510(k) Report

510(k) · Cleared

Cleared

aprevo® cervical plating system

K252611510(k) TraditionalCleared Dec 22, 2025126-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

Carlsmed, Inc. · KWQ Appliance, Fixation, Spinal Intervertebral Body

Cleared on Dec 22, 2025 as substantially equivalent to K212139 (SeaSpine Orthopedics Corporation, 2021) and 2 other predicates after a 126-day review. Its family tree reaches back 11 generations to 1992. 3 later devices descend from it.

Decided
Dec 22, 2025
Review
126 days
Class
Class II
Product code
KWQ
Recalls
None
Predicates
3

Its longest line of descent runs back 11 generations to K922087 (1992). 59 ancestors in all, the oldest K914362 (1992). 3 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2024: 1 other ancestor2021: 1 other ancestor2016: 2 other ancestors2013: 2 other ancestors2003: 5 other ancestors2012: 2 other ancestors2010: 2 other ancestors2008: 3 other ancestors2005: 1 other ancestor2004: 4 other ancestors2000: 4 other ancestors1995: 2 other ancestors2009: 1 other ancestor2007: 3 other ancestors2006: 2 other ancestors1998: 4 other ancestors1992: 1 other ancestor2001: 2 other ancestors1999: 3 other ancestors1997: 2 other ancestors1993: 1 other ancestor2026: 3 descendants clearedReference device: 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 · Carlsmed, Inc. · 2025K922087 · Anterior Cervical Plate System · Sofamor Danek Mfg., Inc. · 1992K990005 · Spinal Concepts, Inc. (Sci) Anterior Cervical Plate System · Spinal Concepts, Inc. · 1999 · recalledK000486 · Abc Cervical Plating System · Aesculap, Inc. · 2000K012184 · Blackstone Iii Anterior Cervical Plating System · Blackstone Medical, Inc. · 2002K030595 · Blackstone Fusion Anterior Cervical Plating System · Blackstone Medical, Inc. · 2003K050892 · Hallmarktm Anterior Cervical Plate System · Blackstone Medical, Inc. · 2005 · recalledK100614 · Hallmark Anterior Cervcial Plate System, Hallmark Five-Level Cervical Plates · Blackstone Medical, Inc. · 2010K142060 · Transom Anterior Cervical Plate · Neurostructures, Inc. · 2014K173521 · SeaSpine Cabo ACP (Anterior Cervical Plate) System · SeaSpine Orthopedics Corporation · 2018K202064 · Admiral ACP System · SeaSpine Orthopedics Corporation · 2020K212139 · Admiral ACP System · SeaSpine Orthopedics Corporation · 20211990200020102020
  1. Root · 11 generations backK922087 Anterior Cervical Plate SystemSofamor Danek Mfg., Inc. · 1992
  2. 7 generations between
  3. 3 generations backK173521 SeaSpine Cabo ACP (Anterior Cervical Plate) SystemSeaSpine Orthopedics Corporation · 2018
  4. 2 generations backK202064 Admiral ACP SystemSeaSpine Orthopedics Corporation · 2020
  5. 1 generation backK212139 Admiral ACP SystemSeaSpine Orthopedics Corporation · 2021
  6. This deviceK252611 aprevo® cervical plating systemCarlsmed, Inc. · 2025
  7. Descendant · cites it directly · 1 of its ownK260570 corra™ cervical plating systemCarlsmed, Inc. · 2026
  8. Descendant · 2 generations on · 0 of its ownK262149 corra® cervical plating systemCarlsmed, Inc. · 2026
  9. Descendant · cites it directly · 0 of its ownK260385 aprevo® anterior and lateral lumbar interbody system; aprevo®…Carlsmed, Inc. · 2026
Show all 11 generations
  1. Root · 11 generations backK922087 Anterior Cervical Plate SystemSofamor Danek Mfg., Inc. · 1992
  2. 10 generations backK990005 Spinal Concepts, Inc. (Sci) Anterior Cervical Plate SystemSpinal Concepts, Inc. · 1999 · Recalled
  3. 9 generations backK000486 Abc Cervical Plating SystemAesculap, Inc. · 2000
  4. 8 generations backK012184 Blackstone Iii Anterior Cervical Plating SystemBlackstone Medical, Inc. · 2002
  5. 7 generations backK030595 Blackstone Fusion Anterior Cervical Plating SystemBlackstone Medical, Inc. · 2003
  6. 6 generations backK050892 Hallmarktm Anterior Cervical Plate SystemBlackstone Medical, Inc. · 2005 · Recalled
  7. 5 generations backK100614 Hallmark Anterior Cervcial Plate System, Hallmark Five-Level…Blackstone Medical, Inc. · 2010
  8. 4 generations backK142060 Transom Anterior Cervical PlateNeurostructures, Inc. · 2014
  9. 3 generations backK173521 SeaSpine Cabo ACP (Anterior Cervical Plate) SystemSeaSpine Orthopedics Corporation · 2018
  10. 2 generations backK202064 Admiral ACP SystemSeaSpine Orthopedics Corporation · 2020
  11. 1 generation backK212139 Admiral ACP SystemSeaSpine Orthopedics Corporation · 2021
  12. This deviceK252611 aprevo® cervical plating systemCarlsmed, Inc. · 2025

Most influential descendants

Showing 3 of 3 · See all
  • K260570corra™ cervical plating systemCarlsmed, Inc. · 2026 · cites it directly1descendant
  • K262149corra® cervical plating systemCarlsmed, Inc. · 2026 · 2 generations on0descendants
  • 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
−11K922087Anterior Cervical Plate SystemSofamor Danek Mfg., Inc.1992—
−10K990005Spinal Concepts, Inc. (Sci) Anterior Cervical Plate SystemSpinal Concepts, Inc.19991
−9K000486Abc Cervical Plating SystemAesculap, Inc.2000—
−8K012184Blackstone Iii Anterior Cervical Plating SystemBlackstone Medical, Inc.2002—
−7K030595Blackstone Fusion Anterior Cervical Plating SystemBlackstone Medical, Inc.2003—
−6K050892Hallmarktm Anterior Cervical Plate SystemBlackstone Medical, Inc.20052
−5K100614Hallmark Anterior Cervcial Plate System, Hallmark Five-Level Cervical PlatesBlackstone Medical, Inc.2010—
−4K142060Transom Anterior Cervical PlateNeurostructures, Inc.2014—
−3K173521SeaSpine Cabo ACP (Anterior Cervical Plate) SystemSeaSpine Orthopedics Corporation2018—
−2K202064Admiral ACP SystemSeaSpine Orthopedics Corporation2020—
−1K212139Admiral ACP SystemSeaSpine Orthopedics Corporation2021—
0 (this device)K252611aprevo® cervical plating systemCarlsmed, Inc.2025—
+1K260570corra™ cervical plating systemCarlsmed, Inc.2026—
+2K262149corra® cervical plating 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
199210
199310
199520
199720
199840
199930
200040
200120
200350
200440
200510
200620
200730
200830
200910
201020
201220
201320
201620
202110
202410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202630
FIG. 1 — Lineage of K252611, 1992–2026Source: 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.

Planning a device in KWQ? 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 KWQ device

  1. #1 K233640 Segmental Plating System (SPS);IdentiTi SPS…score 21.9 · 31 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? (3)

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
*K212139Admiral ACP System
Summary page 5
…Trade Name Manufacturer Primary Predicate Device SeaSpine Orthopedics K212139 KWQ Admiral ACP System Cor…
SeaSpine Orthopedics Corporation2021—
*K210424Quantum Anterior Cervical Plate
Summary page 5
…Corporation Additional Predicate Device(s) Nvision Biomedical K210424 KWQ Quantum Anterior Cervical Plate…
Nvision Biomedical Technologies, Inc.2021—
*K240690STRUXXURE® MCS Anterior Cervical Plate System
Summary page 5
…te Technologies, Inc. Struxxure MCS Anterior Cervical K240690 KWQ Nexxt Spine, LLC Pla…
Nexxt Spine2024—
†K250827aprevo® anterior lumbar interbody fusion device; aprevo® lateral lumbar interbody fusion…Carlsmed, Inc.2025—

Also cleared against K212139: 2 other devices →

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K260570corra™ cervical plating systemCarlsmed, Inc.20261
K260385aprevo® anterior and lateral lumbar interbody system; aprevo® posterior and…Carlsmed, Inc.20260

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 33 years and passes through 7 companies; a new generation was cleared every 2.6 years on median.
  • 5 of the 59 ancestors have a recall of any class.
  • Of its descendants, K260570 (Carlsmed, Inc., 2026) has gone furthest, with 1 descendant of its own.
  • 2 other devices also cite its predicate K212139.

How does its category compare?

All KWQ devices

KWQ Appliance, Fixation, Spinal Intervertebral Body: FDA decisions, review times, recalls and adverse event reports over 20 years. 2025, this device’s year, is highlighted.

FDA decisions per year · KWQ

7in 2025

2007: 272008: 322009: 232010: 232011: 222012: 262013: 222014: 172015: 252016: 152017: 202018: 222019: 262020: 262021: 172022: 182023: 162024: 172025: 72026 (partial year): 10
2007high 32 (2008) · low 7 (2025)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KWQ

64in 2025

2007: 101 days median2008: 70 days median2009: 90 days median2010: 104 days median2011: 95 days median2012: 90 days median2013: 88 days median2014: 124 days median2015: 102 days median2016: 121 days median2017: 67 days median2018: 95 days median2019: 81 days median2020: 55 days median2021: 59 days median2022: 85 days median2023: 59 days median2024: 64 days median2025: 64 days median2026 (partial year): 76 days median
2007high 124 (2014) · low 55 (2020)2026

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

Recalls per year · KWQ

1in 2018

2007: 22008: 332009: 352010: 22011: 52012: 72013: 62015: 22016: 92017: 82018: 1
2007high 35 (2009) · low 0 (2014)2026

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

Adverse event reports per year · KWQ

248in 2025

2007: 2882008: 3482009: 3552010: 6912011: 4152012: 5442013: 7962014: 5462015: 5622016: 5022017: 4922018: 3412019: 2982020: 4002021: 5912022: 3922023: 3202024: 4192025: 248
2007high 796 (2013) · low 248 (2025)2025

MAUDE reports naming product code KWQ, 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
2007271012288
2008327033348
2009239035355
2010231042691
201122955415
201226907544
201322886796
2014171240546
2015251022562
2016151219502
201720678492
201822951341
201926810298
202026550400
202117590591
202218850392
202316590320
202417640419
20257640248
202610760—

What is it indicated for?

The aprevo® cervical plating system is intended for anterior cervical fixation (C2-T1) for the following indications:

* Degenerative disc disease (DDD) (defined as neck pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies),

* Spondylolisthesis,

* Trauma (i.e., fracture or dislocation),

* Spinal stenosis,

* Deformities or curvatures (i.e., scoliosis, kyphosis, and/or lordosis),

* Tumor,

* Pseudoarthrosis, and

* Failed previous fusion.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K252611: aprevo® cervical plating system.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K252611

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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