Devices descending from K050979
67 later devices reach S4 Spinal System through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +1 | K173180 | Mega Plus Spine System | Bk Meditech, Co., Ltd. | 2018 | 3 | — |
| +1 | K162300 | Reform® POCT System | Precision Spine, Inc. | 2016 | 2 | — |
| +1 | K160722 | CorticaLINK Spinal Fusion Platform | Facetlink Dba Linkspine | 2016 | 2 | — |
| +1 | K133214 | Blackbird Spinal System | Choicespine, LP | 2014 | 3 | — |
| +1 | K132900 | Marauder Cervical-Thoracic Spinal Fixation System | Intelligent Implant Systems, LLC | 2013 | 0 | — |
| +1 | K122163 | Certex Spinal Implant System | X-Spine Systems, Inc. | 2012 | 2 | — |
| +1 | K121136 | Renoir Posterior Cervial Fixation System | Accel Spine | 2012 | 0 | — |
| +1 | K120879 | Lexus Cervical Fixation System | L&K BIOMED Co., Ltd. | 2012 | 15 | — |
| +1 | K103414 | Venus Cervical Spinal Fixation System | L&K BIOMED Co., Ltd. | 2011 | 16 | — |
| +1 | K110197 | Exactech Gibralt Spinal System | Exactech, Inc. | 2011 | 15 | 1 |
| +1 | K062327 | Modification to S4 Spinal System | Aesculap, Inc. | 2007 | 14 | — |
| +1 | K060152 | Modification to S4 Spinal System | Aesculap, Inc. | 2006 | 32 | — |
| +2 | K231840 | CastleLoc-S Posterior Cervical Fixation System | L&K BIOMED Co., Ltd. | 2023 | 0 | — |
| +2 | K220025 | ARx® Spinal System | Life Spine, Inc. | 2022 | 0 | — |
| +2 | K203561 | ChoiceSpine Navigation System | Choice Spine, LLC | 2021 | 1 | — |
| +2 | K200793 | LnK Posterior Cervical Fixation System and CastleLoc-S Posterior Cervical Fixation System | L&K BIOMED Co., Ltd. | 2020 | 11 | — |
| +2 | K193465 | CorticaLINK Spinal Fusion Platform | Spine Smith Holdings, LLC | 2020 | 0 | — |
| +2 | K183080 | Mega Plus Spine System | Bk Meditech, Co., Ltd. | 2018 | 2 | — |
| +2 | K172495 | Reform® POCT System | Precision Spine, Inc. | 2018 | 1 | — |
| +2 | K173484 | CorticaLINK Spinal Fusion Platform | Linkspine, Inc. | 2017 | 0 | — |
| +2 | K171369 | M.U.S.T. MINI Posterior Cervical Screws System | Medacta International S.A. | 2017 | 8 | — |
| +2 | K160428 | Certex Spinal Fixation System | X-Spine Systems, Inc. | 2016 | 0 | — |
| +2 | K152211 | PCT System | Centinel Spine, Inc. | 2015 | 0 | — |
| +2 | K143278 | LnK Posterior Cervical Fixation System | L&K BIOMED Co., Ltd. | 2015 | 13 | — |
| +2 | K140645 | Gibralt Rod-to-Rod Cross Connectors | Exactech Sarasota | 2014 | 1 | — |
| +2 | K133374 | Streamline Oct Occipito-Cervico-Thoracic System | Pioneer Surgical Technology, Inc. (Rti Surgical, I | 2014 | 3 | — |
| +2 | K133094 | Certex Oct Spinal Implant System | X-Spine Systems, Inc. | 2013 | 1 | — |
| +2 | K130887 | S4C Navigation Instruments | Aesculap Implant System, Inc. | 2013 | 13 | — |
| +3 | K222107 | Black Diamond™ POCT Spinal System | Osseus Fusion Systems | 2022 | 0 | — |
| +3 | K220024 | ChoiceSpine Navigation System | Choice Spine, LLC | 2022 | 0 | — |
| +3 | K221050 | ZESPIN SI Joint Fusion System, Paeon Posterior Cervical Fixation System, Paeon Anterior… | Aegis Spine, Inc. | 2022 | 6 | — |
| +3 | K220570 | M.U.S.T. MINI Posterior Cervical Screws System Extension | Medacta International S.A. | 2022 | 0 | — |
| +3 | K210035 | ZESPIN SI Joint Fusion System, MegaCerfix Posterior Cervical Fixation System, MegaCerfix… | Aegis Spine | 2021 | 10 | — |
| +3 | K203149 | M.U.S.T. MINI Posterior Cervical Screws System | Medacta International S.A. | 2020 | 0 | — |
| +3 | K200981 | Mega Plus MIS Spine System | Bk Meditech, Co., Ltd. | 2020 | 0 | — |
| +3 | K191655 | MEGAFIX® Pedicle Screw Spinal System | Seohancare Co., Ltd. | 2020 | 0 | — |
| +3 | K200130 | M.U.S.T. MINI Posterior Cervical Screws System | Medacta International S.A. | 2020 | 6 | — |
| +3 | K182837 | M.U.S.T. Mini Extension | Medacta International S.A. | 2019 | 1 | — |
| +3 | K181890 | Brainlab Compatible K2M Navigation Instruments | K2m | 2018 | 11 | — |
| +3 | K162136 | CastleLoc-S Posterior Cervical Fixation System; LnK Posterior Cervical Fixation System | L&K BIOMED Co., Ltd. | 2016 | 12 | — |
| +3 | K153700 | Aesculap (R) Implant Systems (AIS) S4 Navigation Instruments | Aesculap Implant Systems, LLC | 2016 | 0 | — |
| +3 | K150254 | Streamline OCT Occipito-Cervico-Thoracic System | Pioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) | 2015 | 2 | 3 |
| +4 | K232318 | VICTORY™ Lumbar Plate System | Globus Medical, Inc. | 2023 | 0 | — |
| +4 | K231839 | CastleLoc-P Anterior Cervical Plate System, AccelFix Lumbar Plate System | L&K BIOMED Co., Ltd. | 2023 | 2 | — |
| +4 | K231841 | PathLoc SI Joint Fusion System | L&K BIOMED Co., Ltd. | 2023 | 1 | — |
| +4 | K223521 | ZESPIN SI Joint Fusion System | Aegis Spine, Inc. | 2023 | 2 | — |
| +4 | K223719 | Paeon Anterior Cervical Plate System, Elatus Lumbar Plate System | Aegis Spine, Inc. | 2023 | 3 | — |
| +4 | K203125 | Invictus™ OCT Spinal Fixation System | Alphatec Spine, Inc. | 2020 | 0 | — |
| +4 | K201006 | K2M Navigation Instruments | K2m, Inc. | 2020 | 0 | — |
| +4 | K200936 | Invictus™ CT Spinal Fixation System | Alphatec Spine, Inc. | 2020 | 3 | — |
| +4 | K192911 | Brainlab Compatible K2M Navigation Instruments | K2m, Inc. | 2019 | 9 | — |
| +4 | K161498 | Streamline OCT Occipito-Cervico-Thoracic System | Pioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) | 2016 | 1 | — |
| +5 | K261112 | CastleLoc-P Anterior Cervical Plate System | L&K BIOMED Co., Ltd. | 2026 | 0 | — |
| +5 | K251940 | PathLoc Lumbar Plate System | L&K BIOMED Co., Ltd. | 2026 | 0 | — |
| +5 | K252597 | Valence Robotic Navigation System; Valence Robotic Navigation Instruments (For Use with… | Alphatec Spine, Inc. | 2026 | 1 | — |
| +5 | K240201 | PathLoc SI Joint Fusion System | L&K BIOMED Co., Ltd. | 2024 | 0 | — |
| +5 | K203205 | Navigated Spine Instruments | Stryker Spine | 2021 | 8 | — |
| +5 | K172139 | Streamline OCT Occipito-Cervico-Thoracic System | Pioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) | 2017 | 0 | — |
| +6 | K261284 | Invictus® Small Stature Spinal Fixation System; Invictus® 2.0 Spinal Fixation System | Alphatec Spine, Inc. | 2026 | 0 | — |
| +6 | K240662 | Spine Guidance Software (version 5.0); Xia 3/ Serrato Q Instruments; Everest Q… | Stryker Leibinger GmbH & Co KG | 2024 | 7 | — |
| +7 | K260546 | Q Pedicle Instruments | K2m, Inc. | 2026 | 0 | — |
| +7 | K252873 | Q Interbody Instruments | K2m, Inc. | 2026 | 0 | — |
| +7 | K252871 | Spine Guidance 5.3 Software; Q Interbody Instruments; Elite Q Attachments; Elite Cutting… | Stryker Leibinger GmbH & Co KG | 2026 | 1 | — |
| +7 | K241171 | Spine Guidance Software (Version 5.1); Consolidated Operating Room Equipment (CORE) 2… | Stryker Leibinger GmbH & Co KG | 2024 | 4 | — |
| +8 | K253623 | Spine Guidance 5.4 Software; Spine Guidance 5.4 Upgrade; Spine Guidance 5.4 Update… | Stryker Leibinger GmbH & Co KG | 2026 | 0 | — |
| +8 | K243958 | Consolidated Operating Room Equipment (CORE) 2 Console | Stryker Instruments | 2025 | 0 | — |
| +8 | K241517 | Q Guidance System; Mako Spine System; | Stryker Leibinger GmbH & Co KG | 2024 | 2 | — |