510(k) Report

510(k) · Cleared

Cleared

HAtetracell™-C Titanium Cervical IBF System

K231899510(k) TraditionalCleared Oct 17, 2023111-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

Innovasis, Inc. · ODP Intervertebral Fusion Device With Bone Graft, Cervical

Cleared on Oct 17, 2023 as substantially equivalent to K220875 (Innovasis, Inc., 2022) after a 111-day review. Its family tree reaches back 17 generations to 1984. 2 later devices descend from it.

Decided
Oct 17, 2023
Review
111 days
Class
Class II
Product code
ODP
Recalls
None
Predicates
1

Its longest line of descent runs back 17 generations to K841189 (1984). 141 ancestors in all. 2 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2018: 1 other ancestor2017: 1 other ancestor2015: 1 other ancestor2014: 4 other ancestors2012: 3 other ancestors2013: 3 other ancestors2011: 7 other ancestors2008: 19 other ancestors2010: 1 other ancestor2009: 12 other ancestors2007: 9 other ancestors2006: 3 other ancestors2005: 12 other ancestors2003: 11 other ancestors1999: 2 other ancestors1996: 2 other ancestors2004: 15 other ancestors2002: 8 other ancestors2001: 9 other ancestors2000: 1 other ancestor2025: 1 descendant cleared2026: 1 descendant clearedReference device: K201614 · TxTiHA IBF System, AxTiHA Stand-Alone ALIF System · Innovasis, Inc. · 2020 · recalledK841189 · 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) K033109 · Ellys and Aurys Vertebral Body Replacements · Scient'X · 2004K043479 · MC+ Partial VBR · Ldr Spine USA · 2005K080728 · LDR Spine Roi-C Implant · Ldr Spine USA · 2008×2: 2 generations cleared close together, K083857 (2009), K091088 (2009) K123206 · Maxim Surgical X-Treme Interbody Fusion System · Maxim Surgical · 2013×2: 2 generations cleared close together, K140003 (2014), K140921 (2014) K150362 · NuVasive CoRoent Small Interbody System · Nu Vasive, Incorporated · 2015K163491 · NuVasive CoRoent Small Interbody System · Nu Vasive, Incorporated · 2017K173030 · Vertera Spine Cohere Cervical Interbody Fusion Device · Nu Vasive, Incorporated · 2017K220875 · HAcancellous PEEK-C Porous HA PEEK Cervical IBF System · Innovasis, Inc. · 202219801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor3 generations back: 4 other ancestors4 generations back: 7 other ancestors5 generations back: 32 other ancestors6 generations back: 32 other ancestors7 generations back: 31 other ancestors8 generations back: 14 other ancestors9 generations back: 3 other ancestors 1 generation forward: 2 descendants K220875 · HAcancellous PEEK-C Porous HA PEEK Cervical IBF System · Innovasis, Inc. · 2022K173030 · Vertera Spine Cohere Cervical Interbody Fusion Device · Nu Vasive, Incorporated · 2017K163491 · NuVasive CoRoent Small Interbody System · Nu Vasive, Incorporated · 2017K150362 · NuVasive CoRoent Small Interbody System · Nu Vasive, Incorporated · 2015K140921 · Coroent Small Interbody System · Nu Vasive, Incorporated · 2014K140003 · Coroent Small Interbody System · Nuvasive, Inc. · 2014K123206 · Maxim Surgical X-Treme Interbody Fusion System · Maxim Surgical · 2013K091088 · LDR Spine Cervical Interbody Fusion System · Ldr Spine USA · 2009K083857 · LDR Spine Roi-C Implant · Ldr Spine USA · 2009K080728 · LDR Spine Roi-C Implant · Ldr Spine USA · 2008K043479 · MC+ Partial VBR · Ldr Spine USA · 2005K033109 · Ellys and Aurys Vertebral Body Replacements · Scient'X · 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. · 1984−15−10−50
  1. Root · 17 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 13 generations between
  3. 3 generations backK163491 NuVasive CoRoent Small Interbody SystemNu Vasive, Incorporated · 2017
  4. 2 generations backK173030 Vertera Spine Cohere Cervical Interbody Fusion DeviceNu Vasive, Incorporated · 2017
  5. 1 generation backK220875 HAcancellous PEEK-C Porous HA PEEK Cervical IBF SystemInnovasis, Inc. · 2022
  6. This deviceK231899 HAtetracell™-C Titanium Cervical IBF SystemInnovasis, Inc. · 2023
  7. Descendant · cites it directly · 0 of its ownK262025 Innovasis AxTiHA® Stand-Alone ALIF System;Innovasis TxTiHA® IBF…INNO Holdings Inc. DBA Innovasis · 2026
  8. Descendant · cites it directly · 0 of its ownK250076 Endeavor™ Stand-Alone Cervical IBF SystemInnovasis · 2025
Show all 17 generations
  1. Root · 17 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 16 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 15 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 14 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 13 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 12 generations backK033109 Ellys and Aurys Vertebral Body ReplacementsScient'X · 2004
  7. 11 generations backK043479 MC+ Partial VBRLdr Spine USA · 2005
  8. 10 generations backK080728 LDR Spine Roi-C ImplantLdr Spine USA · 2008
  9. 9 generations backK083857 LDR Spine Roi-C ImplantLdr Spine USA · 2009
  10. 8 generations backK091088 LDR Spine Cervical Interbody Fusion SystemLdr Spine USA · 2009
  11. 7 generations backK123206 Maxim Surgical X-Treme Interbody Fusion SystemMaxim Surgical · 2013
  12. 6 generations backK140003 Coroent Small Interbody SystemNuvasive, Inc. · 2014
  13. 5 generations backK140921 Coroent Small Interbody SystemNu Vasive, Incorporated · 2014
  14. 4 generations backK150362 NuVasive CoRoent Small Interbody SystemNu Vasive, Incorporated · 2015
  15. 3 generations backK163491 NuVasive CoRoent Small Interbody SystemNu Vasive, Incorporated · 2017
  16. 2 generations backK173030 Vertera Spine Cohere Cervical Interbody Fusion DeviceNu Vasive, Incorporated · 2017
  17. 1 generation backK220875 HAcancellous PEEK-C Porous HA PEEK Cervical IBF SystemInnovasis, Inc. · 2022
  18. This deviceK231899 HAtetracell™-C Titanium Cervical IBF SystemInnovasis, Inc. · 2023

Most influential descendants

Showing 2 of 2 · See all
  • K262025Innovasis AxTiHA® Stand-Alone ALIF System;Innovasis TxTiHA® IBF System;Innovasis…INNO Holdings Inc. DBA Innovasis · 2026 · cites it directly0descendants
  • K250076Endeavor™ Stand-Alone Cervical IBF SystemInnovasis · 2025 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−17K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−16K990148Stackable Cage SystemDepuy Motech Acromed1999—
−15K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−14K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−13K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−12K033109Ellys and Aurys Vertebral Body ReplacementsScient'X2004—
−11K043479MC+ Partial VBRLdr Spine USA2005—
−10K080728LDR Spine Roi-C ImplantLdr Spine USA2008—
−9K083857LDR Spine Roi-C ImplantLdr Spine USA2009—
−8K091088LDR Spine Cervical Interbody Fusion SystemLdr Spine USA2009—
−7K123206Maxim Surgical X-Treme Interbody Fusion SystemMaxim Surgical2013—
−6K140003Coroent Small Interbody SystemNuvasive, Inc.2014—
−5K140921Coroent Small Interbody SystemNu Vasive, Incorporated2014—
−4K150362NuVasive CoRoent Small Interbody SystemNu Vasive, Incorporated2015—
−3K163491NuVasive CoRoent Small Interbody SystemNu Vasive, Incorporated2017—
−2K173030Vertera Spine Cohere Cervical Interbody Fusion DeviceNu Vasive, Incorporated2017—
−1K220875HAcancellous PEEK-C Porous HA PEEK Cervical IBF SystemInnovasis, Inc.2022—
0 (this device)K231899HAtetracell™-C Titanium Cervical IBF SystemInnovasis, Inc.2023—
+1K262025Innovasis AxTiHA® Stand-Alone ALIF System;Innovasis TxTiHA® IBF…INNO Holdings Inc. DBA Innovasis2026—
+1K250076Endeavor™ Stand-Alone Cervical IBF SystemInnovasis2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199620
199920
200010
200190
200280
2003110
2004150
2005120
200630
200790
2008190
2009120
201010
201170
201230
201330
201440
201510
201710
201810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202510
202610
FIG. 1 — Lineage of K231899, 1984–2026Source: 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.

Planning a device in ODP? 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
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
*K220875HAcancellous PEEK-C Porous HA PEEK Cervical IBF System
Summary page 4
…21 CFR 807.92(a)(3) Predicate # Predicate Trade Name (Primary Predicate is listed first) Product Code K220875 HAcancellous™ PEEK-C Porous HA PEEK Cervical IBF System ODP K201614…
Innovasis, Inc.2022—
†K201614TxTiHA IBF System, AxTiHA Stand-Alone ALIF SystemInnovasis, Inc.20201

Also cleared against K220875: 2 other devices →

What descends from it? (2)

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K262025Innovasis AxTiHA® Stand-Alone ALIF System;Innovasis TxTiHA® IBF System;Innovasis…INNO Holdings Inc. DBA Innovasis20260
K250076Endeavor™ Stand-Alone Cervical IBF SystemInnovasis20250

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 39 years and passes through 10 companies; a new generation was cleared every 1.1 years on median.
  • 13 of the 141 ancestors have a recall of any class.
  • Of its descendants, K262025 (INNO Holdings Inc. DBA Innovasis, 2026) has gone furthest, with 0 descendants of its own.
  • 2 other devices also cite its predicate K220875.

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?

The Innovasis HAtetracell™-C Titanium Cervical IBF System is indicated for cervical interbody fusion procedures in skeletally mature patients with degenerative disc disease (DDD) at one level from C2-T1. DDD is defined as discogenic pain with degeneration of the disc confirmed by patient history and radiographic studies. This device is to be used in patients who have had six weeks of non-operative treatment. The HAtetracell™-C device is to be used with…

Read the full statement (110 words)

The Innovasis HAtetracell™-C Titanium Cervical IBF System is indicated for cervical interbody fusion procedures in skeletally mature patients with degenerative disc disease (DDD) at one level from C2-T1. DDD is defined as discogenic pain with degeneration of the disc confirmed by patient history and radiographic studies.

This device is to be used in patients who have had six weeks of non-operative treatment. The HAtetracell™-C device is to be used with supplemental fixation, such as the Innovasis Oryx® Cervical Plate System. The HAtetracell™-C device is intended to be used with autogenous and/or allogeneic bone graft comprised of cancellous, cortical, and/or corticocancellous bone and is to be implanted via an anterior approach.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K231899: HAtetracell™-C Titanium Cervical IBF System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K231899

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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