Devices descending from K020674
305 later devices reach Blackstone Spinal Fixation System 4.5MM Multi-Axial Screw through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +1 | K081684 | Blackstone Pedicle Screw System | Blackstone Medical, Inc. | 2008 | 277 | 3 |
| +1 | K080407 | Blackstone SFS Parallel Rod Connectors | Blackstone Medical, Inc. | 2008 | 296 | 1 |
| +1 | K042514 | Modification to Blackstone Modular Pedicle Screw System | Blackstone Medical, Inc. | 2004 | 1 | 2 |
| +1 | K030581 | Blackstone Spinal Fixation System Lateral Offset (System Modification) | Blackstone Medical, Inc. | 2003 | 298 | — |
| +1 | K030241 | Modification to Blackstone Spinal Fixation System | Blackstone Medical, Inc. | 2003 | 297 | — |
| +1 | K023498 | Modification to Blackstone Spinal Fixation System | Blackstone Medical, Inc. | 2002 | 300 | — |
| +1 | K022605 | Blackstone Spinal Fixation System Staple & Washer | Blackstone Medical, Inc. | 2002 | 302 | — |
| +1 | K022399 | Blackstone Spinal Fixation System Spacer | Blackstone Medical, Inc. | 2002 | 300 | — |
| +2 | K211710 | Ascent POCT System, Centurion POCT System, Spinal Fixation System (SFS), Firebird Spinal… | Orthofix, Inc. | 2021 | 2 | — |
| +2 | K170647 | Connector System | Orthofix, Inc. | 2017 | 18 | — |
| +2 | K171082 | Firebird Spinal Fixation System, Phoenix MIS Spinal Fixation System, JANUS Midline… | Orthofix, Inc. | 2017 | 61 | 1 |
| +2 | K153428 | Firebird Spinal Fixation System, Phoenix MIS Spinal Fixation System | Orthofix, Inc. | 2016 | 73 | 1 |
| +2 | K150184 | Dymaxeon Spine System | Back 2 Basics Direct, LLC | 2015 | 4 | 1 |
| +2 | K140260 | Skyhawk Lateral Plate System | Orthofix, Inc. | 2014 | 14 | — |
| +2 | K130932 | Firebird Spinal Fixation System | Orthofix, Inc. | 2013 | 81 | 1 |
| +2 | K111448 | Icon (TM) Modular Pedicle Screw System | Orthofix, Inc. | 2012 | 0 | — |
| +2 | K102204 | Choice Spine Starfire Pedicle Screw System | Choicespine, LP | 2010 | 88 | — |
| +2 | K093926 | Firebird Spinal Fixation System | Blackstone Medical, Inc. | 2010 | 88 | — |
| +2 | K100044 | Firebird Spinal Fixation System, Firebird Side-Loading Body | Blackstone | 2010 | 117 | — |
| +2 | K092624 | Firebird Spinal Fixation System | Blackstone Medical, Inc. | 2009 | 130 | 1 |
| +2 | K082797 | Blackstone Pedicle Screw System | Blackstone Medical, Inc. | 2008 | 209 | — |
| +2 | K030087 | Spinal Concepts, Inc. Bacfix TI Spinal System | Spinal Concepts, Inc. | 2003 | 0 | — |
| +2 | K030667 | Encore Anterior Spinal Staple System | Encore Medical L.P. | 2003 | 0 | — |
| +3 | K252088 | Firebird SI Navigation System | Orthofix US, LLC | 2025 | 1 | — |
| +3 | K240180 | Orthopeasia Spinal Fixation System | Orthopeasia Co., Ltd. | 2024 | 0 | — |
| +3 | K231811 | Zavation Connector System | Zavation Medical Products, LLC | 2023 | 0 | — |
| +3 | K210539 | CoreLink Midline Fixation System | Corelink, LLC | 2021 | 4 | — |
| +3 | K200596 | G21 Cement, VADER® Pedicle System | Icotec AG | 2020 | 27 | 1 |
| +3 | K193423 | VADER®one Pedicle System MIS and LightMore® Pedicle System 6.0 | Icotec AG | 2020 | 6 | 1 |
| +3 | K192930 | Dymaxeon Spine System | Back 2 Basics Direct, LLC | 2020 | 1 | — |
| +3 | K190545 | VADER® one Pedicle System MIS and LightMore® Pedicle System 6.0 | Icotec AG | 2019 | 29 | 1 |
| +3 | K182416 | NOVA Minimally Invasive System | Baui Biotech Co., Ltd. | 2019 | 2 | — |
| +3 | K183639 | Mariner Outrigger Revision System | SeaSpine Orthopedics Corporation | 2019 | 8 | — |
| +3 | K183430 | Modular Spinal Fixation System | Life Spine, Inc. | 2019 | 2 | — |
| +3 | K180754 | C-Zero Pedicle Screw System, Freedom Pedicle Screw System | Signature Orthopaedics Pty, Ltd. | 2018 | 0 | — |
| +3 | K180980 | ORTHROS™ Posterior Stabilization System; ORTHROS™ MIS Posterior Stabilization System | Camber Spine Technologies, LLC | 2018 | 1 | — |
| +3 | K180179 | Firebird® Spinal Fixation Systems: Firebird System; Firebird Deformity System; Firebird®… | Orthofix, Inc. | 2018 | 37 | — |
| +3 | K172115 | Navigated Instrument System | Orthofix, Inc. | 2018 | 4 | — |
| +3 | K173130 | Reform® Midline Cortical Screw System | Precision Spine, Inc. | 2017 | 21 | — |
| +3 | K172131 | 2 Hole Lateral Plating System | Life Spine, Inc. | 2017 | 10 | — |
| +3 | K172194 | Connector System | Orthofix, Inc. | 2017 | 16 | 2 |
| +3 | K170989 | Dymaxeon Spine System | Back 2 Basics Direct, LLC | 2017 | 2 | — |
| +3 | K160362 | Z-Span Plate System | Zavation, LLC | 2016 | 3 | — |
| +3 | K151488 | Firebird Spinal Fixation System/Phoenix MIS Spinal Fixation System | Orthofix, Inc. | 2015 | 78 | 1 |
| +3 | K150283 | Republic Spine Dark Star Spinal System | Republic Spine, LLC | 2015 | 4 | — |
| +3 | K141186 | Firebird Spinal Fixation System | Orthofix, Inc. | 2015 | 3 | — |
| +3 | K132049 | Thunderbolt and Lancer Pedicle Screw Systems | Choicespine | 2014 | 82 | — |
| +3 | K140696 | Streamline TL Spinal Fixation System | Pioneer Surgical Technology, Inc. | 2014 | 5 | — |
| +3 | K132644 | Lospa IS Pedicle Screw (Monoaxial & Polyaxial), Lospa IS Rod- Straight (Standard), Lospa… | Corentec Co., Ltd. | 2013 | 0 | — |
| +3 | K122901 | Firebird Spinal Fixation System, Phoenix Mis Spinal Fixation System | Orthofix | 2012 | 116 | — |
| +3 | K111183 | Ascent Posterior Occipital Thoracic (Poct) System (Titanium & Cobalt Chrome Rods) | Orthofix, Inc. | 2011 | 22 | — |
| +3 | K100623 | Aesculap Implant Systems S4 Spinal System | Aesculap Implant Systems | 2010 | 92 | 1 |
| +4 | K251251 | ChanPin Pedicle Screw Spinal System | Chanpin Medtak Co., Ltd. | 2026 | 0 | — |
| +4 | K260571 | SIMPACT Sacroiliac Joint Fixation System GX Navigation Instruments | Life Spine, Inc. | 2026 | 0 | — |
| +4 | K260989 | Varion Thoracolumbar Fixation System | Kyocera Medical Technologies Inc. (KMTI) | 2026 | 0 | — |
| +4 | K251719 | Momentum® Posterior Spinal Fixation System | Ulrich Medical USA, Inc. | 2025 | 0 | — |
| +4 | K242900 | VADER® Pedicle System and VADER®one Pedicle System | Icotec AG | 2025 | 0 | — |
| +4 | K242297 | Reform Pedicle Screw System | Precision Spine, Inc. | 2024 | 0 | — |
| +4 | K243106 | CarboClear® Hybrid Pedicle Screw System | CarboFix Orthopedics, Ltd. | 2024 | 0 | — |
| +4 | K242899 | NOVA Minimally Invasive System | Baui Biotech Co., Ltd. | 2024 | 0 | — |
| +4 | K240846 | CarboClear® Hybrid Pedicle Screw System; CarboClear® Hybrid Navigated Instruments… | CarboFix Orthopedics, Ltd. | 2024 | 2 | — |
| +4 | K231494 | CoreLink Robotic Navigation Instruments | Corelink, LLC | 2023 | 0 | — |
| +4 | K231069 | PERLA® TL Posterior Thoraco-lumbar Fixation System | Spineart SA | 2023 | 1 | — |
| +4 | K231809 | Momentum® Posterior Spinal Fixation System with G21 V-STEADY Bone Cement; Momentum® MIS… | Ulrich Medical USA | 2023 | 1 | — |
| +4 | K231658 | VEOS Spinal Fixation System | Spineway | 2023 | 0 | — |
| +4 | K231280 | CarboClear® X Pedicle Screw System; CarboClear® X Navigated Instruments; CarboClear® X… | CarboFix Orthopedics, Ltd. | 2023 | 4 | — |
| +4 | K230774 | PERLA® TL System; TEKTONA® HV US Bone Cement | Spineart | 2023 | 0 | — |
| +4 | K222789 | VADER® Pedicle System, G21 Cement | Icotec AG | 2023 | 5 | 2 |
| +4 | K223273 | ASTRA Spine System | Spinecraft, LLC | 2022 | 8 | — |
| +4 | K221926 | Invictus® Bone Cement, Invictus Spinal Fixation System | Alphatec Spine, Inc. | 2022 | 14 | — |
| +4 | K221806 | TruLift Lateral Expandable Spacer System & Lateral Plate System | Life Spine, Inc. | 2022 | 1 | — |
| +4 | K222614 | Zavation Spinal System | Zavation Medical Products, LLC | 2022 | 3 | — |
| +4 | K222516 | Mercury® II Spinal System | Spinal Elements, Inc. | 2022 | 3 | — |
| +4 | K221776 | NextGen Pedicle Screw System | Corelink, LLC | 2022 | 2 | — |
| +4 | K220862 | E-GPS Navigated Instruments | Precision Spine, Inc. | 2022 | 7 | — |
| +4 | K213491 | Universal Pilot Guidance Instrument System | Ctl Medical Corporation | 2022 | 0 | — |
| +4 | K220341 | ARx Modular Spinal System | Life Spine, Inc. | 2022 | 1 | — |
| +4 | K220038 | Camber Spine Navigation System | Camber Spine Technologies | 2022 | 0 | — |
| +4 | K211113 | Zavation Spinal System | Zavation Medical Products, LLC | 2021 | 4 | — |
| +4 | K210874 | Reliance Spinal Screw System | Reliance Medical Systems, LLC | 2021 | 2 | — |
| +4 | K201420 | Republic Spine Dark Star Spinal System | Republic Spine, LLC | 2021 | 2 | — |
| +4 | K203163 | ARx Illiac Spinal Screw System | Life Spine, Inc. | 2020 | 5 | — |
| +4 | K202624 | Z-Span Plate System | Zavation Medical Products, LLC | 2020 | 1 | — |
| +4 | K200303 | Reform Pedicle Screw System | Precision Spine | 2020 | 10 | — |
| +4 | K193396 | PERLA® TL posterior osteosynthesis system | Spineart | 2020 | 7 | 2 |
| +4 | K192800 | Streamline TL Spinal Fixation System | Pioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) | 2020 | 3 | — |
| +4 | K191722 | Vital Navigation System | Zimmer Biomet Spine, Inc. | 2019 | 2 | — |
| +4 | K192396 | Streamline MIS Spinal Fixation System | Pioneer Surgical Technology, Inc. | 2019 | 0 | — |
| +4 | K190751 | Connector System | Orthofix, Inc. | 2019 | 3 | — |
| +4 | K182721 | Choice Spine Navigation System | Choicespine, LP | 2019 | 2 | — |
| +4 | K181495 | Republic Spine Dark Star Spinal System | Republic Spine, LLC | 2018 | 3 | — |
| +4 | K180166 | Life Spine Lumbar Fixation System (SENTRY) | Life Spine, Inc. | 2018 | 9 | — |
| +4 | K171456 | Thunderbolt™ Minimally Invasive and Lancer™ Open Pedicle Screw Systems | Choicespine | 2017 | 0 | — |
| +4 | K170942 | The Thunderbolt™ Minimally Invasive and Lancer™ Open Pedicle Screw Systems | Choicespine, LP | 2017 | 0 | — |
| +4 | K162824 | Z-Span Plate System | Zavation, LLC | 2017 | 2 | — |
| +4 | K162134 | ENNOVATE Spinal System | Aesculap Implant Systems, LLC | 2016 | 2 | — |
| +4 | K161842 | Overwatch Spine System | Amendia, Inc. | 2016 | 6 | 1 |
| +4 | K161516 | G Surgical Marksman MIS System | G Surgical, LLC | 2016 | 3 | — |
| +4 | K160775 | Thunderbolt™ Minimally Invasive and Lancer™ Open Pedicle Screw Systems | Choicespine, LP | 2016 | 73 | — |
| +4 | K153323 | Palisade Pedicular Fixation System | Spineology, Inc. | 2016 | 7 | — |