Devices descending from K011437
325 later devices reach Synergy 4.0 MM, 4.5 MM VLS Screws through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +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 | K210874 | Reliance Spinal Screw System | Reliance Medical Systems, LLC | 2021 | 2 | — |
| +7 | K203452 | Nano FortiFix® System | Nanovis, LLC | 2020 | 0 | — |
| +7 | K193472 | OrthoCircle Spine Pedicle Screw System | Orthocircle Spine | 2020 | 0 | — |
| +7 | K190751 | Connector System | Orthofix, Inc. | 2019 | 3 | — |
| +7 | K190376 | PASS LP Spinal System | Medicrea International SA | 2019 | 1 | 5 |
| +7 | K162750 | Libra Pedicle Screw System | Spinal Balance, Inc. | 2016 | 0 | — |
| +7 | K153525 | Seneka II Polyscrew Pedicle Fixation System | Senecka Spine | 2016 | 0 | — |
| +8 | K252088 | Firebird SI Navigation System | Orthofix US, LLC | 2025 | 1 | — |
| +8 | K251644 | ProAM ALIF System | Pro Surgical, Inc. | 2025 | 0 | — |
| +8 | K250667 | DeGen Medical Patient Specific Implant (PSI) System | Degen Medical | 2025 | 1 | — |
| +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 | K213750 | VyLink™ Spinal Screw System | Vy Spine, LLC | 2022 | 1 | — |
| +8 | K213281 | PASS LP™ Spinal System, CD Horizon™ Spinal System | Medicrea International SA | 2022 | 0 | — |
| +8 | K203319 | SYMPHONY™ OCT System | Medos International SARL | 2021 | 1 | — |
| +9 | K253943 | Tiger 2 System | Zavation Medical Products, LLC | 2026 | 0 | — |
| +9 | K251829 | DeGen Medical Patient Specific Implant (PSI) System | Degen Medical | 2025 | 0 | — |
| +9 | K251154 | RIVA Posterior Fixation System; RIVA Posterior Fixation System Navigation Instruments | Ht Medical D.B.A. Xenix Medical | 2025 | 1 | — |
| +9 | K233366 | SYMPHONY OCT System | Medos International SARL | 2023 | 0 | — |
| +9 | K231744 | VyLink™ Spinal Screw System | Vy Spine, LLC | 2023 | 0 | — |
| +10 | K262193 | RIVA® Posterior Fixation System with NanoACTIV Surface Technology; RIVA® Anchor… | Xenix Medical | 2026 | 0 | — |