Devices descending from K010576
596 later devices reach Monarch Spine System through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +7 | K232413 | Fusion Robotic Navigation System | Alphatec Spine, Inc. | 2023 | 2 | — |
| +7 | K232141 | CD Horizon ModuLeX FNS Screw Set (Fenestrated Screw); CD Horizon ModuLeX Spinal System… | Medtronic Sofamor Danek USA, Inc. | 2023 | 1 | — |
| +7 | K231839 | CastleLoc-P Anterior Cervical Plate System, AccelFix Lumbar Plate System | L&K BIOMED Co., Ltd. | 2023 | 2 | — |
| +7 | K222684 | XIA® 4.5 Spinal System, XIA® 4.5 Cortical Trajectory, XIA® 3 Spinal System, Serrato®… | Stryker Spine | 2023 | 4 | — |
| +7 | K223837 | SPIRA®-C Integrated Fixation System | Camber Spine Technologies | 2023 | 0 | — |
| +7 | K223494 | CD Horizon Spinal System | Medtronic | 2023 | 17 | — |
| +7 | K222614 | Zavation Spinal System | Zavation Medical Products, LLC | 2022 | 3 | — |
| +7 | K222516 | Mercury® II Spinal System | Spinal Elements, Inc. | 2022 | 3 | — |
| +7 | K222107 | Black Diamond™ POCT Spinal System | Osseus Fusion Systems | 2022 | 0 | — |
| +7 | K222362 | Salvo® Spine System | Spine Wave, Inc. | 2022 | 3 | — |
| +7 | K220782 | IdentiTi™ Porous Ti Interbody System, IdentiTi™ NanoTec™ Interbody System, Transcend™… | Alphatec Spine, Inc. | 2022 | 36 | — |
| +7 | K213720 | Vital Navigation System | Zimvie (Zimmer Biomet Spine, Inc.) | 2022 | 0 | — |
| +7 | K211710 | Ascent POCT System, Centurion POCT System, Spinal Fixation System (SFS), Firebird Spinal… | Orthofix, Inc. | 2021 | 2 | — |
| +7 | K211113 | Zavation Spinal System | Zavation Medical Products, LLC | 2021 | 4 | — |
| +7 | K203163 | ARx Illiac Spinal Screw System | Life Spine, Inc. | 2020 | 5 | — |
| +7 | K200896 | Solstice CCI | Life Spine, Inc. | 2020 | 0 | — |
| +7 | K193472 | OrthoCircle Spine Pedicle Screw System | Orthocircle Spine | 2020 | 0 | — |
| +7 | K193129 | Yukon OCT Spinal System | K2m, Inc. | 2020 | 0 | 1 |
| +7 | K190751 | Connector System | Orthofix, Inc. | 2019 | 3 | — |
| +7 | K183381 | Navigation Enabled Instruments | Stryker | 2019 | 1 | — |
| +7 | K181188 | EVEREST Spinal System | K2m, Inc. | 2018 | 6 | — |
| +7 | K180198 | NuVasive® VuePoint® II OCT System | Nu Vasive, Incorporated | 2018 | 4 | — |
| +7 | K172105 | The Plateau-LO Spacer System | Life Spine, Inc. | 2018 | 1 | — |
| +7 | K173814 | DeGen Medical E3 MIS Pedicle Screw System | Degen Medical | 2018 | 0 | — |
| +7 | K171894 | NuVasive® Precept™ Spinal System | Nu Vasive, Incorporated | 2017 | 0 | — |
| +7 | K172275 | Vitality® Spinal Fixation System, Vitality®+ Power Instrument System | Zimmer Biomet Spine, Inc. | 2017 | 0 | — |
| +7 | K170126 | NuVasive® Reline® 4.5-5.0 System | Nu Vasive, Incorporated | 2017 | 39 | — |
| +7 | K160020 | Captiva Spine and CapLOX II/TowerLOX Pedicle Screw System | Captiva Spine | 2016 | 0 | — |
| +7 | K133564 | Modification to Nautilus Spinal System | Life Spine, LLC | 2014 | 13 | — |
| +8 | K261882 | Pisces-SC Standalone Cervical Interbody System | Osseus Fusions Systems, LLC | 2026 | 0 | — |
| +8 | K261205 | SPINEART Navigation Instrument System | Spineart SA | 2026 | 0 | — |
| +8 | K262094 | E3D™-C Interbody System | Evolution Spine | 2026 | 0 | — |
| +8 | K261020 | Symmetrix™ L Spinal System | Medtronic Sofamor Danek USA, Inc. | 2026 | 0 | — |
| +8 | K253802 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2026 | 1 | — |
| +8 | K260036 | NeckTune™ 3D SA Cervical Cage | Medyssey Co, Ltd. | 2026 | 0 | — |
| +8 | K261112 | CastleLoc-P Anterior Cervical Plate System | L&K BIOMED Co., Ltd. | 2026 | 0 | — |
| +8 | K252542 | LEO Spinal System | ZheJiang Decans Medical Devices Co., Ltd. | 2026 | 0 | — |
| +8 | K260011 | Foundation Surgical Navigated Lateral Disc Prep Instruments | Foundation Surgical Group, Inc. | 2026 | 0 | — |
| +8 | K251940 | PathLoc Lumbar Plate System | L&K BIOMED Co., Ltd. | 2026 | 0 | — |
| +8 | K254105 | Hive™ Standalone Cervical System and Hive™ C Interbody System | NanoHive Medical, LLC | 2026 | 0 | — |
| +8 | K260038 | E3D™-C Interbody System | Evolution Spine | 2026 | 1 | — |
| +8 | K252894 | aprevo® cervical interbody system | Carlsmed, Inc. | 2026 | 1 | — |
| +8 | K252088 | Firebird SI Navigation System | Orthofix US, LLC | 2025 | 1 | — |
| +8 | K253331 | PressON Spinal Fixation System | Nexus Spine | 2025 | 0 | — |
| +8 | K251080 | IdentiTi II Cervical Interbody System | Alphatec Spine, Inc. | 2025 | 0 | — |
| +8 | K251644 | ProAM ALIF System | Pro Surgical, Inc. | 2025 | 0 | — |
| +8 | K251617 | X-PAC® TLIF Expandable Posterior Cage System; X-PAC® LLIF Expandable Lateral Cage System | Expanding Innovations, Inc. | 2025 | 0 | — |
| +8 | K250667 | DeGen Medical Patient Specific Implant (PSI) System | Degen Medical | 2025 | 1 | — |
| +8 | K243802 | aprevo® anterior and lateral lumbar interbody fusion device, aprevo® anterior lumbar… | Carlsmed, Inc. | 2025 | 3 | — |
| +8 | K243916 | Primus Spinal Fixation System | Spinal Elements, Inc. | 2025 | 2 | — |
| +8 | K243908 | Tiger 2 System | Zavation Medical Products, LLC | 2025 | 1 | — |
| +8 | K242517 | ProAM ACDF System | Pro Surgical, Inc. | 2024 | 0 | — |
| +8 | K242260 | aprevo® Cervical ACDF; aprevo® Cervical ACDF-X; aprevo® Cervical ACDF-X NO CAM | Carlsmed, Inc. | 2024 | 3 | — |
| +8 | K242042 | TriALTIS™ Spine System | Medos International SARL | 2024 | 1 | — |
| +8 | K241082 | INNOVERSE Navigation Instruments | Innosys Co., Ltd. | 2024 | 0 | — |
| +8 | K240685 | Salvo® Spine System | Spine Wave, Inc. | 2024 | 2 | — |
| +8 | K232432 | E3D™-A Interbody System | Evolution Spine | 2024 | 8 | — |
| +8 | K223513 | UniVy™ OsteoVy™-Ti Cervical IBF System | Vy Spine, LLC | 2023 | 1 | — |
| +8 | K222973 | IdentiTi and Transcend Interbody Systems: IndentiTi Cervical Porous Ti Interbody System… | Alphatec Spine, Inc. | 2022 | 13 | — |
| +8 | K222028 | IdentiTi™ Porous Ti Interbody System, IdentiTi™ NanoTec™ Interbody System, Transcend™… | Alphatec Spine | 2022 | 28 | — |
| +8 | K213654 | NuVasive Reline Cervical System | Nu Vasive, Incorporated | 2022 | 1 | — |
| +8 | K211993 | Z-LINKPC System | Zavation Medical Products, LLC | 2021 | 0 | — |
| +8 | K203319 | SYMPHONY™ OCT System | Medos International SARL | 2021 | 1 | — |
| +8 | K190636 | NuVasive® Reline® 4.5-5.0 System | Nu Vasive, Incorporated | 2019 | 13 | — |
| +8 | K191553 | NuVaisve® Reline® Cervical System | Nu Vasive, Incorporated | 2019 | 2 | — |
| +8 | K190360 | LineSider™ Spinal System | Integrity Implants, Inc. | 2019 | 13 | — |
| +8 | K182470 | Plateau Spacer System | Life Spine | 2018 | 0 | — |
| +8 | K140457 | Nautilus Spinal System | Life Spine, Inc. | 2014 | 3 | — |
| +9 | K260286 | Dynamo™ Spinal Cement; Salvo® Spine System | Spine Wave, Inc. | 2026 | 0 | — |
| +9 | K260385 | aprevo® anterior and lateral lumbar interbody system; aprevo® posterior and… | Carlsmed, Inc. | 2026 | 0 | — |
| +9 | K251829 | DeGen Medical Patient Specific Implant (PSI) System | Degen Medical | 2025 | 0 | — |
| +9 | K250827 | aprevo® anterior lumbar interbody fusion device; aprevo® lateral lumbar interbody fusion… | Carlsmed, Inc. | 2025 | 2 | — |
| +9 | K251154 | RIVA Posterior Fixation System; RIVA Posterior Fixation System Navigation Instruments | Ht Medical D.B.A. Xenix Medical | 2025 | 1 | — |
| +9 | K241783 | FortiVy™ OsteoVy™ Lumbar IBF | Vy Spine, LLC | 2025 | 0 | — |
| +9 | K241375 | IdentiTi Porous Ti Interbody System; IdentiTi NanoTec Interbody System; IdentiTi… | Alphatec Spine | 2025 | 3 | — |
| +9 | K242147 | Calibrate LTX Interbody System; Calibrate NanoTec LTX Interbody System | Alphatec Spine, Inc. | 2024 | 1 | — |
| +9 | K240368 | E3D™-A Interbody System | Evolution Spine | 2024 | 7 | — |
| +9 | K233640 | Segmental Plating System (SPS);IdentiTi SPS Interbody System;IdentiTi NanoTec SPS… | Alphatec Spine, Inc. | 2024 | 5 | — |
| +9 | K233366 | SYMPHONY OCT System | Medos International SARL | 2023 | 0 | — |
| +9 | K232504 | Calibrate CCX Interbody System | Alphatec Spine, Inc. | 2023 | 1 | 1 |
| +9 | K232097 | IdentiTi ALIF Interbody Systems | Alphatec Spine, Inc. | 2023 | 7 | 1 |
| +9 | K231098 | LineSider® Spinal System | Integrity Implants, Inc. | 2023 | 3 | — |
| +9 | K231438 | Calibrate PSX Interbody System, Calibrate NanoTec PSX Interbody System | Alphatec Spine, Inc. | 2023 | 7 | — |
| +9 | K223611 | Calibrate LTX Interbody System | Alphatec Spine, Inc. | 2023 | 7 | — |
| +9 | K223181 | NuVasive Reline System | Nu Vasive, Incorporated | 2023 | 11 | — |
| +9 | K221388 | NuVasive Reline Cervical System | Nu Vasive, Incorporated | 2022 | 0 | — |
| +9 | K212088 | Integrity Implants Navigated Instruments | Integrity Implants, Inc. | 2021 | 0 | — |
| +9 | K203367 | LineSider™ Spinal System | Integrity Implants, Inc. | 2020 | 5 | 4 |
| +10 | K262193 | RIVA® Posterior Fixation System with NanoACTIV Surface Technology; RIVA® Anchor… | Xenix Medical | 2026 | 0 | — |
| +10 | K251965 | Proximity Anterior Cervical Plate System; Segmental Plating System (SPS) | Alphatec Spine, Inc. | 2025 | 0 | — |
| +10 | K252113 | PRADO™ Lumbar Interbody Fusion System | Bethesda Medical Devices | 2025 | 0 | — |
| +10 | K243461 | Calibrate Interbody Systems | Alphatec Spine, Inc. | 2025 | 0 | — |
| +10 | K232650 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2023 | 6 | — |
| +11 | K253721 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2025 | 2 | — |
| +11 | K253093 | Vital™ Spinal Fixation System | Highridge Medical, LLC | 2025 | 0 | — |
| +11 | K251804 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2025 | 4 | — |