Devices descending from K022271
180 later devices reach Plus Pivot Link Universal System through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +1 | K031455 | Conklusion Pedicle Screw System | Signus Medical, LLC | 2003 | 179 | — |
| +2 | K070933 | Lowtop Pedicle Screw System | Sanacor | 2007 | 178 | — |
| +3 | K080504 | Pioneer Lowtop Spinal Rod System | Pioneer Surgical Technology | 2008 | 92 | — |
| +3 | K072187 | Pioneer Lowtop Spinal Rod System | Pioneer Surgical Technology | 2007 | 177 | — |
| +4 | K093692 | Quantum/ Streamline Spinal System Model 02-Series and 10-Series | Pioneer Surgical Technology | 2010 | 90 | — |
| +4 | K093771 | Quantum/Streamline TL Mis Spinal System | Pioneer Surgical Technology | 2010 | 8 | — |
| +4 | K080518 | Pioneer Surgical Technology Quantum Spinal System | Pioneer Surgical Technology | 2008 | 174 | — |
| +4 | K080026 | Quantum-Mis Cannulated System | Pioneer Surgical Technology | 2008 | 12 | — |
| +5 | K130286 | Streamline Mis Spinal Fixation System | Pioneer Surgical Technology, Inc. | 2013 | 7 | 1 |
| +5 | K110896 | Reliance Spinal Screw System | Reliance Medical Systems, LLC | 2012 | 5 | — |
| +5 | K110692 | Streamline TL Spinal System | Pioneer Surgical Technology, Inc. | 2011 | 89 | — |
| +5 | K101790 | Quantum Spinal System, Quantum Mis | Pioneer Surgical Technology | 2011 | 10 | — |
| +5 | K101112 | Reliance Spinal Screw System | Reliance Medical Systems | 2010 | 7 | — |
| +5 | K100297 | Pass LP Spinal System | Medicrea Technologies | 2010 | 136 | — |
| +5 | K081978 | Reliance Spinal Screw System | Reliance Medical Systems, LLC | 2009 | 8 | — |
| +5 | K081296 | Preference Pedicle Screw System | Us Spine | 2008 | 3 | — |
| +6 | K213750 | VyLink™ Spinal Screw System | Vy Spine, LLC | 2022 | 1 | — |
| +6 | K192800 | Streamline TL Spinal Fixation System | Pioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) | 2020 | 3 | — |
| +6 | K192396 | Streamline MIS Spinal Fixation System | Pioneer Surgical Technology, Inc. | 2019 | 0 | — |
| +6 | K162066 | Reliance Spinal Screw System | Reliance Medical Systems, LLC | 2016 | 3 | — |
| +6 | K152131 | Reliance Spinal Screw System | Reliance Medical Systems, LLC | 2015 | 4 | — |
| +6 | K133153 | Spinefrontier Pedfuse Pedicle Screw System | Spinefrontier, Inc. | 2014 | 1 | — |
| +6 | K131100 | Streamline TL Spinal System | Pioneer Surgical Technology, Inc. | 2013 | 6 | — |
| +6 | K123552 | Instinct Java System | Zimmer Spine | 2013 | 0 | 1 |
| +6 | K123521 | Reliance Spinal Screw System | Reliance Medical Systems, LLC | 2013 | 5 | — |
| +6 | K112493 | Pass LP Spinal System | Medicrea International | 2011 | 1 | — |
| +6 | K110497 | Pass LP Spinal System | Medicrea International | 2011 | 133 | 1 |
| +6 | K111502 | Streamline TL Spinal System | Pioneer Surgical Technology, Inc. | 2011 | 88 | — |
| +6 | K081883 | Modification to Preference Pedicle Screw System | Us Spine | 2008 | 2 | — |
| +7 | K241892 | Cortera™ Spinal Fixation System | Xtant Medical Holdings, Inc. | 2024 | 2 | — |
| +7 | K231744 | VyLink™ Spinal Screw System | Vy Spine, LLC | 2023 | 0 | — |
| +7 | K210874 | Reliance Spinal Screw System | Reliance Medical Systems, LLC | 2021 | 2 | — |
| +7 | K162160 | Preference Elite Pedicle Screw System | Amedica Corporation | 2016 | 1 | — |
| +7 | K153413 | PASS LP Spinal System | Medicrea International SA | 2016 | 0 | — |
| +7 | K143377 | PedFuse Pedicle Screw System | Spinefrontier, Inc. | 2015 | 0 | — |
| +7 | K132049 | Thunderbolt and Lancer Pedicle Screw Systems | Choicespine | 2014 | 82 | — |
| +7 | K140696 | Streamline TL Spinal Fixation System | Pioneer Surgical Technology, Inc. | 2014 | 5 | — |
| +7 | K123138 | Pass LP Spinal System | Medicrea International | 2013 | 132 | — |
| +8 | K243946 | EffortMed Spinal Fixation System | Effortmed, LLC | 2025 | 1 | — |
| +8 | K212185 | Golden Isles Pedicle Screw System | Intelivation, LLC | 2021 | 0 | — |
| +8 | K182721 | Choice Spine Navigation System | Choicespine, LP | 2019 | 2 | — |
| +8 | K171456 | Thunderbolt™ Minimally Invasive and Lancer™ Open Pedicle Screw Systems | Choicespine | 2017 | 0 | — |
| +8 | K170942 | The Thunderbolt™ Minimally Invasive and Lancer™ Open Pedicle Screw Systems | Choicespine, LP | 2017 | 0 | — |
| +8 | K160775 | Thunderbolt™ Minimally Invasive and Lancer™ Open Pedicle Screw Systems | Choicespine, LP | 2016 | 73 | — |
| +8 | K150380 | ProMIS Fixation System | Premia Spine, Ltd. | 2015 | 4 | — |
| +8 | K142798 | PASS LP Spinal System | Medicrea International SA | 2015 | 84 | — |
| +8 | K150049 | PASS LP Spinal System | Medicrea International | 2015 | 0 | — |
| +8 | K141398 | Pass LP Spinal System | Medicrea International SA | 2015 | 10 | 1 |
| +8 | K140738 | Pass LP Spinal System | Medicrea International | 2014 | 47 | — |
| +8 | K132574 | Pass LP Spinal System | Medicrea International | 2013 | 0 | — |
| +8 | K132575 | Pass LP Spinal System | Medicrea International | 2013 | 0 | — |
| +9 | K253802 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2026 | 1 | — |
| +9 | K253739 | SCRIPT™ Rods, CREO™ Stabilization System, REVERE® Stabilization System, REVERE® 4.5… | Globus Medical, Inc. | 2026 | 0 | — |
| +9 | K254247 | Osteomni Spinal Fixation System | Osteomni, Inc. | 2026 | 0 | — |
| +9 | K232275 | Invictus® Spinal Fixation System | Alphatec Spine, Inc. | 2023 | 11 | — |
| +9 | K231844 | ProMIS™ Fixation System | Premia Spine, Ltd. | 2023 | 1 | — |
| +9 | K211981 | KHEIRON® Spinal Fixation System | S.M.A.I.O | 2022 | 8 | — |
| +9 | K220724 | CD Horizon™ Spinal System and PASS LP™ Spinal System | Medicrea International | 2022 | 1 | — |
| +9 | K213281 | PASS LP™ Spinal System, CD Horizon™ Spinal System | Medicrea International SA | 2022 | 0 | — |
| +9 | K203561 | ChoiceSpine Navigation System | Choice Spine, LLC | 2021 | 1 | — |
| +9 | K202771 | CD Horizon Spinal System | Medtronic | 2020 | 21 | — |
| +9 | K182598 | VersaLink™ Fixation System | Premia Spine, Ltd. | 2018 | 0 | — |
| +9 | K181677 | Kodiak Spinal Fixation System | Alphatec Spine, Inc. | 2018 | 70 | — |
| +9 | K180376 | K2M Patient Specific Rods | K2m, Inc. | 2018 | 2 | — |
| +9 | K170061 | ProMIS™ Fixation System | Premia Spine, Ltd. | 2017 | 0 | — |
| +9 | K160640 | PASS XS Spinal System | Medicrea International SA | 2016 | 0 | — |
| +9 | K161627 | PASS LP Spinal System | Medicrea International SA | 2016 | 7 | — |
| +9 | K152968 | Arsenal Spinal Fixation System | Alphatec Spine, Inc. | 2015 | 83 | — |
| +10 | K262828 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2026 | 0 | — |
| +10 | K261284 | Invictus® Small Stature Spinal Fixation System; Invictus® 2.0 Spinal Fixation System | Alphatec Spine, Inc. | 2026 | 0 | — |
| +10 | K253216 | IntraOp Alignment System; CONTOUR3D Bending System | Alphatec Spine, Inc. | 2026 | 0 | — |
| +10 | K260786 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2026 | 1 | — |
| +10 | K253615 | Invictus Bands System | Alphatec Spine, Inc. | 2026 | 0 | — |
| +10 | K252597 | Valence Robotic Navigation System; Valence Robotic Navigation Instruments (For Use with… | Alphatec Spine, Inc. | 2026 | 1 | — |
| +10 | K253990 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2026 | 2 | — |
| +10 | K253721 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2025 | 2 | — |
| +10 | K251804 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2025 | 4 | — |
| +10 | K242361 | OZARK Cervical Plate System; PYRENEES® Cervical Plate System; EVEREST® Spinal System… | Stryker Spine | 2024 | 1 | — |
| +10 | K242350 | Spinal Alignment Solutions Pelvic Incidence (PI) Rod System | Spinal Alignment Solutions, Inc. | 2024 | 1 | — |
| +10 | K242364 | IdentiTi™ II Interbody System | Alphatec Spine, Inc. | 2024 | 4 | — |
| +10 | K241519 | Invictus® Small Stature Spinal Fixation System | Alphatec Spine, Inc. | 2024 | 2 | — |
| +10 | K240951 | Invictus Robotic Navigation Instruments | Alphatec Spine | 2024 | 2 | — |
| +10 | K232719 | ProMIS Extension Rod System | Premia Spine, Ltd. | 2023 | 0 | — |
| +10 | K232650 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2023 | 6 | — |
| +10 | K220024 | ChoiceSpine Navigation System | Choice Spine, LLC | 2022 | 0 | — |
| +10 | K211323 | ASTRA Spine System | Spinecraft, LLC | 2021 | 12 | — |
| +10 | K211057 | LigaPASS® Spinal System, CD Horizon™ Spinal System | Medtronic, Inc. | 2021 | 1 | — |
| +10 | K210306 | GII Spinal Fixation System | Coligne AG | 2021 | 0 | — |
| +10 | K203056 | Invictus™ Spinal Fixation System | Alphatec Spine, Inc. | 2020 | 61 | — |
| +10 | K202327 | Invictus™ OsseoScrew® System | Alphatec Spine, Inc. | 2020 | 0 | — |
| +10 | K192938 | Invictus™ Spinal Fixation System | Alphatec Spine, Inc. | 2019 | 69 | — |
| +10 | K180153 | X-spine Cortical Bone Screw System | X-Spine Systems, Inc. | 2018 | 0 | — |
| +10 | K170266 | Palisade™ Pedicular Fixation System | Spineology, Inc. | 2017 | 2 | — |
| +10 | K170255 | Threshold™ V2 Pedicular Fixation System | Spineology, Inc. | 2017 | 1 | — |
| +10 | K170251 | Threshold™ Pedicular Fixation System | Spineology, Inc. | 2017 | 1 | — |
| +10 | K170268 | Fortress™ Pedicular Fixation System | Spineology, Inc. | 2017 | 1 | — |
| +10 | K162786 | PASS LP Spinal System | Medicrea International SA | 2017 | 6 | — |
| +10 | K161363 | Arsenal Spinal Fixation System | Alphatec Spine, Inc. | 2016 | 75 | — |
| +11 | K263172 | SAS MIS Pelvic Incidence Rods | Spinal Alignment Solutions, Inc. | 2026 | 0 | — |
| +11 | K261020 | Symmetrix™ L Spinal System | Medtronic Sofamor Danek USA, Inc. | 2026 | 0 | — |