510(k) Report

510(k) · Cleared

Cleared

SIGNAFUSE Bioactive Strip (SBS); SIGNAFUSE Putty

K233490510(k) TraditionalCleared Dec 5, 202339-day reviewClass II21 CFR 888.3045

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Bioventus, LLC · MQV Filler, Bone Void, Calcium Compound

Cleared on Dec 5, 2023 as substantially equivalent to K203714 (Nu Vasive, Incorporated, 2021) and 1 other predicate after a 39-day review. Its family tree reaches back 26 generations to 1984. 1 of the 376 devices in its family, counting itself, has a Class I recall. 2 later devices descend from it.

Decided
Dec 5, 2023
Review
39 days
Class
Class II
Product code
MQV
Recalls
None
Predicates
2

Its longest line of descent runs back 26 generations to K841189 (1984). 373 ancestors in all. 2 later devices descend from it, 1 citing it directly. 1 of the 376 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2020: 4 other ancestors2019: 3 other ancestors2017: 9 other ancestors2018: 4 other ancestors2016: 6 other ancestors2015: 17 other ancestors2014: 23 other ancestors2011: 27 other ancestors2010: 21 other ancestors2009: 29 other ancestors2008: 45 other ancestors, 1 with a Class I recall12007: 16 other ancestors2006: 9 other ancestors2013: 16 other ancestors2012: 11 other ancestors2005: 21 other ancestors2004: 27 other ancestors2003: 17 other ancestors2002: 12 other ancestors2000: 4 other ancestors2001: 12 other ancestors1999: 3 other ancestors1998: 2 other ancestors1997: 1 other ancestor1996: 4 other ancestors1995: 2 other ancestors1993: 1 other ancestor1985: 1 other ancestor2024: 1 descendant cleared2025: 1 descendant clearedReference device: K193513 · SIGNAFUSE Bioactive Bone Graft · Bioventus · 2020Reference device: K132071 · Bioactive Bone Graft Putty · Biostructures, LLC · 2014 · 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) ×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) ×3: 3 generations cleared close together, K170962 (2017), K171633 (2017), K172341 (2017) K193593 · NuVasive 3DP Interfixated ALIF System · Nu Vasive, Incorporated · 2020K201820 · NuVasive Thoracolumbar Interbody Systems: CoRoent Thoracolumbar System, CoRoent XL Interfixated System, Brigade Standalone System and Brigade Hyperlordotic System, Brigade Lateral System, BASE Interfixated Titanium System, Coalesce Thoracolumbar Interbody Fusion System, Cohere Thoracolumbar Interbody System, Modulus XLIF Interbody System, Modulus TLIF Interbody System, 3DP Interfixated ALIF System · Nu Vasive, Incorporated · 2020K203714 · NuVasive Thoracolumbar Interbody Systems: NuVasive CoRoent Thoracolumbar System, NuVasive CoRoent XL Interfixated System, Brigade System, Brigade Lateral System, BASE Interfixated Titanium System, Coalesce Thoracolumbar Interbody Fusion System, NuVasive Cohere Thoracolumbar Interbody System, NuVasive Modulus XLIF Interbody System, NuVasive Modulus TLIF Interbody System, NuVasive Modulus ALIF System, NuVasive Attrax Putty · Nu Vasive, Incorporated · 2021K222276 · CONDUIT Cages; FIBERGRAFT BG Putty · Depuy Spine · 202219801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 5 other ancestors3 generations back: 27 other ancestors4 generations back: 41 other ancestors5 generations back: 65 other ancestors6 generations back: 99 other ancestors, 1 with a Class I recall17 generations back: 45 other ancestors8 generations back: 48 other ancestors9 generations back: 15 other ancestors10 generations back: 2 other ancestors 1 generation forward: 1 descendant2 generations forward: 1 descendant K222276 · CONDUIT Cages; FIBERGRAFT BG Putty · Depuy Spine · 2022K203714 · NuVasive Thoracolumbar Interbody Systems: NuVasive CoRoent Thoracolumbar System, NuVasive CoRoent XL Interfixated System, Brigade System, Brigade Lateral System, BASE Interfixated Titanium System, Coalesce Thoracolumbar Interbody Fusion System, NuVasive Cohere Thoracolumbar Interbody System, NuVasive Modulus XLIF Interbody System, NuVasive Modulus TLIF Interbody System, NuVasive Modulus ALIF System, NuVasive Attrax Putty · Nu Vasive, Incorporated · 2021K201820 · NuVasive Thoracolumbar Interbody Systems: CoRoent Thoracolumbar System, CoRoent XL Interfixated System, Brigade Standalone System and Brigade Hyperlordotic System, Brigade Lateral System, BASE Interfixated Titanium System, Coalesce Thoracolumbar Interbody Fusion System, Cohere Thoracolumbar Interbody System, Modulus XLIF Interbody System, Modulus TLIF Interbody System, 3DP Interfixated ALIF System · Nu Vasive, Incorporated · 2020K193593 · NuVasive 3DP Interfixated ALIF System · Nu Vasive, Incorporated · 2020K172341 · NuVasive® Modulus TLIF Interbody System · Nu Vasive, Incorporated · 2017K171633 · 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. · 1984−25−20−15−10−50
  1. Root · 26 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 22 generations between
  3. 3 generations backK201820 NuVasive Thoracolumbar Interbody Systems: CoRoent Thoracolumbar…Nu Vasive, Incorporated · 2020
  4. 2 generations backK203714 NuVasive Thoracolumbar Interbody Systems: NuVasive CoRoent…Nu Vasive, Incorporated · 2021
  5. 1 generation backK222276 CONDUIT Cages; FIBERGRAFT BG PuttyDepuy Spine · 2022
  6. This deviceK233490 SIGNAFUSE Bioactive Strip (SBS); SIGNAFUSE PuttyBioventus, LLC · 2023
  7. Descendant · cites it directly · 1 of its ownK241212 MagnetOs Easypack PuttyKuros Biosciences · 2024
  8. Descendant · 2 generations on · 0 of its ownK243474 MagnetOs MISKuros Biosciences B.V · 2025
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 backK153782 NuVasive® Lumbar Interbody ImplantsNu Vasive, Incorporated · 2016
  19. 8 generations backK161230 NuVasive Lumbar Interbody ImplantsNu Vasive, Incorporated · 2016
  20. 7 generations backK170962 NuVasive® CoRoent® Thoracolumbar SystemNu Vasive, Incorporated · 2017
  21. 6 generations backK171633 NuVasive TLX Interbody SystemNu Vasive, Incorporated · 2017
  22. 5 generations backK172341 NuVasive® Modulus TLIF Interbody SystemNu Vasive, Incorporated · 2017
  23. 4 generations backK193593 NuVasive 3DP Interfixated ALIF SystemNu Vasive, Incorporated · 2020
  24. 3 generations backK201820 NuVasive Thoracolumbar Interbody Systems: CoRoent Thoracolumbar…Nu Vasive, Incorporated · 2020
  25. 2 generations backK203714 NuVasive Thoracolumbar Interbody Systems: NuVasive CoRoent…Nu Vasive, Incorporated · 2021
  26. 1 generation backK222276 CONDUIT Cages; FIBERGRAFT BG PuttyDepuy Spine · 2022
  27. This deviceK233490 SIGNAFUSE Bioactive Strip (SBS); SIGNAFUSE PuttyBioventus, LLC · 2023

Class I recalls in this family

Most influential descendants

Showing 2 of 2 · See all
  • K241212MagnetOs Easypack PuttyKuros Biosciences · 2024 · cites it directly1descendant
  • K243474MagnetOs MISKuros Biosciences B.V · 2025 · 2 generations on0descendants
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—
−9K153782NuVasive® Lumbar Interbody ImplantsNu Vasive, Incorporated2016—
−8K161230NuVasive Lumbar Interbody ImplantsNu Vasive, Incorporated2016—
−7K170962NuVasive® CoRoent® Thoracolumbar SystemNu Vasive, Incorporated2017—
−6K171633NuVasive TLX Interbody SystemNu Vasive, Incorporated2017—
−5K172341NuVasive® Modulus TLIF Interbody SystemNu Vasive, Incorporated2017—
−4K193593NuVasive 3DP Interfixated ALIF SystemNu Vasive, Incorporated2020—
−3K201820NuVasive Thoracolumbar Interbody Systems: CoRoent Thoracolumbar System…Nu Vasive, Incorporated2020—
−2K203714NuVasive Thoracolumbar Interbody Systems: NuVasive CoRoent Thoracolumbar…Nu Vasive, Incorporated2021—
−1K222276CONDUIT Cages; FIBERGRAFT BG PuttyDepuy Spine2022—
0 (this device)K233490SIGNAFUSE Bioactive Strip (SBS); SIGNAFUSE PuttyBioventus, LLC2023—
+1K241212MagnetOs Easypack PuttyKuros Biosciences2024—
+2K243474MagnetOs MISKuros Biosciences B.V2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198510
199310
199520
199640
199710
199820
199930
200040
2001120
2002120
2003170
2004270
2005210
200690
2007160
2008451
2009290
2010210
2011270
2012110
2013160
2014230
2015170
201660
201790
201840
201930
202040

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
202510
FIG. 1 — Lineage of K233490, 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 MQV device

  1. #1 K232315 Catalyst Bone Void Fillerscore 25.2 · 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? (2)

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
*K203714NuVasive Thoracolumbar Interbody Systems: NuVasive CoRoent Thoracolumbar System…
Summary page 5
…cation Class II Product Code MQV Panel Orthopedic Predicates Primary Predicate NuVasive - Attrax Putty (K203714) Secondary Predicate Prosidyan - Fibergraft™ BG Putty (K222276) Reference Devices Bioventus – SIGNAFUSE Bioac…
Nu Vasive, Incorporated2021—
*K222276CONDUIT Cages; FIBERGRAFT BG Putty
Summary page 5
…Orthopedic Predicates Primary Predicate NuVasive - Attrax Putty (K203714) Secondary Predicate Prosidyan - Fibergraft™ BG Putty (K222276) Reference Devices Bioventus – SIGNAFUSE Bioactive Bone Graft (K193513) Bioventus –Bioact…
Depuy Spine2022—
†K193513SIGNAFUSE Bioactive Bone GraftBioventus2020—
†K132071Bioactive Bone Graft PuttyBiostructures, LLC20141

Also cleared against K203714: 30 other devices →

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K241212MagnetOs Easypack PuttyKuros Biosciences20241

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 · 6 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 14 companies; a new generation was cleared every 10 months on median.
  • 39 of the 373 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K241212 (Kuros Biosciences, 2024) has gone furthest, with 1 descendant of its own.
  • 30 other devices also cite its predicate K203714.

How does its category compare?

All MQV devices

MQV Filler, Bone Void, Calcium Compound: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · MQV

14in 2025

2007: 352008: 322009: 232010: 172011: 162012: 92013: 122014: 202015: 182016: 82017: 172018: 232019: 132020: 152021: 82022: 92023: 212024: 282025: 142026 (partial year): 5
2007high 35 (2007) · low 8 (2016)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MQV

57in 2025

2007: 144 days median2008: 102 days median2009: 180 days median2010: 147 days median2011: 92 days median2012: 107 days median2013: 197 days median2014: 153 days median2015: 184 days median2016: 214 days median2017: 124 days median2018: 124 days median2019: 90 days median2020: 132 days median2021: 88 days median2022: 118 days median2023: 74 days median2024: 55 days median2025: 57 days median2026 (partial year): 96 days median
2007high 214 (2016) · low 55 (2024)2026

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

Recalls per year · MQV

1in 2025

2007: 52008: 32009: 12011: 62012: 32013: 22016: 12017: 12018: 22020: 12023: 32024: 22025: 12026 (partial year): 4
2007high 6 (2011) · low 0 (2010)2026

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

Adverse event reports per year · MQV

57in 2025

2007: 672008: 712009: 812010: 682011: 1142012: 1492013: 2232014: 1112015: 1252016: 1062017: 1072018: 862019: 652020: 1262021: 1012022: 472023: 1202024: 682025: 57
2007high 223 (2013) · low 47 (2022)2025

MAUDE reports naming product code MQV, 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
200735144567
200832102371
200923180181
201017147068
201116926114
201291073149
2013121972223
2014201530111
2015181840125
201682141106
2017171241107
201823124286
20191390065
2020151321126
20218880101
20229118047
202321743120
20242855268
20251457157
20265964—

What is it indicated for?

SIGNAFUSE Bioactive Strip (SBS) SIGNAFUSE Bioactive Strip (SBS) is a bone graft substitute intended for use in bony voids or gaps of the skeletal system not intrinsic to the stability of the bony structure. These osseous defects may be surgically created or result from traumatic injury to the bone. SIGNAFUSE Bioactive Strip (SBS) is indicated to be combined with autologous bone marrow aspirate and packed into osseous defects of the extremities, pelvis…

Read the full statement (291 words)

SIGNAFUSE Bioactive Strip (SBS)

SIGNAFUSE Bioactive Strip (SBS) is a bone graft substitute intended for use in bony voids or gaps of the skeletal system not intrinsic to the stability of the bony structure. These osseous defects may be surgically created or result from traumatic injury to the bone. SIGNAFUSE Bioactive Strip (SBS) is indicated to be combined with autologous bone marrow aspirate and packed into osseous defects of the extremities, pelvis, posterolateral spine, and intervertebral disc space. When used in the posterolateral spine, SIGNAFUSE Bioactive Strip (SBS) is to be used as an autograft extender. When used in intervertebral disc space, SIGNAFUSE Bioactive Strip (SBS) is to be used as an autograft extender with an intervertebral body fusion device cleared by FDA for use with a bone void filler. The device resorbs and is replaced by host bone during the healing process.

SIGNAFUSE Putty

SIGNAFUSE Putty is a bone void filler device intended for use in bony voids or gaps that are not intrinsic to the stability of the bony structure. These defects may be surgically created osseous defects or osseous defects created from traumatic injury to the bone. SIGNAFUSE Putty is indicated to be packed gently into bony voids or gaps of the skeletal system (i.e., extremities, pelvis, posterolateral spine, and intervertebral disc space fusion procedures). SIGNAFUSE Putty can also be used with autograft as a bone graft extender in the posterolateral spine. When used in intervertebral body fusion procedures, SIGNAFUSE Putty can used on its own or as a bone graft extender, and with an intervertebral body fusion device cleared by FDA for use with a bone void filler. The device provides a bone void filler that is resorbed and replaced with host bone during the healing process.

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. “K233490: SIGNAFUSE Bioactive Strip (SBS); SIGNAFUSE Putty.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K233490

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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