510(k) Report

510(k) · Cleared

Cleared

aprevo® anterior lumbar interbody fusion device; aprevo® lateral lumbar interbody fusion device; aprevo® anterior lumbar interbody fusion device with interfixation; aprevo® transforaminal lumbar interbody fusion device; aprevo® TLIF-CA Articulating System; aprevo® Cervical ACDF; aprevo® Cervical ACDF-X; aprevo® Cervical ACDF-X No Cams

K250827510(k) TraditionalCleared Jul 7, 2025111-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

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

Cleared on Jul 7, 2025 as substantially equivalent to K243802 (Carlsmed, Inc., 2025) and 3 other predicates after a 111-day review. Its family tree reaches back 33 generations to 1984. 4 of the 1,433 devices in its family, counting itself, have a Class I recall. 2 later devices descend from it.

Decided
Jul 7, 2025
Review
111 days
Class
Class II
Product code
MAX
Recalls
None
Predicates
4

Its longest line of descent runs back 33 generations to K841189 (1984). 1,430 ancestors in all, the oldest K761228 (1976). 2 later devices descend from it, 2 citing it directly. 4 of the 1,433 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2024: 4 other ancestors2023: 1 other ancestor2022: 7 other ancestors2021: 10 other ancestors2020: 21 other ancestors2017: 48 other ancestors2015: 57 other ancestors, 1 with a Class I recall12011: 84 other ancestors2019: 21 other ancestors2018: 23 other ancestors2016: 51 other ancestors, 1 with a Class I recall12014: 61 other ancestors2013: 57 other ancestors2009: 69 other ancestors2008: 95 other ancestors, 1 with a Class I recall12012: 53 other ancestors2010: 62 other ancestors, 1 with a Class I recall12007: 47 other ancestors2006: 53 other ancestors2005: 68 other ancestors2004: 81 other ancestors2003: 59 other ancestors2002: 49 other ancestors2001: 55 other ancestors1999: 31 other ancestors1996: 29 other ancestors2000: 44 other ancestors1995: 25 other ancestors1994: 17 other ancestors1993: 10 other ancestors1998: 38 other ancestors1997: 22 other ancestors1992: 12 other ancestors1990: 6 other ancestors1980: 1 other ancestor1979: 2 other ancestors1978: 1 other ancestor1991: 2 other ancestors1989: 5 other ancestors1988: 3 other ancestors1987: 3 other ancestors1986: 4 other ancestors1985: 2 other ancestors1981: 2 other ancestors1976: 1 other ancestor1984: 1 other ancestor2026: 2 descendants 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) K152304 · Tritanium PL Cage · Stryker · 2015 · recalled×2: 2 generations cleared close together, K160955 (2016), K162262 (2016) K171496 · Tritanium C Anterior Cervical Cage · Stryker Spine · 2017K180364 · HD LifeSciences Cervical IBFD System · Hd Lifesciences, LLC · 2018×3: 3 generations cleared close together, K183557 (2019), K192018 (2019), K191581 (2020) K201267 · Adaptix Interbody System with Titan nanoLOCK Surface Technology · Medtronic Sofamor Danek · 2020K210425 · Catalyft PL Expandable Interbody System · Medtronic Sofamor Danek USA, Inc. · 2021 · recalled×3: 3 generations cleared close together, K212524 (2021), K214010 (2022), K222028 (2022) ×2: 2 generations cleared close together, K243635 (2024), K243802 (2025) 19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors2 generations back: 14 other ancestors3 generations back: 31 other ancestors4 generations back: 94 other ancestors5 generations back: 198 other ancestors6 generations back: 236 other ancestors, 2 with a Class I recall27 generations back: 215 other ancestors, 1 with a Class I recall18 generations back: 219 other ancestors, 1 with a Class I recall19 generations back: 159 other ancestors10 generations back: 98 other ancestors11 generations back: 72 other ancestors12 generations back: 33 other ancestors13 generations back: 12 other ancestors14 generations back: 9 other ancestors15 generations back: 2 other ancestors16 generations back: 2 other ancestors 1 generation forward: 2 descendants K243802 · aprevo® anterior and lateral lumbar interbody fusion device, aprevo® anterior lumbar interbody fusion device with interfixation · Carlsmed, Inc. · 2025K243635 · aprevo® anterior lumbar interbody fusion device with interfixation · Carlsmed, Inc. · 2024K222028 · IdentiTi™ Porous Ti Interbody System, IdentiTi™ NanoTec™ Interbody System, Transcend™ PEEK Interbody System, Transcend™ NanoTec™ Interbody System, IdentiTi™ ALIF Standalone Interbody System, IdentiTi™ NanoTec™ ALIF Standalone Interbody System · Alphatec Spine · 2022K214010 · Anteralign Spinal System with Titan nanoLOCK Surface Technology · Medtronic Sofamor Danek USA · 2022K212524 · Anteralign Spinal System with Titan nanoLOCK Surface Technology · Medtronic Sofamor Danek USA, Inc. · 2021K210425 · Catalyft PL Expandable Interbody System · Medtronic Sofamor Danek USA, Inc. · 2021 · recalledK201267 · Adaptix Interbody System with Titan nanoLOCK Surface Technology · Medtronic Sofamor Danek · 2020K191581 · Endoskeleton TL Interbody Fusion Device, Endoskeleton TL Hyperlordotic Interbody Fusion Device · Titan Spine, Inc. · 2020K192018 · Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS Hyperlordotic Interbody Fusion Device, Endoskeleton TO Interbody Fusion Device, Endoskeleton TT Interbody Fusion Device, Endoskeleton TC Interbody Fusion Device, Endoskeleton TCS Interbody Fusion Device, Endoskeleton TL Interbody Fusion Device · Titan Spine, Inc. · 2019 · recalledK183557 · Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS Interbody Fusion Device, Endoskeleton® TO Interbody Fusion Device, Endoskeleton® TT Interbody Fusion Device, Endoskeleton® TC Interbody Fusion Device, Endoskeleton® TCS Interbody Fusion Device, Endoskeleton® TL Interbody Fusion Device, Endoskeleton® TA Vertebral Body Replacement (VBR) Device · Titan Spine, Inc. · 2019 · recalledK180364 · HD LifeSciences Cervical IBFD System · Hd Lifesciences, LLC · 2018K171496 · Tritanium C Anterior Cervical Cage · Stryker Spine · 2017K162262 · Tritanium® PL Cage · Stryker · 2016K160955 · Tritanium® PL Cage · Stryker · 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. · 1984−30−25−20−15−10−50
  1. Root · 33 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 29 generations between
  3. 3 generations backK222028 IdentiTi™ Porous Ti Interbody System, IdentiTi™ NanoTec™ Interbody…Alphatec Spine · 2022
  4. 2 generations backK243635 aprevo® anterior lumbar interbody fusion device with interfixationCarlsmed, Inc. · 2024
  5. 1 generation backK243802 aprevo® anterior and lateral lumbar interbody fusion device, aprevo®…Carlsmed, Inc. · 2025
  6. This deviceK250827 aprevo® anterior lumbar interbody fusion device; aprevo® lateral…Carlsmed, Inc. · 2025
  7. Descendant · cites it directly · 1 of its ownK252894 aprevo® cervical interbody systemCarlsmed, Inc. · 2026
  8. Descendant · cites it directly · 0 of its ownK260385 aprevo® anterior and lateral lumbar interbody system; aprevo®…Carlsmed, Inc. · 2026
Show all 33 generations
  1. Root · 33 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 32 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 31 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 30 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 29 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 28 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 27 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 26 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 25 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 24 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 23 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 22 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 21 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 20 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 19 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 18 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 17 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 16 generations backK143616 AccuLIF TL and PL CageStryker Corporation · 2015 · Recalled
  19. 15 generations backK152304 Tritanium PL CageStryker · 2015 · Recalled
  20. 14 generations backK160955 Tritanium® PL CageStryker · 2016
  21. 13 generations backK162262 Tritanium® PL CageStryker · 2016
  22. 12 generations backK171496 Tritanium C Anterior Cervical CageStryker Spine · 2017
  23. 11 generations backK180364 HD LifeSciences Cervical IBFD SystemHd Lifesciences, LLC · 2018
  24. 10 generations backK183557 Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS…Titan Spine, Inc. · 2019 · Recalled
  25. 9 generations backK192018 Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS…Titan Spine, Inc. · 2019 · Recalled
  26. 8 generations backK191581 Endoskeleton TL Interbody Fusion Device, Endoskeleton TL…Titan Spine, Inc. · 2020
  27. 7 generations backK201267 Adaptix Interbody System with Titan nanoLOCK Surface TechnologyMedtronic Sofamor Danek · 2020
  28. 6 generations backK210425 Catalyft PL Expandable Interbody SystemMedtronic Sofamor Danek USA, Inc. · 2021 · Recalled
  29. 5 generations backK212524 Anteralign Spinal System with Titan nanoLOCK Surface TechnologyMedtronic Sofamor Danek USA, Inc. · 2021
  30. 4 generations backK214010 Anteralign Spinal System with Titan nanoLOCK Surface TechnologyMedtronic Sofamor Danek USA · 2022
  31. 3 generations backK222028 IdentiTi™ Porous Ti Interbody System, IdentiTi™ NanoTec™ Interbody…Alphatec Spine · 2022
  32. 2 generations backK243635 aprevo® anterior lumbar interbody fusion device with interfixationCarlsmed, Inc. · 2024
  33. 1 generation backK243802 aprevo® anterior and lateral lumbar interbody fusion device, aprevo®…Carlsmed, Inc. · 2025
  34. This deviceK250827 aprevo® anterior lumbar interbody fusion device; aprevo® lateral…Carlsmed, Inc. · 2025

Class I recalls in this family

Most influential descendants

Showing 2 of 2 · See all
  • K252894aprevo® cervical interbody systemCarlsmed, Inc. · 2026 · cites it directly1descendant
  • K260385aprevo® anterior and lateral lumbar interbody system; aprevo® posterior and…Carlsmed, Inc. · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−33K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−32K990148Stackable Cage SystemDepuy Motech Acromed1999—
−31K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−30K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−29K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−28K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−27K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−26K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−25K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−24K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−23K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−22K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−21K121683Acculif TL CageCoalign Innovations, Inc.2012—
−20K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−19K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−18K141217Acculif TL and PL CageStryker Corporation20143
−17K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−16K143616AccuLIF TL and PL CageStryker Corporation20154
−15K152304Tritanium PL CageStryker20151
−14K160955Tritanium® PL CageStryker2016—
−13K162262Tritanium® PL CageStryker2016—
−12K171496Tritanium C Anterior Cervical CageStryker Spine2017—
−11K180364HD LifeSciences Cervical IBFD SystemHd Lifesciences, LLC2018—
−10K183557Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS Interbody Fusion…Titan Spine, Inc.20193
−9K192018Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS…Titan Spine, Inc.20194
−8K191581Endoskeleton TL Interbody Fusion Device, Endoskeleton TL Hyperlordotic…Titan Spine, Inc.2020—
−7K201267Adaptix Interbody System with Titan nanoLOCK Surface TechnologyMedtronic Sofamor Danek2020—
−6K210425Catalyft PL Expandable Interbody SystemMedtronic Sofamor Danek USA, Inc.20211
−5K212524Anteralign Spinal System with Titan nanoLOCK Surface TechnologyMedtronic Sofamor Danek USA, Inc.2021—
−4K214010Anteralign Spinal System with Titan nanoLOCK Surface TechnologyMedtronic Sofamor Danek USA2022—
−3K222028IdentiTi™ Porous Ti Interbody System, IdentiTi™ NanoTec™ Interbody System…Alphatec Spine2022—
−2K243635aprevo® anterior lumbar interbody fusion device with interfixationCarlsmed, Inc.2024—
−1K243802aprevo® anterior and lateral lumbar interbody fusion device, aprevo® anterior…Carlsmed, Inc.2025—
0 (this device)K250827aprevo® anterior lumbar interbody fusion device; aprevo® lateral lumbar…Carlsmed, Inc.2025—
+1K252894aprevo® cervical interbody systemCarlsmed, Inc.2026—
+1K260385aprevo® anterior and lateral lumbar interbody system; aprevo® posterior and…Carlsmed, Inc.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197610
197810
197920
198010
198120
198410
198520
198640
198730
198830
198950
199060
199120
1992120
1993100
1994170
1995250
1996290
1997220
1998380
1999310
2000440
2001550
2002490
2003590
2004810
2005680
2006530
2007470
2008951
2009690
2010621
2011840
2012530
2013570
2014610
2015571
2016511
2017480
2018230
2019210
2020210
2021100
202270
202310
202440

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202620
FIG. 1 — Lineage of K250827, 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.

4 devices in this family have 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 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? (4)

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
*K243802aprevo® anterior and lateral lumbar interbody fusion device, aprevo® anterior lumbar…
Summary page 7
…Type aprevo® anterior and lateral lumbar interbody fusion MAX devices K243802 Carlsmed, Inc. Primary OVD aprevo®…
Carlsmed, Inc.2025—
*K241332aprevo® anterior and lateral lumbar interbody fusion device; aprevo® anterior lumbar…
Summary page 7
…Carlsmed, Inc. Primary OVD aprevo® anterior lumbar interbody fusion device with interfixation K241332 MAX aprevo® transforaminal lumbar interbody fusion device Carlsmed, Inc. Additional K241019 MAX aprevo…
Carlsmed, Inc.2024—
*K241019aprevo® TLIF-C Articulating System
Summary page 7
…ody fusion device with interfixation K241332 MAX aprevo® transforaminal lumbar interbody fusion device Carlsmed, Inc. Additional K241019 MAX aprevo® TLIF-C Articulating System Carlsmed, Inc. Additional aprevo…
Carlsmed2024—
*K242260aprevo® Cervical ACDF; aprevo® Cervical ACDF-X; aprevo® Cervical ACDF-X NO CAM
Summary page 7
…MAX aprevo® TLIF-C Articulating System Carlsmed, Inc. Additional aprevo® Cervical ACDF System ODP K242260 aprevo® Cervical ACDF-X System Carlsmed, Inc. Additional OVE…
Carlsmed, Inc.2024—

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K252894aprevo® cervical interbody systemCarlsmed, Inc.20261
K260385aprevo® anterior and lateral lumbar interbody system; aprevo® posterior and…Carlsmed, Inc.20260

Has anything in its family been recalled? (4 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.

  • K153660StealthStation System with Cranial SoftwareMedtronic Navigation, Inc. · 2016 · 6 generations back · ◆ in the 2016 ancestors bar of FIG. 13 Class I recalls
  • K073202Ardis SpacerAbbott Spine, Inc. · 2008 · 6 generations back · ◆ in the 2008 ancestors bar of FIG. 11 Class I recall
  • K150216Synergy CranialMedtronic Navigation, Inc. · 2015 · 7 generations back · ◆ in the 2015 ancestors bar of FIG. 13 Class I recalls
  • K100952Modification to Synthes Matrix SystemSynthes Spine · 2010 · 8 generations back · ◆ in the 2010 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 41 years and passes through 18 companies; a new generation was cleared every 8 months on median.
  • 161 of the 1,430 ancestors have a recall of any class; 4 have a Class I recall.
  • Of its descendants, K252894 (Carlsmed, Inc., 2026) has gone furthest, with 1 descendant of its own.

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?

aprevo® anterior and lateral lumbar interbody fusion devices The aprevo® anterior and lateral lumbar interbody fusion devices are intended for interbody fusion in skeletally mature patients and are to be used with supplemental fixation instrumentation cleared for use in the lumbar spine. The aprevo® anterior and lateral lumbar interbody fusion devices are indicated for use as an adjunct to fusion at one or more levels of the lumbar spine in patients…

Read the full statement (1,577 words)

aprevo® anterior and lateral lumbar interbody fusion devices

The aprevo® anterior and lateral lumbar interbody fusion devices are intended for interbody fusion in skeletally mature patients and are to be used with supplemental fixation instrumentation cleared for use in the lumbar spine. The aprevo® anterior and lateral lumbar interbody fusion devices are indicated for use as an adjunct to fusion at one or more levels of the lumbar spine in patients having an ODI >40 and diagnosed with severe symptomatic adult spinal deformity (ASD) conditions. These patients should have had six months of non-operative treatment. The devices are intended to be used with autograft and/or allogenic bone graft comprised of cancellous and/or cortico-cancellous bone graft. These implants may be implanted via a variety of open or minimally invasive approaches. These approaches may include anterior lumbar interbody fusion or lateral lumbar interbody fusion.

The aprevo® anterior and lateral lumbar interbody fusion devices are indicated for use at one or more levels of the lumbosacral spine as an adjunct to fusion in patients with the following indications: degenerative disc disease (DDD), disc herniation (with myelopathy and/or radiculopathy), spondylolisthesis, deformity (degenerative scoliosis or kyphosis), spinal stenosis, and failed previous fusion (pseudarthrosis). DDD is defined as discogenic back pain with degeneration of the disc as confirmed by history and radiographic studies. These patients should be skeletally mature and have had at least six (6) months of non-operative treatment. aprevo® anterior and lateral lumbar interbody fusion devices are to be filled with autograft bone and/or allogenic bone graft composed of cancellous and/or corticocancellous bone. These devices are intended to be used with supplemental fixation systems that have been cleared for use in the thoracolumbosacral spine (e.g., posterior pedicle screw and rod systems). These implants may be implanted via a variety of open or minimally invasive approaches.

aprevo® transforaminal lumbar interbody fusion device:

The aprevo® transforaminal lumbar interbody fusion device is intended for interbody fusion in skeletally mature patients and is to be used with supplemental fixation instrumentation cleared for use in the lumbar spine. The aprevo® transforaminal lumbar interbody fusion device is indicated for use as an adjunct to fusion at one or more levels of the lumbar spine in patients having an ODI >40 and diagnosed with severe symptomatic adult spinal deformity (ASD) conditions. These patients should have had six months of non-operative treatment. The device is intended to be used with autograft and/or allogenic bone graft comprised of cancellous and/or cortico-cancellous bone graft. These implants may be implanted via a variety of open or minimally invasive approaches.

The aprevo® transforaminal lumbar interbody fusion device is indicated for use at one or more levels of the lumbosacral spine as an adjunct to fusion in patients with the following indications: degenerative disc disease (DDD), disc herniation (with myelopathy and/or radiculopathy), spondylolisthesis, deformity (degenerative scoliosis or kyphosis), spinal stenosis, and failed previous fusion (pseudarthrosis). DDD is defined as discogenic back pain with degeneration of the disc as confirmed by history and radiographic studies. These patients should be skeletally mature and have had at least six (6) months of non-operative treatment. aprevo® transforaminal lumbar interbody fusion devices are to be filled with auto graft bone and/or allogenic bone graft composed of cancellous and/or corticocancellous bone. These devices are intended to be used with supplemental fixation systems that have been cleared for use in the thoracolumbosacral spine (e.g., posterior pedicle screw and rod systems). These implants may be implanted via a variety of open or minimally invasive approaches.

aprevo® anterior lumbar interbody fusion device with interfixation:

The aprevo® anterior lumbar interbody fusion device with interfixation (ALIF-X) is intended for interbody fusion in skeletally mature patients. The aprevo® anterior lumbar interbody fusion device with interfixation (ALIF-X) is indicated for use as an adjunct to fusion at one or more levels of the lumbar spine in patients having an ODI >40 and diagnosed with severe symptomatic adult spinal deformity (ASD) conditions. These patients should have had six months of non-operative treatment. The device is intended to be used with autograft and/or allogenic bone graft comprised of cancellous bone and/or corticocancellous bone and is to be used with supplemental fixation cleared for use in the lumbar spine. The device may be implanted via an open or minimally invasive approach.

The aprevo® anterior lumbar interbody fusion device with interfixation (ALIF-X) is indicated for use at one or more levels of the lumbosacral spine as an adjunct to fusion in patients with the following indications: degenerative disc disease (DDD), disc herniation (with myelopathy and/or radiculopathy), spondylolisthesis, deformity (degenerative scoliosis, kyphosis, or sagittal), spinal stenosis, and failed previous fusion (pseudarthrosis). DDD is defined as discogenic back pain with degeneration of the disc as confirmed by history and radiographic studies. The aprevo® anterior lumbar interbody fusion device with interfixation (ALIF-X) is intended for standalone use at one or two levels of the spine when used with the screws that accompany the implant and with implants less than or equal to 20° of lordosis. At more than two levels or with implants greater than 20° of lordosis, the aprevo® anterior lumbar interbody fusion device with interfixation (ALIF-X) is intended to be used with the screws that accompany the implant and with supplemental fixation. When used at more than one level in patients with degenerative scoliosis and/or sagittal deformity, the aprevo® anterior lumbar interbody fusion device with interfixation (ALIF-X) must be used with the screws that accompany the implant and with supplemental internal spinal fixation system (e.g., pedicle screw system) cleared by the FDA for use in the lumbar spine. These patients should be skeletally mature and have had at least six months of non-operative treatment. The device is to be filled with autograft bone and/or allogenic bone graft comprised of cancellous and/or corticocancellous bone. The device may be implanted via an open or minimally invasive approach.

aprevo® TLIF-C Articulating System:

The aprevo® TLIF-C Articulating System is intended for interbody fusion in skeletally mature patients and is to be used with supplemental fixation instrumentation cleared for use in the lumbar spine. The aprevo® TLIF-C Articulating System is indicated for use as an adjunct to fusion at one or more levels of the lumbar spine in patients having an ODI >40 and diagnosed with severe symptomatic adult spinal deformity (ASD) conditions. These patients should have had six months of non-operative treatment. The device is intended to be used with autograft and/or allogenic bone graft comprised of cancellous and/or cortico-cancellous bone graft. These implants may be implanted via a variety of open or minimally invasive approaches.

The aprevo® TLIF-C Articulating System is indicated for use at one or more levels of the lumbosacral spine as an adjunct to fusion in patients with the following indications: degenerative disc disease (DDD), disc herniation (with myelopathy and/or radiculopathy), spondylolisthesis, deformity (degenerative scoliosis or kyphosis), spinal stenosis, and failed previous fusion (pseudarthrosis). DDD is defined as discogenic back pain with degeneration of the disc as confirmed by history and radiographic studies. These patients should be skeletally mature and have had at least six (6) months of non-operative treatment. aprevo® TLIF-C Articulating System devices are to be filled with autograft bone and/or allogenic bone graft composed of cancellous and/or corticocancellous bone. These devices are intended to be used with supplemental fixation systems that have been cleared for use in the thoracolumbosacral spine (e.g., posterior pedicle screw and rod systems). These implants may be implanted via a variety of open or minimally invasive approaches.

aprevo® Cervical ACDF, aprevo® Cervical ACDF-X, and aprevo® Cervical ACDF-X (NO CAM) System:

aprevo® Cervical ACDF lnterbody

The aprevo® Cervical ACDF lnterbody System are interbody fusion devices indicated at one or more levels of the cervical spine (C2-T1) in patients with the following degenerative cervical conditions: cervical disc disease, instability, trauma including fractures, deformity defined as kyphosis, lordosis, or scoliosis, cervical spondylotic myelopathy, spinal stenosis, and failed previous fusion. Cervical disc disease is defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies. These patients should be skeletally mature and have had at least six (6) weeks of non-operative treatment. These devices are to be filled with autograft bone and/or allogenic bone graft composed of cancellous, cortical, and/or cortico-cancellous bone. The aprevo® Cervical ACDF lnterbody System must be used with supplemental fixation systems. For hyperlordotic corrections (≥20° lordosis), the system must be used with at least an anterior cervical plate as supplemental fixation.

aprevo® Cervical ACDF-X lnterbody (with and without CAM)

The aprevo® Cervical ACDF-X lnterbody System are interbody fusion devices indicated at one or more levels of the cervical spine (C2-T1) in patients with the following degenerative cervical conditions: cervical disc disease, instability, trauma including fractures, deformity defined as kyphosis, lordosis, or scoliosis, cervical spondylotic myelopathy, spinal stenosis, and failed previous fusion. Cervical disc disease is defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies. These patients should be skeletally mature and have had at least six (6) weeks of non-operative treatment. These devices are to be filled with autograft bone and/or allogenic bone graft composed of cancellous, cortical, and/or cortico-cancellous bone. When used as a standalone system, the aprevo® Cervical ACDF-X lnterbody implant with integrated screw fixation is intended for use at multiple contiguous levels, or up to two levels when used in trauma, deformity or failed previous fusions. Deformity procedures to correct coronal angulation or any use of hyperlordotic correction (≥20°) must include supplemental fixation such as posterior cervical screw fixation or anterior plating.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K250827: aprevo® anterior lumbar interbody fusion device; aprevo® lateral lumbar interbody fusion device; aprevo® anterior lumbar interbody fusion device with interfixation; aprevo® transforaminal lumbar interbody fusion device; aprevo® TLIF-CA Articulating System; aprevo® Cervical ACDF; aprevo® Cervical ACDF-X; aprevo® Cervical ACDF-X No Cams.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K250827

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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