Devices descending from K043578
125 later devices reach The 4CIS Spinal System and 4CIS Low Back System through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +1 | K240233 | Pitkar Spinal Pedicle Screw System | S.H.Pitkar Orthotools Pvt., Ltd. | 2024 | 0 | — |
| +1 | K103085 | Venus Basic Spinal Fixation System | L&K BIOMED Co., Ltd. | 2011 | 123 | — |
| +2 | K162801 | CastleLoc Spinal Fixation System | L&K BIOMED Co., Ltd. | 2016 | 4 | — |
| +2 | K123549 | Polaris Spinal System - Ballista II Percutaneous Screw Placement System | Biomet Spine (Aka Ebi, LLC) | 2013 | 75 | 2 |
| +2 | K121568 | Dali Spinal Fixation System | Accel Spine | 2012 | 1 | — |
| +2 | K120714 | Picasso Mis Spinal Fixation System | Accel Spine | 2012 | 2 | — |
| +2 | K120270 | Venus Spinal Fixation System | L&K BIOMED Co., Ltd. | 2012 | 111 | — |
| +2 | K112643 | Focus Mis System | L&K BIOMED Co., Ltd. | 2012 | 26 | — |
| +3 | K232311 | LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System, AccelFix Spinal Fixation… | L&K BIOMED Co., Ltd. | 2023 | 1 | — |
| +3 | K231636 | LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System, AccelFix Spinal Fixation… | L&K BIOMED Co., Ltd. | 2023 | 2 | — |
| +3 | K230245 | LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System; AccelFix Spinal Fixation… | L&K BIOMED Co., Ltd. | 2023 | 3 | — |
| +3 | K223565 | LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System, AccelFix Spinal Fixation… | L&K BIOMED Co., Ltd. | 2022 | 4 | — |
| +3 | K200789 | LnK MIS Spinal System, PathLoc-L MIS Spinal System, AccelFix-MIS Spinal System | L&K BIOMED Co., Ltd. | 2020 | 0 | — |
| +3 | K200790 | LnK Spinal Fixation System, OpenLoc-L Spinal Fixation System | L&K BIOMED Co., Ltd. | 2020 | 5 | — |
| +3 | K173645 | JASPER Spinal Fixation System | Gbs Commonwealth Co., Ltd. | 2018 | 3 | — |
| +3 | K173180 | Mega Plus Spine System | Bk Meditech, Co., Ltd. | 2018 | 3 | — |
| +3 | K173185 | SEURAT™ Universal Pedicle Screw System | Ctl Medical Corporation | 2018 | 0 | — |
| +3 | K162134 | ENNOVATE Spinal System | Aesculap Implant Systems, LLC | 2016 | 2 | — |
| +3 | K143110 | GALAXY MIS Screw System | Bm Korea | 2015 | 2 | — |
| +3 | K143363 | VENUS Spinal Fixation System | L&K BIOMED Co., Ltd. | 2015 | 33 | — |
| +3 | K140123 | Polaris Spinal System -Translation Screw | Ebi, LLC | 2014 | 22 | 1 |
| +3 | K140219 | Picasso II Mis Spinal System | Accel Spine | 2014 | 1 | — |
| +3 | K133746 | Polaris Spinal System | Biomet Spine (Aka Ebi, LLC) | 2014 | 67 | 1 |
| +3 | K131615 | Polaris Spinal System | Biomet Spine (Aka Ebi, LLC) | 2013 | 70 | — |
| +3 | K120140 | Focus Spinal System | L&K BIOMED Co., Ltd. | 2012 | 25 | — |
| +4 | K261130 | AccelFix Spinal Fixation System | L&K BIOMED Co., Ltd. | 2026 | 0 | — |
| +4 | K201788 | EDEN Spinal Fixation System | Jmt Co., Ltd. | 2022 | 1 | — |
| +4 | K210275 | Polaris Spinal System | Zimmer Biomet Spine, Inc. | 2021 | 0 | — |
| +4 | K200267 | LOSPA® IS™ Spinal Fixation System | Corentec Co., Ltd. | 2020 | 1 | — |
| +4 | K190762 | The JASPER Spinal Fixation System II | Gbs Commonwealth Co., Ltd. | 2019 | 1 | — |
| +4 | K183080 | Mega Plus Spine System | Bk Meditech, Co., Ltd. | 2018 | 2 | — |
| +4 | K182059 | Prase MIS Spinal System | Gbs Commonwealth Co., Ltd. | 2018 | 2 | — |
| +4 | K180433 | Ennovate® | Aesculap Implant Systems, LLC | 2018 | 1 | 1 |
| +4 | K171813 | OpenLoc-L Spinal Fixation System, LnK Spinal Fixation System | L&K BIOMED Co., Ltd. | 2017 | 30 | — |
| +4 | K161766 | PathLoc-L MIS Spinal System | L&K BIOMED Co., Ltd. | 2016 | 18 | — |
| +4 | K151974 | Polaris Spinal System | Biomet Spine | 2015 | 16 | — |
| +4 | K150896 | Vitality Spinal Fixation System | Zimmer Spine, Inc. | 2015 | 19 | 3 |
| +4 | K151422 | Reform Pedicle Screw System | Precision Spine, Inc. | 2015 | 19 | — |
| +4 | K143248 | Reform Pedicle Screw System | Precision Spine, Inc. | 2014 | 30 | — |
| +4 | K141804 | Polaris Spinal System - HA Coated | Biomet Spine, LLC | 2014 | 21 | — |
| +5 | K230325 | GREENS BRAND Posterior, Non-cervical Pedicle Screw Spinal System | Greens Surgicals Pvt., Ltd. | 2024 | 0 | — |
| +5 | K240180 | Orthopeasia Spinal Fixation System | Orthopeasia Co., Ltd. | 2024 | 0 | — |
| +5 | K232292 | Peridot-EX Expandable Intervertebral Body Fusion System | Gbs Commonwealth Co., Ltd. | 2023 | 0 | — |
| +5 | K230762 | EDEN Spinal Fixation MIS System | Jmt Co., Ltd. | 2023 | 0 | — |
| +5 | K210963 | ENNOVATE Spinal System | Aesculap Implant Systems, LLC | 2021 | 0 | — |
| +5 | K200981 | Mega Plus MIS Spine System | Bk Meditech, Co., Ltd. | 2020 | 0 | — |
| +5 | K200303 | Reform Pedicle Screw System | Precision Spine | 2020 | 10 | — |
| +5 | K191655 | MEGAFIX® Pedicle Screw Spinal System | Seohancare Co., Ltd. | 2020 | 0 | — |
| +5 | K193396 | PERLA® TL posterior osteosynthesis system | Spineart | 2020 | 7 | 2 |
| +5 | K192121 | Black Diamond Pedicle Screw System | Osseus Fusion Systems | 2019 | 13 | — |
| +5 | K182544 | AccelFix Spinal Fixation System | L&K BIOMED Co., Ltd. | 2019 | 10 | — |
| +5 | K182974 | NuVasive Reline System | Nu Vasive, Incorporated | 2019 | 11 | — |
| +5 | K183168 | OpenLoc-L Spinal Fixation System | L&K BIOMED Co., Ltd. | 2018 | 23 | — |
| +5 | K183117 | PathLoc-L MIS Spinal System | L&K BIOMED Co., Ltd. | 2018 | 4 | — |
| +5 | K172101 | ROMEO® 2 Posterior Osteosynthesis System | Spineart | 2017 | 9 | — |
| +5 | K170861 | Premier | Shandong Weigao Orthopaedic Device Co., Ltd. | 2017 | 0 | — |
| +5 | K171907 | Vitality® Spinal Fixation System | Zimmer Biomet Spine, Inc. | 2017 | 16 | 2 |
| +5 | K150856 | Reform Pedicle Screw System | Precision Spine, Inc. | 2015 | 26 | — |
| +6 | K252139 | Kentrospine Viktr-MIS® Pedicle screw system | Rivarp Medical Pvt., Ltd. | 2026 | 0 | — |
| +6 | K253966 | PERLA® TL Posterior Thoraco-lumbar Fixation System | Spineart SA | 2026 | 0 | — |
| +6 | K242827 | A8 INTEGR8™ Porous Pedicle Screws | Allumin8, Inc. | 2025 | 1 | — |
| +6 | K242297 | Reform Pedicle Screw System | Precision Spine, Inc. | 2024 | 0 | — |
| +6 | K242764 | MediRod Pedicle Screw System | Cmf Medicon Surgical, Inc. | 2024 | 0 | — |
| +6 | K231069 | PERLA® TL Posterior Thoraco-lumbar Fixation System | Spineart SA | 2023 | 1 | — |
| +6 | K220862 | E-GPS Navigated Instruments | Precision Spine, Inc. | 2022 | 7 | — |
| +6 | K213935 | PISCES-SA Standalone ALIF Interbody System | Osseus Fusion Systems | 2022 | 12 | — |
| +6 | K214006 | Invictus® Spinal Fixation System | Alphatec Spine, Inc. | 2022 | 16 | — |
| +6 | K220025 | ARx® Spinal System | Life Spine, Inc. | 2022 | 0 | — |
| +6 | K213470 | PERLA® TL Posterior Osteosynthesis System | Spineart | 2022 | 2 | — |
| +6 | K203506 | PERLA® TL posterior osteosynthesis system | Spineart | 2021 | 3 | 2 |
| +6 | K203222 | PERLA TL Posterior Osteosynthesis System | Spineart | 2020 | 4 | — |
| +6 | K200794 | AccelFix Spinal Fixation System | L&K BIOMED Co., Ltd. | 2020 | 8 | — |
| +6 | K191575 | ARx Spinal System | Life Spine, Inc. | 2019 | 10 | — |
| +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 | — |
| +7 | K262067 | iFuse Granite Onyx™ Implant System | SI-BONE, Inc. | 2026 | 0 | — |
| +7 | K251780 | iGPS Navigation Instruments | SI-BONE, Inc. | 2025 | 0 | — |
| +7 | K250845 | Curiteva Porous PEEK Standalone ALIF System | Curiteva, Inc. | 2025 | 1 | — |
| +7 | K243514 | Salvo® Robotic Navigation Instruments | Spine Wave, Inc. | 2025 | 0 | — |
| +7 | K240326 | Solar™ Lumbar Interbody Fusion System | Degen Medical, Inc. | 2024 | 4 | — |
| +7 | K233256 | Robotic Integration Instruments | DePuy Synthes | 2024 | 0 | — |
| +7 | K232044 | Invictus Robotic Navigation Instruments | Alphatec Spine, Inc. | 2023 | 3 | — |
| +7 | K231839 | CastleLoc-P Anterior Cervical Plate System, AccelFix Lumbar Plate System | L&K BIOMED Co., Ltd. | 2023 | 2 | — |
| +7 | K230774 | PERLA® TL System; TEKTONA® HV US Bone Cement | Spineart | 2023 | 0 | — |
| +7 | K231199 | Solar Lumbar Interbody Fusion System | Degen Medical | 2023 | 5 | — |
| +7 | K223413 | Pisces™-SA STANDALONE ALIF Interbody System | Osseus Fusion Systems | 2023 | 3 | — |
| +7 | K221926 | Invictus® Bone Cement, Invictus Spinal Fixation System | Alphatec Spine, Inc. | 2022 | 14 | — |
| +7 | K202836 | GX Navigation Instrument System | Life Spine, Inc. | 2021 | 1 | — |
| +7 | K210539 | CoreLink Midline Fixation System | Corelink, LLC | 2021 | 4 | — |
| +7 | K200070 | ARx Spinal System | Life Spine, Inc. | 2020 | 9 | — |
| +8 | K260571 | SIMPACT Sacroiliac Joint Fixation System GX Navigation Instruments | Life Spine, Inc. | 2026 | 0 | — |
| +8 | K260989 | Varion Thoracolumbar Fixation System | Kyocera Medical Technologies Inc. (KMTI) | 2026 | 0 | — |
| +8 | K261112 | CastleLoc-P Anterior Cervical Plate System | L&K BIOMED Co., Ltd. | 2026 | 0 | — |
| +8 | K251940 | PathLoc Lumbar Plate System | L&K BIOMED Co., Ltd. | 2026 | 0 | — |
| +8 | K252205 | Curiteva Porous PEEK Cervical Interbody System; Curiteva Porous PEEK Lumbar Interbody… | Curiteva, Inc. | 2026 | 0 | — |
| +8 | K252737 | DeGen Medical Latitude-C AM Cervical Interbody Fusion System | Degen Medical | 2025 | 0 | — |
| +8 | K241077 | DeGen Medical Patient Specific Implant (PSI) System | Degen Medical | 2024 | 2 | — |
| +8 | K240951 | Invictus Robotic Navigation Instruments | Alphatec Spine | 2024 | 2 | — |
| +8 | K240126 | ProAM ALIF System | Pro Surgical, Inc. | 2024 | 2 | — |