510(k) Report

510(k) · Cleared

Cleared

Modification to Xia Spinal System

K043473510(k) SpecialCleared Jan 12, 200527-day reviewClass II21 CFR 888.3050

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

Stryker Spine · KWP Appliance, Fixation, Spinal Interlaminal

Cleared on Jan 12, 2005 as substantially equivalent to K002858 (Howmedica Osteonics Corp., 2000) and 1 other predicate after a 27-day review. Its family tree reaches back 1 generation to 2000. 289 later devices descend from it.

Decided
Jan 12, 2005
Review
27 days
Class
Class II
Product code
KWP
Recalls
None
Predicates
2

Its longest line of descent runs back 1 generation to K002858 (2000). 2 ancestors in all. 289 later devices descend from it, 11 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2001: 1 other ancestor2007: 5 descendants cleared2006: 2 descendants cleared2005: 1 descendant cleared2011: 6 descendants cleared2010: 4 descendants cleared2009: 4 descendants cleared2013: 10 descendants cleared2012: 11 descendants cleared2008: 1 descendant cleared2016: 8 descendants cleared2017: 23 descendants cleared2015: 12 descendants cleared2014: 9 descendants cleared2023: 34 descendants cleared2020: 24 descendants cleared2025: 24 descendants cleared2018: 18 descendants cleared2024: 29 descendants cleared2021: 9 descendants cleared2019: 17 descendants cleared2022: 15 descendants cleared2026: 23 descendants clearedK002858 · Xia Spine System · Howmedica Osteonics Corp. · 2000200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 11 descendants2 generations forward: 21 descendants3 generations forward: 45 descendants4 generations forward: 66 descendants5 generations forward: 54 descendants6 generations forward: 43 descendants7 generations forward: 18 descendants8 generations forward: 20 descendants9 generations forward: 8 descendants10 generations forward: 2 descendants11 generations forward: 1 descendant K002858 · Xia Spine System · Howmedica Osteonics Corp. · 20000+5+10
  1. Root · 1 generation backK002858 Xia Spine SystemHowmedica Osteonics Corp. · 2000
  2. This deviceK043473 Modification to Xia Spinal SystemStryker Spine · 2005
  3. Descendant · cites it directly · 202 of its ownK052181 Modification to Xia Spinal SystemStryker Spine · 2005
  4. Descendant · cites it directly · 201 of its ownK070631 Device Modification to Radius Spinal SystemStryker Spine · 2007
  5. Descendant · 2 generations on · 200 of its ownK082608 Radius Spinal System, Vitallium Rod #486613601Stryker Spine · 2008
  6. Descendant · 3 generations on · 169 of its ownK091291 Xia 3 Spinal System, Uniplanner/Reduction Screws & Vitallium RodStryker Spine · 2009
  7. Descendant · cites it directly · 135 of its ownK061813 Mantis Spinal SystemStryker Spine · 2006 · Recalled

Showing 5 of 289 descendants. See all descendants

Descendants cleared per year

2005: 12006: 22007: 52008: 12009: 42010: 42011: 62012: 112013: 102014: 92015: 122016: 82017: 232018: 182019: 172020: 242021: 92022: 152023: 342024: 292025: 242026: 23
2005high 34 (2023) · low 1 (2005)2026

Most influential descendants

Showing 5 of 289 · See all
  • K052181Modification to Xia Spinal SystemStryker Spine · 2005 · cites it directly202descendants
  • K070631Device Modification to Radius Spinal SystemStryker Spine · 2007 · cites it directly201descendants
  • K082608Radius Spinal System, Vitallium Rod #486613601Stryker Spine · 2008 · 2 generations on200descendants
  • K091291Xia 3 Spinal System, Uniplanner/Reduction Screws & Vitallium RodStryker Spine · 2009 · 3 generations on169descendants
  • K061813Mantis Spinal SystemStryker Spine · 2006 · cites it directly135descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K002858Xia Spine SystemHowmedica Osteonics Corp.2000—
0 (this device)K043473Modification to Xia Spinal SystemStryker Spine2005—
+1K052181Modification to Xia Spinal SystemStryker Spine2005—
+1K070631Device Modification to Radius Spinal SystemStryker Spine2007—
+2K082608Radius Spinal System, Vitallium Rod #486613601Stryker Spine2008—
+3K091291Xia 3 Spinal System, Uniplanner/Reduction Screws & Vitallium RodStryker Spine2009—
+1K061813Mantis Spinal SystemStryker Spine20062

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200510
200620
200750
200810
200940
201040
201160
2012110
2013100
201490
2015120
201680
2017230
2018180
2019170
2020240
202190
2022150
2023340
2024290
2025240
2026230
FIG. 1 — Lineage of K043473, 2000–2026Source: 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.

Planning a device in KWP? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin the report
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What was it cleared against? (2)

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
*K002858Xia Spine System
Summary page 1
…Email: Simona.Voickstryker.com Date Summary Prepared: January 5, 2005 Predicate Device Identification: K002858 Xia Spine System K013823 Xia Spinal System Predicate Device Description The Xia T…
Howmedica Osteonics Corp.2000—
*K013823Xia Spinal System
Summary page 1
…Prepared: January 5, 2005 Predicate Device Identification: K002858 Xia Spine System K013823 Xia Spinal System Predicate Device Description The Xia Titanium Spinal System consists of Monoaxial and Polyaxial Screws, Washer…
Howmedica Osteonics Corp.2001—

Also cleared against K002858: 5 other devices →

What descends from it? (289)

See all 289

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

NumberDeviceApplicantDecidedDescendants
K052181Modification to Xia Spinal SystemStryker Spine2005202
K070631Device Modification to Radius Spinal SystemStryker Spine2007201
K061813Mantis Spinal SystemStryker Spine2006135
K073151Mantis Spinal SystemStryker Corp.2007111
K092631Mantis Redux Spinal SystemStryker Spine2009110
K102235Mantis Spinal System & Mantis Redux Spinal SystemStryker Spine2010109
K071945S4 Spinal SystemAesculap Implant Systems200795
K062698Trio + Spinal SystemStryker Spine200688
K133188Mantis & Mantis Redux Spinal System, Radius Spinal System, Trio & Trio+ Spinal Fixation…Stryker Spine201384
K110842Atlas Spine Pedicle Screw SystemAtlas Spine, Inc.20114

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?

  • None of the 2 ancestors has a recall.
  • Of its descendants, K052181 (Stryker Spine, 2005) has gone furthest, with 202 descendants of its own.
  • 5 other devices also cite its predicate K002858.

How does its category compare?

All KWP devices

KWP Appliance, Fixation, Spinal Interlaminal: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · KWP

9in 2015

2007: 142008: 132009: 122010: 142011: 122012: 182013: 122014: 132015: 9
2007high 18 (2012) · low 0 (2016)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KWP

113in 2015

2007: 96 days median2008: 50 days median2009: 89 days median2010: 186 days median2011: 67 days median2012: 112 days median2013: 99 days median2014: 138 days median2015: 113 days median
2007high 186 (2010) · low 50 (2008)2026

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

Recalls per year · KWP

2in 2022

2007: 22008: 12009: 232010: 22011: 62012: 12013: 32015: 12016: 32018: 12019: 22022: 2
2007high 23 (2009) · low 0 (2014)2026

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

Adverse event reports per year · KWP

494in 2025

2007: 2102008: 5942009: 6822010: 4742011: 7922012: 9182013: 1,0902014: 1,0222015: 1,3482016: 1,3792017: 8642018: 6572019: 5182020: 7962021: 5252022: 3352023: 3322024: 4362025: 494
2007high 1,379 (2016) · low 210 (2007)2025

MAUDE reports naming product code KWP, 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
200714962210
200813501594
2009128923682
2010141862474
201112676792
2012181121918
2013129931,090
20141313801,022
2015911311,348
20160—31,379
20170—0864
20180—1657
20190—2518
20200—0796
20210—0525
20220—2335
20230—0332
20240—0436
20250—0494
20260—0—

What is it indicated for?

The Xia Spinal System is intended for use in the noncervical spine. When used as a pedicle screw fixation system, the Xia Spinal 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…

Read the full statement (269 words)

The Xia Spinal System is intended for use in the noncervical spine. When used as a pedicle screw fixation system, the Xia Spinal 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 Spinal 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 as an anterior screw fixation system or a posterior hook and sacral/iliac screw fixation system, the Xia Spinal 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.

The 6 mm diameter rods from the DIAPASONTM Spinal System and OPUS Spinal System are intended to be used with the other components of Xia®Titanium Spinal System. The Titanium Multi-Axis Cross-Connectors are intended to be used with the other components of Xia® Titanium Spinal System.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K043473: 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/K043473

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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