510(k) Report

510(k) · Cleared

Cleared

SCARLET® AC-Ti

K240699510(k) TraditionalCleared May 10, 202457-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

Spineart SA · OVE Intervertebral Fusion Device With Integrated Fixation, Cervical

Cleared on May 10, 2024 as substantially equivalent to K141314 (Spineart, 2014) and 8 other predicates after a 57-day review. Its family tree reaches back 25 generations to 1984. 1 of the 542 devices in its family, counting itself, has a Class I recall.

Decided
May 10, 2024
Review
57 days
Class
Class II
Product code
OVE
Recalls
None
Predicates
9

Its longest line of descent runs back 25 generations to K841189 (1984). 541 ancestors in all, the oldest K792352 (1979). No later device cites it as a predicate yet. 1 of the 542 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2023: 1 other ancestor2020: 2 other ancestors2019: 3 other ancestors2017: 11 other ancestors2015: 29 other ancestors2014: 35 other ancestors2016: 20 other ancestors2012: 33 other ancestors2011: 46 other ancestors2009: 44 other ancestors2018: 3 other ancestors2013: 31 other ancestors2010: 30 other ancestors2008: 53 other ancestors, 1 with a Class I recall12007: 23 other ancestors2005: 31 other ancestors2002: 13 other ancestors2001: 11 other ancestors2006: 20 other ancestors2004: 41 other ancestors2003: 20 other ancestors1999: 4 other ancestors1996: 3 other ancestors2000: 4 other ancestors1998: 2 other ancestors1980: 1 other ancestor1979: 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 · 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 · 2015×3: 3 generations cleared close together, K153782 (2016), K160916 (2016), K162138 (2016) K172676 · NuVasive® Modulus-C Interbody System · Nu Vasive, Incorporated · 2017K183397 · ChoiceSpine Stealth Cervical Spacer System · Choicespine, LP · 2019×2: 2 generations cleared close together, K201643 (2020), K203311 (2021) K223869 · ChoiceSpine Blackhawk Ti Cervical Spacer System · Choice Spine, LLC · 202319801990200020102020
Other ancestors, by generation 1 generation back: 7 other ancestors2 generations back: 16 other ancestors3 generations back: 57 other ancestors4 generations back: 97 other ancestors, 1 with a Class I recall15 generations back: 132 other ancestors6 generations back: 90 other ancestors7 generations back: 52 other ancestors8 generations back: 21 other ancestors9 generations back: 24 other ancestors10 generations back: 16 other ancestors11 generations back: 3 other ancestors12 generations back: 1 other ancestor K223869 · ChoiceSpine Blackhawk Ti Cervical Spacer System · Choice Spine, LLC · 2023K203311 · ChoiceSpine Blackhawk Ti Cervical Spacer System · Choice Spine, LLC · 2021K201643 · ChoiceSpine Tiger Shark Cervical Spacer System · Choice Spine, LLC · 2020K183397 · ChoiceSpine Stealth Cervical Spacer System · Choicespine, LP · 2019K172676 · NuVasive® Modulus-C Interbody System · Nu Vasive, Incorporated · 2017K162138 · NuVasive CoRoent Small Ti-C System · Nu Vasive, Incorporated · 2016K160916 · CoRoent® Ti-C System · 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 · 25 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 21 generations between
  3. 3 generations backK201643 ChoiceSpine Tiger Shark Cervical Spacer SystemChoice Spine, LLC · 2020
  4. 2 generations backK203311 ChoiceSpine Blackhawk Ti Cervical Spacer SystemChoice Spine, LLC · 2021
  5. 1 generation backK223869 ChoiceSpine Blackhawk Ti Cervical Spacer SystemChoice Spine, LLC · 2023
  6. This deviceK240699 SCARLET® AC-TiSpineart SA · 2024
Show all 25 generations
  1. Root · 25 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 24 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 23 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 22 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 21 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 20 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 19 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 18 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 17 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 16 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 15 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 14 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 13 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 12 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 11 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 10 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 9 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 8 generations backK153782 NuVasive® Lumbar Interbody ImplantsNu Vasive, Incorporated · 2016
  19. 7 generations backK160916 CoRoent® Ti-C SystemNu Vasive, Incorporated · 2016
  20. 6 generations backK162138 NuVasive CoRoent Small Ti-C SystemNu Vasive, Incorporated · 2016
  21. 5 generations backK172676 NuVasive® Modulus-C Interbody SystemNu Vasive, Incorporated · 2017
  22. 4 generations backK183397 ChoiceSpine Stealth Cervical Spacer SystemChoicespine, LP · 2019
  23. 3 generations backK201643 ChoiceSpine Tiger Shark Cervical Spacer SystemChoice Spine, LLC · 2020
  24. 2 generations backK203311 ChoiceSpine Blackhawk Ti Cervical Spacer SystemChoice Spine, LLC · 2021
  25. 1 generation backK223869 ChoiceSpine Blackhawk Ti Cervical Spacer SystemChoice Spine, LLC · 2023
  26. This deviceK240699 SCARLET® AC-TiSpineart SA · 2024

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−25K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−24K990148Stackable Cage SystemDepuy Motech Acromed1999—
−23K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−22K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−21K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−20K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−19K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−18K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−17K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−16K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−15K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−14K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−13K121683Acculif TL CageCoalign Innovations, Inc.2012—
−12K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−11K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−10K141217Acculif TL and PL CageStryker Corporation20143
−9K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−8K153782NuVasive® Lumbar Interbody ImplantsNu Vasive, Incorporated2016—
−7K160916CoRoent® Ti-C SystemNu Vasive, Incorporated2016—
−6K162138NuVasive CoRoent Small Ti-C SystemNu Vasive, Incorporated2016—
−5K172676NuVasive® Modulus-C Interbody SystemNu Vasive, Incorporated2017—
−4K183397ChoiceSpine Stealth Cervical Spacer SystemChoicespine, LP2019—
−3K201643ChoiceSpine Tiger Shark Cervical Spacer SystemChoice Spine, LLC2020—
−2K203311ChoiceSpine Blackhawk Ti Cervical Spacer SystemChoice Spine, LLC2021—
−1K223869ChoiceSpine Blackhawk Ti Cervical Spacer SystemChoice Spine, LLC2023—
0 (this device)K240699SCARLET® AC-TiSpineart SA2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
199310
199630
199820
199940
200040
2001110
2002130
2003200
2004410
2005310
2006200
2007230
2008531
2009440
2010300
2011460
2012330
2013310
2014350
2015290
2016200
2017110
201830
201930
202020
202310
FIG. 1 — Lineage of K240699, 1984–2024Source: 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 OVE device

  1. #1 K241846 E3D™-C Interbody Systemscore 32.1 · 32 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? (9)

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
*K141314Scarlet AC-T Secured Anterior Cervical Cage and Associated Instrumentation
Summary page 4
…Orthopedic Primary predicate: SCARLET® AC-T Secured Anterior Cervical Cage manufactured by Spineart (K141314, K143214, K172065, K190322) Additional predicates: Legally marketed…
Spineart2014—
*K143214SCARLET® AC-T Secured Anterior Cervical Cage
Summary page 4
…edic Primary predicate: SCARLET® AC-T Secured Anterior Cervical Cage manufactured by Spineart (K141314, K143214, K172065, K190322) Additional predicates: Legally marketed - T…
Spineart2015—
*K172065Scarlet AC-T
Summary page 4
…Primary predicate: SCARLET® AC-T Secured Anterior Cervical Cage manufactured by Spineart (K141314, K143214, K172065, K190322) Additional predicates: Legally marketed - TRYPTIK® T…
Spineart2017—
*K190322SCARLET® AC-T Secured Anterior Cervical Cage
Summary page 4
…Primary predicate: SCARLET® AC-T Secured Anterior Cervical Cage manufactured by Spineart (K141314, K143214, K172065, K190322) Additional predicates: Legally marketed - TRYPTIK® Ti manufac…
Spineart2019—
*K200312Tryptik Ti
Summary page 4
…214, K172065, K190322) Additional predicates: Legally marketed - TRYPTIK® Ti manufactured by Spineart (K200312, K230583) predicate devices - ChoiceSpine Blackhawk Ti Cervical Spacer System manufactured by…
Spineart2020—
*K230583Tryptik Ti
Summary page 4
…065, K190322) Additional predicates: Legally marketed - TRYPTIK® Ti manufactured by Spineart (K200312, K230583) predicate devices - ChoiceSpine Blackhawk Ti Cervical Spacer System manufactured by…
Spineart SA2023—
*K203311ChoiceSpine Blackhawk Ti Cervical Spacer System
Summary page 4
…t (K200312, K230583) predicate devices - ChoiceSpine Blackhawk Ti Cervical Spacer System manufactured by ChoiceSpine LLC (K203311, K223869) - Atlas Spine Expandable Cervical Standalone Interbody System…
Choice Spine, LLC2021—
*K223869ChoiceSpine Blackhawk Ti Cervical Spacer System
Summary page 4
…2, K230583) predicate devices - ChoiceSpine Blackhawk Ti Cervical Spacer System manufactured by ChoiceSpine LLC (K203311, K223869) - Atlas Spine Expandable Cervical Standalone Interbody System…
Choice Spine, LLC2023—
*K192570Atlas Spine Expandable Cervical Standalone Interbody System
Summary page 4
…23869) - Atlas Spine Expandable Cervical Standalone Interbody System manufactured by Atlas Spine, Inc. (K192570) 510(k) Premarket Notification: SCARLET® AC-Ti - Traditional 510k - P a g e…
Atlas Spine, Inc.2020—

Also cleared against K141314: 5 other devices →

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 · 4 generations back · ◆ in the 2008 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 40 years and passes through 15 companies; a new generation was cleared every 11 months on median.
  • 57 of the 541 ancestors have a recall of any class; 1 has a Class I recall.
  • 5 other devices also cite its predicate K141314.

How does its category compare?

All OVE devices

OVE Intervertebral Fusion Device With Integrated Fixation, Cervical: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, this device’s year, is highlighted.

FDA decisions per year · OVE

10in 2025

2007: 12008: 42009: 12010: 42011: 82012: 72013: 52014: 112015: 122016: 152017: 92018: 72019: 72020: 132021: 102022: 102023: 162024: 62025: 102026 (partial year): 13
2007high 16 (2023) · low 1 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OVE

105in 2025

2008: 131 days median2010: 210 days median2011: 139 days median2012: 125 days median2013: 71 days median2014: 168 days median2015: 113 days median2016: 149 days median2017: 100 days median2018: 105 days median2019: 87 days median2020: 149 days median2021: 93 days median2022: 144 days median2023: 97 days median2024: 56 days median2025: 105 days median2026 (partial year): 66 days median
2007high 210 (2010) · low 56 (2024)2026

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

Recalls per year · OVE

2in 2021

2013: 12014: 12015: 12016: 12017: 12021: 2
2007high 2 (2021) · low 0 (2007)2026

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

Adverse event reports per year · OVE

132in 2025

2010: 22011: 192012: 592013: 2502014: 1502015: 1732016: 1452017: 1342018: 2102019: 1692020: 1622021: 1862022: 2002023: 1482024: 1422025: 132
2007high 250 (2013) · low 0 (2007)2025

MAUDE reports naming product code OVE, 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
20071—00
2008413100
20091—00
2010421002
20118139019
20127125059
20135711250
2014111681150
2015121131173
2016151491145
201791001134
201871050210
20197870169
2020131490162
202110932186
2022101440200
202316970148
20246560142
2025101050132
202613660—

What is it indicated for?

SCARLET® AC-Ti cages are indicated for use 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. Patients should have at least six (6) weeks of non-operative treatment prior to treatment with an intervertebral cage. SCARLET® AC-Ti cages are intended to be used at one or two contiguous levels from C2-T1 to…

Read the full statement (188 words)

SCARLET® AC-Ti cages are indicated for use 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. Patients should have at least six (6) weeks of non-operative treatment prior to treatment with an intervertebral cage. SCARLET® AC-Ti cages are intended to be used at one or two contiguous levels from C2-T1 to facilitate intervertebral body fusion with autogenous bone graft and/or allogenic bone graft comprised of cancellous and/or corticocancellous bone graft. When used with two bone screws, the SCARLET® AC-Ti Secured Anterior Cervical Cage is intended to be used as a standalone system and requires no additional supplementary fixation systems.

When used with two anchors or without two bone screws, the SCARLET® AC-Ti cages are to be used with supplemental fixation which has been cleared by the FDA for use in the cervical spine.

The SCARLET® AC-Ti hyperlordotic (12° lordosis) cages are to be used with bone screws and/or anchors and additional supplemental fixation system that has been cleared by the FDA for use in the cervical spine.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K240699: SCARLET® AC-Ti.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K240699

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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