510(k) Report

510(k) · Cleared

Cleared

ZSFab Cervical Interbody System and ZSFab Lumbar Interbody System

K260549510(k) SpecialCleared Apr 24, 202665-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. · ODP Intervertebral Fusion Device With Bone Graft, Cervical

Cleared on Apr 24, 2026 as substantially equivalent to K242734 (Zsfab, 2024) and 1 other predicate after a 65-day review. Its family tree reaches back 25 generations to 1984. 1 of the 385 devices in its family, counting itself, has a Class I recall.

Decided
Apr 24, 2026
Review
65 days
Class
Class II
Product code
ODP
Recalls
None
Predicates
2

Its longest line of descent runs back 25 generations to K841189 (1984). 384 ancestors in all, the oldest K792352 (1979). No later device cites it as a predicate yet. 1 of the 385 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2023: 2 other ancestors2021: 1 other ancestor2018: 2 other ancestors2014: 29 other ancestors2019: 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 ancestorK841189 · 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 · 2024K252610 · ZSFab Lumbar Interbody System · Zsfab, Inc. · 202519801990200020102020
Other ancestors, by generation 2 generations back: 4 other ancestors3 generations back: 11 other ancestors4 generations back: 25 other ancestors5 generations back: 80 other ancestors6 generations back: 108 other ancestors, 1 with a Class I recall17 generations back: 65 other ancestors8 generations back: 34 other ancestors9 generations back: 19 other ancestors10 generations back: 10 other ancestors11 generations back: 2 other ancestors12 generations back: 1 other ancestor K252610 · ZSFab Lumbar Interbody System · Zsfab, Inc. · 2025K242734 · 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. · 1984−25−20−15−10−50
  1. Root · 25 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 21 generations between
  3. 3 generations backK221858 ZSFab Lumbar Interbody SystemZsfab, Inc. · 2022
  4. 2 generations backK242734 ZSFab Cervical Interbody System; ZSFab Lumbar Interbody SystemZsfab · 2024
  5. 1 generation backK252610 ZSFab Lumbar Interbody SystemZsfab, Inc. · 2025
  6. This deviceK260549 ZSFab Cervical Interbody System and ZSFab Lumbar Interbody SystemZsfab, Inc. · 2026
Show all 25 generations
  1. Root · 25 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 24 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 23 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 22 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 21 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 20 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 19 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 18 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 17 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 16 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 15 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 14 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 13 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 12 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 11 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 10 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 9 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 8 generations backK143616 AccuLIF TL and PL CageStryker Corporation · 2015 · Recalled
  19. 7 generations backK152304 Tritanium PL CageStryker · 2015 · Recalled
  20. 6 generations backK160125 Cascadia Interbody SystemK2m · 2016
  21. 5 generations backK162264 Cascadia Interbody SystemK2m, Inc. · 2016
  22. 4 generations backK172009 Cascadia Interbody SystemK2m, Inc. · 2017 · Recalled
  23. 3 generations backK221858 ZSFab Lumbar Interbody SystemZsfab, Inc. · 2022
  24. 2 generations backK242734 ZSFab Cervical Interbody System; ZSFab Lumbar Interbody SystemZsfab · 2024
  25. 1 generation backK252610 ZSFab Lumbar Interbody SystemZsfab, Inc. · 2025
  26. This deviceK260549 ZSFab Cervical Interbody System and ZSFab Lumbar Interbody SystemZsfab, Inc. · 2026

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−25K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−24K990148Stackable Cage SystemDepuy Motech Acromed1999—
−23K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−22K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−21K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−20K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−19K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−18K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−17K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−16K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−15K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−14K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−13K121683Acculif TL CageCoalign Innovations, Inc.2012—
−12K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−11K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−10K141217Acculif TL and PL CageStryker Corporation20143
−9K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−8K143616AccuLIF TL and PL CageStryker Corporation20154
−7K152304Tritanium PL CageStryker20151
−6K160125Cascadia Interbody SystemK2m2016—
−5K162264Cascadia Interbody SystemK2m, Inc.2016—
−4K172009Cascadia Interbody SystemK2m, Inc.20173
−3K221858ZSFab Lumbar Interbody SystemZsfab, Inc.2022—
−2K242734ZSFab Cervical Interbody System; ZSFab Lumbar Interbody SystemZsfab2024—
−1K252610ZSFab Lumbar Interbody SystemZsfab, Inc.2025—
0 (this device)K260549ZSFab 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
FIG. 1 — Lineage of K260549, 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 ODP device

  1. #1 K222276 CONDUIT Cages; FIBERGRAFT BG Puttyscore 53.4 · 25 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? (2)

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
…ty • Sterility • Sizes Predicate Devices 510k # Trade or Proprietary or Model Name Manufacturer Product Code Type K242734 ZSFab Cervical Interbody System and ZSFab Lumbar Interbody System ZSFab, Inc. ODP, MAX Primary K252610 ZSFab Lumba…
Zsfab2024—
*K252610ZSFab Lumbar Interbody System
Summary page 6
…Manufacturer Product Code Type K242734 ZSFab Cervical Interbody System and ZSFab Lumbar Interbody System ZSFab, Inc. ODP, MAX Primary K252610 ZSFab Lumbar Interbody System ZSFab, Inc. MAX Additional There are no dif…
Zsfab, Inc.2025—

Also cleared against K242734: 2 other devices →

What descends from it?

No later submission names this one as a predicate yet.

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 42 years and passes through 16 companies; a new generation was cleared every 10 months on median.
  • 42 of the 384 ancestors have a recall of any class; 1 has a Class I recall.
  • 2 other devices also cite its predicate K242734.

How does its category compare?

All ODP devices

ODP Intervertebral Fusion Device With Bone Graft, Cervical: FDA decisions, review times, recalls and adverse event reports over 20 years. 2026, this device’s year, is highlighted.

FDA decisions per year · ODP

11in 2025

2008: 82009: 122010: 92011: 252012: 172013: 182014: 262015: 242016: 172017: 332018: 252019: 222020: 142021: 182022: 122023: 342024: 102025: 112026 (partial year): 19
2007high 34 (2023) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · ODP

87in 2025

2008: 89 days median2009: 127 days median2010: 151 days median2011: 113 days median2012: 93 days median2013: 187 days median2014: 118 days median2015: 180 days median2016: 112 days median2017: 104 days median2018: 133 days median2019: 92 days median2020: 89 days median2021: 121 days median2022: 92 days median2023: 165 days median2024: 76 days median2025: 87 days median2026 (partial year): 117 days median
2007high 187 (2013) · low 76 (2024)2026

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

Recalls per year · ODP

2in 2025

2009: 12011: 12013: 12020: 12025: 2
2007high 2 (2025) · low 0 (2007)2026

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

Adverse event reports per year · ODP

57in 2025

2008: 22009: 212010: 542011: 382012: 922013: 782014: 432015: 512016: 372017: 392018: 512019: 1412020: 862021: 1612022: 502023: 362024: 552025: 57
2007high 161 (2021) · low 0 (2007)2025

MAUDE reports naming product code ODP, 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
20070—00
200888902
200912127121
20109151054
201125113138
20121793092
201318187178
201426118043
201524180051
201617112037
201733104039
201825133051
201922920141
20201489186
2021181210161
20221292050
202334165036
20241076055
20251187257
2026191170—

What is it indicated for?

The ZSFab Cervical Interbody System is intended for anterior interbody fusion in skeletally mature patients who have had at least six weeks of non-operative treatment. The ZSFab Cervical Interbody System is indicated to treat cervical disc degeneration and/or cervical spinal instability, as confirmed by clinical image (radiographs, CT, MRI), that results in radiculopathy, myelopathy, and/or pain at multiple contiguous levels from C2 - T1. The ZSFab…

Read the full statement (289 words)

The ZSFab Cervical Interbody System is intended for anterior interbody fusion in skeletally mature patients who have had at least six weeks of non-operative treatment. The ZSFab Cervical Interbody System is indicated to treat cervical disc degeneration and/or cervical spinal instability, as confirmed by clinical image (radiographs, CT, MRI), that results in radiculopathy, myelopathy, and/or pain at multiple contiguous levels from C2 - T1. The ZSFab Cervical Interbody 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 cervical spine. Implants having a lordotic angulation >10° are required to be used with an anterior cervical plate as the form of supplemental fixation.

The ZSFab Lumbar Interbody 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 Interbody 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 Interbody System can be used as an adjunct to fusion in patients diagnosed with degenerative scoliosis. The ZSFab lumbar Interbody 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 read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K260549: ZSFab Cervical Interbody System and ZSFab Lumbar Interbody System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K260549

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Record history
  • FDA decision record loaded Oct 30, 2026
  • Summary read Oct 30, 2026 (extraction version 2d9447fa9ea4)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026