, Inc. · 2014
  4. 2 generations backK142150 Ais Modulift VBR SystemAesculap Implant System, Inc. · 2014
  5. 1 generation backK172032 Modulift Vertebral Body Replacement (VBR) SystemAesculap Implants Systems, Inc. · 2017
  6. This deviceK212126 MediExpand Cervical Expandable VBR SystemCmf Medicon Surgical, Inc. · 2022
Show all 16 generations
  1. Root · 16 generations backK003155 Vertebral Body ReplacementOsteotech, Inc. · 2001
  2. 15 generations backK012254 VBROsteotech, Inc. · 2001
  3. 14 generations backK021791 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2002
  4. 13 generations backK023570 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2002
  5. 12 generations backK031780 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2003
  6. 11 generations backK040731 Stryker Spine Vertebral SpacerStryker Spine · 2004
  7. 10 generations backK042571 Stryker Spine Avs TL Peek SpacerStryker Spine · 2005
  8. 9 generations backK050624 Stryker Spine Avs PL Peek SpacerStryker Spine · 2005
  9. 8 generations backK051205 Stryker Spine Avs Asl Peek SpacerStryker Spine · 2005
  10. 7 generations backK060762 Aesculap Peek Vertebral Body Replacement SystemAesculap, Inc. · 2006
  11. 6 generations backK071983 Aesculap Peek Intervertebral Body Fusion System: a Space, Cespace…Aesculap Implant Systems, Inc. · 2008 · Recalled
  12. 5 generations backK083311 Aesculap Cespace Peek Intervertebral Body Fusion SystemAesculap Implant Systems, Inc. · 2009
  13. 4 generations backK110864 Biospine VBR SystemAesculap Implant Systems, LLC · 2011
  14. 3 generations backK133802 Ais Modulift VBR SystemAesculap Implant System, Inc. · 2014
  15. 2 generations backK142150 Ais Modulift VBR SystemAesculap Implant System, Inc. · 2014
  16. 1 generation backK172032 Modulift Vertebral Body Replacement (VBR) SystemAesculap Implants Systems, Inc. · 2017
  17. This deviceK212126 MediExpand Cervical Expandable VBR SystemCmf Medicon Surgical, Inc. · 2022
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−16K003155Vertebral Body ReplacementOsteotech, Inc.2001—
−15K012254VBROsteotech, Inc.2001—
−14K021791Verte-Stack Spinal SystemMedtronic Sofamor Danek2002—
−13K023570Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2002—
−12K031780Verte-Stack Spinal SystemMedtronic Sofamor Danek2003—
−11K040731Stryker Spine Vertebral SpacerStryker Spine2004—
−10K042571Stryker Spine Avs TL Peek SpacerStryker Spine2005—
−9K050624Stryker Spine Avs PL Peek SpacerStryker Spine2005—
−8K051205Stryker Spine Avs Asl Peek SpacerStryker Spine2005—
−7K060762Aesculap Peek Vertebral Body Replacement SystemAesculap, Inc.2006—
−6K071983Aesculap Peek Intervertebral Body Fusion System: a Space, Cespace, Prospace…Aesculap Implant Systems, Inc.20081
−5K083311Aesculap Cespace Peek Intervertebral Body Fusion SystemAesculap Implant Systems, Inc.2009—
−4K110864Biospine VBR SystemAesculap Implant Systems, LLC2011—
−3K133802Ais Modulift VBR SystemAesculap Implant System, Inc.2014—
−2K142150Ais Modulift VBR SystemAesculap Implant System, Inc.2014—
−1K172032Modulift Vertebral Body Replacement (VBR) SystemAesculap Implants Systems, Inc.2017—
0 (this device)K212126MediExpand Cervical Expandable VBR SystemCmf Medicon Surgical, Inc.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198410
199910
200010
200180
200240
200380
200450
200540
200620
200720
200830
200910
201520
FIG. 1 — Lineage of K212126, 2001–2022Source: 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.

Planning a device in PLR? 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 PLR device

  1. #1 K232481 RIGEL™ 3DR Anterior Cervical Corpectomy Systemscore 13.1 · 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? (2)

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
*K151651NuVasive X-CORE Mini Cervical Expandable VBR System
Summary page 4
…PLR Predicate Devices Primary Predicate Device: Nuvasive X-Core Mini Cervical Expandable VBR System (K151651) Additional Predicate Device: Aesculap Modulift Vertebral Body Replacement (VBR) Sys…
Nu Vasive, Incorporated2015—
*K172032Modulift Vertebral Body Replacement (VBR) System
Summary page 4
…(K151651) Additional Predicate Device: Aesculap Modulift Vertebral Body Replacement (VBR) System (K172032) Device Description: The MediExpand Cervical Expandable VBR System is an adjustable vertebral body replacement device that is im…
Aesculap Implants Systems, Inc.2017—

Also cleared against K151651: 8 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 21 years and passes through 9 companies; a new generation was cleared every 10 months on median.
  • 5 of the 58 ancestors have a recall of any class.
  • 8 other devices also cite its predicate K151651.

How does its category compare?

All PLR devices

PLR Spinal Vertebral Body Replacement Device - Cervical: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · PLR

1in 2025

2015: 12016: 12017: 12018: 32019: 52020: 22022: 22023: 22025: 12026 (partial year): 1
2007high 5 (2019) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PLR

69in 2019

2018: 259 days median2019: 69 days median
2007high 259 (2018) · low 69 (2019)2026

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

Recalls per year · PLR

No recall names PLR since 2007.

Adverse event reports per year · PLR

1in 2025

2018: 12019: 12020: 22021: 42022: 12025: 1
2007high 4 (2021) · low 0 (2007)2025

MAUDE reports naming product code PLR, 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
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20151—00
20161—00
20171—00
2018325901
201956901
20202—02
20210—04
20222—01
20232—00
20240—00
20251—01
20261—0—

What is it indicated for?

The MediExpand Cervical Expandable VBR System is intended for use in the cervical spine (C3-C7 vertebral bodies) in skeletally mature patients to replace a diseased or damaged vertebral body caused by tumor, fracture, or osteomyelitis, or for reconstruction following corpectomy performed to achieve decompression of the spinal cord and neural tissues in cervical degenerative disorders. Use of the MediExpand Cervical Expandable VBR System is limited to…

Read the full statement (175 words)

The MediExpand Cervical Expandable VBR System is intended for use in the cervical spine (C3-C7 vertebral bodies) in skeletally mature patients to replace a diseased or damaged vertebral body caused by tumor, fracture, or osteomyelitis, or for reconstruction following corpectomy performed to achieve decompression of the spinal cord and neural tissues in cervical degenerative disorders. Use of the MediExpand Cervical Expandable VBR System is limited to single-level or two-level corpectomy and the device is intended to be used with supplemental fixation cleared by the FDA for use in the cervical spine.

These implants are intended for use with autograft or allogenic bone graft comprised of cancellous and/or corticocancellous bone graft, as an adjunct to fusion. The MediExpand Cervical Expandable VBR System is also intended to restore the integrity of the spinal column even in the absence of fusion for a limited period of time in patients with advanced stage tumors involving the cervical spine in whom life expectancy is of insufficient duration to permit achievement of fusion, with bone graft used at the surgeon’s discretion.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K212126: MediExpand Cervical Expandable VBR System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K212126

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