510(k) Report

510(k) · Cleared

Cleared

MectaLIF Extension

K212831510(k) TraditionalCleared Oct 29, 202152-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

Medacta International S.A. · MAX Intervertebral Fusion Device With Bone Graft, Lumbar

Cleared on Oct 29, 2021 as substantially equivalent to K133192 (Medacta International, 2014) and 4 other predicates after a 52-day review. Its family tree reaches back 16 generations to 1984. 1 later device descends from it.

Decided
Oct 29, 2021
Review
52 days
Class
Class II
Product code
MAX
Recalls
None
Predicates
5

Its longest line of descent runs back 16 generations to K841189 (1984). 103 ancestors in all. 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2013: 1 other ancestor2011: 3 other ancestors2010: 2 other ancestors2009: 7 other ancestors2008: 8 other ancestors2007: 6 other ancestors2004: 14 other ancestors2003: 12 other ancestors1999: 2 other ancestors2006: 1 other ancestor2005: 11 other ancestors2002: 8 other ancestors2001: 9 other ancestors1996: 2 other ancestors2000: 1 other ancestor2025: 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. · 2007K072120 · Paramount Intervertebral Body Fusion Device · Innovative Spinal Technologies, Inc. · 2007K073291 · Capstone Spinal System · Medtronic Sofamor Danek USA, Inc. · 2008K100175 · Clydesdale Spinal System · Medtronic Sofamor Danek · 2010K110927 · Mectalif · Medacta International · 2011 · recalledK120024 · Mectalif Transforaminal · Medacta International S.A. · 2012K131671 · Mectalif · Medacta International · 2013K133192 · Mectalif Tipeek · Medacta International · 2014K181970 · MectaLIF Posterior Extension · Medacta International S.A. · 201819801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 11 other ancestors3 generations back: 26 other ancestors4 generations back: 17 other ancestors5 generations back: 19 other ancestors6 generations back: 9 other ancestors7 generations back: 4 other ancestors 1 generation forward: 1 descendant K181970 · MectaLIF Posterior Extension · Medacta International S.A. · 2018K133192 · Mectalif Tipeek · Medacta International · 2014K131671 · Mectalif · Medacta International · 2013K120024 · Mectalif Transforaminal · Medacta International S.A. · 2012K110927 · Mectalif · Medacta International · 2011 · recalledK100175 · Clydesdale 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. · 1984−15−10−50
  1. Root · 16 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 12 generations between
  3. 3 generations backK131671 MectalifMedacta International · 2013
  4. 2 generations backK133192 Mectalif TipeekMedacta International · 2014
  5. 1 generation backK181970 MectaLIF Posterior ExtensionMedacta International S.A. · 2018
  6. This deviceK212831 MectaLIF ExtensionMedacta International S.A. · 2021
  7. Descendant · cites it directly · 0 of its ownK251016 MectaLIF 3D MetalMedacta International S.A. · 2025
Show all 16 generations
  1. Root · 16 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 15 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 14 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 13 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 12 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 11 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 10 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 9 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 8 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 7 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 6 generations backK100175 Clydesdale Spinal SystemMedtronic Sofamor Danek · 2010
  12. 5 generations backK110927 MectalifMedacta International · 2011 · Recalled
  13. 4 generations backK120024 Mectalif TransforaminalMedacta International S.A. · 2012
  14. 3 generations backK131671 MectalifMedacta International · 2013
  15. 2 generations backK133192 Mectalif TipeekMedacta International · 2014
  16. 1 generation backK181970 MectaLIF Posterior ExtensionMedacta International S.A. · 2018
  17. This deviceK212831 MectaLIF ExtensionMedacta International S.A. · 2021

Most influential descendants

Showing 1 of 1 · See all
  • K251016MectaLIF 3D MetalMedacta International S.A. · 2025 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−16K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−15K990148Stackable Cage SystemDepuy Motech Acromed1999—
−14K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−13K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−12K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−11K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−10K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−9K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−8K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−7K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−6K100175Clydesdale Spinal SystemMedtronic Sofamor Danek2010—
−5K110927MectalifMedacta International20111
−4K120024Mectalif TransforaminalMedacta International S.A.2012—
−3K131671MectalifMedacta International2013—
−2K133192Mectalif TipeekMedacta International2014—
−1K181970MectaLIF Posterior ExtensionMedacta International S.A.2018—
0 (this device)K212831MectaLIF ExtensionMedacta International S.A.2021—
+1K251016MectaLIF 3D MetalMedacta International S.A.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199620
199920
200010
200190
200280
2003120
2004140
2005110
200610
200760
200880
200970
201020
201130
201310

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202510
FIG. 1 — Lineage of K212831, 1984–2025Source: 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 MAX? 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 MAX device

  1. #1 K203714 NuVasive Thoracolumbar Interbody Systems…score 102.5 · 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? (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
*K133192Mectalif Tipeek
Summary page 4
…R 888.3080 Device Classification II III. Predicate Device Substantial equivalence is claimed to the following primary predicate device:  MectaLIF TiPEEK, K133192, Medacta International SA In addition, the following additional predicate devices are cited within the submission:  Aleutia…
Medacta International2014—
*K130699Aleutian Spinal System
Summary page 4
… MectaLIF TiPEEK, K133192, Medacta International SA In addition, the following additional predicate devices are cited within the submission:  Aleutian IBF System, K130699, K2M, Inc.  MectaLIF, K110927, Medacta International SA  MectaLIF Extension, K131671, Medacta International SA  Me…
K2m, Inc.2013—
*K110927Mectalif
Summary page 4
…International SA In addition, the following additional predicate devices are cited within the submission:  Aleutian IBF System, K130699, K2M, Inc.  MectaLIF, K110927, Medacta International SA  MectaLIF Extension, K131671, Medacta International SA  MectaLIF Posterior Extension, K181970…
Medacta International20111
*K131671Mectalif
Summary page 4
…dicate devices are cited within the submission:  Aleutian IBF System, K130699, K2M, Inc.  MectaLIF, K110927, Medacta International SA  MectaLIF Extension, K131671, Medacta International SA  MectaLIF Posterior Extension, K181970, Medacta International SA IV. Device Description The s…
Medacta International2013—
*K181970MectaLIF Posterior Extension
Summary page 4
…tem, K130699, K2M, Inc.  MectaLIF, K110927, Medacta International SA  MectaLIF Extension, K131671, Medacta International SA  MectaLIF Posterior Extension, K181970, Medacta International SA IV. Device Description The subject MectaLIF Extension implants are a line extension to the MectaLI…
Medacta International S.A.2018—

Also cleared against K133192: 4 other devices →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K251016MectaLIF 3D MetalMedacta International S.A.20250

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 37 years and passes through 11 companies; a new generation was cleared every 1.3 years on median.
  • 14 of the 103 ancestors have a recall of any class.
  • Of its descendants, K251016 (Medacta International S.A., 2025) has gone furthest, with 0 descendants of its own.
  • 4 other devices also cite its predicate K133192.

How does its category compare?

All MAX devices

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

FDA decisions per year · MAX

29in 2025

2007: 72008: 352009: 312010: 292011: 492012: 482013: 582014: 582015: 532016: 642017: 762018: 642019: 602020: 562021: 532022: 412023: 302024: 382025: 292026 (partial year): 18
2007high 76 (2017) · low 7 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MAX

85in 2025

2007: 86 days median2008: 88 days median2009: 102 days median2010: 137 days median2011: 98 days median2012: 69 days median2013: 102 days median2014: 115 days median2015: 113 days median2016: 124 days median2017: 116 days median2018: 114 days median2019: 131 days median2020: 106 days median2021: 109 days median2022: 95 days median2023: 87 days median2024: 91 days median2025: 85 days median2026 (partial year): 95 days median
2007high 137 (2010) · low 69 (2012)2026

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

Recalls per year · MAX

5in 2025

2008: 22009: 92011: 32012: 11, 1 Class I2014: 32015: 12016: 62017: 12018: 42019: 12022: 12024: 12025: 5
2007high 11 (2012) · low 0 (2007)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · MAX

811in 2025

2007: 122008: 192009: 902010: 1542011: 2012012: 3272013: 3802014: 3662015: 5242016: 6472017: 5962018: 6162019: 6992020: 6402021: 6222022: 6182023: 5762024: 7292025: 811
2007high 811 (2025) · low 12 (2007)2025

MAUDE reports naming product code MAX, 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
2007786012
20083588219
200931102990
2010291370154
201149983201
2012486911 (1)327
2013581020380
2014581153366
2015531131524
2016641246647
2017761161596
2018641144616
2019601311699
2020561060640
2021531090622
202241951618
202330870576
202438911729
202529855811
202618950—

What is it indicated for?

The MectaLLIF implants in combination with supplemental fixation are indicated for use with autogenous

bone graft in patients with degenerative disc disease (DDD) at one or two contiguous spinal levels from

L2 — S1 whose condition requires the use of interbody fusion. Degenerative disc disease is defined as

discogenic pain with degeneration of the disc confirmed by patient history and radiographic studies.

These patients may have had a previous non-fusion spinal surgery at the involved spinal level(s). Patients

must be skeletally mature. Patients should have received 6 months of non-operative treatment prior to

treatment with the devices.

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. “K212831: MectaLIF Extension.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K212831

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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