510(k) Report

510(k) · Cleared

Cleared

ZSFab Lumbar Interbody System

K252610510(k) SpecialCleared Nov 25, 202599-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

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

Cleared on Nov 25, 2025 as substantially equivalent to K242734 (Zsfab, 2024) and 3 other predicates after a 99-day review. Its family tree reaches back 24 generations to 1984. 1 of the 385 devices in its family, counting itself, has a Class I recall. 1 later device descends from it.

Decided
Nov 25, 2025
Review
99 days
Class
Class II
Product code
MAX
Recalls
None
Predicates
4

Its longest line of descent runs back 24 generations to K841189 (1984). 383 ancestors in all, the oldest K792352 (1979). 1 later device descends from it, 1 citing it directly. 1 of the 385 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2018: 2 other ancestors2014: 29 other ancestors2023: 2 other ancestors2021: 1 other ancestor2019: 1 other ancestor2016: 8 other ancestors2013: 19 other ancestors2012: 21 other ancestors2011: 34 other ancestors2010: 26 other ancestors2009: 33 other ancestors2017: 3 other ancestors2015: 14 other ancestors2008: 46 other ancestors, 1 with a Class I recall12007: 17 other ancestors2005: 19 other ancestors2003: 17 other ancestors2006: 13 other ancestors2004: 26 other ancestors2002: 9 other ancestors2001: 10 other ancestors1999: 2 other ancestors1996: 2 other ancestors2000: 2 other ancestors1998: 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) ×3: 3 generations cleared close together, K152304 (2015), K160125 (2016), K162264 (2016) K172009 · Cascadia Interbody System · K2m, Inc. · 2017 · recalledK221858 · ZSFab Lumbar Interbody System · Zsfab, Inc. · 2022K242734 · ZSFab Cervical Interbody System; ZSFab Lumbar Interbody System · Zsfab · 202419801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 12 other ancestors3 generations back: 19 other ancestors4 generations back: 64 other ancestors5 generations back: 96 other ancestors6 generations back: 86 other ancestors, 1 with a Class I recall17 generations back: 43 other ancestors8 generations back: 19 other ancestors9 generations back: 14 other ancestors10 generations back: 3 other ancestors11 generations back: 1 other ancestor 1 generation forward: 1 descendant K242734 · ZSFab Cervical Interbody System; ZSFab Lumbar Interbody System · Zsfab · 2024K221858 · ZSFab Lumbar Interbody System · Zsfab, Inc. · 2022K172009 · Cascadia Interbody System · K2m, Inc. · 2017 · recalledK162264 · Cascadia Interbody System · K2m, Inc. · 2016K160125 · 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 · 24 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 20 generations between
  3. 3 generations backK172009 Cascadia Interbody SystemK2m, Inc. · 2017 · Recalled
  4. 2 generations backK221858 ZSFab Lumbar Interbody SystemZsfab, Inc. · 2022
  5. 1 generation backK242734 ZSFab Cervical Interbody System; ZSFab Lumbar Interbody SystemZsfab · 2024
  6. This deviceK252610 ZSFab Lumbar Interbody SystemZsfab, Inc. · 2025
  7. Descendant · cites it directly · 0 of its ownK260549 ZSFab Cervical Interbody System and ZSFab Lumbar Interbody SystemZsfab, Inc. · 2026
Show all 24 generations
  1. Root · 24 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 23 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 22 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 21 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 20 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 19 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 18 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 17 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 16 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 15 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 14 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 13 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 12 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 11 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 10 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 9 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 8 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 7 generations backK143616 AccuLIF TL and PL CageStryker Corporation · 2015 · Recalled
  19. 6 generations backK152304 Tritanium PL CageStryker · 2015 · Recalled
  20. 5 generations backK160125 Cascadia Interbody SystemK2m · 2016
  21. 4 generations backK162264 Cascadia Interbody SystemK2m, Inc. · 2016
  22. 3 generations backK172009 Cascadia Interbody SystemK2m, Inc. · 2017 · Recalled
  23. 2 generations backK221858 ZSFab Lumbar Interbody SystemZsfab, Inc. · 2022
  24. 1 generation backK242734 ZSFab Cervical Interbody System; ZSFab Lumbar Interbody SystemZsfab · 2024
  25. This deviceK252610 ZSFab Lumbar Interbody SystemZsfab, Inc. · 2025

Class I recalls in this family

Most influential descendants

Showing 1 of 1 · See all
  • K260549ZSFab Cervical Interbody System and ZSFab Lumbar Interbody SystemZsfab, Inc. · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−24K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−23K990148Stackable Cage SystemDepuy Motech Acromed1999—
−22K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−21K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−20K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−19K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−18K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−17K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−16K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−15K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−14K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−13K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−12K121683Acculif TL CageCoalign Innovations, Inc.2012—
−11K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−10K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−9K141217Acculif TL and PL CageStryker Corporation20143
−8K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−7K143616AccuLIF TL and PL CageStryker Corporation20154
−6K152304Tritanium PL CageStryker20151
−5K160125Cascadia Interbody SystemK2m2016—
−4K162264Cascadia Interbody SystemK2m, Inc.2016—
−3K172009Cascadia Interbody SystemK2m, Inc.20173
−2K221858ZSFab Lumbar Interbody SystemZsfab, Inc.2022—
−1K242734ZSFab Cervical Interbody System; ZSFab Lumbar Interbody SystemZsfab2024—
0 (this device)K252610ZSFab Lumbar Interbody SystemZsfab, Inc.2025—
+1K260549ZSFab Cervical Interbody System and ZSFab Lumbar Interbody SystemZsfab, Inc.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
199620
199810
199920
200020
2001100
200290
2003170
2004260
2005190
2006130
2007170
2008461
2009330
2010260
2011340
2012210
2013190
2014290
2015140
201680
201730
201820
201910
202110
202320

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K252610, 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 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
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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
*K242734ZSFab Cervical Interbody System; ZSFab Lumbar Interbody System
Summary page 6
…anufacturing and Biocompatibility x Sterility Predicate Devices 510k Number Trade or Proprietary or Model Name Manufacturer Predicate Type K242734 ZSFab Lumbar Interbody System ZSFab, Inc. Primary K221858 ZSFab Lumbar Interbody Syst…
Zsfab2024—
*K221858ZSFab Lumbar Interbody System
Summary page 6
…Trade or Proprietary or Model Name Manufacturer Predicate Type K242734 ZSFab Lumbar Interbody System ZSFab, Inc. Primary K221858 ZSFab Lumbar Interbody System ZSFab, Inc. Additional K172816 TiGer Shark System…
Zsfab, Inc.2022—
*K172816TiGer Shark™ System
Summary page 6
…ZSFab Lumbar Interbody System ZSFab, Inc. Primary K221858 ZSFab Lumbar Interbody System ZSFab, Inc. Additional K172816 TiGer Shark System Choice Spine, LP Additional K133614 Aleutian IBF System…
Choicespine, LP2018—
*K133614Aleutian Ibf System
Summary page 6
…ZSFab Lumbar Interbody System ZSFab, Inc. Additional K172816 TiGer Shark System Choice Spine, LP Additional K133614 Aleutian IBF System K2M, Inc. Additional PERFORMANCE DATA The subject ZSFab Lumbar I…
K2m, Inc.2014—

Also cleared against K242734: 2 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
K260549ZSFab Cervical Interbody System and ZSFab Lumbar Interbody SystemZsfab, Inc.20260

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 41 years and passes through 16 companies; a new generation was cleared every 11 months on median.
  • 42 of the 383 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K260549 (Zsfab, Inc., 2026) has gone furthest, with 0 descendants of its own.
  • 2 other devices also cite its predicate K242734.

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 ZSFab Lumbar lnterbody System is intended for lumbar interbody fusion. The devices are indicated for use at one or two contiguous levels in the lumbar spine from L2-S1, in skeletally mature patients who have had at least six months of non-operative treatment. The ZSFab Lumbar lnterbody System is indicated to treat lumbar degenerative disc disease (DOD) with up to Grade 1 spondylolisthesis or retrolisthesis at the involved spinal level(s). ODD is…

Read the full statement (157 words)

The ZSFab Lumbar lnterbody System is intended for lumbar interbody fusion. The devices are indicated for use at one or two contiguous levels in the lumbar spine from L2-S1, in skeletally mature patients who have had at least six months of non-operative treatment. The ZSFab Lumbar lnterbody System is indicated to treat lumbar degenerative disc disease (DOD) with up to Grade 1 spondylolisthesis or retrolisthesis at the involved spinal level(s). ODD is defined as back pain of discogenic origin with degeneration of the disc confirmed by imaging studies (radiographs, CT, MRI). Additionally, the ZSFab Lumbar lnterbody System can be used as an adjunct to fusion in patients diagnosed with degenerative scoliosis. The ZSFab lumbar lnterbody System is designed for use with autogenous and/or allogeneic bone graft comprised of cancellous and/or corticocancellous bone and/or demineralized allograft bone with bone marrow aspirate to facilitate fusion and to be used with supplemental fixation cleared for use in the lumbosacral spine.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K252610: ZSFab Lumbar Interbody System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K252610

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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