510(k) Report

510(k) · Cleared

Cleared

Modification to Xia Spinal System

K013688510(k) SpecialCleared Dec 5, 200128-day reviewClass II21 CFR 888.3070

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Howmedica Osteonics Corp. · MNH Orthosis, Spondylolisthesis Spinal Fixation

Cleared on Dec 5, 2001 as substantially equivalent to K982494 (Howmedica Corp., 1998) and 6 other predicates after a 28-day review. Its family tree reaches back 2 generations to 1999. 205 later devices descend from it.

Decided
Dec 5, 2001
Review
28 days
Class
Class II
Product code
MNH
Recalls
None
Predicates
7

Its longest line of descent runs back 2 generations to K984251 (1999). 7 ancestors in all, the oldest K951725 (1995). 205 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2000: 2 other ancestors1999: 1 other ancestor1998: 1 other ancestor1995: 1 other ancestor2002: 1 descendant cleared2005: 1 descendant cleared2003: 1 descendant cleared2007: 1 descendant cleared2013: 5 descendants cleared2010: 2 descendants cleared2008: 1 descendant cleared2017: 12 descendants cleared2015: 9 descendants cleared2014: 6 descendants cleared2023: 26 descendants cleared2009: 3 descendants cleared2012: 4 descendants cleared2011: 3 descendants cleared2018: 14 descendants cleared2020: 17 descendants cleared2024: 25 descendants cleared2021: 7 descendants cleared2019: 11 descendants cleared2022: 14 descendants cleared2016: 4 descendants cleared2026: 20 descendants cleared2025: 18 descendants clearedK984251 · Xia Spine System · Howmedica, Inc. · 1999K012027 · Modification to Xia Spine System · Howmedica Osteonics · 20011995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 5 other ancestors 1 generation forward: 2 descendants2 generations forward: 3 descendants3 generations forward: 6 descendants4 generations forward: 27 descendants5 generations forward: 36 descendants6 generations forward: 34 descendants7 generations forward: 33 descendants8 generations forward: 20 descendants9 generations forward: 22 descendants10 generations forward: 9 descendants11 generations forward: 8 descendants12 generations forward: 5 descendants K012027 · Modification to Xia Spine System · Howmedica Osteonics · 2001K984251 · Xia Spine System · Howmedica, Inc. · 19990+5+10
  1. Root · 2 generations backK984251 Xia Spine SystemHowmedica, Inc. · 1999
  2. 1 generation backK012027 Modification to Xia Spine SystemHowmedica Osteonics · 2001
  3. This deviceK013688 Modification to Xia Spinal SystemHowmedica Osteonics Corp. · 2001
  4. Descendant · cites it directly · 202 of its ownK052181 Modification to Xia Spinal SystemStryker Spine · 2005
  5. Descendant · 2 generations on · 201 of its ownK070631 Device Modification to Radius Spinal SystemStryker Spine · 2007
  6. Descendant · 3 generations on · 200 of its ownK082608 Radius Spinal System, Vitallium Rod #486613601Stryker Spine · 2008
  7. Descendant · 4 generations on · 169 of its ownK091291 Xia 3 Spinal System, Uniplanner/Reduction Screws & Vitallium RodStryker Spine · 2009
  8. Descendant · 5 generations on · 111 of its ownK120270 Venus Spinal Fixation SystemL&K BIOMED Co., Ltd. · 2012

Showing 5 of 205 descendants. See all descendants

Descendants cleared per year

2002: 12003: 12005: 12007: 12008: 12009: 32010: 22011: 32012: 42013: 52014: 62015: 92016: 42017: 122018: 142019: 112020: 172021: 72022: 142023: 262024: 252025: 182026: 20
2002high 26 (2023) · low 0 (2004)2026

Most influential descendants

Showing 5 of 205 · See all
  • K052181Modification to Xia Spinal SystemStryker Spine · 2005 · cites it directly202descendants
  • K070631Device Modification to Radius Spinal SystemStryker Spine · 2007 · 2 generations on201descendants
  • K082608Radius Spinal System, Vitallium Rod #486613601Stryker Spine · 2008 · 3 generations on200descendants
  • K091291Xia 3 Spinal System, Uniplanner/Reduction Screws & Vitallium RodStryker Spine · 2009 · 4 generations on169descendants
  • K120270Venus Spinal Fixation SystemL&K BIOMED Co., Ltd. · 2012 · 5 generations on111descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K984251Xia Spine SystemHowmedica, Inc.1999—
−1K012027Modification to Xia Spine SystemHowmedica Osteonics2001—
0 (this device)K013688Modification to Xia Spinal SystemHowmedica Osteonics Corp.2001—
+1K052181Modification to Xia Spinal SystemStryker Spine2005—
+2K070631Device Modification to Radius Spinal SystemStryker Spine2007—
+3K082608Radius Spinal System, Vitallium Rod #486613601Stryker Spine2008—
+4K091291Xia 3 Spinal System, Uniplanner/Reduction Screws & Vitallium RodStryker Spine2009—
+5K120270Venus Spinal Fixation SystemL&K BIOMED Co., Ltd.2012—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199510
199810
199910
200020

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200210
200310
200510
200710
200810
200930
201020
201130
201240
201350
201460
201590
201640
2017120
2018140
2019110
2020170
202170
2022140
2023260
2024250
2025180
2026200
FIG. 1 — Lineage of K013688, 1999–2026Source: 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.

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What was it cleared against? (7)

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
*K982494BWM Spine System
Summary page 1
…21 CFR 888.3060 Pedicle Screw Spinal System 21 CFR 888.3070 Predicate Device Identification The Xia Spinal System was determined substantially equivalent via 510(k)s K982494, K984251, K001319, K002505 and K012027. The Xia Screws were cleared for use with the Multi-Axial Cross Connector via 510(k) K0025…
Howmedica Corp.1998—
*K984251Xia Spine System
Summary page 1
…888.3060 Pedicle Screw Spinal System 21 CFR 888.3070 Predicate Device Identification The Xia Spinal System was determined substantially equivalent via 510(k)s K982494, K984251, K001319, K002505 and K012027. The Xia Screws were cleared for use with the Multi-Axial Cross Connector via 510(k) K002505. The R…
Howmedica, Inc.1999—
*K001319Xia Spine System Hooks
Summary page 1
…Pedicle Screw Spinal System 21 CFR 888.3070 Predicate Device Identification The Xia Spinal System was determined substantially equivalent via 510(k)s K982494, K984251, K001319, K002505 and K012027. The Xia Screws were cleared for use with the Multi-Axial Cross Connector via 510(k) K002505. The Rods for t…
Howmedica Osteonics Corp.2000—
*K002505Xia Spine System
Summary page 1
…Screw Spinal System 21 CFR 888.3070 Predicate Device Identification The Xia Spinal System was determined substantially equivalent via 510(k)s K982494, K984251, K001319, K002505 and K012027. The Xia Screws were cleared for use with the Multi-Axial Cross Connector via 510(k) K002505. The Rods for the Osteon…
Howmedica Osteonics Corp.2000—
*K012027Modification to Xia Spine System
Summary page 1
…System 21 CFR 888.3070 Predicate Device Identification The Xia Spinal System was determined substantially equivalent via 510(k)s K982494, K984251, K001319, K002505 and K012027. The Xia Screws were cleared for use with the Multi-Axial Cross Connector via 510(k) K002505. The Rods for the Osteonics® Spinal…
Howmedica Osteonics2001—
*K951725Osteonics Spinal System
Summary page 1
…ared for use with the Multi-Axial Cross Connector via 510(k) K002505. The Rods for the Osteonics® Spinal System (OSS) were determined substantially equivalent via 510(k) K951725. The Rods for the Opus Spinal System were determined substantially equivalent via 510(k) K990922. This submission is intended to…
Osteonics Corp.1995—
*K990922Osteonics Spinal System Versatile Cross Connector
Summary page 1
…Spinal System (OSS) were determined substantially equivalent via 510(k) K951725. The Rods for the Opus Spinal System were determined substantially equivalent via 510(k) K990922. This submission is intended to allow the use of the predicate OSS and Opus Rods with the predicate Xia Spinal System. Descripti…
Howmedica Osteonics Corp.1999—

Also cleared against K982494: 1 other device →

What descends from it? (205)

See all 205

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

NumberDeviceApplicantDecidedDescendants
K052181Modification to Xia Spinal SystemStryker Spine2005202
K014229Modification to Opus Spinal SystemHowmedica Osteonics Corp.20021

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 2 years and passes through 3 companies; a new generation was cleared every 2.4 years on median.
  • None of the 7 ancestors has a recall.
  • Of its descendants, K052181 (Stryker Spine, 2005) has gone furthest, with 202 descendants of its own.
  • 1 other device also cites its predicate K982494.

How does its category compare?

All MNH devices

MNH Orthosis, Spondylolisthesis Spinal Fixation: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · MNH

8in 2016

2007: 52008: 132009: 132010: 102011: 172012: 72013: 102014: 122015: 102016: 8
2007high 17 (2011) · low 0 (2017)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MNH

93in 2016

2007: 123 days median2008: 65 days median2009: 151 days median2010: 106 days median2011: 171 days median2012: 93 days median2013: 124 days median2014: 140 days median2015: 99 days median2016: 93 days median
2007high 171 (2011) · low 65 (2008)2026

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

Recalls per year · MNH

1in 2016

2009: 72012: 12013: 12016: 1
2007high 7 (2009) · low 0 (2007)2026

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

Adverse event reports per year · MNH

89in 2025

2007: 182008: 302009: 452010: 592011: 1072012: 4332013: 4642014: 2862015: 1522016: 2162017: 1742018: 1292019: 4032020: 4322021: 5312022: 2652023: 1212024: 3022025: 89
2007high 531 (2021) · low 18 (2007)2025

MAUDE reports naming product code MNH, 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
20075123018
20081365030
200913151745
201010106059
2011171710107
20127931433
2013101241464
2014121400286
201510990152
20168931216
20170—0174
20180—0129
20190—0403
20200—0432
20210—0531
20220—0265
20230—0121
20240—0302
20250—089
20260—0—

What is it indicated for?

The XIA Spine System is intended for use in the noncervical spine. When used as a pedicle screw fixation system, the XIA Spine System is intended for patients: (a) having severe spondylolisthesis (Grades 3 and 4) at the fifth lumbar - first sacral (L5-S1) vertebral joint; (b) who are receiving fusions using autogenous bone graft only; (c) who are having the device fixed or attached to the lumbar and sacral spine; and (d) who are having the device removed…

Read the full statement (224 words)

The XIA Spine System is intended for use in the noncervical spine. When used as a pedicle screw fixation system, the XIA Spine System is intended for patients: (a) having severe spondylolisthesis (Grades 3 and 4) at the fifth lumbar - first sacral (L5-S1) vertebral joint; (b) who are receiving fusions using autogenous bone graft only; (c) who are having the device fixed or attached to the lumbar and sacral spine; and (d) who are having the device removed after the development of a solid fusion mass.

When used as a pedicle screw fixation system, the XIA Spine System is also intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of the thoracic, lumbar, and sacral spine: degenerative spondylolisthesis with objective evidence of neurologic impairment, fracture, dislocation, scoliosis, kyphosis, spinal tumor, and failed previous fusion (pseudarthrosis).

When used an anterior screw fixation system or a posterior hook and sacral/iliac screw fixation system, the XIA Spine System is indicated for patients with degenerative disc disease which is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies, spondylolisthesis, fracture, spinal stenosis, spinal deformities such as scoliosis, kyphosis, lordosis, tumor, pseudoarthrosis or revision of failed fusion attempts.

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. “K013688: Modification to Xia Spinal System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K013688

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