510(k) Report

510(k) · Cleared

Cleared

BALTEUM - ONE™ Lumbar Plate System

K213820510(k) TraditionalCleared Mar 25, 2022107-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

Huvexel Co., Ltd. · KWQ Appliance, Fixation, Spinal Intervertebral Body

Cleared on Mar 25, 2022 as substantially equivalent to K200846 (Huvexel Co., Ltd., 2020) and 4 other predicates after a 107-day review. Its family tree reaches back 9 generations to 1999. 3 later devices descend from it.

Decided
Mar 25, 2022
Review
107 days
Class
Class II
Product code
KWQ
Recalls
None
Predicates
5

Its longest line of descent runs back 9 generations to K990745 (1999). 23 ancestors in all, the oldest K962628 (1997). 3 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2009: 1 other ancestor2008: 1 other ancestor2007: 2 other ancestors2006: 1 other ancestor2005: 1 other ancestor2003: 3 other ancestors2002: 1 other ancestor2001: 2 other ancestors1997: 2 other ancestors2022: 1 descendant cleared2025: 1 descendant cleared2023: 1 descendant clearedK990745 · Modification to Synthes Universal Spinal System · Synthes Spine · 1999K992739 · Click'x · Synthes Spine · 2000 · recalledK040442 · Protex Stabilization System · Globus Medical, Inc. · 2004K052069 · Protex Stabilization System with Additional Componentes · Globus Medical, Inc. · 2005×2: 2 generations cleared close together, K061202 (2006), K062407 (2006) K092108 · Truss Thoracolumbar Plate System · Globus Medical, Inc. · 2009K120092 · Plymouth Thoracolumbar Plate System · Globus Medical, Inc. · 2012K200846 · Balteum™ Lumbar Plate System · Huvexel Co., Ltd. · 20201995200020052010201520202025
  1. Root · 9 generations backK990745 Modification to Synthes Universal Spinal SystemSynthes Spine · 1999
  2. 5 generations between
  3. 3 generations backK092108 Truss Thoracolumbar Plate SystemGlobus Medical, Inc. · 2009
  4. 2 generations backK120092 Plymouth Thoracolumbar Plate SystemGlobus Medical, Inc. · 2012
  5. 1 generation backK200846 Balteum™ Lumbar Plate SystemHuvexel Co., Ltd. · 2020
  6. This deviceK213820 BALTEUM - ONE™ Lumbar Plate SystemHuvexel Co., Ltd. · 2022
  7. Descendant · cites it directly · 2 of its ownK222572 FORTIS and HANA Anterior Cervical Plate System, Rex Anterior…Dio Medical Corporation · 2022
  8. Descendant · 2 generations on · 0 of its ownK250446 Frida™ Anterior Cervical Plate SystemSpineup, Inc. · 2025
  9. Descendant · 2 generations on · 0 of its ownK231460 FORTIS and HANA Anterior Cervical Plate System, Rex Anterior…K&J Consulting Corp. · 2023
Show all 9 generations
  1. Root · 9 generations backK990745 Modification to Synthes Universal Spinal SystemSynthes Spine · 1999
  2. 8 generations backK992739 Click'xSynthes Spine · 2000 · Recalled
  3. 7 generations backK040442 Protex Stabilization SystemGlobus Medical, Inc. · 2004
  4. 6 generations backK052069 Protex Stabilization System with Additional ComponentesGlobus Medical, Inc. · 2005
  5. 5 generations backK061202 Revere Stabilization SystemGlobus Medical, Inc. · 2006
  6. 4 generations backK062407 Gateway Thoracolumbar Plate SystemGlobus Medical, Inc. · 2006
  7. 3 generations backK092108 Truss Thoracolumbar Plate SystemGlobus Medical, Inc. · 2009
  8. 2 generations backK120092 Plymouth Thoracolumbar Plate SystemGlobus Medical, Inc. · 2012
  9. 1 generation backK200846 Balteum™ Lumbar Plate SystemHuvexel Co., Ltd. · 2020
  10. This deviceK213820 BALTEUM - ONE™ Lumbar Plate SystemHuvexel Co., Ltd. · 2022

Most influential descendants

Showing 3 of 3 · See all
  • K222572FORTIS and HANA Anterior Cervical Plate System, Rex Anterior Cervical Plate System, and…Dio Medical Corporation · 2022 · cites it directly2descendants
  • K250446Frida™ Anterior Cervical Plate SystemSpineup, Inc. · 2025 · 2 generations on0descendants
  • K231460FORTIS and HANA Anterior Cervical Plate System, Rex Anterior Cervical Plate System…K&J Consulting Corp. · 2023 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K990745Modification to Synthes Universal Spinal SystemSynthes Spine1999—
−8K992739Click'xSynthes Spine20001
−7K040442Protex Stabilization SystemGlobus Medical, Inc.2004—
−6K052069Protex Stabilization System with Additional ComponentesGlobus Medical, Inc.2005—
−5K061202Revere Stabilization SystemGlobus Medical, Inc.2006—
−4K062407Gateway Thoracolumbar Plate SystemGlobus Medical, Inc.2006—
−3K092108Truss Thoracolumbar Plate SystemGlobus Medical, Inc.2009—
−2K120092Plymouth Thoracolumbar Plate SystemGlobus Medical, Inc.2012—
−1K200846Balteum™ Lumbar Plate SystemHuvexel Co., Ltd.2020—
0 (this device)K213820BALTEUM - ONE™ Lumbar Plate SystemHuvexel Co., Ltd.2022—
+1K222572FORTIS and HANA Anterior Cervical Plate System, Rex Anterior Cervical Plate…Dio Medical Corporation2022—
+2K250446Frida™ Anterior Cervical Plate SystemSpineup, Inc.2025—
+2K231460FORTIS and HANA Anterior Cervical Plate System, Rex Anterior Cervical Plate…K&J Consulting Corp.2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199720
200120
200210
200330
200510
200610
200720
200810
200910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202210
202310
202510
FIG. 1 — Lineage of K213820, 1999–2025Source: 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 KWQ? 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 KWQ device

  1. #1 K233640 Segmental Plating System (SPS);IdentiTi SPS…score 21.9 · 31 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
*K200846Balteum™ Lumbar Plate System
Summary page 5
…m is substantially equivalent to the legally marketed predicate devices. Predicate Device: Primary predicate: BALTEUM™ Lumbar Plate System (K200846) - HUVEXEL Co., Ltd Additional predicates: Globus Medical – Plymouth™ Thoracolumb…
Huvexel Co., Ltd.2020—
*K120092Plymouth Thoracolumbar Plate System
Summary page 5
…- HUVEXEL Co., Ltd Additional predicates: Globus Medical – Plymouth™ Thoracolumbar Plate System (K120092), Globus Medical – TRUSS™ Thoracolumbar Plate System (K092108), NuVasive Lateral Plate System (K091071)…
Globus Medical, Inc.2012—
*K092108Truss Thoracolumbar Plate System
Summary page 5
…tes: Globus Medical – Plymouth™ Thoracolumbar Plate System (K120092), Globus Medical – TRUSS™ Thoracolumbar Plate System (K092108), NuVasive Lateral Plate System (K091071) and Globus Medical - REVERE™ Stabilization System (K061202) T…
Globus Medical, Inc.2009—
*K091071Nuvasive Lateral Plate System
Summary page 5
…mbar Plate System (K120092), Globus Medical – TRUSS™ Thoracolumbar Plate System (K092108), NuVasive Lateral Plate System (K091071) and Globus Medical - REVERE™ Stabilization System (K061202) Technological The BALTEUM - ONE™…
Nuvasive, Inc.2009—
*K061202Revere Stabilization System
Summary page 5
…lumbar Plate System (K092108), NuVasive Lateral Plate System (K091071) and Globus Medical - REVERE™ Stabilization System (K061202) Technological The BALTEUM - ONE™ Lumbar Plate System was shown to be Characteristics substantially equivalent…
Globus Medical, Inc.2006—

Also cleared against K200846: 1 other device →

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K222572FORTIS and HANA Anterior Cervical Plate System, Rex Anterior Cervical Plate System, and…Dio Medical Corporation20222

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 23 years and passes through 3 companies; a new generation was cleared every 1.9 years on median.
  • 1 of the 23 ancestors has a recall of any class.
  • Of its descendants, K222572 (Dio Medical Corporation, 2022) has gone furthest, with 2 descendants of its own.
  • 1 other device also cites its predicate K200846.

How does its category compare?

All KWQ devices

KWQ Appliance, Fixation, Spinal Intervertebral Body: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · KWQ

7in 2025

2007: 272008: 322009: 232010: 232011: 222012: 262013: 222014: 172015: 252016: 152017: 202018: 222019: 262020: 262021: 172022: 182023: 162024: 172025: 72026 (partial year): 10
2007high 32 (2008) · low 7 (2025)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KWQ

64in 2025

2007: 101 days median2008: 70 days median2009: 90 days median2010: 104 days median2011: 95 days median2012: 90 days median2013: 88 days median2014: 124 days median2015: 102 days median2016: 121 days median2017: 67 days median2018: 95 days median2019: 81 days median2020: 55 days median2021: 59 days median2022: 85 days median2023: 59 days median2024: 64 days median2025: 64 days median2026 (partial year): 76 days median
2007high 124 (2014) · low 55 (2020)2026

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

Recalls per year · KWQ

1in 2018

2007: 22008: 332009: 352010: 22011: 52012: 72013: 62015: 22016: 92017: 82018: 1
2007high 35 (2009) · low 0 (2014)2026

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

Adverse event reports per year · KWQ

248in 2025

2007: 2882008: 3482009: 3552010: 6912011: 4152012: 5442013: 7962014: 5462015: 5622016: 5022017: 4922018: 3412019: 2982020: 4002021: 5912022: 3922023: 3202024: 4192025: 248
2007high 796 (2013) · low 248 (2025)2025

MAUDE reports naming product code KWQ, 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
2007271012288
2008327033348
2009239035355
2010231042691
201122955415
201226907544
201322886796
2014171240546
2015251022562
2016151219502
201720678492
201822951341
201926810298
202026550400
202117590591
202218850392
202316590320
202417640419
20257640248
202610760—

What is it indicated for?

The BALTEUM™ and BALTEUM - ONE™ Lumbar Plate System are intended for use via a lateral or anterolateral surgical approach above the bifurcation of the great vessels in the treatment of thoracic and thoracolumbar (T1‐L5) spine instability or via the anterior surgical approach, below the bifurcation of the great vessels in the treatment of lumbar and lumbosacral (L1‐S1) spine instability as a result of fracture (including dislocation and subluxation)…

Read the full statement (116 words)

The BALTEUM™ and BALTEUM - ONE™ Lumbar Plate System are intended for use via a lateral or anterolateral surgical approach above the bifurcation of the great vessels in the treatment of thoracic and thoracolumbar (T1‐L5) spine instability or via the anterior surgical approach, below the bifurcation of the great vessels in the treatment of lumbar and lumbosacral (L1‐S1) spine instability as a result of fracture (including dislocation and subluxation), tumor, degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies), scoliosis, kyphosis, lordosis, spinal stenosis, or a failed previous spine surgery. The device is intended as a temporary fixation device until fusion is achieved.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K213820: BALTEUM - ONE™ Lumbar Plate System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K213820

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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