510(k) · Cleared
ClearedBlackstone Spinal Fixation System Spacer
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Blackstone Medical, Inc. · KWQ Appliance, Fixation, Spinal Intervertebral Body
Cleared on Aug 6, 2002 as substantially equivalent to K994217 (Blackstone Medical, Inc., 2000) and 3 other predicates after a 14-day review. Its family tree reaches back 2 generations to 1998. 300 later devices descend from it.
- Decided
- Aug 6, 2002
- Review
- 14 days
- Class
- Class II
- Product code
- KWQ
- Recalls
- None
- Predicates
- 4
Its longest line of descent runs back 2 generations to K980447 (1998). 6 ancestors in all. 300 later devices descend from it, 3 citing it directly.
- Root · 2 generations backK980447 Depuy Motech Moss Miami Spinal SystemDePuy Orthopaedics, Inc. · 1998
- 1 generation backK013558 Blackstone Spinal Fixation System 4.5MM Mono-Axial ScrewBlackstone Medical, Inc. · 2002
- This deviceK022399 Blackstone Spinal Fixation System SpacerBlackstone Medical, Inc. · 2002
- Descendant · cites it directly · 298 of its ownK030581 Blackstone Spinal Fixation System Lateral Offset (System Modification)Blackstone Medical, Inc. · 2003
- Descendant · cites it directly · 297 of its ownK030241 Modification to Blackstone Spinal Fixation SystemBlackstone Medical, Inc. · 2003
- Descendant · cites it directly · 296 of its ownK080407 Blackstone SFS Parallel Rod ConnectorsBlackstone Medical, Inc. · 2008 · Recalled
- Descendant · 2 generations on · 277 of its ownK081684 Blackstone Pedicle Screw SystemBlackstone Medical, Inc. · 2008 · Recalled
- Descendant · 3 generations on · 209 of its ownK082797 Blackstone Pedicle Screw SystemBlackstone Medical, Inc. · 2008
Showing 5 of 300 descendants. See all descendants
Descendants cleared per year
Most influential descendants
Showing 5 of 300 · See all- K030581Blackstone Spinal Fixation System Lateral Offset (System Modification)Blackstone Medical, Inc. · 2003 · cites it directly298descendants
- K030241Modification to Blackstone Spinal Fixation SystemBlackstone Medical, Inc. · 2003 · cites it directly297descendants
- K080407Blackstone SFS Parallel Rod ConnectorsBlackstone Medical, Inc. · 2008 · cites it directly296descendants
- K081684Blackstone Pedicle Screw SystemBlackstone Medical, Inc. · 2008 · 2 generations on277descendants
- K082797Blackstone Pedicle Screw SystemBlackstone Medical, Inc. · 2008 · 3 generations on209descendants
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −2 | K980447 | Depuy Motech Moss Miami Spinal System | DePuy Orthopaedics, Inc. | 1998 | — |
| −1 | K013558 | Blackstone Spinal Fixation System 4.5MM Mono-Axial Screw | Blackstone Medical, Inc. | 2002 | — |
| 0 (this device) | K022399 | Blackstone Spinal Fixation System Spacer | Blackstone Medical, Inc. | 2002 | — |
| +1 | K030581 | Blackstone Spinal Fixation System Lateral Offset (System Modification) | Blackstone Medical, Inc. | 2003 | — |
| +1 | K030241 | Modification to Blackstone Spinal Fixation System | Blackstone Medical, Inc. | 2003 | — |
| +1 | K080407 | Blackstone SFS Parallel Rod Connectors | Blackstone Medical, Inc. | 2008 | 1 |
| +2 | K081684 | Blackstone Pedicle Screw System | Blackstone Medical, Inc. | 2008 | 3 |
| +3 | K082797 | Blackstone Pedicle Screw System | Blackstone Medical, Inc. | 2008 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1998 | 1 | 0 |
| 2000 | 1 | 0 |
| 2001 | 1 | 0 |
| 2002 | 1 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2003 | 2 | 0 |
| 2004 | 1 | 0 |
| 2008 | 3 | 0 |
| 2009 | 1 | 0 |
| 2010 | 4 | 0 |
| 2011 | 2 | 0 |
| 2012 | 5 | 0 |
| 2013 | 9 | 0 |
| 2014 | 5 | 0 |
| 2015 | 9 | 0 |
| 2016 | 12 | 0 |
| 2017 | 23 | 0 |
| 2018 | 16 | 0 |
| 2019 | 17 | 0 |
| 2020 | 23 | 0 |
| 2021 | 16 | 0 |
| 2022 | 23 | 0 |
| 2023 | 36 | 0 |
| 2024 | 33 | 0 |
| 2025 | 34 | 0 |
| 2026 | 26 | 0 |
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.
Planning a device in KWQ? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.
Top candidate predicates for a new KWQ device
- #1 K233640 Segmental Plating System (SPS);IdentiTi SPS…score 21.9 · 31 generations · no Class I recall
- #2 Held for the reportin the report
- #3 Held for the reportin the report
What was it cleared against? (4)
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.
| Type | Number | Device | Decided |
|---|---|---|---|
| * | K994217 | Blackstone Spinal Fixation SystemSummary page 1…Orthosis MNI 888.3070 - Pedicle Screw Spinal System Substantially Equivalent Devices: BlackstoneTMSpinal Fixation System (K994217) BlackstoneTM Spinal Fixation System Second-Gen Cross- Connector (K003735)… | 2000 |
| * | K003735 | Blackstone Spinal Fixation System, Second-Generation Cross-ConnectorSummary page 1…Equivalent Devices: BlackstoneTMSpinal Fixation System (K994217) BlackstoneTM Spinal Fixation System Second-Gen Cross- Connector (K003735) BlackstoneTM Spinal Fixation System 4.5mm Mono-Axial Screws (K013558)… | 2001 |
| * | K013558 | Blackstone Spinal Fixation System 4.5MM Mono-Axial ScrewSummary page 1…ion System Second-Gen Cross- Connector (K003735) BlackstoneTM Spinal Fixation System 4.5mm Mono-Axial Screws (K013558) BlackstoneTMSpinal Fixation System 4.5mm Multi-Axial Screws (K020674) Device Descriptio… | 2002 |
| * | K020674 | Blackstone Spinal Fixation System 4.5MM Multi-Axial ScrewSummary page 1…ixation System 4.5mm Mono-Axial Screws (K013558) BlackstoneTMSpinal Fixation System 4.5mm Multi-Axial Screws (K020674) Device Description: The Blackstonem Spinal Fixation System Spacer (System Modification) is a titanium alloy (6AL-4V ELI, per A… | 2002 |
What descends from it? (300)
See all 3003 later devices cite it directly; ranked here by how many devices descend from each in turn.
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 4 years and passes through 2 companies; a new generation was cleared every 3.8 years on median.
- None of the 6 ancestors has a recall.
- Of its descendants, K030581 (Blackstone Medical, Inc., 2003) has gone furthest, with 298 descendants of its own.
- 9 other devices also cite its predicate K994217.
How does its category compare?
All KWQ devicesKWQ Appliance, Fixation, Spinal Intervertebral Body: FDA decisions, review times, recalls and adverse event reports over 20 years.
FDA decisions per year · KWQ
7in 2025
2026 to Oct 25, outlined.
Median 510(k) review, days · KWQ
64in 2025
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · KWQ
1in 2018
Class I (0 since 2007) Class II/III not classified
Adverse event reports per year · KWQ
248in 2025
MAUDE reports naming product code KWQ, not matched to any one device; reports are not rates.
View these four charts as a table
| Year | Decisions | Median 510(k) review, days | Recalls (Class I) | MAUDE reports |
|---|---|---|---|---|
| 2007 | 27 | 101 | 2 | 288 |
| 2008 | 32 | 70 | 33 | 348 |
| 2009 | 23 | 90 | 35 | 355 |
| 2010 | 23 | 104 | 2 | 691 |
| 2011 | 22 | 95 | 5 | 415 |
| 2012 | 26 | 90 | 7 | 544 |
| 2013 | 22 | 88 | 6 | 796 |
| 2014 | 17 | 124 | 0 | 546 |
| 2015 | 25 | 102 | 2 | 562 |
| 2016 | 15 | 121 | 9 | 502 |
| 2017 | 20 | 67 | 8 | 492 |
| 2018 | 22 | 95 | 1 | 341 |
| 2019 | 26 | 81 | 0 | 298 |
| 2020 | 26 | 55 | 0 | 400 |
| 2021 | 17 | 59 | 0 | 591 |
| 2022 | 18 | 85 | 0 | 392 |
| 2023 | 16 | 59 | 0 | 320 |
| 2024 | 17 | 64 | 0 | 419 |
| 2025 | 7 | 64 | 0 | 248 |
| 2026 | 10 | 76 | 0 | — |
What is it indicated for?
Blackstone Spinal Fixation System is intended for non-cervical use in the spine. The Blackstone Spinal Fixation System, when used for pedicle screw fixation, is intended only for patients: a) Having severe spondylolisthesis (Grades 3 and 4) at the L5-S 1 joint; b) Who are receiving fusion using autogenous bone graft only; c) Who are having the device fixed or attached to the lumbar and sacral spine (L3 and below); and d) Who are having the device removed…
Read the full statement (226 words)
Blackstone Spinal Fixation System is intended for non-cervical use in the spine.
The Blackstone Spinal Fixation System, when used for pedicle screw fixation, is intended only for patients:
a) Having severe spondylolisthesis (Grades 3 and 4) at the L5-S 1 joint;
b) Who are receiving fusion using autogenous bone graft only;
c) Who are having the device fixed or attached to the lumbar and sacral spine (L3 and below); and
d) Who are having the device removed after the development of a solid fusion mass.
The Blackstone Spinal Fixation System, when used as a pedicle screw system in skeletally mature patients, is intended to provide immobilization and stabilization of spinal segments, as an adjunct to fusion, in treatment of the following acute and chronic instabilities or deformities of the thoracic, lumbar and sacral spine:
a) Degenerative spondylolisthesis with objective evidence of neurologic impairment;
b) Fracture;
c) Dislocation;
d) Scoliosis;
e) Kyphosis;
f) Spinal tumor; and
g) Failed previous fusion (pseudarthrosis).
The Blackstone Spinal Fixation System, when used for anterolateral non-pedicle fixation, is intended for the following indications:
a) Degenerative disc disease (as defined as back pain of discogenic origin with degenerative disc confirmed by patient history and radiographic studies);
b) Spinal stenosis;
c) Spondylolisthesis;
d) Spinal deformities (i.e., scoliosis, kyphosis, and/or lordosis);
e) Pseudarthrosis;
f) Tumor;
g) Trauma (i.e., fracture or dislocation);
h) Previous failed fusion.
Indications for use as stated in the FDA summary.
https://510kreport.com/device/K022399 · printed Nov 5, 2026
Cite this page
510(k) Report. “K022399: Blackstone Spinal Fixation System Spacer.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K022399
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Record history
- FDA decision record loaded May 2, 2026
- Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
- Lineage and recalls computed Nov 3, 2026
- Page last updated Nov 3, 2026