510(k) Report

510(k) · Cleared

Cleared

Anatomic PEEK™ Cervical Fusion System with Nanotechnology

K230936510(k) TraditionalCleared Jun 2, 202360-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

Nanovis, LLC · ODP Intervertebral Fusion Device With Bone Graft, Cervical

Cleared on Jun 2, 2023 as substantially equivalent to K191822 (Nanovis, LLC, 2019) and 3 other predicates after a 60-day review. Its family tree reaches back 26 generations to 1984. 1 of the 559 devices in its family, counting itself, has a Class I recall.

Decided
Jun 2, 2023
Review
60 days
Class
Class II
Product code
ODP
Recalls
None
Predicates
4

Its longest line of descent runs back 26 generations to K841189 (1984). 558 ancestors in all, the oldest K792352 (1979). No later device cites it as a predicate yet. 1 of the 559 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2019: 5 other ancestors2016: 25 other ancestors2009: 39 other ancestors2018: 4 other ancestors2017: 17 other ancestors2015: 31 other ancestors2014: 36 other ancestors2013: 32 other ancestors2012: 32 other ancestors2011: 45 other ancestors2010: 29 other ancestors2008: 53 other ancestors, 1 with a Class I recall12005: 28 other ancestors2002: 15 other ancestors2001: 12 other ancestors1999: 6 other ancestors2007: 24 other ancestors2006: 19 other ancestors2004: 42 other ancestors2003: 22 other ancestors2000: 5 other ancestors1997: 2 other ancestors1996: 3 other ancestors1998: 2 other ancestors1980: 1 other ancestor1979: 1 other ancestor1993: 1 other ancestor1995: 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) K152304 · Tritanium PL Cage · Stryker · 2015 · recalled×2: 2 generations cleared close together, K160955 (2016), K162262 (2016) K171496 · Tritanium C Anterior Cervical Cage · Stryker Spine · 2017K180364 · HD LifeSciences Cervical IBFD System · Hd Lifesciences, LLC · 2018K183557 · Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS Interbody Fusion Device, Endoskeleton® TO Interbody Fusion Device, Endoskeleton® TT Interbody Fusion Device, Endoskeleton® TC Interbody Fusion Device, Endoskeleton® TCS Interbody Fusion Device, Endoskeleton® TL Interbody Fusion Device, Endoskeleton® TA Vertebral Body Replacement (VBR) Device · Titan Spine, Inc. · 2019 · recalled×2: 2 generations cleared close together, K192018 (2019), K192502 (2020) 19801990200020102020
Other ancestors, by generation 1 generation back: 3 other ancestors2 generations back: 64 other ancestors3 generations back: 106 other ancestors, 1 with a Class I recall14 generations back: 109 other ancestors5 generations back: 94 other ancestors6 generations back: 65 other ancestors7 generations back: 48 other ancestors8 generations back: 26 other ancestors9 generations back: 12 other ancestors10 generations back: 4 other ancestors11 generations back: 1 other ancestor K192502 · Anatomic PEEK™ Cervical Fusion System, Anatomic PEEK™ PTC Cervical Fusion System, Capstone™ Spinal System, Capstone PTC™ Spinal System, Capstone Control™ Spinal System, Capstone Control PTC™ Spinal System, Clydesdale™ Spinal System, Clydesdale PTC™ Spinal System, Cornerstone™ PSR Cervical Fusion System, Crescent™ Spinal System, Crescent™ Spinal System Titanium, Divergence™ Anterior Cervical Fusion System (For Stand-Alone Interbody Device Only), Divergence-L™ Anterior/Oblique Lumbar Fus · Medtronic Sofamor Danek USA, Inc. · 2020K192018 · Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS Hyperlordotic Interbody Fusion Device, Endoskeleton TO Interbody Fusion Device, Endoskeleton TT Interbody Fusion Device, Endoskeleton TC Interbody Fusion Device, Endoskeleton TCS Interbody Fusion Device, Endoskeleton TL Interbody Fusion Device · Titan Spine, Inc. · 2019 · recalledK183557 · Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS Interbody Fusion Device, Endoskeleton® TO Interbody Fusion Device, Endoskeleton® TT Interbody Fusion Device, Endoskeleton® TC Interbody Fusion Device, Endoskeleton® TCS Interbody Fusion Device, Endoskeleton® TL Interbody Fusion Device, Endoskeleton® TA Vertebral Body Replacement (VBR) Device · Titan Spine, Inc. · 2019 · recalledK180364 · HD LifeSciences Cervical IBFD System · Hd Lifesciences, LLC · 2018K171496 · Tritanium C Anterior Cervical Cage · Stryker Spine · 2017K162262 · Tritanium® PL Cage · Stryker · 2016K160955 · Tritanium® PL Cage · Stryker · 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. · 1984−25−20−15−10−50
  1. Root · 26 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 22 generations between
  3. 3 generations backK183557 Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS…Titan Spine, Inc. · 2019 · Recalled
  4. 2 generations backK192018 Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS…Titan Spine, Inc. · 2019 · Recalled
  5. 1 generation backK192502 Anatomic PEEK™ Cervical Fusion System, Anatomic PEEK™ PTC Cervical…Medtronic Sofamor Danek USA, Inc. · 2020
  6. This deviceK230936 Anatomic PEEK™ Cervical Fusion System with NanotechnologyNanovis, LLC · 2023
Show all 26 generations
  1. Root · 26 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 25 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 24 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 23 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 22 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 21 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 20 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 19 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 18 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 17 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 16 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 15 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 14 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 13 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 12 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 11 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 10 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 9 generations backK143616 AccuLIF TL and PL CageStryker Corporation · 2015 · Recalled
  19. 8 generations backK152304 Tritanium PL CageStryker · 2015 · Recalled
  20. 7 generations backK160955 Tritanium® PL CageStryker · 2016
  21. 6 generations backK162262 Tritanium® PL CageStryker · 2016
  22. 5 generations backK171496 Tritanium C Anterior Cervical CageStryker Spine · 2017
  23. 4 generations backK180364 HD LifeSciences Cervical IBFD SystemHd Lifesciences, LLC · 2018
  24. 3 generations backK183557 Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS…Titan Spine, Inc. · 2019 · Recalled
  25. 2 generations backK192018 Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS…Titan Spine, Inc. · 2019 · Recalled
  26. 1 generation backK192502 Anatomic PEEK™ Cervical Fusion System, Anatomic PEEK™ PTC Cervical…Medtronic Sofamor Danek USA, Inc. · 2020
  27. This deviceK230936 Anatomic PEEK™ Cervical Fusion System with NanotechnologyNanovis, LLC · 2023

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−26K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−25K990148Stackable Cage SystemDepuy Motech Acromed1999—
−24K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−23K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−22K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−21K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−20K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−19K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−18K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−17K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−16K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−15K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−14K121683Acculif TL CageCoalign Innovations, Inc.2012—
−13K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−12K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−11K141217Acculif TL and PL CageStryker Corporation20143
−10K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−9K143616AccuLIF TL and PL CageStryker Corporation20154
−8K152304Tritanium PL CageStryker20151
−7K160955Tritanium® PL CageStryker2016—
−6K162262Tritanium® PL CageStryker2016—
−5K171496Tritanium C Anterior Cervical CageStryker Spine2017—
−4K180364HD LifeSciences Cervical IBFD SystemHd Lifesciences, LLC2018—
−3K183557Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS Interbody Fusion…Titan Spine, Inc.20193
−2K192018Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS…Titan Spine, Inc.20194
−1K192502Anatomic PEEK™ Cervical Fusion System, Anatomic PEEK™ PTC Cervical Fusion…Medtronic Sofamor Danek USA, Inc.2020—
0 (this device)K230936Anatomic PEEK™ Cervical Fusion System with NanotechnologyNanovis, LLC2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
199310
199510
199630
199720
199820
199960
200050
2001120
2002150
2003220
2004420
2005280
2006190
2007240
2008531
2009390
2010290
2011450
2012320
2013320
2014360
2015310
2016250
2017170
201840
201950
FIG. 1 — Lineage of K230936, 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
*K191822Nano FortiCore, FortiCore
Summary page 5
…nufactured from medical grade stainless steel per ASTM F899 and include silicone handles. Primary Predicate: Nano FortiCore® (Nanovis, LLC – K191822) Additional Predicate: Cascadia Interbody System (K2M, Inc. – K160125), MC+ (LDR Holding, K091088), Ana…
Nanovis, LLC2019—
*K160125Cascadia Interbody System
Summary page 5
…r ASTM F899 and include silicone handles. Primary Predicate: Nano FortiCore® (Nanovis, LLC – K191822) Additional Predicate: Cascadia Interbody System (K2M, Inc. – K160125), MC+ (LDR Holding, K091088), Anatomic PEEK™ Cervical Fusion System (Medtronic Sofamor…
K2m2016—
*K091088LDR Spine Cervical Interbody Fusion System
Summary page 5
…edicate: Nano FortiCore® (Nanovis, LLC – K191822) Additional Predicate: Cascadia Interbody System (K2M, Inc. – K160125), MC+ (LDR Holding, K091088), Anatomic PEEK™ Cervical Fusion System (Medtronic Sofamor Danek USA, Inc. – K192502) Performance Data:…
Ldr Spine USA2009—
*K192502Anatomic PEEK™ Cervical Fusion System, Anatomic PEEK™ PTC Cervical Fusion System…
Summary page 5
…, Inc. – K160125), MC+ (LDR Holding, K091088), Anatomic PEEK™ Cervical Fusion System (Medtronic Sofamor Danek USA, Inc. – K192502) Performance Data: Mechanical testing of the worst case Anatomic PEEK™ implants included static and…
Medtronic Sofamor Danek USA, Inc.2020—

Also cleared against K191822: 1 other device →

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 · 3 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 9 months on median.
  • 62 of the 558 ancestors have a recall of any class; 1 has a Class I recall.
  • 1 other device also cites its predicate K191822.

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?

Anatomic PEEK™ Cervical Fusion System with Nanotechnology devices including those with macro-, micro-, and nano-roughened surface textured features are indicated for use for anterior cervical interbody fusion in skeletally mature patients with cervical disc degeneration and/or cervical spinal instability, as confirmed by imaging studies (radiographs, CT, MRI), that results in radiculopathy, myelopathy, and/or pain at multiple contiguous levels from C2 to…

Read the full statement (146 words)

Anatomic PEEK™ Cervical Fusion System with Nanotechnology devices including those with macro-, micro-, and nano-roughened surface textured features are indicated for use for anterior cervical interbody fusion in skeletally mature patients with cervical disc degeneration and/or cervical spinal instability, as confirmed by imaging studies (radiographs, CT, MRI), that results in radiculopathy, myelopathy, and/or pain at multiple contiguous levels from C2 to T1. These patients should have had at least six weeks of non-operative treatment. The Anatomic PEEK™ device is to be used with supplemental fixation; the hyperlordotic implants (> 10°) are required to be used with an anterior cervical plate. The Anatomic PEEK™ Cervical Fusion System with Nanotechnology is also required to be used with autogenous bone and/or allograft bone graft comprised of cancellous and/or corticocancellous bone graft, and/or demineralized allograft bone with bone marrow aspirate, and is to be implanted via an open anterior approach.

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. “K230936: Anatomic PEEK™ Cervical Fusion System with Nanotechnology.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K230936

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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