Devices descending from K024096
466 later devices reach Optima, Spinal System through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +6 | K173814 | DeGen Medical E3 MIS Pedicle Screw System | Degen Medical | 2018 | 0 | — |
| +6 | K173130 | Reform® Midline Cortical Screw System | Precision Spine, Inc. | 2017 | 21 | — |
| +6 | K172275 | Vitality® Spinal Fixation System, Vitality®+ Power Instrument System | Zimmer Biomet Spine, Inc. | 2017 | 0 | — |
| +6 | K172194 | Connector System | Orthofix, Inc. | 2017 | 16 | 2 |
| +6 | K151216 | Everest Spinal System | K2m, Inc. | 2015 | 11 | — |
| +6 | K133564 | Modification to Nautilus Spinal System | Life Spine, LLC | 2014 | 13 | — |
| +7 | K262067 | iFuse Granite Onyx™ Implant System | SI-BONE, Inc. | 2026 | 0 | — |
| +7 | K261020 | Symmetrix™ L Spinal System | Medtronic Sofamor Danek USA, Inc. | 2026 | 0 | — |
| +7 | K254130 | C.A. Medical Interbody Fusion System | C.A. Medical, LLC | 2026 | 0 | — |
| +7 | K251251 | ChanPin Pedicle Screw Spinal System | Chanpin Medtak Co., Ltd. | 2026 | 0 | — |
| +7 | K253401 | SCRIPT™ Implant System | Globus Medical, Inc. | 2026 | 0 | — |
| +7 | K252781 | MSFX Mikron Peek Cages | Mikron Makina Sanayi VE Tic. Ltd. Sti. | 2025 | 1 | — |
| +7 | K251829 | DeGen Medical Patient Specific Implant (PSI) System | Degen Medical | 2025 | 0 | — |
| +7 | K251780 | iGPS Navigation Instruments | SI-BONE, Inc. | 2025 | 0 | — |
| +7 | K251965 | Proximity Anterior Cervical Plate System; Segmental Plating System (SPS) | Alphatec Spine, Inc. | 2025 | 0 | — |
| +7 | K252113 | PRADO™ Lumbar Interbody Fusion System | Bethesda Medical Devices | 2025 | 0 | — |
| +7 | K251502 | TruLift® Lateral Expandable Spacer & Lateral Buttress Plate System | Life Spine, Inc. | 2025 | 0 | — |
| +7 | K250827 | aprevo® anterior lumbar interbody fusion device; aprevo® lateral lumbar interbody fusion… | Carlsmed, Inc. | 2025 | 2 | — |
| +7 | K251080 | IdentiTi II Cervical Interbody System | Alphatec Spine, Inc. | 2025 | 0 | — |
| +7 | K251617 | X-PAC® TLIF Expandable Posterior Cage System; X-PAC® LLIF Expandable Lateral Cage System | Expanding Innovations, Inc. | 2025 | 0 | — |
| +7 | K243514 | Salvo® Robotic Navigation Instruments | Spine Wave, Inc. | 2025 | 0 | — |
| +7 | K241783 | FortiVy™ OsteoVy™ Lumbar IBF | Vy Spine, LLC | 2025 | 0 | — |
| +7 | K243802 | aprevo® anterior and lateral lumbar interbody fusion device, aprevo® anterior lumbar… | Carlsmed, Inc. | 2025 | 3 | — |
| +7 | K242899 | NOVA Minimally Invasive System | Baui Biotech Co., Ltd. | 2024 | 0 | — |
| +7 | K241846 | E3D™-C Interbody System | Evolution Spine | 2024 | 6 | — |
| +7 | K241892 | Cortera™ Spinal Fixation System | Xtant Medical Holdings, Inc. | 2024 | 2 | — |
| +7 | K241863 | Erisma® Lp Spinal Fixation System; Erisma® LP MIS | Clariance | 2024 | 0 | — |
| +7 | K240893 | ARTFX MEDICAL Cervical PEEK Cages | Artfx Medical | 2024 | 4 | — |
| +7 | K233256 | Robotic Integration Instruments | DePuy Synthes | 2024 | 0 | — |
| +7 | K233443 | Vital™ Navigation System | Zimvie Spine (Zimmer Biomet Spine, Inc.) | 2023 | 0 | — |
| +7 | K231658 | VEOS Spinal Fixation System | Spineway | 2023 | 0 | — |
| +7 | K230026 | Squale | Implanet, S.A. | 2023 | 0 | — |
| +7 | K223273 | ASTRA Spine System | Spinecraft, LLC | 2022 | 8 | — |
| +7 | K222614 | Zavation Spinal System | Zavation Medical Products, LLC | 2022 | 3 | — |
| +7 | K222516 | Mercury® II Spinal System | Spinal Elements, Inc. | 2022 | 3 | — |
| +7 | K220038 | Camber Spine Navigation System | Camber Spine Technologies | 2022 | 0 | — |
| +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 | K203163 | ARx Illiac Spinal Screw System | Life Spine, Inc. | 2020 | 5 | — |
| +7 | K190751 | Connector System | Orthofix, Inc. | 2019 | 3 | — |
| +7 | K153525 | Seneka II Polyscrew Pedicle Fixation System | Senecka Spine | 2016 | 0 | — |
| +7 | K140457 | Nautilus Spinal System | Life Spine, Inc. | 2014 | 3 | — |
| +8 | K260036 | NeckTune™ 3D SA Cervical Cage | Medyssey Co, Ltd. | 2026 | 0 | — |
| +8 | K260385 | aprevo® anterior and lateral lumbar interbody system; aprevo® posterior and… | Carlsmed, Inc. | 2026 | 0 | — |
| +8 | K260340 | HC Biologics Osteopoint Peek Cages, HC Biologics Osteopoint Cervical Peek Cages, HC… | HC Biologics, LLC | 2026 | 0 | — |
| +8 | K254105 | Hive™ Standalone Cervical System and Hive™ C Interbody System | NanoHive Medical, LLC | 2026 | 0 | — |
| +8 | K252894 | aprevo® cervical interbody system | Carlsmed, Inc. | 2026 | 1 | — |
| +8 | K252686 | EffortMed PEEK Cages & Corpectomy Cages | Effortmed, LLC | 2025 | 1 | — |
| +8 | K252088 | Firebird SI Navigation System | Orthofix US, LLC | 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 | K241464 | ARx® SAI Implant System | Life Spine, Inc. | 2024 | 1 | — |
| +8 | K233508 | iFuse Bedrock Granite® Implant System | SI-BONE, Inc. | 2024 | 5 | — |
| +8 | K213750 | VyLink™ Spinal Screw System | Vy Spine, LLC | 2022 | 1 | — |
| +8 | K203319 | SYMPHONY™ OCT System | Medos International SARL | 2021 | 1 | — |
| +9 | K253943 | Tiger 2 System | Zavation Medical Products, LLC | 2026 | 0 | — |
| +9 | K260850 | Osteomni Spinal Cages System | Osteomni, Inc. | 2026 | 0 | — |
| +9 | K254274 | ARx® SAI Implant System | Life Spine, Inc. | 2026 | 0 | — |
| +9 | K252322 | SIros-X System | Genesys Spine | 2025 | 0 | — |
| +9 | K253094 | iFuse Bedrock Granite Implant System | SI-BONE, Inc. | 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 | — |