510(k) Report

510(k) · Cleared

Cleared

ProLift Pivot Expandable Spacer System

K243668510(k) TraditionalCleared Jan 23, 202557-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

Life Spine, Inc. · MAX Intervertebral Fusion Device With Bone Graft, Lumbar

Cleared on Jan 23, 2025 as substantially equivalent to K190488 (Life Spine, Inc., 2019) and 5 other predicates after a 57-day review. Its family tree reaches back 22 generations to 1984.

Decided
Jan 23, 2025
Review
57 days
Class
Class II
Product code
MAX
Recalls
None
Predicates
6

Its longest line of descent runs back 22 generations to K841189 (1984). 218 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 2023: 1 other ancestor2021: 1 other ancestor2020: 1 other ancestor2019: 1 other ancestor2014: 9 other ancestors2017: 1 other ancestor2016: 2 other ancestors2013: 10 other ancestors2012: 9 other ancestors2011: 15 other ancestors2008: 30 other ancestors2007: 11 other ancestors2015: 3 other ancestors2010: 13 other ancestors2009: 16 other ancestors2003: 14 other ancestors2000: 1 other ancestor1999: 2 other ancestors1996: 2 other ancestors2006: 5 other ancestors2005: 13 other ancestors2004: 18 other ancestors2002: 8 other ancestors2001: 10 other ancestorsK841189 · 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 · 2015K151773 · CONCORDE Bullet Lumbar Interbody System · Medos International SARL · 2015K162327 · COUGAR® LS Lateral Cage System and COUGAR® System · Medos International SARL · 2016K170235 · Lucent® · Spinal Elements, Inc. · 2017K182584 · Lucent® XP · Spinal Elements, Inc. · 2018K202298 · Lucent XP, Lucent XP Curved · Spinal Elements, Inc. · 202019801990200020102020
Other ancestors, by generation 1 generation back: 5 other ancestors2 generations back: 13 other ancestors3 generations back: 13 other ancestors4 generations back: 26 other ancestors5 generations back: 45 other ancestors6 generations back: 34 other ancestors7 generations back: 35 other ancestors8 generations back: 18 other ancestors9 generations back: 7 other ancestors K202298 · Lucent XP, Lucent XP Curved · Spinal Elements, Inc. · 2020K182584 · Lucent® XP · Spinal Elements, Inc. · 2018K170235 · Lucent® · Spinal Elements, Inc. · 2017K162327 · COUGAR® LS Lateral Cage System and COUGAR® System · Medos International SARL · 2016K151773 · CONCORDE Bullet Lumbar Interbody System · Medos International SARL · 2015K143163 · 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 · 22 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 18 generations between
  3. 3 generations backK170235 Lucent®Spinal Elements, Inc. · 2017
  4. 2 generations backK182584 Lucent® XPSpinal Elements, Inc. · 2018
  5. 1 generation backK202298 Lucent XP, Lucent XP CurvedSpinal Elements, Inc. · 2020
  6. This deviceK243668 ProLift Pivot Expandable Spacer SystemLife Spine, Inc. · 2025
Show all 22 generations
  1. Root · 22 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 21 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 20 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 19 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 18 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 17 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 16 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 15 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 14 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 13 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 12 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 11 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 10 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 9 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 8 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 7 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 6 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 5 generations backK151773 CONCORDE Bullet Lumbar Interbody SystemMedos International SARL · 2015
  19. 4 generations backK162327 COUGAR® LS Lateral Cage System and COUGAR® SystemMedos International SARL · 2016
  20. 3 generations backK170235 Lucent®Spinal Elements, Inc. · 2017
  21. 2 generations backK182584 Lucent® XPSpinal Elements, Inc. · 2018
  22. 1 generation backK202298 Lucent XP, Lucent XP CurvedSpinal Elements, Inc. · 2020
  23. This deviceK243668 ProLift Pivot Expandable Spacer SystemLife Spine, Inc. · 2025
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−22K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−21K990148Stackable Cage SystemDepuy Motech Acromed1999—
−20K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−19K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−18K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−17K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−16K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−15K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−14K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−13K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−12K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−11K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−10K121683Acculif TL CageCoalign Innovations, Inc.2012—
−9K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−8K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−7K141217Acculif TL and PL CageStryker Corporation20143
−6K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−5K151773CONCORDE Bullet Lumbar Interbody SystemMedos International SARL2015—
−4K162327COUGAR® LS Lateral Cage System and COUGAR® SystemMedos International SARL2016—
−3K170235Lucent®Spinal Elements, Inc.2017—
−2K182584Lucent® XPSpinal Elements, Inc.2018—
−1K202298Lucent XP, Lucent XP CurvedSpinal Elements, Inc.2020—
0 (this device)K243668ProLift Pivot Expandable Spacer SystemLife Spine, Inc.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199620
199920
200010
2001100
200280
2003140
2004180
2005130
200650
2007110
2008300
2009160
2010130
2011150
201290
2013100
201490
201530
201620
201710
201910
202010
202110
202310
FIG. 1 — Lineage of K243668, 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.

Planning a device in MAX? 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 MAX device

  1. #1 K203714 NuVasive Thoracolumbar Interbody Systems…score 102.5 · 24 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? (6)

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
*K190488ProLift Expandable System
Summary page 5
…Intervertebral Body Fusion Device Classification: MAX, CFR 888.3080, Class II Primary Predicate: Life Spine ProLift Expandable Spacer System (K190488) Additional Predicate: Spinal Elements Lucent Xp Curved (K202298) Globus Altera Spacer (K140411)…
Life Spine, Inc.2019—
*K202298Lucent XP, Lucent XP Curved
Summary page 5
…X, CFR 888.3080, Class II Primary Predicate: Life Spine ProLift Expandable Spacer System (K190488) Additional Predicate: Spinal Elements Lucent Xp Curved (K202298) Globus Altera Spacer (K140411) Life Spine ProLift Micro (K212520, K223430)…
Spinal Elements, Inc.2020—
*K140411Altera Spacer
Summary page 5
…Spine ProLift Expandable Spacer System (K190488) Additional Predicate: Spinal Elements Lucent Xp Curved (K202298) Globus Altera Spacer (K140411) Life Spine ProLift Micro (K212520, K223430) Life Spine Steerable Plateau T…
Globus Medical, Inc.201422
*K212520ProLift Micro Expandable Spacer System
Summary page 5
…Predicate: Spinal Elements Lucent Xp Curved (K202298) Globus Altera Spacer (K140411) Life Spine ProLift Micro (K212520, K223430) Life Spine Steerable Plateau Ti (K193521) Device Description: The ProLift® Pivot Expandable…
Life Spine, Inc.2021—
*K223430ProLift Micro Expandable Spacer System
Summary page 5
…: Spinal Elements Lucent Xp Curved (K202298) Globus Altera Spacer (K140411) Life Spine ProLift Micro (K212520, K223430) Life Spine Steerable Plateau Ti (K193521) Device Description: The ProLift® Pivot Expandable System i…
Life Spine, Inc.2023—
*K193521Steerable Plateau Ti
Summary page 5
…Globus Altera Spacer (K140411) Life Spine ProLift Micro (K212520, K223430) Life Spine Steerable Plateau Ti (K193521) Device Description: The ProLift® Pivot Expandable System is available in a range of sizes and footprints and can expand to the…
Life Spine, Inc.2020—

Also cleared against K190488: 8 other devices →

What descends from it?

No later submission names this one as a predicate yet.

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 41 years and passes through 14 companies; a new generation was cleared every 1.0 years on median.
  • 23 of the 218 ancestors have a recall of any class.
  • 8 other devices also cite its predicate K190488.

How does its category compare?

All MAX devices

MAX Intervertebral Fusion Device With Bone Graft, Lumbar: FDA decisions, review times, recalls and adverse event reports over 20 years. 2025, this device’s year, is highlighted.

FDA decisions per year · MAX

29in 2025

2007: 72008: 352009: 312010: 292011: 492012: 482013: 582014: 582015: 532016: 642017: 762018: 642019: 602020: 562021: 532022: 412023: 302024: 382025: 292026 (partial year): 18
2007high 76 (2017) · low 7 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MAX

85in 2025

2007: 86 days median2008: 88 days median2009: 102 days median2010: 137 days median2011: 98 days median2012: 69 days median2013: 102 days median2014: 115 days median2015: 113 days median2016: 124 days median2017: 116 days median2018: 114 days median2019: 131 days median2020: 106 days median2021: 109 days median2022: 95 days median2023: 87 days median2024: 91 days median2025: 85 days median2026 (partial year): 95 days median
2007high 137 (2010) · low 69 (2012)2026

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

Recalls per year · MAX

5in 2025

2008: 22009: 92011: 32012: 11, 1 Class I2014: 32015: 12016: 62017: 12018: 42019: 12022: 12024: 12025: 5
2007high 11 (2012) · low 0 (2007)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · MAX

811in 2025

2007: 122008: 192009: 902010: 1542011: 2012012: 3272013: 3802014: 3662015: 5242016: 6472017: 5962018: 6162019: 6992020: 6402021: 6222022: 6182023: 5762024: 7292025: 811
2007high 811 (2025) · low 12 (2007)2025

MAUDE reports naming product code MAX, 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
2007786012
20083588219
200931102990
2010291370154
201149983201
2012486911 (1)327
2013581020380
2014581153366
2015531131524
2016641246647
2017761161596
2018641144616
2019601311699
2020561060640
2021531090622
202241951618
202330870576
202438911729
202529855811
202618950—

What is it indicated for?

The Prolift Pivot Expandable System is intended for spinal fusion procedures in skeletally mature patients with degenerative disc disease (DOD) at one or two contiguous levels (L2-S1 ). DOD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. DOD patients may also have up to Grade 1 spondylolisthesis at the involved level(s). It is to be used in patients who have had at least six months…

Read the full statement (138 words)

The Prolift Pivot Expandable System is intended for spinal fusion procedures in skeletally mature patients with degenerative disc disease (DOD) at one or two contiguous levels (L2-S1 ). DOD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. DOD patients may also have up to Grade 1 spondylolisthesis at the involved level(s). It is to be used in patients who have had at least six months of non-operative treatment. Patients with previous non-fusion spinal surgery at involved level(s) may be treated with the device. This device is intended to be used with autograft bone graft and/or allogeneic bone graft composed of cancellous and/or corticocancellous bone and a supplemental internal spinal fixation system (e.g., pedicle screw or anterolateral plating system) that is cleared for use in the lumbosacral spine.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K243668: ProLift Pivot Expandable Spacer System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K243668

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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