510(k) Report

510(k) · Cleared

Cleared

AEON-C™ Stand Alone System

K223140510(k) TraditionalCleared Dec 20, 202277-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

Dio Medical, Inc. · OVE Intervertebral Fusion Device With Integrated Fixation, Cervical

Cleared on Dec 20, 2022 as substantially equivalent to K191477 (Huvexel Co., Ltd., 2019) after a 77-day review. Its family tree reaches back 22 generations to 1984. 1 of the 348 devices in its family, counting itself, has a Class I recall. 2 later devices descend from it.

Decided
Dec 20, 2022
Review
77 days
Class
Class II
Product code
OVE
Recalls
None
Predicates
1

Its longest line of descent runs back 22 generations to K841189 (1984). 345 ancestors in all, the oldest K792352 (1979). 2 later devices descend from it, 1 citing it directly. 1 of the 348 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2017: 3 other ancestors2016: 5 other ancestors2013: 18 other ancestors2009: 27 other ancestors2015: 10 other ancestors2014: 19 other ancestors2012: 17 other ancestors2011: 27 other ancestors2008: 46 other ancestors, 1 with a Class I recall12007: 17 other ancestors2010: 18 other ancestors2006: 11 other ancestors2005: 21 other ancestors2004: 27 other ancestors2003: 17 other ancestors2002: 9 other ancestors2001: 11 other ancestors2000: 3 other ancestors1999: 6 other ancestors1996: 2 other ancestors1997: 1 other ancestor1993: 1 other ancestor1998: 3 other ancestors1995: 1 other ancestor1992: 1 other ancestor1980: 1 other ancestor1979: 1 other ancestor2023: 1 descendant cleared2025: 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. · 2011×2: 2 generations cleared close together, K121683 (2012), K123752 (2013) K132505 · Acculif TL and PL Cage · Coalign Innovations, Inc. · 2013 · recalled×2: 2 generations cleared close together, K141217 (2014), K143163 (2015) K151773 · CONCORDE Bullet Lumbar Interbody System · Medos International SARL · 2015K162327 · COUGAR® LS Lateral Cage System and COUGAR® System · Medos International SARL · 2016K170235 · Lucent® · Spinal Elements, Inc. · 2017K181837 · Spinal Elements Ti-Bond coated devices · Spinal Elements, Inc. · 2018K191477 · AEON-C Stand Alone System · Huvexel Co., Ltd. · 201919801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 4 other ancestors3 generations back: 20 other ancestors4 generations back: 57 other ancestors5 generations back: 78 other ancestors, 1 with a Class I recall16 generations back: 71 other ancestors7 generations back: 48 other ancestors8 generations back: 33 other ancestors9 generations back: 9 other ancestors10 generations back: 3 other ancestors 1 generation forward: 1 descendant2 generations forward: 1 descendant K191477 · AEON-C Stand Alone System · Huvexel Co., Ltd. · 2019K181837 · Spinal Elements Ti-Bond coated devices · Spinal Elements, Inc. · 2018K170235 · Lucent® · Spinal Elements, Inc. · 2017K162327 · COUGAR® LS Lateral Cage System and COUGAR® System · Medos International SARL · 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. · 1984−20−15−10−50
  1. Root · 22 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 18 generations between
  3. 3 generations backK170235 Lucent®Spinal Elements, Inc. · 2017
  4. 2 generations backK181837 Spinal Elements Ti-Bond coated devicesSpinal Elements, Inc. · 2018
  5. 1 generation backK191477 AEON-C Stand Alone SystemHuvexel Co., Ltd. · 2019
  6. This deviceK223140 AEON-C™ Stand Alone SystemDio Medical, Inc. · 2022
  7. Descendant · cites it directly · 1 of its ownK232877 FaSet Fixation System, UNITY Sacroiliac Joint Fixation System, Huvex…K&J Consulting Corporation · 2023
  8. Descendant · 2 generations on · 0 of its ownK250335 IVA & AEON Cervical and Lumbar Cage SystemK&J Consulting · 2025
Show all 22 generations
  1. Root · 22 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 21 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 20 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 19 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 18 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 17 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 16 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 15 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 14 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 13 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 12 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 11 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 10 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 9 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 8 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 7 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 6 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 5 generations backK151773 CONCORDE Bullet Lumbar Interbody SystemMedos International SARL · 2015
  19. 4 generations backK162327 COUGAR® LS Lateral Cage System and COUGAR® SystemMedos International SARL · 2016
  20. 3 generations backK170235 Lucent®Spinal Elements, Inc. · 2017
  21. 2 generations backK181837 Spinal Elements Ti-Bond coated devicesSpinal Elements, Inc. · 2018
  22. 1 generation backK191477 AEON-C Stand Alone SystemHuvexel Co., Ltd. · 2019
  23. This deviceK223140 AEON-C™ Stand Alone SystemDio Medical, Inc. · 2022

Class I recalls in this family

Most influential descendants

Showing 2 of 2 · See all
  • K232877FaSet Fixation System, UNITY Sacroiliac Joint Fixation System, Huvex Interspinous…K&J Consulting Corporation · 2023 · cites it directly1descendant
  • K250335IVA & AEON Cervical and Lumbar Cage SystemK&J Consulting · 2025 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−22K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−21K990148Stackable Cage SystemDepuy Motech Acromed1999—
−20K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−19K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−18K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−17K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−16K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−15K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−14K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−13K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−12K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−11K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−10K121683Acculif TL CageCoalign Innovations, Inc.2012—
−9K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−8K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−7K141217Acculif TL and PL CageStryker Corporation20143
−6K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−5K151773CONCORDE Bullet Lumbar Interbody SystemMedos International SARL2015—
−4K162327COUGAR® LS Lateral Cage System and COUGAR® SystemMedos International SARL2016—
−3K170235Lucent®Spinal Elements, Inc.2017—
−2K181837Spinal Elements Ti-Bond coated devicesSpinal Elements, Inc.2018—
−1K191477AEON-C Stand Alone SystemHuvexel Co., Ltd.2019—
0 (this device)K223140AEON-C™ Stand Alone SystemDio Medical, Inc.2022—
+1K232877FaSet Fixation System, UNITY Sacroiliac Joint Fixation System, Huvex…K&J Consulting Corporation2023—
+2K250335IVA & AEON Cervical and Lumbar Cage SystemK&J Consulting2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
199210
199310
199510
199620
199710
199830
199960
200030
2001110
200290
2003170
2004270
2005210
2006110
2007170
2008461
2009270
2010180
2011270
2012170
2013180
2014190
2015100
201650
201730

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
202510
FIG. 1 — Lineage of K223140, 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.

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 OVE device

  1. #1 K241846 E3D™-C Interbody Systemscore 32.1 · 32 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
*K191477AEON-C Stand Alone System
Summary page 5
…a cervical intervertebral fusion device. Predicate Primary predicate: Device: Huvexel Co. Ltd. - AEON-C™ Stand Alone System (K191477) Substantial The AEON-C™ Stand Alone System is identical to the predicate Equivalence: device and is as safe an…
Huvexel Co., Ltd.2019—

Also cleared against K191477: 1 other device →

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K232877FaSet Fixation System, UNITY Sacroiliac Joint Fixation System, Huvex Interspinous…K&J Consulting Corporation20231

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 · 5 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 15 companies; a new generation was cleared every 12 months on median.
  • 40 of the 345 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K232877 (K&J Consulting Corporation, 2023) has gone furthest, with 1 descendant of its own.
  • 1 other device also cites its predicate K191477.

How does its category compare?

All OVE devices

OVE Intervertebral Fusion Device With Integrated Fixation, Cervical: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · OVE

10in 2025

2007: 12008: 42009: 12010: 42011: 82012: 72013: 52014: 112015: 122016: 152017: 92018: 72019: 72020: 132021: 102022: 102023: 162024: 62025: 102026 (partial year): 13
2007high 16 (2023) · low 1 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OVE

105in 2025

2008: 131 days median2010: 210 days median2011: 139 days median2012: 125 days median2013: 71 days median2014: 168 days median2015: 113 days median2016: 149 days median2017: 100 days median2018: 105 days median2019: 87 days median2020: 149 days median2021: 93 days median2022: 144 days median2023: 97 days median2024: 56 days median2025: 105 days median2026 (partial year): 66 days median
2007high 210 (2010) · low 56 (2024)2026

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

Recalls per year · OVE

2in 2021

2013: 12014: 12015: 12016: 12017: 12021: 2
2007high 2 (2021) · low 0 (2007)2026

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

Adverse event reports per year · OVE

132in 2025

2010: 22011: 192012: 592013: 2502014: 1502015: 1732016: 1452017: 1342018: 2102019: 1692020: 1622021: 1862022: 2002023: 1482024: 1422025: 132
2007high 250 (2013) · low 0 (2007)2025

MAUDE reports naming product code OVE, 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
20071—00
2008413100
20091—00
2010421002
20118139019
20127125059
20135711250
2014111681150
2015121131173
2016151491145
201791001134
201871050210
20197870169
2020131490162
202110932186
2022101440200
202316970148
20246560142
2025101050132
202613660—

What is it indicated for?

The AEON-C™ Stand Alone System is a stand-alone anterior cervical intervertebral fusion device indicated for use in skeletally mature patients with degenerative disc disease (DDD) with accompanying radicular symptoms at one or two contiguous levels from C2-T1. DDD is defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies. The AEON-C™ Stand Alone System should be packed with autograft and/or allograft…

Read the full statement (100 words)

The AEON-C™ Stand Alone System is a stand-alone anterior cervical intervertebral fusion device indicated for use in

skeletally mature patients with degenerative disc disease (DDD) with accompanying radicular symptoms at one or two

contiguous levels from C2-T1. DDD is defined as discogenic pain with degeneration of the disc confirmed by history and

radiographic studies. The AEON-C™ Stand Alone System should be packed with autograft and/or allograft comprised of

cancellous, cortical and/or corticocancellous bone graft and implanted with an anterior approach. Patients should receive

at least six (6) weeks of non-operative treatment prior to treatment with a cervical intervertebral fusion device.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K223140: AEON-C™ Stand Alone System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K223140

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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