510(k) Report

510(k) · Cleared

Cleared

Vertiwedge® Intraosseous System

K241468510(k) TraditionalCleared Nov 7, 2024167-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

Foundation Surgical Group, Inc. · MQP Spinal Vertebral Body Replacement Device

Cleared on Nov 7, 2024 as substantially equivalent to K081849 (Blackstone Medical, Inc., 2008) and 4 other predicates after a 167-day review. Its family tree reaches back 21 generations to 1984. 1 of the 317 devices in its family, counting itself, has a Class I recall. 1 later device descends from it.

Decided
Nov 7, 2024
Review
167 days
Class
Class II
Product code
MQP
Recalls
None
Predicates
5

Its longest line of descent runs back 21 generations to K841189 (1984). 315 ancestors in all, the oldest K792352 (1979). 1 later device descends from it, 1 citing it directly. 1 of the 317 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2024: 1 other ancestor2022: 1 other ancestor2019: 2 other ancestors2008: 43 other ancestors, 1 with a Class I recall12018: 3 other ancestors2017: 4 other ancestors2016: 3 other ancestors2015: 8 other ancestors2012: 11 other ancestors2009: 25 other ancestors2006: 21 other ancestors2005: 21 other ancestors2004: 27 other ancestors1999: 3 other ancestors2014: 13 other ancestors2011: 17 other ancestors2007: 15 other ancestors2003: 19 other ancestors2002: 13 other ancestors2001: 13 other ancestors2000: 5 other ancestors1996: 2 other ancestors2013: 6 other ancestors2010: 10 other ancestors1998: 2 other ancestors1997: 3 other ancestors1993: 1 other ancestor1980: 1 other ancestor1979: 1 other ancestor2026: 1 descendant clearedK841189 · 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. · 2007×2: 2 generations cleared close together, K072120 (2007), K073291 (2008) K094025 · Crescent Spinal System · Medtronic Sofamor Danek · 2010K110543 · Crescent (R) Spinal System Titanium · Medtronic Sofamor Danek USA, Inc. · 2011×2: 2 generations cleared close together, K121683 (2012), K123752 (2013) K132505 · Acculif TL and PL Cage · Coalign Innovations, Inc. · 2013 · recalled×3: 3 generations cleared close together, K141217 (2014), K143163 (2015), K143616 (2015) ×2: 2 generations cleared close together, K152304 (2015), K160125 (2016) K171140 · Matrixx System · Nexxt Spine, LLC · 201719801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 4 other ancestors2 generations back: 19 other ancestors3 generations back: 51 other ancestors4 generations back: 66 other ancestors5 generations back: 73 other ancestors, 1 with a Class I recall16 generations back: 42 other ancestors7 generations back: 20 other ancestors8 generations back: 15 other ancestors9 generations back: 4 other ancestors 1 generation forward: 1 descendant K171140 · Matrixx System · Nexxt Spine, LLC · 2017K160125 · Cascadia Interbody System · K2m · 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. · 1984−20−15−10−50
  1. Root · 21 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 17 generations between
  3. 3 generations backK152304 Tritanium PL CageStryker · 2015 · Recalled
  4. 2 generations backK160125 Cascadia Interbody SystemK2m · 2016
  5. 1 generation backK171140 Matrixx SystemNexxt Spine, LLC · 2017
  6. This deviceK241468 Vertiwedge® Intraosseous SystemFoundation Surgical Group, Inc. · 2024
  7. Descendant · cites it directly · 0 of its ownK261810 Vertiwedge® Intraosseous SystemFoundation Surgical Group · 2026
Show all 21 generations
  1. Root · 21 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 20 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 19 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 18 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 17 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 16 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 15 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 14 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 13 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 12 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 11 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 10 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 9 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 8 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 7 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 6 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 5 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 4 generations backK143616 AccuLIF TL and PL CageStryker Corporation · 2015 · Recalled
  19. 3 generations backK152304 Tritanium PL CageStryker · 2015 · Recalled
  20. 2 generations backK160125 Cascadia Interbody SystemK2m · 2016
  21. 1 generation backK171140 Matrixx SystemNexxt Spine, LLC · 2017
  22. This deviceK241468 Vertiwedge® Intraosseous SystemFoundation Surgical Group, Inc. · 2024

Class I recalls in this family

Most influential descendants

Showing 1 of 1 · See all
  • K261810Vertiwedge® Intraosseous SystemFoundation Surgical Group · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−21K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−20K990148Stackable Cage SystemDepuy Motech Acromed1999—
−19K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−18K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−17K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−16K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−15K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−14K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−13K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−12K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−11K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−10K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−9K121683Acculif TL CageCoalign Innovations, Inc.2012—
−8K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−7K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−6K141217Acculif TL and PL CageStryker Corporation20143
−5K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−4K143616AccuLIF TL and PL CageStryker Corporation20154
−3K152304Tritanium PL CageStryker20151
−2K160125Cascadia Interbody SystemK2m2016—
−1K171140Matrixx SystemNexxt Spine, LLC2017—
0 (this device)K241468Vertiwedge® Intraosseous SystemFoundation Surgical Group, Inc.2024—
+1K261810Vertiwedge® Intraosseous SystemFoundation Surgical Group2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
199310
199620
199730
199820
199930
200050
2001130
2002130
2003190
2004270
2005210
2006210
2007150
2008431
2009250
2010100
2011170
2012110
201360
2014130
201580
201630
201740
201830
201920
202210
202410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K241468, 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.

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 MQP device

  1. #1 K261810 Vertiwedge® Intraosseous Systemscore 18.1 · 22 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
*K081849Blackstone Pillar SA Partial Vertebral Body Replacement Device
Summary page 6
…Manufacturer Product Code Predicate Number Type K081849 PILLAR SA PEEK Spacer System Blackstone Medical, Inc. OVD, MQP Primary K183071 VLIFT®-s Ve…
Blackstone Medical, Inc.20081
*K183071VLIFT-s Vertebral Body Replacement System
Summary page 6
…Type K081849 PILLAR SA PEEK Spacer System Blackstone Medical, Inc. OVD, MQP Primary K183071 VLIFT®-s Vertebral Body Replacement System Stryker Spine PLR, MQP Additional K171140 Matrixx…
Stryker Spine2019—
*K171140Matrixx System
Summary page 6
…Blackstone Medical, Inc. OVD, MQP Primary K183071 VLIFT®-s Vertebral Body Replacement System Stryker Spine PLR, MQP Additional K171140 Matrixx System Nexxt Spine LLC ODP, MAX, MQP Additional K233359 Dominion…
Nexxt Spine, LLC2017—
*K233359DOMINION Expandable Corpectomy System
Summary page 6
…yker Spine PLR, MQP Additional K171140 Matrixx System Nexxt Spine LLC ODP, MAX, MQP Additional K233359 Dominion Expandable Corpectomy System Astura Medical MQP, PLR Additional K220324 AccuFit…
Astura Medical2024—
*K220324AccuFit Lateral 2-Hole Plate
Summary page 6
…xt Spine LLC ODP, MAX, MQP Additional K233359 Dominion Expandable Corpectomy System Astura Medical MQP, PLR Additional K220324 AccuFit Lateral Plate System Precision Spine, Inc. KWQ Additional PERFORMANCE DATA The…
Precision Spine, Inc.2022—

Also cleared against K081849: 6 other devices →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K261810Vertiwedge® Intraosseous SystemFoundation Surgical Group20260

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 · 5 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 10 months on median.
  • 34 of the 315 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K261810 (Foundation Surgical Group, 2026) has gone furthest, with 0 descendants of its own.
  • 6 other devices also cite its predicate K081849.

How does its category compare?

All MQP devices

MQP Spinal Vertebral Body Replacement Device: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, this device’s year, is highlighted.

FDA decisions per year · MQP

4in 2024

2007: 302008: 172009: 112010: 62011: 82012: 72013: 32014: 52015: 82017: 92018: 62019: 82020: 32022: 12023: 12024: 42026 (partial year): 3
2007high 30 (2007) · low 0 (2016)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MQP

187in 2024

2007: 107 days median2008: 47 days median2009: 115 days median2010: 174 days median2011: 237 days median2012: 82 days median2013: 90 days median2014: 125 days median2015: 126 days median2017: 97 days median2018: 152 days median2019: 93 days median2020: 103 days median2024: 187 days median2026 (partial year): 102 days median
2007high 237 (2011) · low 47 (2008)2026

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

Recalls per year · MQP

1in 2022

2007: 22009: 142010: 22011: 12012: 22020: 152022: 1
2007high 15 (2020) · low 0 (2008)2026

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

Adverse event reports per year · MQP

168in 2025

2007: 612008: 762009: 1112010: 1662011: 1212012: 1412013: 2072014: 2162015: 2582016: 1292017: 1412018: 1302019: 1172020: 1572021: 2082022: 1372023: 712024: 982025: 168
2007high 258 (2015) · low 61 (2007)2025

MAUDE reports naming product code MQP, 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
200730107261
20081747076
20091111514111
201061742166
201182371121
20127822141
20133900207
201451250216
201581260258
20160—0129
20179970141
201861520130
20198930117
2020310315157
20210—0208
20221—1137
20231—071
20244187098
20250—0168
202631020—

What is it indicated for?

The Vertiwedge® Intraosseous System is indicated for use in the thoracolumbar spine (T1-L5) for partial replacement of a diseased or damaged vertebral body resected or excised to replace a portion and/or restore the height of a collapsed vertebral body for the treatment of previous trauma (i.e, fracture or tumor) or degenerative spine disease. The system is to be placed within the vertebral body following an osteotomy and supplemented with autograft or…

Read the full statement (145 words)

The Vertiwedge® Intraosseous System is indicated for use in the thoracolumbar spine (T1-L5) for partial replacement of a diseased or damaged vertebral body resected or excised to replace a portion and/or restore the height of a collapsed vertebral body for the treatment of previous trauma (i.e, fracture or tumor) or degenerative spine disease. The system is to be placed within the vertebral body following an osteotomy and supplemented with autograft or allograft and to be used with its contralateral staple; should a physician choose to use fewer than the maximum number of screws, then supplemental fixation must be used to augment stability.

The Vertiwedge® Intraosseous System is intended to restore the integrity of the spinal column even in the absence of fusion in patients with advanced stage tumors involving the thoracolumbar spine in whom life expectancy is of insufficient duration to permit achievement of fusion.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K241468: Vertiwedge® Intraosseous System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K241468

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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