510(k) Report

510(k) · Cleared

Cleared

Stable-L Standalone Lumbar Interbody System

K212498510(k) TraditionalCleared Mar 18, 2022221-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

Nexus Spine, LLC · OVD Intervertebral Fusion Device With Integrated Fixation, Lumbar

Cleared on Mar 18, 2022 as substantially equivalent to K203201 (Nu Vasive, Incorporated, 2021) and 6 other predicates after a 221-day review. Its family tree reaches back 25 generations to 1984. 1 of the 484 devices in its family, counting itself, has a Class I recall. 7 later devices descend from it.

Decided
Mar 18, 2022
Review
221 days
Class
Class II
Product code
OVD
Recalls
None
Predicates
7

Its longest line of descent runs back 25 generations to K841189 (1984). 476 ancestors in all, the oldest K792352 (1979). 7 later devices descend from it, 2 citing it directly. 1 of the 484 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2021: 1 other ancestor2018: 4 other ancestors2016: 14 other ancestors2010: 26 other ancestors2008: 51 other ancestors, 1 with a Class I recall12020: 3 other ancestors2019: 2 other ancestors2017: 11 other ancestors2015: 23 other ancestors2013: 29 other ancestors2012: 25 other ancestors2011: 35 other ancestors2009: 38 other ancestors2005: 27 other ancestors2004: 40 other ancestors1999: 4 other ancestors2014: 23 other ancestors2007: 20 other ancestors2006: 15 other ancestors2003: 22 other ancestors2002: 13 other ancestors2001: 11 other ancestors2000: 4 other ancestors1996: 3 other ancestors1993: 2 other ancestors1998: 2 other ancestors1997: 1 other ancestor1980: 1 other ancestor1979: 1 other ancestor2023: 2 descendants cleared2025: 1 descendant cleared2024: 3 descendants 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) ×2: 2 generations cleared close together, K153782 (2016), K161230 (2016) ×3: 3 generations cleared close together, K170962 (2017), K171633 (2017), K172341 (2017) ×3: 3 generations cleared close together, K193593 (2020), K201820 (2020), K203201 (2021) 19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 6 other ancestors2 generations back: 39 other ancestors3 generations back: 76 other ancestors4 generations back: 97 other ancestors5 generations back: 83 other ancestors, 1 with a Class I recall16 generations back: 70 other ancestors7 generations back: 50 other ancestors8 generations back: 15 other ancestors9 generations back: 10 other ancestors10 generations back: 5 other ancestors 1 generation forward: 2 descendants2 generations forward: 4 descendants3 generations forward: 1 descendant K203201 · NuVasive Thoracolumbar Interbody Systems: CoRoent Thoracolumbar System, CoRoent XL Interfixated System, Brigade Hyperlordotic System, Brigade Standalone 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, Modulus ALIF System · Nu Vasive, Incorporated · 2021K201820 · 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. · 1984−25−20−15−10−50
  1. Root · 25 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 21 generations between
  3. 3 generations backK193593 NuVasive 3DP Interfixated ALIF SystemNu Vasive, Incorporated · 2020
  4. 2 generations backK201820 NuVasive Thoracolumbar Interbody Systems: CoRoent Thoracolumbar…Nu Vasive, Incorporated · 2020
  5. 1 generation backK203201 NuVasive Thoracolumbar Interbody Systems: CoRoent Thoracolumbar…Nu Vasive, Incorporated · 2021
  6. This deviceK212498 Stable-L Standalone Lumbar Interbody SystemNexus Spine, LLC · 2022
  7. Descendant · cites it directly · 5 of its ownK232530 Stable-L Standalone Lumbar Interbody System, Stable-C Interbody SystemNexus Spine, LLC · 2023
  8. Descendant · 2 generations on · 3 of its ownK240416 Tranquil-C Interbody SystemNexus Spine, LLC · 2024
  9. Descendant · 2 generations on · 2 of its ownK241467 Stable-C Interbody SystemNexus Spine, LLC · 2024
  10. Descendant · cites it directly · 1 of its ownK231486 Stable-L Standalone Lumbar Interbody SystemNexus Spine, LLC · 2023
  11. Descendant · 3 generations on · 0 of its ownK261279 DeltaNEC Interbody SystemNexus Spine · 2026
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 backK153782 NuVasive® Lumbar Interbody ImplantsNu Vasive, Incorporated · 2016
  19. 7 generations backK161230 NuVasive Lumbar Interbody ImplantsNu Vasive, Incorporated · 2016
  20. 6 generations backK170962 NuVasive® CoRoent® Thoracolumbar SystemNu Vasive, Incorporated · 2017
  21. 5 generations backK171633 NuVasive TLX Interbody SystemNu Vasive, Incorporated · 2017
  22. 4 generations backK172341 NuVasive® Modulus TLIF Interbody SystemNu Vasive, Incorporated · 2017
  23. 3 generations backK193593 NuVasive 3DP Interfixated ALIF SystemNu Vasive, Incorporated · 2020
  24. 2 generations backK201820 NuVasive Thoracolumbar Interbody Systems: CoRoent Thoracolumbar…Nu Vasive, Incorporated · 2020
  25. 1 generation backK203201 NuVasive Thoracolumbar Interbody Systems: CoRoent Thoracolumbar…Nu Vasive, Incorporated · 2021
  26. This deviceK212498 Stable-L Standalone Lumbar Interbody SystemNexus Spine, LLC · 2022

Showing 5 of 7 descendants. See all descendants

Descendants cleared per year

2023: 22024: 32025: 12026: 1
2023high 3 (2024) · low 1 (2025)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 7 · See all
  • K232530Stable-L Standalone Lumbar Interbody System, Stable-C Interbody SystemNexus Spine, LLC · 2023 · cites it directly5descendants
  • K240416Tranquil-C Interbody SystemNexus Spine, LLC · 2024 · 2 generations on3descendants
  • K241467Stable-C Interbody SystemNexus Spine, LLC · 2024 · 2 generations on2descendants
  • K231486Stable-L Standalone Lumbar Interbody SystemNexus Spine, LLC · 2023 · cites it directly1descendant
  • K261279DeltaNEC Interbody SystemNexus Spine · 2026 · 3 generations on0descendants
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—
−8K153782NuVasive® Lumbar Interbody ImplantsNu Vasive, Incorporated2016—
−7K161230NuVasive Lumbar Interbody ImplantsNu Vasive, Incorporated2016—
−6K170962NuVasive® CoRoent® Thoracolumbar SystemNu Vasive, Incorporated2017—
−5K171633NuVasive TLX Interbody SystemNu Vasive, Incorporated2017—
−4K172341NuVasive® Modulus TLIF Interbody SystemNu Vasive, Incorporated2017—
−3K193593NuVasive 3DP Interfixated ALIF SystemNu Vasive, Incorporated2020—
−2K201820NuVasive Thoracolumbar Interbody Systems: CoRoent Thoracolumbar System…Nu Vasive, Incorporated2020—
−1K203201NuVasive Thoracolumbar Interbody Systems: CoRoent Thoracolumbar System…Nu Vasive, Incorporated2021—
0 (this device)K212498Stable-L Standalone Lumbar Interbody SystemNexus Spine, LLC2022—
+1K232530Stable-L Standalone Lumbar Interbody System, Stable-C Interbody SystemNexus Spine, LLC2023—
+2K240416Tranquil-C Interbody SystemNexus Spine, LLC2024—
+2K241467Stable-C Interbody SystemNexus Spine, LLC2024—
+1K231486Stable-L Standalone Lumbar Interbody SystemNexus Spine, LLC2023—
+3K261279DeltaNEC Interbody SystemNexus Spine2026—

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
2008511
2009380
2010260
2011350
2012250
2013290
2014230
2015230
2016140
2017110
201840
201920
202030
202110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202320
202430
202510
202610
FIG. 1 — Lineage of K212498, 1984–2026Source: 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 OVD device

  1. #1 K222009 aprevo® anterior lumbar interbody fusion…score 26.0 · 23 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? (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
*K203201NuVasive Thoracolumbar Interbody Systems: CoRoent Thoracolumbar System, CoRoent XL…
Summary page 4
…Device 510(k) Number Primary Predicate NuVasive, Incorporated Brigade Standalone System K203201 Additional Predicates Globus Medical Independence MIS Anterior Lumbar K203278…
Nu Vasive, Incorporated2021—
*K203278INDEPENDENCE Spacers, HEDRON IA, MAGNIFY-S Spacers, MONUMENT Spacers, InterContinental…
Summary page 4
…Incorporated Brigade Standalone System K203201 Additional Predicates Globus Medical Independence MIS Anterior Lumbar K203278 Interbody Fusion System Nexus Spine, LLC Tranquil-L Interbody System…
Globus Medical, Inc.2021—
*K181702Tranquil-L Interbody System
Summary page 4
…MIS Anterior Lumbar K203278 Interbody Fusion System Nexus Spine, LLC Tranquil-L Interbody System K181702 Synthes USA Products, SYNFIX Evolution System K162358 LLC Centinel Spine…
Nexus Spine, LLC2018—
*K162358T-PAL Spacer System, T-PAL Titanium Spacer System, SYNFIX Evolution System
Summary page 4
…sion System Nexus Spine, LLC Tranquil-L Interbody System K181702 Synthes USA Products, SYNFIX Evolution System K162358 LLC Centinel Spine STALIF Midline K101301 Centinel Spine…
Synthes USA Products, LLC2016—
*K101301Stalif Midline
Summary page 4
…Synthes USA Products, SYNFIX Evolution System K162358 LLC Centinel Spine STALIF Midline K101301 Centinel Spine STALIF TT K073109 Theken Spine Vu aPOD…
Centinel Spine2010—
*K073109Stalif TT Intervertebral Body Fusion System
Summary page 4
…LLC Centinel Spine STALIF Midline K101301 Centinel Spine STALIF TT K073109 Theken Spine Vu aPOD K101310 Device Description: The Stable-L™…
Surgicraft, Ltd.2008—
*K101310VU Apod Intervertebral Body Fusion Device
Summary page 4
…K101301 Centinel Spine STALIF TT K073109 Theken Spine Vu aPOD K101310 Device Description: The Stable-L™ Standalone Interbody System is made of Ti-6Al-4V. The…
Theken Spine, LLC2010—

Also cleared against K203201: 5 other devices →

What descends from it? (7)

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

NumberDeviceApplicantDecidedDescendants
K232530Stable-L Standalone Lumbar Interbody System, Stable-C Interbody SystemNexus Spine, LLC20235
K231486Stable-L Standalone Lumbar Interbody SystemNexus Spine, LLC20231

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 38 years and passes through 13 companies; a new generation was cleared every 10 months on median.
  • 48 of the 476 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K232530 (Nexus Spine, LLC, 2023) has gone furthest, with 5 descendants of its own.
  • 5 other devices also cite its predicate K203201.

How does its category compare?

All OVD devices

OVD Intervertebral Fusion Device With Integrated Fixation, Lumbar: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · OVD

10in 2025

2007: 22008: 82009: 32010: 82011: 92012: 102013: 112014: 142015: 122016: 132017: 122018: 142019: 122020: 142021: 72022: 142023: 122024: 122025: 102026 (partial year): 8
2007high 14 (2014) · low 2 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OVD

100in 2025

2008: 84 days median2009: 152 days median2010: 117 days median2011: 167 days median2012: 78 days median2013: 137 days median2014: 139 days median2015: 166 days median2016: 127 days median2017: 127 days median2018: 126 days median2019: 91 days median2020: 91 days median2021: 108 days median2022: 133 days median2023: 92 days median2024: 110 days median2025: 100 days median2026 (partial year): 93 days median
2007high 167 (2011) · low 78 (2012)2026

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

Recalls per year · OVD

1in 2025

2013: 42016: 12021: 12022: 12025: 12026 (partial year): 1
2007high 4 (2013) · low 0 (2007)2026

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

Adverse event reports per year · OVD

50in 2025

2009: 22010: 22011: 62012: 162013: 172014: 352015: 432016: 552017: 722018: 1122019: 1712020: 2032021: 2212022: 742023: 672024: 922025: 50
2007high 221 (2021) · low 0 (2007)2025

MAUDE reports naming product code OVD, 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
20072—00
200888400
2009315202
2010811702
2011916706
20121078016
201311137417
201414139035
201512166043
201613127155
201712127072
2018141260112
201912910171
202014910203
202171081221
202214133174
20231292067
202412110092
202510100150
20268931—

What is it indicated for?

The Stable-L Standalone Lumbar Interbody System is indicated for spinal fusion procedures in skeletally mature patients. Stable-L is designed for use with autogenous and/or allogenic bone graft comprised of cancellous and/or corticocancellous bone graft. The devices are to be used in patients who have had at least six months of non-operative treatment. Stable-L is intended for use in interbody fusions in the lumbar spine from L2 to S1 at one or two…

Read the full statement (181 words)

The Stable-L Standalone Lumbar Interbody System is indicated for spinal fusion procedures in skeletally mature patients. Stable-L is designed for use with autogenous and/or allogenic bone graft comprised of cancellous and/or corticocancellous bone graft. The devices are to be used in patients who have had at least six months of non-operative treatment. Stable-L is intended for use in interbody fusions in the lumbar spine from L2 to S1 at one or two adjacent levels in the treatment of symptomatic degenerative disc disease (DDD). The DDD patients may also have up to Grade 1 spondylolisthesis at one or two adjacent levels. DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. Each interbody fusion device having a lordotic angle 20° or less is intended to be used with the bone screws provided and requires no additional fixation. However, for hyperlordotic devices (> 20° lordosis), due to the increased risk of anterior migration with hyperlordotic implants, the devices should be used with the bone screws provided and supplemental fixation such as posterior fixation.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K212498: Stable-L Standalone Lumbar Interbody System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K212498

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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