510(k) Report

510(k) · Cleared

Cleared

Galileo Vertebral Body Replacement Device

K221542510(k) SpecialCleared Jan 13, 2023231-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

Bright Spine · PLR Spinal Vertebral Body Replacement Device - Cervical

Cleared on Jan 13, 2023 as substantially equivalent to K192145 (Bright Spine, 2020) after a 231-day review. Its family tree reaches back 23 generations to 1984. 1 of the 301 devices in its family, counting itself, has a Class I recall.

Decided
Jan 13, 2023
Review
231 days
Class
Class II
Product code
PLR
Recalls
None
Predicates
1

Its longest line of descent runs back 23 generations to K841189 (1984). 300 ancestors in all, the oldest K792352 (1979). No later device cites it as a predicate yet. 1 of the 301 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2017: 2 other ancestors2011: 24 other ancestors2016: 3 other ancestors2012: 15 other ancestors2009: 28 other ancestors1999: 2 other ancestors2015: 10 other ancestors2014: 13 other ancestors2008: 40 other ancestors, 1 with a Class I recall12006: 14 other ancestors2005: 20 other ancestors2004: 26 other ancestors2003: 15 other ancestors2001: 10 other ancestors1996: 2 other ancestors2013: 11 other ancestors2010: 17 other ancestors2007: 13 other ancestors2002: 8 other ancestors2000: 1 other ancestor1998: 1 other ancestor1980: 1 other ancestor1979: 1 other ancestorK841189 · 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. · 2007×4: 4 generations cleared close together, K072120 (2007), K080083 (2008), K073109 (2008), K081849 (2008) K091301 · Life Spine Stand-Alone Spacer System · Life Spine · 2009K100802 · Aesculap Implant Systems Sibd Spinal System · Aesculap Implant Systems, Inc. · 2010K111122 · Aesculap Sibd XP Spinal System · Aesculap Implant Systems, Inc. · 2011K141942 · Midline II TI · Centinel Spine, Inc. · 2014K150643 · Centinel Spine STALIF TT, STALIF MIDLINE, MIDLINE II, MIDLINE II-Ti · Centinel Spine, Inc. · 2015×2: 2 generations cleared close together, K152475 (2016), K153495 (2016) K162103 · Choice Spine Lumbar Spacer System (Sabre™, Shark™, Hornet™, Harpoon™), Choice Spine Interbody Fusion System (Harrier™), Choice Spine Vertebral Body Replacement System (Hawkeye™) · Choicespine, LP · 2016K171686 · Choice Spine Hawkeye™ Vertebral Body Replacement (VBR) System · Choicespine · 2017K183588 · Choice Spine Hawkeye Vertebral Body Replacement (VBR) System · Choicespine · 2019K192145 · Galileo Vertebral Body Replacement Device · Bright Spine · 202019801990200020102020
Other ancestors, by generation 2 generations back: 2 other ancestors3 generations back: 5 other ancestors4 generations back: 32 other ancestors5 generations back: 56 other ancestors6 generations back: 60 other ancestors, 1 with a Class I recall17 generations back: 55 other ancestors8 generations back: 36 other ancestors9 generations back: 20 other ancestors10 generations back: 7 other ancestors11 generations back: 4 other ancestors K192145 · Galileo Vertebral Body Replacement Device · Bright Spine · 2020K183588 · Choice Spine Hawkeye Vertebral Body Replacement (VBR) System · Choicespine · 2019K171686 · Choice Spine Hawkeye™ Vertebral Body Replacement (VBR) System · Choicespine · 2017K162103 · Choice Spine Lumbar Spacer System (Sabre™, Shark™, Hornet™, Harpoon™), Choice Spine Interbody Fusion System (Harrier™), Choice Spine Vertebral Body Replacement System (Hawkeye™) · Choicespine, LP · 2016K153495 · Avenue L Lateral Lumbar Cage, Avenue T TLIF Cage System, ROI-A ALIF Cage System, ROI-T Implant System · Ldr Spine USA · 2016 · recalledK152475 · FORZA PTC Spacer System · Orthofix, Inc. · 2016K150643 · Centinel Spine STALIF TT, STALIF MIDLINE, MIDLINE II, MIDLINE II-Ti · Centinel Spine, Inc. · 2015K141942 · Midline II TI · Centinel Spine, Inc. · 2014K111122 · Aesculap Sibd XP Spinal System · Aesculap Implant Systems, Inc. · 2011K100802 · Aesculap Implant Systems Sibd Spinal System · Aesculap Implant Systems, Inc. · 2010K091301 · Life Spine Stand-Alone Spacer System · Life Spine · 2009K081849 · Blackstone Pillar SA Partial Vertebral Body Replacement Device · Blackstone Medical, Inc. · 2008 · recalledK073109 · Stalif TT Intervertebral Body Fusion System · Surgicraft, Ltd. · 2008K080083 · Intrepid Spinal System · Medtronic Sofamor Danek · 2008 · recalledK072120 · 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 · 23 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 19 generations between
  3. 3 generations backK171686 Choice Spine Hawkeye™ Vertebral Body Replacement (VBR) SystemChoicespine · 2017
  4. 2 generations backK183588 Choice Spine Hawkeye Vertebral Body Replacement (VBR) SystemChoicespine · 2019
  5. 1 generation backK192145 Galileo Vertebral Body Replacement DeviceBright Spine · 2020
  6. This deviceK221542 Galileo Vertebral Body Replacement DeviceBright Spine · 2023
Show all 23 generations
  1. Root · 23 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 22 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 21 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 20 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 19 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 18 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 17 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 16 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 15 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 14 generations backK080083 Intrepid Spinal SystemMedtronic Sofamor Danek · 2008 · Recalled
  11. 13 generations backK073109 Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd. · 2008
  12. 12 generations backK081849 Blackstone Pillar SA Partial Vertebral Body Replacement DeviceBlackstone Medical, Inc. · 2008 · Recalled
  13. 11 generations backK091301 Life Spine Stand-Alone Spacer SystemLife Spine · 2009
  14. 10 generations backK100802 Aesculap Implant Systems Sibd Spinal SystemAesculap Implant Systems, Inc. · 2010
  15. 9 generations backK111122 Aesculap Sibd XP Spinal SystemAesculap Implant Systems, Inc. · 2011
  16. 8 generations backK141942 Midline II TICentinel Spine, Inc. · 2014
  17. 7 generations backK150643 Centinel Spine STALIF TT, STALIF MIDLINE, MIDLINE II, MIDLINE II-TiCentinel Spine, Inc. · 2015
  18. 6 generations backK152475 FORZA PTC Spacer SystemOrthofix, Inc. · 2016
  19. 5 generations backK153495 Avenue L Lateral Lumbar Cage, Avenue T TLIF Cage System, ROI-A ALIF…Ldr Spine USA · 2016 · Recalled
  20. 4 generations backK162103 Choice Spine Lumbar Spacer System (Sabre™, Shark™, Hornet™…Choicespine, LP · 2016
  21. 3 generations backK171686 Choice Spine Hawkeye™ Vertebral Body Replacement (VBR) SystemChoicespine · 2017
  22. 2 generations backK183588 Choice Spine Hawkeye Vertebral Body Replacement (VBR) SystemChoicespine · 2019
  23. 1 generation backK192145 Galileo Vertebral Body Replacement DeviceBright Spine · 2020
  24. This deviceK221542 Galileo Vertebral Body Replacement DeviceBright Spine · 2023

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−23K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−22K990148Stackable Cage SystemDepuy Motech Acromed1999—
−21K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−20K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−19K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−18K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−17K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−16K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−15K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−14K080083Intrepid Spinal SystemMedtronic Sofamor Danek20088
−13K073109Stalif TT Intervertebral Body Fusion SystemSurgicraft, Ltd.2008—
−12K081849Blackstone Pillar SA Partial Vertebral Body Replacement DeviceBlackstone Medical, Inc.20081
−11K091301Life Spine Stand-Alone Spacer SystemLife Spine2009—
−10K100802Aesculap Implant Systems Sibd Spinal SystemAesculap Implant Systems, Inc.2010—
−9K111122Aesculap Sibd XP Spinal SystemAesculap Implant Systems, Inc.2011—
−8K141942Midline II TICentinel Spine, Inc.2014—
−7K150643Centinel Spine STALIF TT, STALIF MIDLINE, MIDLINE II, MIDLINE II-TiCentinel Spine, Inc.2015—
−6K152475FORZA PTC Spacer SystemOrthofix, Inc.2016—
−5K153495Avenue L Lateral Lumbar Cage, Avenue T TLIF Cage System, ROI-A ALIF Cage…Ldr Spine USA20161
−4K162103Choice Spine Lumbar Spacer System (Sabre™, Shark™, Hornet™, Harpoon™), Choice…Choicespine, LP2016—
−3K171686Choice Spine Hawkeye™ Vertebral Body Replacement (VBR) SystemChoicespine2017—
−2K183588Choice Spine Hawkeye Vertebral Body Replacement (VBR) SystemChoicespine2019—
−1K192145Galileo Vertebral Body Replacement DeviceBright Spine2020—
0 (this device)K221542Galileo Vertebral Body Replacement DeviceBright Spine2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
199620
199810
199920
200010
2001100
200280
2003150
2004260
2005200
2006140
2007130
2008401
2009280
2010170
2011240
2012150
2013110
2014130
2015100
201630
201720
FIG. 1 — Lineage of K221542, 1984–2023Source: 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 PLR device

  1. #1 K232481 RIGEL™ 3DR Anterior Cervical Corpectomy Systemscore 13.1 · 24 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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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
*K192145Galileo Vertebral Body Replacement Device
Summary page 4
…roduct Code PLR CFR Section 21 CFR section 888.3060 Device Panel Orthopedic Primary Predicate Device Galileo Vertebral Body Replacement Device (K192145) The Galileo Vertebral Body Replacement device is a surgical grade titanium (Ti- 6A1-4V) d…
Bright Spine2020—

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 · 6 generations back · ◆ in the 2008 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 39 years and passes through 18 companies; a new generation was cleared every 10 months on median.
  • 41 of the 300 ancestors have a recall of any class; 1 has a Class I recall.

How does its category compare?

All PLR devices

PLR Spinal Vertebral Body Replacement Device - Cervical: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · PLR

1in 2025

2015: 12016: 12017: 12018: 32019: 52020: 22022: 22023: 22025: 12026 (partial year): 1
2007high 5 (2019) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PLR

69in 2019

2018: 259 days median2019: 69 days median
2007high 259 (2018) · low 69 (2019)2026

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

Recalls per year · PLR

No recall names PLR since 2007.

Adverse event reports per year · PLR

1in 2025

2018: 12019: 12020: 22021: 42022: 12025: 1
2007high 4 (2021) · low 0 (2007)2025

MAUDE reports naming product code PLR, 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
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20151—00
20161—00
20171—00
2018325901
201956901
20202—02
20210—04
20222—01
20232—00
20240—00
20251—01
20261—0—

What is it indicated for?

When used as a single-level partial vertebral body replacement device, the Galileo™ devices are indicated for use in the cervical spine (C2-T1) of skeletally mature patients for the partial replacement (i.e., partial vertebrectomy) of a vertebral body resected or excised for the treatment of tumors, or traumal/fracture, or osteomyelitis, or to achieve decompression of the spinal cord and neural tissues in cervical degenerative disorders. The device is intended for use with autograft or allogenic bone graft comprising cancellous and/or corticocancellous bone graft. When the Galileo™ device is used as a single-level, partial vertebral body replacement device, supplemental fixation may be used.

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. “K221542: Galileo Vertebral Body Replacement Device.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K221542

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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