510(k) Report

510(k) · Cleared

Cleared

4CIS Black Marlin Plif Cage System, 4CIS Dolphin Tlif Cage System

K213653510(k) TraditionalCleared Dec 19, 2022395-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

Solco Biomedical Company India Private Limited · MAX Intervertebral Fusion Device With Bone Graft, Lumbar

Cleared on Dec 19, 2022 as substantially equivalent to K221844 (Tdm Co., Ltd., 2022) and 2 other predicates after a 395-day review. Its family tree reaches back 19 generations to 1984. 1 of the 254 devices in its family, counting itself, has a Class I recall.

Decided
Dec 19, 2022
Review
395 days
Class
Class II
Product code
MAX
Recalls
None
Predicates
3

Its longest line of descent runs back 19 generations to K841189 (1984). 253 ancestors in all. No later device cites it as a predicate yet. 1 of the 254 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2022: 1 other ancestor2019: 1 other ancestor2016: 2 other ancestors2015: 5 other ancestors2013: 12 other ancestors2010: 19 other ancestors2008: 37 other ancestors, 1 with a Class I recall12014: 11 other ancestors2012: 11 other ancestors2009: 22 other ancestors2007: 12 other ancestors1999: 2 other ancestors1996: 2 other ancestors2011: 16 other ancestors2005: 15 other ancestors2003: 15 other ancestors2002: 9 other ancestors2001: 10 other ancestors2000: 2 other ancestors2006: 8 other ancestors2004: 22 other ancestorsReference device: K202498 · 4CIS SARA Spine System, 4CIS VERTU Spine System · Solco Biomedical Company India Private Limited · 2021K841189 · 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 · 2015K151773 · CONCORDE Bullet Lumbar Interbody System · Medos International SARL · 2015K162358 · T-PAL Spacer System, T-PAL Titanium Spacer System, SYNFIX Evolution System · Synthes USA Products, LLC · 201619801990200020102020
Other ancestors, by generation 1 generation back: 2 other ancestors2 generations back: 9 other ancestors, 1 with a Class I recall13 generations back: 17 other ancestors4 generations back: 54 other ancestors5 generations back: 54 other ancestors6 generations back: 47 other ancestors7 generations back: 37 other ancestors8 generations back: 9 other ancestors9 generations back: 3 other ancestors10 generations back: 2 other ancestors K162358 · T-PAL Spacer System, T-PAL Titanium Spacer System, SYNFIX Evolution System · Synthes USA Products, LLC · 2016K151773 · CONCORDE Bullet Lumbar Interbody System · Medos International SARL · 2015K143163 · 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. · 1984−15−10−50
  1. Root · 19 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 15 generations between
  3. 3 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  4. 2 generations backK151773 CONCORDE Bullet Lumbar Interbody SystemMedos International SARL · 2015
  5. 1 generation backK162358 T-PAL Spacer System, T-PAL Titanium Spacer System, SYNFIX Evolution…Synthes USA Products, LLC · 2016
  6. This deviceK213653 4CIS Black Marlin Plif Cage System, 4CIS Dolphin Tlif Cage SystemSolco Biomedical Company India Private Limited · 2022
Show all 19 generations
  1. Root · 19 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 18 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 17 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 16 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 15 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 14 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 13 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 12 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 11 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 10 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 9 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 8 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 7 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 6 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 5 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 4 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 3 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 2 generations backK151773 CONCORDE Bullet Lumbar Interbody SystemMedos International SARL · 2015
  19. 1 generation backK162358 T-PAL Spacer System, T-PAL Titanium Spacer System, SYNFIX Evolution…Synthes USA Products, LLC · 2016
  20. This deviceK213653 4CIS Black Marlin Plif Cage System, 4CIS Dolphin Tlif Cage SystemSolco Biomedical Company India Private Limited · 2022

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−19K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−18K990148Stackable Cage SystemDepuy Motech Acromed1999—
−17K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−16K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−15K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−14K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−13K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−12K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−11K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−10K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−9K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−8K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−7K121683Acculif TL CageCoalign Innovations, Inc.2012—
−6K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−5K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−4K141217Acculif TL and PL CageStryker Corporation20143
−3K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−2K151773CONCORDE Bullet Lumbar Interbody SystemMedos International SARL2015—
−1K162358T-PAL Spacer System, T-PAL Titanium Spacer System, SYNFIX Evolution SystemSynthes USA Products, LLC2016—
0 (this device)K2136534CIS Black Marlin Plif Cage System, 4CIS Dolphin Tlif Cage SystemSolco Biomedical Company India Private Limited2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199620
199920
200020
2001100
200290
2003150
2004220
2005150
200680
2007120
2008371
2009220
2010190
2011160
2012110
2013120
2014110
201550
201620
201910
202210
FIG. 1 — Lineage of K213653, 1984–2022Source: 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 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? (3)

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
*K221844TDM Lumbar Interbody Fusion Cage System
Cleared while this submission was under review
Summary page 4
…Trade or Proprietary or Model Name Manufacturer Number K221844 TDM Lumbar Interbody Fusion Cage…
Tdm Co., Ltd.2022—
*K1905634CIS PEEK PLIF Cage, 4CIS Pebble Beach PEEK PLIF Cage, 4CIS Torrey Pines PEEK TLIF Cage…
Summary page 4
…4CIS® PEEK PLIF Cage, Solco Biomedical Co., Ltd. K190563 4CIS® Pebble Beach PEEK PLIF Cage…
Solco Biomedical Co., Ltd.2019—
*K162358T-PAL Spacer System, T-PAL Titanium Spacer System, SYNFIX Evolution System
Summary page 4
…4CIS VERTU Spine System India Private limited T-PAL Spacer System, K162358 T-PAL Titanium Spacer System, Synthes USA Products LLC SYNFIXEv…
Synthes USA Products, LLC2016—
†K2024984CIS SARA Spine System, 4CIS VERTU Spine SystemSolco Biomedical Company India Private Limited2021—

What descends from it?

No later submission names this one as a predicate yet.

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 · 2 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 14 companies; a new generation was cleared every 11 months on median.
  • 29 of the 253 ancestors have a recall of any class; 1 has a Class I recall.

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. 2022, 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 Spinal Fusion Cage System is an intervertebral body fusion devices intended for use to skeletally mature patients with Degenerative Disk Disease (DDD) of the lumbar spine with up to Grade 1 Spondylolisthesis at one or two contiguous levels from L2-S1. DDD is defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies. Spinal Fusion Cage System is indicated to be used with autologous bone graft to facilitate fusion and are intended to be used with supplemental fixation. The device is to be used in patients who have had six months of nonoperative treatment.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K213653: 4CIS Black Marlin Plif Cage System, 4CIS Dolphin Tlif 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/K213653

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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