510(k) Report

510(k) · Cleared

Cleared

SPICCA Cervical Fusion Cages

K230607510(k) TraditionalCleared Aug 14, 2023164-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

Southern Medical (Pty), Ltd. · ODP Intervertebral Fusion Device With Bone Graft, Cervical

Cleared on Aug 14, 2023 as substantially equivalent to K210044 (Spinal Elements, Inc., 2021) and 3 other predicates after a 164-day review. Its family tree reaches back 22 generations to 1984. 1 of the 387 devices in its family, counting itself, has a Class I recall.

Decided
Aug 14, 2023
Review
164 days
Class
Class II
Product code
ODP
Recalls
None
Predicates
4

Its longest line of descent runs back 22 generations to K841189 (1984). 386 ancestors in all, the oldest K792352 (1979). No later device cites it as a predicate yet. 1 of the 387 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2021: 1 other ancestor2020: 1 other ancestor2018: 3 other ancestors2017: 5 other ancestors2016: 6 other ancestors2015: 15 other ancestors2013: 17 other ancestors2012: 24 other ancestors2011: 37 other ancestors2009: 36 other ancestors2007: 17 other ancestors2014: 19 other ancestors2010: 22 other ancestors2008: 50 other ancestors, 1 with a Class I recall12005: 24 other ancestors2003: 18 other ancestors2002: 8 other ancestors2001: 10 other ancestors1999: 2 other ancestors1996: 2 other ancestors2006: 12 other ancestors2004: 28 other ancestors2000: 1 other ancestor1998: 1 other ancestor1997: 1 other ancestor1980: 1 other ancestor1979: 1 other ancestor1995: 1 other ancestor1993: 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. · 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 · recalled×2: 2 generations cleared close together, K143163 (2015), K143616 (2015) ×2: 2 generations cleared close together, K152304 (2015), K160125 (2016) K182477 · Cervical Spacer · Additive Implants, LLC · 2019K193359 · SureMAX Family of Cervical Spacers · Additive Implants, Inc. · 202019801990200020102020
Other ancestors, by generation 1 generation back: 3 other ancestors2 generations back: 19 other ancestors3 generations back: 53 other ancestors4 generations back: 98 other ancestors5 generations back: 117 other ancestors, 1 with a Class I recall16 generations back: 46 other ancestors7 generations back: 22 other ancestors8 generations back: 6 other ancestors K193359 · SureMAX Family of Cervical Spacers · Additive Implants, Inc. · 2020K182477 · Cervical Spacer · Additive Implants, LLC · 2019K160125 · Cascadia Interbody System · K2m · 2016K152304 · Tritanium PL Cage · Stryker · 2015 · recalledK143616 · AccuLIF TL and PL Cage · Stryker Corporation · 2015 · 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 · 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 backK160125 Cascadia Interbody SystemK2m · 2016
  4. 2 generations backK182477 Cervical SpacerAdditive Implants, LLC · 2019
  5. 1 generation backK193359 SureMAX Family of Cervical SpacersAdditive Implants, Inc. · 2020
  6. This deviceK230607 SPICCA Cervical Fusion CagesSouthern Medical (Pty), Ltd. · 2023
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 backK143616 AccuLIF TL and PL CageStryker Corporation · 2015 · Recalled
  19. 4 generations backK152304 Tritanium PL CageStryker · 2015 · Recalled
  20. 3 generations backK160125 Cascadia Interbody SystemK2m · 2016
  21. 2 generations backK182477 Cervical SpacerAdditive Implants, LLC · 2019
  22. 1 generation backK193359 SureMAX Family of Cervical SpacersAdditive Implants, Inc. · 2020
  23. This deviceK230607 SPICCA Cervical Fusion CagesSouthern Medical (Pty), Ltd. · 2023

Class I recalls in this family

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—
−5K143616AccuLIF TL and PL CageStryker Corporation20154
−4K152304Tritanium PL CageStryker20151
−3K160125Cascadia Interbody SystemK2m2016—
−2K182477Cervical SpacerAdditive Implants, LLC2019—
−1K193359SureMAX Family of Cervical SpacersAdditive Implants, Inc.2020—
0 (this device)K230607SPICCA Cervical Fusion CagesSouthern Medical (Pty), Ltd.2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
199310
199510
199620
199710
199810
199920
200010
2001100
200280
2003180
2004280
2005240
2006120
2007170
2008501
2009360
2010220
2011370
2012240
2013170
2014190
2015150
201660
201750
201830
202010
202110
FIG. 1 — Lineage of K230607, 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 ODP device

  1. #1 K222276 CONDUIT Cages; FIBERGRAFT BG Puttyscore 53.4 · 25 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? (4)

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
*K210044Crystal Spinal System & Vertu Spinal System, Lucent Spinal System, Zeus Spinal System…
Summary page 5
…del Name Manufacturer Product Predicate Number Code Type K210044 Crystal Spinal System Spinal Elements, Inc. ODP Primary K200458 Tailored-C Cervical Inter…
Spinal Elements, Inc.2021—
*K200458Tailored-C Cervical Interbody Fusion System
Summary page 5
…Code Type K210044 Crystal Spinal System Spinal Elements, Inc. ODP Primary K200458 Tailored-C Cervical Interbody Fusion System BeSpoke Technologies ODP Additional K172320 Neurostructures Cavett…
Bespoke Technologies2020—
*K172320Neurostructures Cavetto® Cervical Cage System
Summary page 5
…Spinal Elements, Inc. ODP Primary K200458 Tailored-C Cervical Interbody Fusion System BeSpoke Technologies ODP Additional K172320 Neurostructures Cavetto® Cervical Cage System NeuroStructures, Inc. ODP Additional K193369 SureMAX™ Family of Cer…
Neurostructures, Inc.2018—
*K193359SureMAX Family of Cervical Spacers
Our reading of the summary gave K193369, FDA’s number for Xelis Dental 2.0 (Infinitt Healthcare Co., Ltd.). Corrected to the number one digit away whose FDA name carries the summary’s words for the device, “SureMAX™ Family of Cervical Spacers”.
Additive Implants, Inc.2020—

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 · 5 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 16 companies; a new generation was cleared every 11 months on median.
  • 48 of the 386 ancestors have a recall of any class; 1 has a Class I recall.

How does its category compare?

All ODP devices

ODP Intervertebral Fusion Device With Bone Graft, Cervical: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · ODP

11in 2025

2008: 82009: 122010: 92011: 252012: 172013: 182014: 262015: 242016: 172017: 332018: 252019: 222020: 142021: 182022: 122023: 342024: 102025: 112026 (partial year): 19
2007high 34 (2023) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · ODP

87in 2025

2008: 89 days median2009: 127 days median2010: 151 days median2011: 113 days median2012: 93 days median2013: 187 days median2014: 118 days median2015: 180 days median2016: 112 days median2017: 104 days median2018: 133 days median2019: 92 days median2020: 89 days median2021: 121 days median2022: 92 days median2023: 165 days median2024: 76 days median2025: 87 days median2026 (partial year): 117 days median
2007high 187 (2013) · low 76 (2024)2026

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

Recalls per year · ODP

2in 2025

2009: 12011: 12013: 12020: 12025: 2
2007high 2 (2025) · low 0 (2007)2026

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

Adverse event reports per year · ODP

57in 2025

2008: 22009: 212010: 542011: 382012: 922013: 782014: 432015: 512016: 372017: 392018: 512019: 1412020: 862021: 1612022: 502023: 362024: 552025: 57
2007high 161 (2021) · low 0 (2007)2025

MAUDE reports naming product code ODP, 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
200888902
200912127121
20109151054
201125113138
20121793092
201318187178
201426118043
201524180051
201617112037
201733104039
201825133051
201922920141
20201489186
2021181210161
20221292050
202334165036
20241076055
20251187257
2026191170—

What is it indicated for?

SPICCA Cervical Fusion Cages are cervical interbody fusion devices intended for spinal fusion procedures at one or two levels from the C2/C3 disc space to the C7/T1 disc space in skeletally mature patients with degenerative disc disease (defined as neck pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies) of the cervical spine. Implants are to be implanted via an open, anterior approach and packed with…

Read the full statement (120 words)

SPICCA Cervical Fusion Cages are cervical interbody fusion devices intended for spinal fusion procedures at one or two levels from the C2/C3 disc space to the C7/T1 disc space in skeletally mature patients with degenerative disc disease (defined as neck pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies) of the cervical spine. Implants are to be implanted via an open, anterior approach and packed with autograft or allogenic bone graft comprised of cancellous and/or corticocancellous bone graft. Patients must have undergone a regimen of at least six (6) weeks non-operative treatment prior to being treated with these devices. The implant is intended to be used in combination with an anterior cervical plating system.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K230607: SPICCA Cervical Fusion Cages.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K230607

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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