510(k) Report

510(k) · Cleared

Cleared

AxTiHA Stand-Alone ALIF System

K212967510(k) SpecialCleared Oct 15, 202129-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

Innovasis, Inc. · OVD Intervertebral Fusion Device With Integrated Fixation, Lumbar

Cleared on Oct 15, 2021 as substantially equivalent to K201614 (Innovasis, Inc., 2020) after a 29-day review. Its family tree reaches back 24 generations to 1984. 1 later device descends from it.

Decided
Oct 15, 2021
Review
29 days
Class
Class II
Product code
OVD
Recalls
None
Predicates
1

Its longest line of descent runs back 24 generations to K841189 (1984). 252 ancestors in all. 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2019: 1 other ancestor2017: 4 other ancestors2015: 8 other ancestors2014: 12 other ancestors2013: 11 other ancestors2012: 9 other ancestors2011: 15 other ancestors2008: 35 other ancestors2016: 3 other ancestors2010: 15 other ancestors2009: 18 other ancestors2007: 12 other ancestors2005: 15 other ancestors2004: 22 other ancestors2003: 15 other ancestors2001: 10 other ancestors1999: 2 other ancestors1996: 2 other ancestors2006: 8 other ancestors2002: 9 other ancestors2000: 2 other ancestors2025: 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. · 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 · 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 · 2015×2: 2 generations cleared close together, K153782 (2016), K161230 (2016) ×2: 2 generations cleared close together, K170962 (2017), K171633 (2017) K180078 · Px PEEK IBF System, Px HA PEEK IBF System, TxHA PEEK IBF System · Innovasis, Inc. · 2018 · recalledK183064 · TxTi IBF System · Innovasis, Inc. · 2019 · recalledK201614 · TxTiHA IBF System, AxTiHA Stand-Alone ALIF System · Innovasis, Inc. · 2020 · recalled19801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor3 generations back: 3 other ancestors4 generations back: 13 other ancestors5 generations back: 28 other ancestors6 generations back: 40 other ancestors7 generations back: 54 other ancestors8 generations back: 40 other ancestors9 generations back: 27 other ancestors10 generations back: 16 other ancestors11 generations back: 6 other ancestors 1 generation forward: 1 descendant K201614 · TxTiHA IBF System, AxTiHA Stand-Alone ALIF System · Innovasis, Inc. · 2020 · recalledK183064 · TxTi IBF System · Innovasis, Inc. · 2019 · recalledK180078 · Px PEEK IBF System, Px HA PEEK IBF System, TxHA PEEK IBF System · Innovasis, Inc. · 2018 · recalledK171633 · 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. · 1984−20−15−10−50
  1. Root · 24 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 20 generations between
  3. 3 generations backK180078 Px PEEK IBF System, Px HA PEEK IBF System, TxHA PEEK IBF SystemInnovasis, Inc. · 2018 · Recalled
  4. 2 generations backK183064 TxTi IBF SystemInnovasis, Inc. · 2019 · Recalled
  5. 1 generation backK201614 TxTiHA IBF System, AxTiHA Stand-Alone ALIF SystemInnovasis, Inc. · 2020 · Recalled
  6. This deviceK212967 AxTiHA Stand-Alone ALIF SystemInnovasis, Inc. · 2021
  7. Descendant · cites it directly · 0 of its ownK250603 AxTiHA® Stand-Alone ALIF SystemInnovasis · 2025
Show all 24 generations
  1. Root · 24 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 23 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 22 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 21 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 20 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 19 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 18 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 17 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 16 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 15 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 14 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 13 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 12 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 11 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 10 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 9 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 8 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 7 generations backK153782 NuVasive® Lumbar Interbody ImplantsNu Vasive, Incorporated · 2016
  19. 6 generations backK161230 NuVasive Lumbar Interbody ImplantsNu Vasive, Incorporated · 2016
  20. 5 generations backK170962 NuVasive® CoRoent® Thoracolumbar SystemNu Vasive, Incorporated · 2017
  21. 4 generations backK171633 NuVasive TLX Interbody SystemNu Vasive, Incorporated · 2017
  22. 3 generations backK180078 Px PEEK IBF System, Px HA PEEK IBF System, TxHA PEEK IBF SystemInnovasis, Inc. · 2018 · Recalled
  23. 2 generations backK183064 TxTi IBF SystemInnovasis, Inc. · 2019 · Recalled
  24. 1 generation backK201614 TxTiHA IBF System, AxTiHA Stand-Alone ALIF SystemInnovasis, Inc. · 2020 · Recalled
  25. This deviceK212967 AxTiHA Stand-Alone ALIF SystemInnovasis, Inc. · 2021

Most influential descendants

Showing 1 of 1 · See all
  • K250603AxTiHA® Stand-Alone ALIF SystemInnovasis · 2025 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−24K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−23K990148Stackable Cage SystemDepuy Motech Acromed1999—
−22K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−21K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−20K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−19K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−18K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−17K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−16K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−15K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−14K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−13K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−12K121683Acculif TL CageCoalign Innovations, Inc.2012—
−11K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−10K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−9K141217Acculif TL and PL CageStryker Corporation20143
−8K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−7K153782NuVasive® Lumbar Interbody ImplantsNu Vasive, Incorporated2016—
−6K161230NuVasive Lumbar Interbody ImplantsNu Vasive, Incorporated2016—
−5K170962NuVasive® CoRoent® Thoracolumbar SystemNu Vasive, Incorporated2017—
−4K171633NuVasive TLX Interbody SystemNu Vasive, Incorporated2017—
−3K180078Px PEEK IBF System, Px HA PEEK IBF System, TxHA PEEK IBF SystemInnovasis, Inc.20181
−2K183064TxTi IBF SystemInnovasis, Inc.20191
−1K201614TxTiHA IBF System, AxTiHA Stand-Alone ALIF SystemInnovasis, Inc.20201
0 (this device)K212967AxTiHA Stand-Alone ALIF SystemInnovasis, Inc.2021—
+1K250603AxTiHA® Stand-Alone ALIF SystemInnovasis2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199620
199920
200020
2001100
200290
2003150
2004220
2005150
200680
2007120
2008350
2009180
2010150
2011150
201290
2013110
2014120
201580
201630
201740
201910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202510
FIG. 1 — Lineage of K212967, 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 OVD? 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? (1)

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
*K201614TxTiHA IBF System, AxTiHA Stand-Alone ALIF System
Summary page 4
…– Orthopedic Devices (OHT6) – Spinal Devices Branch (DHT6B) Regulatory Class: Class II 3. Predicate Devices Primary Predicate Device: K201614 Innovasis AxTiHA® Stand-Alone ALIF System 4. Indications for Use AxTiHA Stand-Alone ALIF System The Innovasis AxTiHA…
Innovasis, Inc.20201

Also cleared against K201614: 5 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
K250603AxTiHA® Stand-Alone ALIF SystemInnovasis20250

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 13 companies; a new generation was cleared every 11 months on median.
  • 29 of the 252 ancestors have a recall of any class.
  • Of its descendants, K250603 (Innovasis, 2025) has gone furthest, with 0 descendants of its own.
  • 5 other devices also cite its predicate K201614.

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. 2021, 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 Innovasis AxTiHA Stand-Alone ALIF System is an intervertebral body fusion device for use in patients with degenerative disc disease (DDD) at one or two contiguous levels of the lumbar spine (L2-S1). DDD is defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies. These patients should be skeletally mature and have had at least six (6) months of non-operative treatment. In addition, these patients may…

Read the full statement (185 words)

The Innovasis AxTiHA Stand-Alone ALIF System is an intervertebral body fusion device for use in patients with degenerative disc disease (DDD) at one or two contiguous levels of the lumbar spine (L2-S1). DDD is defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies. These patients should be skeletally mature and have had at least six (6) months of non-operative treatment. In addition, these patients may have up to a Grade 1 spondylolisthesis or retrolisthesis at the involved levels(s). These implants are used to facilitate fusion in the lumbar spine and are placed via an anterior (ALIF) approach. Hyperlordotic implants (those with a lordotic angle greater than or equal to 20°) are indicated for use with a supplemental spinal fixation system such as the Innovasis® Excella® Spinal System. The AxTiHA Stand-Alone interbody implants with a lordotic angle less than 20°, when used with all three internal fixation screws, do not require use of supplemental fixation. The interior of the AxTiHA implant is intended to be packed with autograft or allogenic bone graft composed of cancellous and/or corticocancellous bone graft.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K212967: AxTiHA Stand-Alone ALIF System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K212967

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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