510(k) Report

510(k) · Cleared

Cleared

Stackable Cage System

K990148510(k) TraditionalCleared Sep 3, 1999227-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

Depuy Motech Acromed · MQP Spinal Vertebral Body Replacement Device

Cleared on Sep 3, 1999 as substantially equivalent to K841189 (Orthopedic Equipment Co., Inc., 1984) after a 227-day review. Its family tree reaches back 1 generation to 1984. 2 of the 1,869 devices in its family, counting itself, have a Class I recall. 1,867 later devices descend from it.

Decided
Sep 3, 1999
Review
227 days
Class
Class II
Product code
MQP
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to K841189 (1984). 1,867 later devices descend from it, 21 citing it directly. 2 of the 1,869 devices in this family, counting this one, have a Class I recall.

Descendants, by year cleared 2001: 2 descendants cleared2003: 7 descendants cleared2004: 14 descendants cleared2006: 14 descendants cleared2009: 21 descendants cleared2008: 27 descendants cleared2002: 2 descendants cleared2005: 23 descendants cleared, 1 with a Class I recall12018: 120 descendants cleared2010: 30 descendants cleared2014: 106 descendants cleared2015: 98 descendants cleared2012: 68 descendants cleared2007: 15 descendants cleared2017: 136 descendants cleared2011: 70 descendants cleared2019: 124 descendants cleared2013: 84 descendants cleared2016: 112 descendants cleared2023: 142 descendants cleared2026: 94 descendants cleared2020: 110 descendants cleared2021: 107 descendants cleared, 1 with a Class I recall12022: 111 descendants cleared2024: 128 descendants cleared2025: 102 descendants clearedK841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 198419801990200020102020
Descendants, by generation 1 generation forward: 21 descendants2 generations forward: 76 descendants3 generations forward: 209 descendants, 1 with a Class I recall14 generations forward: 430 descendants5 generations forward: 474 descendants6 generations forward: 301 descendants, 1 with a Class I recall17 generations forward: 137 descendants8 generations forward: 65 descendants9 generations forward: 19 descendants10 generations forward: 41 descendants11 generations forward: 36 descendants12 generations forward: 26 descendants13 generations forward: 14 descendants14 generations forward: 9 descendants15 generations forward: 8 descendants16 generations forward: 1 descendant K841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 19840+5+10+15
  1. Root · 1 generation backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. This deviceK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. Descendant · cites it directly · 1,819 of its ownK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. Descendant · cites it directly · 1,705 of its ownK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. Descendant · 2 generations on · 1,702 of its ownK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. Descendant · cites it directly · 1,622 of its ownK020887 Ebi Ais Spine SystemEbi, L.P. · 2002
  7. Descendant · 2 generations on · 1,621 of its ownK040482 Ebi Esl Spine Spacer SystemEbi, L.P. · 2004

Showing 5 of 1,867 descendants. See all descendants

Descendants cleared per year

2001: 22002: 22003: 72004: 142005: 232006: 142007: 152008: 272009: 212010: 302011: 702012: 682013: 842014: 1062015: 982016: 1122017: 1362018: 1202019: 1242020: 1102021: 1072022: 1112023: 1422024: 1282025: 1022026: 94
2001high 142 (2023) · low 2 (2001)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 1,867 · See all
  • K003043Surgical Titanium Mesh SystemDepuyacromed · 2001 · cites it directly1,819descendants
  • K022793Tetris Spinal ImplantSignus Medical, LLC · 2003 · cites it directly1,705descendants
  • K031757Peek Tetris Spinal ImplantSignus Medical, LLC · 2003 · 2 generations on1,702descendants
  • K020887Ebi Ais Spine SystemEbi, L.P. · 2002 · cites it directly1,622descendants
  • K040482Ebi Esl Spine Spacer SystemEbi, L.P. · 2004 · 2 generations on1,621descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
0 (this device)K990148Stackable Cage SystemDepuy Motech Acromed1999—
+1K003043Surgical Titanium Mesh SystemDepuyacromed2001—
+1K022793Tetris Spinal ImplantSignus Medical, LLC2003—
+2K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
+1K020887Ebi Ais Spine SystemEbi, L.P.2002—
+2K040482Ebi Esl Spine Spacer SystemEbi, L.P.2004—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200120
200220
200370
2004140
2005231
2006140
2007150
2008270
2009210
2010300
2011700
2012680
2013840
20141060
2015980
20161120
20171360
20181200
20191240
20201100
20211071
20221110
20231420
20241280
20251020
2026940
FIG. 1 — Lineage of K990148, 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.

2 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 MQP device

  1. #1 K261810 Vertiwedge® Intraosseous Systemscore 18.1 · 22 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? (1)

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
*K841189Oec/Rezaian Spinal Fixator
Summary page 2
…erformance of the device in patients with spine tumors. SUBSTANTIAL EQUIVALENCE.: The Stackable Cage System is substantially equivalent to the Rezaian Spinal Fixator (K841189). The claim of substantial equivalence is made solely for regulatory purposes and shall not be deemed to be an assertion of equiv…
Orthopedic Equipment Co., Inc.1984—

Also cleared against K841189: 8 other devices →

What descends from it? (1,867)

See all 1,867

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

NumberDeviceApplicantDecidedDescendants
K003043Surgical Titanium Mesh SystemDepuyacromed20011,819
K022793Tetris Spinal ImplantSignus Medical, LLC20031,705
K020887Ebi Ais Spine SystemEbi, L.P.20021,622
K003836Synthes Synex Spacer SystemSynthes20011,330
K032064Theken Cpod/Lpod Vertebral Body Replacement SystemTheken Surgical,Llc20041,280
K023835Devex Mesh SystemDepuyacromed20031,227
K030833Depuy Acromed VBR SystemDepuyacromed20031,224
K031635Depuy Acromed VBR SystemDepuyacromed20031,201
K041722Modification to VBR Spinal SystemDepuy Spine, Inc.20041,150
K041617Stalif TTSurgicraft, Ltd.2004929

Has anything in its family been recalled? (2 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.

  • K051781Graftcage TLXOsteotech, Inc. · 2005 · 3 generations on · ◆ in the 2005 descendants bar of FIG. 11 Class I recall
  • K211616ExcelsiusHubGlobus Medical, Inc. · 2021 · 6 generations on · ◆ in the 2021 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • Its one ancestor has no recall.
  • Of its descendants, K003043 (Depuyacromed, 2001) has gone furthest, with 1,819 descendants of its own.
  • 8 other devices also cite its predicate K841189.

How does its category compare?

All MQP devices

MQP Spinal Vertebral Body Replacement Device: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · MQP

4in 2024

2007: 302008: 172009: 112010: 62011: 82012: 72013: 32014: 52015: 82017: 92018: 62019: 82020: 32022: 12023: 12024: 42026 (partial year): 3
2007high 30 (2007) · low 0 (2016)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MQP

187in 2024

2007: 107 days median2008: 47 days median2009: 115 days median2010: 174 days median2011: 237 days median2012: 82 days median2013: 90 days median2014: 125 days median2015: 126 days median2017: 97 days median2018: 152 days median2019: 93 days median2020: 103 days median2024: 187 days median2026 (partial year): 102 days median
2007high 237 (2011) · low 47 (2008)2026

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

Recalls per year · MQP

1in 2022

2007: 22009: 142010: 22011: 12012: 22020: 152022: 1
2007high 15 (2020) · low 0 (2008)2026

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

Adverse event reports per year · MQP

168in 2025

2007: 612008: 762009: 1112010: 1662011: 1212012: 1412013: 2072014: 2162015: 2582016: 1292017: 1412018: 1302019: 1172020: 1572021: 2082022: 1372023: 712024: 982025: 168
2007high 258 (2015) · low 61 (2007)2025

MAUDE reports naming product code MQP, 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
200730107261
20081747076
20091111514111
201061742166
201182371121
20127822141
20133900207
201451250216
201581260258
20160—0129
20179970141
201861520130
20198930117
2020310315157
20210—0208
20221—1137
20231—071
20244187098
20250—0168
202631020—

What is it indicated for?

The Stackable Cage” System is indicated for use in the thoracolumbar spine (i.e., T1 to LS) to replace a diseased vertebral body resected or excised for the treatment of tumors, to achieve anterior decompression of the spinal cord and neural tissues, and to restore the height of a collapsed vertebral body. The Stackable Cage System is designed to restore the biomechanical integrity of the anterior, middle and posterior spinal column even in the absence…

Read the full statement (127 words)

The Stackable Cage” System is indicated for use in the thoracolumbar spine (i.e., T1 to

LS) to replace a diseased vertebral body resected or excised for the treatment of tumors,

to achieve anterior decompression of the spinal cord and neural tissues, and to restore the

height of a collapsed vertebral body.

The Stackable Cage System is designed to restore the biomechanical integrity of the

anterior, middle and posterior spinal column even in the absence of fusion for a prolonged

period.

The Stackable Cage system is intended for use with supplemental internal fixation. The

supplemental internal fixation systems that may be used with the Stackable Cage System

include DePuy AcroMed titanium plate or rod systems (e.g., Kaneda SR, University Plate,

M-2, ISOLA, VSP, Moss Miami, TiMX, and Profile).

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. “K990148: Stackable Cage System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K990148

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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