{
  "code": "MQP",
  "deviceName": "Spinal Vertebral Body Replacement Device",
  "deviceClass": "II",
  "regulationNumber": "888.3060",
  "panel": "Orthopedic",
  "definition": null,
  "submissionTypeId": "1",
  "submissionType": "510(k)",
  "clearances": {
    "total": 278,
    "last12Months": 2
  },
  "adverseEvents": {
    "total": 362,
    "last12Months": 108
  },
  "reviewDays": {
    "median": 88,
    "sampleSize": 278
  },
  "recalls": {
    "total": 46,
    "recent": [
      {
        "resNumber": "Z-0738-2023",
        "status": "Open, Classified",
        "recallClass": "Class II",
        "firm": "NuVasive Inc",
        "firmAsPublished": "NuVasive Inc",
        "reason": "Potential that insert will be unable to disengage from the vertebral body replacement device/implant",
        "initiated": "2022-11-10"
      },
      {
        "resNumber": "Z-0403-2021",
        "status": "Terminated",
        "recallClass": "Class III",
        "firm": "Synthes (USA) Products LLC",
        "firmAsPublished": "Synthes (USA) Products LLC",
        "reason": "Incorrectly Labeled  'general medical device,'  printed on the statutory label of the SYNMESH CAGE SYSTEM\ninstead of 'specially controlled medical device\"",
        "initiated": "2020-09-21"
      },
      {
        "resNumber": "Z-0404-2021",
        "status": "Terminated",
        "recallClass": "Class III",
        "firm": "Synthes (USA) Products LLC",
        "firmAsPublished": "Synthes (USA) Products LLC",
        "reason": "Incorrectly Labeled  'general medical device,'  printed on the statutory label of the SYNMESH CAGE SYSTEM\ninstead of 'specially controlled medical device\"",
        "initiated": "2020-09-21"
      },
      {
        "resNumber": "Z-0405-2021",
        "status": "Terminated",
        "recallClass": "Class III",
        "firm": "Synthes (USA) Products LLC",
        "firmAsPublished": "Synthes (USA) Products LLC",
        "reason": "Incorrectly Labeled  'general medical device,'  printed on the statutory label of the SYNMESH CAGE SYSTEM\ninstead of 'specially controlled medical device\"",
        "initiated": "2020-09-21"
      },
      {
        "resNumber": "Z-0406-2021",
        "status": "Terminated",
        "recallClass": "Class III",
        "firm": "Synthes (USA) Products LLC",
        "firmAsPublished": "Synthes (USA) Products LLC",
        "reason": "Incorrectly Labeled  'general medical device,'  printed on the statutory label of the SYNMESH CAGE SYSTEM\ninstead of 'specially controlled medical device\"",
        "initiated": "2020-09-21"
      }
    ]
  },
  "recentClearances": [
    {
      "kNumber": "K261031",
      "deviceName": "POSEIDON ST",
      "applicant": "Signus Medinzintechnik GmbH",
      "company": "Signus Medinzintechnik GmbH",
      "decisionDate": "2026-07-10",
      "dateReceived": "2026-03-30"
    },
    {
      "kNumber": "K253158",
      "deviceName": "VyBrate VBR System",
      "applicant": "Vy Spine, LLC",
      "company": "Vy Spine, LLC",
      "decisionDate": "2026-01-07",
      "dateReceived": "2025-09-26"
    },
    {
      "kNumber": "K241468",
      "deviceName": "Vertiwedge® Intraosseous System",
      "applicant": "Foundation Surgical Group, Inc.",
      "company": "Foundation Surgical Group, Inc.",
      "decisionDate": "2024-11-07",
      "dateReceived": "2024-05-24"
    },
    {
      "kNumber": "K232790",
      "deviceName": "KONG®-TL VBR System and KONG® C VBR System",
      "applicant": "Icotec AG",
      "company": "Icotec Ag",
      "decisionDate": "2024-04-04",
      "dateReceived": "2023-09-11"
    },
    {
      "kNumber": "K233359",
      "deviceName": "DOMINION Expandable Corpectomy System",
      "applicant": "Astura Medical",
      "company": "Astura Medical",
      "decisionDate": "2024-03-08",
      "dateReceived": "2023-09-29"
    },
    {
      "kNumber": "K231134",
      "deviceName": "VerteLoc Spinal System",
      "applicant": "Signature Orthopaedics Pty, Ltd.",
      "company": "Signature Orthopaedics Pty Limited",
      "decisionDate": "2024-02-13",
      "dateReceived": "2023-04-21"
    },
    {
      "kNumber": "K232173",
      "deviceName": "Ascend VBR System, Ascend NanoTec VBR System",
      "applicant": "Alphatec Spine, Inc.",
      "company": "Alphatec Spine, Inc.",
      "decisionDate": "2023-10-06",
      "dateReceived": "2023-07-21"
    },
    {
      "kNumber": "K211892",
      "deviceName": "ArtFx Corpectomy Cages (Espinax and Distractania Corpectomy Cages)",
      "applicant": "Arftx Medical, LLC",
      "company": "Arftx Medical, LLC",
      "decisionDate": "2022-10-06",
      "dateReceived": "2021-06-21"
    },
    {
      "kNumber": "K202637",
      "deviceName": "F3D Corpectomy System",
      "applicant": "Corelink, LLC",
      "company": "CoreLink LLC",
      "decisionDate": "2020-12-23",
      "dateReceived": "2020-09-11"
    },
    {
      "kNumber": "K200235",
      "deviceName": "KONG-TL VBR System, KONG-C VBR System",
      "applicant": "Icotec AG",
      "company": "Icotec Ag",
      "decisionDate": "2020-05-29",
      "dateReceived": "2020-01-30"
    }
  ],
  "topApplicants": [
    {
      "name": "Medtronic Sofamor Danek",
      "count": 24
    },
    {
      "name": "Globus Medical, Inc.",
      "count": 11
    },
    {
      "name": "Interpore Cross Intl.",
      "count": 10
    },
    {
      "name": "Spine Wave, Inc.",
      "count": 10
    },
    {
      "name": "Depuyacromed",
      "count": 8
    }
  ],
  "topCompanies": [
    {
      "name": "Medtronic Sofamor Danek, Inc.",
      "count": 30,
      "spellings": 2
    },
    {
      "name": "Globus Medical, Inc.",
      "count": 11,
      "spellings": 1
    },
    {
      "name": "Interpore Cross Intl.",
      "count": 10,
      "spellings": 1
    },
    {
      "name": "Spine Wave, Inc.",
      "count": 10,
      "spellings": 1
    },
    {
      "name": "Depuyacromed",
      "count": 8,
      "spellings": 1
    }
  ],
  "newEntrants": [
    {
      "name": "Signus Medinzintechnik GmbH",
      "since": "2026-07-10",
      "kNumber": "K261031"
    },
    {
      "name": "Vy Spine, LLC",
      "since": "2026-01-07",
      "kNumber": "K253158"
    }
  ],
  "baseline": {
    "months": [
      {
        "month": "2023-01-01",
        "observed": 7,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2023-02-01",
        "observed": 7,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2023-03-01",
        "observed": 10,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2023-04-01",
        "observed": 1,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2023-05-01",
        "observed": 6,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2023-06-01",
        "observed": 1,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2023-07-01",
        "observed": 3,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2023-08-01",
        "observed": 10,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2023-09-01",
        "observed": 5,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-01-01",
        "observed": 5,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-02-01",
        "observed": 9,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-03-01",
        "observed": 23,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-04-01",
        "observed": 7,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-05-01",
        "observed": 3,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-06-01",
        "observed": 6,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-07-01",
        "observed": 8,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-08-01",
        "observed": 10,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-09-01",
        "observed": 5,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-10-01",
        "observed": 6,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-11-01",
        "observed": 6,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-12-01",
        "observed": 12,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2025-01-01",
        "observed": 22,
        "expectedLow": 0,
        "expectedHigh": 18.10402071528008,
        "isSufficient": true
      },
      {
        "month": "2025-02-01",
        "observed": 8,
        "expectedLow": 0,
        "expectedHigh": 21.789873651201546,
        "isSufficient": true
      },
      {
        "month": "2025-03-01",
        "observed": 23,
        "expectedLow": 0,
        "expectedHigh": 23.78180747821461,
        "isSufficient": true
      },
      {
        "month": "2025-04-01",
        "observed": 5,
        "expectedLow": 1.5345642064378753,
        "expectedHigh": 28.186843138882725,
        "isSufficient": true
      },
      {
        "month": "2025-05-01",
        "observed": 21,
        "expectedLow": 0,
        "expectedHigh": 23.789034582347146,
        "isSufficient": true
      },
      {
        "month": "2025-06-01",
        "observed": 14,
        "expectedLow": 0.27298531272596477,
        "expectedHigh": 29.003810657167428,
        "isSufficient": true
      },
      {
        "month": "2025-07-01",
        "observed": 7,
        "expectedLow": 0.4117790384028611,
        "expectedHigh": 45.049900102579244,
        "isSufficient": true
      },
      {
        "month": "2025-08-01",
        "observed": 8,
        "expectedLow": 0,
        "expectedHigh": 30.91245758107539,
        "isSufficient": true
      },
      {
        "month": "2025-09-01",
        "observed": 16,
        "expectedLow": 0,
        "expectedHigh": 30.876380822137374,
        "isSufficient": true
      },
      {
        "month": "2025-10-01",
        "observed": 11,
        "expectedLow": 0,
        "expectedHigh": 31.05808693976863,
        "isSufficient": true
      },
      {
        "month": "2025-11-01",
        "observed": 14,
        "expectedLow": 0,
        "expectedHigh": 26.793986139241365,
        "isSufficient": true
      },
      {
        "month": "2025-12-01",
        "observed": 10,
        "expectedLow": 0,
        "expectedHigh": 29.842663570429732,
        "isSufficient": true
      },
      {
        "month": "2026-01-01",
        "observed": 8,
        "expectedLow": 0,
        "expectedHigh": 33.69200067392348,
        "isSufficient": true
      },
      {
        "month": "2026-02-01",
        "observed": 10,
        "expectedLow": 0,
        "expectedHigh": 25.53550637503626,
        "isSufficient": true
      },
      {
        "month": "2026-03-01",
        "observed": 32,
        "expectedLow": 0,
        "expectedHigh": 28.147871345047076,
        "isSufficient": true
      }
    ],
    "sufficientMonths": 15,
    "method": "ewma_alpha_0.3_sd_2 corpus_adjusted"
  },
  "signal": {
    "summary": "MQP (Spinal Vertebral Body Replacement Device) has three findings, most consequential first. Adverse events reported in 2026-03 ran high — 32 reports against an expected 0 to 28 (MQP:MAUDE:2026-03). 2 first-time filers in the last 12 months, Signus Medinzintechnik GmbH and Vy Spine, LLC (K261031, K253158). The code is crowded, scoring 71 of 100 — 98 companies hold a clearance here and 2 arrived in the last 12 months (MQP:crowding).",
    "severity": 60,
    "factors": [
      {
        "kind": "spike",
        "detail": "adverse events reported in 2026-03 ran high — 32 reports against an expected 0 to 28",
        "recordIds": [
          "MQP:MAUDE:2026-03"
        ],
        "severity": 60
      },
      {
        "kind": "new_entrant",
        "detail": "2 first-time filers in the last 12 months, Signus Medinzintechnik GmbH and Vy Spine, LLC",
        "recordIds": [
          "K261031",
          "K253158"
        ],
        "severity": 42
      },
      {
        "kind": "crowding",
        "detail": "the code is crowded, scoring 71 of 100 — 98 companies hold a clearance here and 2 arrived in the last 12 months",
        "recordIds": [
          "MQP:crowding"
        ],
        "severity": 20
      }
    ],
    "sourcesChecked": [
      "predicate ancestry",
      "recalls",
      "adverse events",
      "new entrants",
      "review time",
      "crowding"
    ]
  },
  "predicatePreview": {
    "edges": [],
    "note": "FDA publishes no machine-readable predicate field, so no predicate chain is recorded for this code yet."
  },
  "sources": [
    {
      "label": "classification",
      "url": "https://api.fda.gov/device/classification.json?search=product_code%3AMQP"
    },
    {
      "label": "510k total",
      "url": "https://api.fda.gov/device/510k.json?search=product_code%3AMQP"
    },
    {
      "label": "510k recent decisions",
      "url": "https://api.fda.gov/device/510k.json?search=product_code%3AMQP"
    },
    {
      "label": "recalls",
      "url": "https://api.fda.gov/device/recall.json?search=product_code%3AMQP"
    },
    {
      "label": "enforcement",
      "url": "https://api.fda.gov/device/enforcement.json?search=openfda.product_code%3AMQP"
    },
    {
      "label": "adverse events total",
      "url": "https://api.fda.gov/device/event.json?search=device.device_report_product_code%3AMQP"
    },
    {
      "label": "registrations",
      "url": "https://api.fda.gov/device/registrationlisting.json?search=products.product_code%3AMQP"
    }
  ],
  "provenance": [
    {
      "dataset": "device/510k",
      "loadedAt": "2026-08-10T19:40:09Z",
      "ingestRun": 51,
      "exportDate": "2026-08-08"
    },
    {
      "dataset": "device/classification",
      "loadedAt": "2026-08-10T06:54:18Z",
      "ingestRun": 2,
      "exportDate": "2026-08-08"
    },
    {
      "dataset": "device/enforcement",
      "loadedAt": "2026-08-10T19:40:12Z",
      "ingestRun": 53,
      "exportDate": "2026-08-04"
    },
    {
      "dataset": "device/event",
      "loadedAt": "2026-08-11T13:49:57Z",
      "ingestRun": 73,
      "exportDate": "2026-08-11"
    },
    {
      "dataset": "device/recall",
      "loadedAt": "2026-08-10T19:40:11Z",
      "ingestRun": 52,
      "exportDate": "2026-08-08"
    },
    {
      "dataset": "device/registrationlisting",
      "loadedAt": "2026-08-10T07:06:24Z",
      "ingestRun": 10,
      "exportDate": "2026-08-08"
    }
  ],
  "retrievedAt": "2026-08-11T13:51:45.746Z"
}
