510(k) Report

510(k) · Cleared

Cleared

ATEC Lateral Plate System

K230721510(k) TraditionalCleared May 9, 202355-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

Alphatec Spine, Inc. · KWQ Appliance, Fixation, Spinal Intervertebral Body

Cleared on May 9, 2023 as substantially equivalent to K202624 (Zavation Medical Products, LLC, 2020) and 4 other predicates after a 55-day review. Its family tree reaches back 31 generations to 1984. 2 of the 1,026 devices in its family, counting itself, have a Class I recall.

Decided
May 9, 2023
Review
55 days
Class
Class II
Product code
KWQ
Recalls
None
Predicates
5

Its longest line of descent runs back 31 generations to K841189 (1984). 1,025 ancestors in all, the oldest K781443 (1978). No later device cites it as a predicate yet. 2 of the 1,026 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year cleared 2020: 4 other ancestors2018: 14 other ancestors2009: 63 other ancestors2021: 3 other ancestors2017: 18 other ancestors2016: 20 other ancestors2013: 34 other ancestors2011: 55 other ancestors2010: 55 other ancestors, 1 with a Class I recall12006: 49 other ancestors2002: 41 other ancestors2019: 5 other ancestors2015: 26 other ancestors2014: 39 other ancestors2012: 30 other ancestors2008: 88 other ancestors, 1 with a Class I recall12005: 63 other ancestors2004: 69 other ancestors2003: 46 other ancestors2001: 47 other ancestors1997: 18 other ancestors1996: 16 other ancestors2007: 46 other ancestors2000: 37 other ancestors1999: 26 other ancestors1993: 4 other ancestors1998: 25 other ancestors1995: 18 other ancestors1994: 8 other ancestors1984: 2 other ancestors1992: 10 other ancestors1990: 4 other ancestors1988: 2 other ancestors1987: 1 other ancestor1985: 2 other ancestors1978: 1 other ancestor1989: 1 other ancestor1986: 2 other ancestors1980: 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. · 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 · 2015×2: 2 generations cleared close together, K153782 (2016), K161230 (2016) ×2: 2 generations cleared close together, K170962 (2017), K171633 (2017) ×6: 6 generations cleared close together, K180480 (2018), K181453 (2018), K182746 (2018), K183705 (2019), K191311 (2019), K192938 (2019) ×2: 2 generations cleared close together, K203056 (2020), K203742 (2021) K214006 · Invictus® Spinal Fixation System · Alphatec Spine, Inc. · 2022K221926 · Invictus® Bone Cement, Invictus Spinal Fixation System · Alphatec Spine, Inc. · 202219801990200020102020
Other ancestors, by generation 1 generation back: 4 other ancestors2 generations back: 15 other ancestors3 generations back: 41 other ancestors4 generations back: 61 other ancestors5 generations back: 130 other ancestors6 generations back: 141 other ancestors, 1 with a Class I recall17 generations back: 166 other ancestors8 generations back: 179 other ancestors, 1 with a Class I recall19 generations back: 112 other ancestors10 generations back: 73 other ancestors11 generations back: 41 other ancestors12 generations back: 17 other ancestors13 generations back: 14 other ancestors K221926 · Invictus® Bone Cement, Invictus Spinal Fixation System · Alphatec Spine, Inc. · 2022K214006 · Invictus® Spinal Fixation System · Alphatec Spine, Inc. · 2022K203742 · IdentiTi ALIF Standalone Interbody System · Alphatec Spine, Inc. · 2021K203056 · Invictus™ Spinal Fixation System · Alphatec Spine, Inc. · 2020K192938 · Invictus™ Spinal Fixation System · Alphatec Spine, Inc. · 2019K191311 · ATEC Lateral Interbody System · Alphatec Spine, Inc. · 2019K183705 · IdentiTi Porous Ti Interbody System · Alphatec Spine, Inc. · 2019K182746 · ATEC ALIF and LLIF Spacer System · Alphatec Spine, Inc. · 2018K181453 · ATEC ALIF Spacer System · Alphatec Spine, Inc. · 2018K180480 · ATEC Universal Spacer System · Alphatec Spine, Inc. · 2018K171633 · NuVasive TLX Interbody System · Nu Vasive, Incorporated · 2017K170962 · NuVasive® CoRoent® Thoracolumbar System · Nu Vasive, Incorporated · 2017K161230 · NuVasive Lumbar Interbody Implants · Nu Vasive, Incorporated · 2016K153782 · NuVasive® Lumbar Interbody Implants · Nu Vasive, Incorporated · 2016K143163 · 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. · 1984−30−25−20−15−10−50
  1. Root · 31 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 27 generations between
  3. 3 generations backK203742 IdentiTi ALIF Standalone Interbody SystemAlphatec Spine, Inc. · 2021
  4. 2 generations backK214006 Invictus® Spinal Fixation SystemAlphatec Spine, Inc. · 2022
  5. 1 generation backK221926 Invictus® Bone Cement, Invictus Spinal Fixation SystemAlphatec Spine, Inc. · 2022
  6. This deviceK230721 ATEC Lateral Plate SystemAlphatec Spine, Inc. · 2023
Show all 31 generations
  1. Root · 31 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 30 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 29 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 28 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 27 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 26 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 25 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 24 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 23 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 22 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 21 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 20 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 19 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 18 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 17 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 16 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 15 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 14 generations backK153782 NuVasive® Lumbar Interbody ImplantsNu Vasive, Incorporated · 2016
  19. 13 generations backK161230 NuVasive Lumbar Interbody ImplantsNu Vasive, Incorporated · 2016
  20. 12 generations backK170962 NuVasive® CoRoent® Thoracolumbar SystemNu Vasive, Incorporated · 2017
  21. 11 generations backK171633 NuVasive TLX Interbody SystemNu Vasive, Incorporated · 2017
  22. 10 generations backK180480 ATEC Universal Spacer SystemAlphatec Spine, Inc. · 2018
  23. 9 generations backK181453 ATEC ALIF Spacer SystemAlphatec Spine, Inc. · 2018
  24. 8 generations backK182746 ATEC ALIF and LLIF Spacer SystemAlphatec Spine, Inc. · 2018
  25. 7 generations backK183705 IdentiTi Porous Ti Interbody SystemAlphatec Spine, Inc. · 2019
  26. 6 generations backK191311 ATEC Lateral Interbody SystemAlphatec Spine, Inc. · 2019
  27. 5 generations backK192938 Invictus™ Spinal Fixation SystemAlphatec Spine, Inc. · 2019
  28. 4 generations backK203056 Invictus™ Spinal Fixation SystemAlphatec Spine, Inc. · 2020
  29. 3 generations backK203742 IdentiTi ALIF Standalone Interbody SystemAlphatec Spine, Inc. · 2021
  30. 2 generations backK214006 Invictus® Spinal Fixation SystemAlphatec Spine, Inc. · 2022
  31. 1 generation backK221926 Invictus® Bone Cement, Invictus Spinal Fixation SystemAlphatec Spine, Inc. · 2022
  32. This deviceK230721 ATEC Lateral Plate SystemAlphatec Spine, Inc. · 2023

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−31K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−30K990148Stackable Cage SystemDepuy Motech Acromed1999—
−29K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−28K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−27K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−26K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−25K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−24K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−23K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−22K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−21K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−20K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−19K121683Acculif TL CageCoalign Innovations, Inc.2012—
−18K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−17K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−16K141217Acculif TL and PL CageStryker Corporation20143
−15K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−14K153782NuVasive® Lumbar Interbody ImplantsNu Vasive, Incorporated2016—
−13K161230NuVasive Lumbar Interbody ImplantsNu Vasive, Incorporated2016—
−12K170962NuVasive® CoRoent® Thoracolumbar SystemNu Vasive, Incorporated2017—
−11K171633NuVasive TLX Interbody SystemNu Vasive, Incorporated2017—
−10K180480ATEC Universal Spacer SystemAlphatec Spine, Inc.2018—
−9K181453ATEC ALIF Spacer SystemAlphatec Spine, Inc.2018—
−8K182746ATEC ALIF and LLIF Spacer SystemAlphatec Spine, Inc.2018—
−7K183705IdentiTi Porous Ti Interbody SystemAlphatec Spine, Inc.2019—
−6K191311ATEC Lateral Interbody SystemAlphatec Spine, Inc.2019—
−5K192938Invictus™ Spinal Fixation SystemAlphatec Spine, Inc.2019—
−4K203056Invictus™ Spinal Fixation SystemAlphatec Spine, Inc.2020—
−3K203742IdentiTi ALIF Standalone Interbody SystemAlphatec Spine, Inc.2021—
−2K214006Invictus® Spinal Fixation SystemAlphatec Spine, Inc.2022—
−1K221926Invictus® Bone Cement, Invictus Spinal Fixation SystemAlphatec Spine, Inc.2022—
0 (this device)K230721ATEC Lateral Plate SystemAlphatec Spine, Inc.2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197810
197910
198010
198420
198520
198620
198710
198820
198910
199040
1992100
199340
199480
1995180
1996160
1997180
1998250
1999260
2000370
2001470
2002410
2003460
2004690
2005630
2006490
2007460
2008881
2009630
2010551
2011550
2012300
2013340
2014390
2015260
2016200
2017180
2018140
201950
202040
202130
FIG. 1 — Lineage of K230721, 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.

2 devices in this family have 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 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
*K202624Z-Span Plate System
Summary page 4
…EGALLY MARKETED PREDICATE DEVICES 510(k) Product Code Trade Name Manufacturer Primary Predicate Device K202624 KWQ Z-Span Plate System Zavation Additional Predicate/Reference Devices…
Zavation Medical Products, LLC2020—
*K092108Truss Thoracolumbar Plate System
Summary page 4
…-Span Plate System Zavation Additional Predicate/Reference Devices TRUSS™ Thoracolumbar Plate K092108 KWQ Globus System…
Globus Medical, Inc.2009—
*K180166Life Spine Lumbar Fixation System (SENTRY)
Summary page 4
…Globus System Life Spine Lumbar Fixation System K180166 KWQ Life Spine (SENTRY®)…
Life Spine, Inc.2018—
*K221926Invictus® Bone Cement, Invictus Spinal Fixation System
Summary page 4
…Life Spine (SENTRY®) PML, NKB, Invictus® Bone Cement, Invictus K221926 Alphatec Spine KWP, KWQ Spinal Fixation…
Alphatec Spine, Inc.2022—
*K182808Aspida® Anterior Lumbar Plating System
Summary page 4
…Alphatec Spine KWP, KWQ Spinal Fixation System Aspida Anterior Lumbar Plating K182808 KWQ Alphatec Spine System IV.…
Alphatec Spine, Inc.2018—

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (2 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.

  • K100952Modification to Synthes Matrix SystemSynthes Spine · 2010 · 6 generations back · ◆ in the 2010 ancestors bar of FIG. 11 Class I recall
  • K073202Ardis SpacerAbbott Spine, Inc. · 2008 · 8 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 13 companies; a new generation was cleared every 8 months on median.
  • 116 of the 1,025 ancestors have a recall of any class; 2 have a Class I recall.

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. 2023, 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 ATEC Lateral Plate System is intended for use via the 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 (LL1- S1) spine instability as a result of fracture (including dislocation and subluxation), tumor, degenerative…

Read the full statement (106 words)

The ATEC Lateral Plate System is intended for use via the 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 (LL1- 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), pseudoarthrosis, spondylolysis, spondylolisthesis, scoliosis, lordotic deformities of the spine, spinal stenosis, or a failed previous spine surgery.

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. “K230721: ATEC Lateral Plate System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K230721

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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