Devices descending from K090648
337 later devices reach Viper 2 System through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +5 | K232141 | CD Horizon ModuLeX FNS Screw Set (Fenestrated Screw); CD Horizon ModuLeX Spinal System… | Medtronic Sofamor Danek USA, Inc. | 2023 | 1 | — |
| +5 | K232311 | LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System, AccelFix Spinal Fixation… | L&K BIOMED Co., Ltd. | 2023 | 1 | — |
| +5 | K223096 | Dark Star Deformity Pedicle Screw System | Republic Spine, LLC | 2023 | 1 | — |
| +5 | K230721 | ATEC Lateral Plate System | Alphatec Spine, Inc. | 2023 | 0 | — |
| +5 | K223494 | CD Horizon Spinal System | Medtronic | 2023 | 17 | — |
| +5 | K223565 | LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System, AccelFix Spinal Fixation… | L&K BIOMED Co., Ltd. | 2022 | 4 | — |
| +5 | K221403 | Cortera Spinal Fixation System | Surgalign Spine Technologies | 2022 | 3 | 2 |
| +5 | K213281 | PASS LP™ Spinal System, CD Horizon™ Spinal System | Medicrea International SA | 2022 | 0 | — |
| +5 | K213460 | Invictus Spinal Fixation System | Alphatec Spine, Inc. | 2021 | 17 | — |
| +5 | K203742 | IdentiTi ALIF Standalone Interbody System | Alphatec Spine, Inc. | 2021 | 59 | — |
| +5 | K210275 | Polaris Spinal System | Zimmer Biomet Spine, Inc. | 2021 | 0 | — |
| +5 | K203125 | Invictus™ OCT Spinal Fixation System | Alphatec Spine, Inc. | 2020 | 0 | — |
| +5 | K200794 | AccelFix Spinal Fixation System | L&K BIOMED Co., Ltd. | 2020 | 8 | — |
| +5 | K201006 | K2M Navigation Instruments | K2m, Inc. | 2020 | 0 | — |
| +5 | K200936 | Invictus™ CT Spinal Fixation System | Alphatec Spine, Inc. | 2020 | 3 | — |
| +5 | K200303 | Reform Pedicle Screw System | Precision Spine | 2020 | 10 | — |
| +5 | K193396 | PERLA® TL posterior osteosynthesis system | Spineart | 2020 | 7 | 2 |
| +5 | K191722 | Vital Navigation System | Zimmer Biomet Spine, Inc. | 2019 | 2 | — |
| +5 | K190762 | The JASPER Spinal Fixation System II | Gbs Commonwealth Co., Ltd. | 2019 | 1 | — |
| +5 | K182974 | NuVasive Reline System | Nu Vasive, Incorporated | 2019 | 11 | — |
| +5 | K181603 | EVEREST Spinal System, RANGE (MESA and DENALI) Spinal System, CASPIAN OCT (MESA Mini and… | K2m, Inc. | 2018 | 5 | — |
| +5 | K180433 | Ennovate® | Aesculap Implant Systems, LLC | 2018 | 1 | 1 |
| +5 | K180198 | NuVasive® VuePoint® II OCT System | Nu Vasive, Incorporated | 2018 | 4 | — |
| +5 | K172105 | The Plateau-LO Spacer System | Life Spine, Inc. | 2018 | 1 | — |
| +5 | K171894 | NuVasive® Precept™ Spinal System | Nu Vasive, Incorporated | 2017 | 0 | — |
| +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 | K170126 | NuVasive® Reline® 4.5-5.0 System | Nu Vasive, Incorporated | 2017 | 39 | — |
| +5 | K160020 | Captiva Spine and CapLOX II/TowerLOX Pedicle Screw System | Captiva Spine | 2016 | 0 | — |
| +5 | K150856 | Reform Pedicle Screw System | Precision Spine, Inc. | 2015 | 26 | — |
| +6 | K261284 | Invictus® Small Stature Spinal Fixation System; Invictus® 2.0 Spinal Fixation System | Alphatec Spine, Inc. | 2026 | 0 | — |
| +6 | K253802 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2026 | 1 | — |
| +6 | K253216 | IntraOp Alignment System; CONTOUR3D Bending System | Alphatec Spine, Inc. | 2026 | 0 | — |
| +6 | K253966 | PERLA® TL Posterior Thoraco-lumbar Fixation System | Spineart SA | 2026 | 0 | — |
| +6 | K252542 | LEO Spinal System | ZheJiang Decans Medical Devices Co., Ltd. | 2026 | 0 | — |
| +6 | K260011 | Foundation Surgical Navigated Lateral Disc Prep Instruments | Foundation Surgical Group, Inc. | 2026 | 0 | — |
| +6 | K253615 | Invictus Bands System | Alphatec Spine, Inc. | 2026 | 0 | — |
| +6 | K254045 | CarboClear® Posterior Cervical Screw System; CarboClear® Hybrid Posterior Cervical Screw… | CarboFix Orthopedics, Ltd. | 2026 | 0 | — |
| +6 | K252597 | Valence Robotic Navigation System; Valence Robotic Navigation Instruments (For Use with… | Alphatec Spine, Inc. | 2026 | 1 | — |
| +6 | K252327 | CMORE® CT System; CMORE® CT System Navigated Instruments | Icotec AG | 2025 | 1 | — |
| +6 | K242827 | A8 INTEGR8™ Porous Pedicle Screws | Allumin8, Inc. | 2025 | 1 | — |
| +6 | K253331 | PressON Spinal Fixation System | Nexus Spine | 2025 | 0 | — |
| +6 | K251575 | IdentiTi™ II ALIF Standalone Interbody System; Transcend™ ALIF Standalone Interbody System | Alphatec Spine | 2025 | 0 | — |
| +6 | K251073 | Innovasis Navigation Instruments (Vector G-E Navigation Instruments and the Excella G-E… | Innovasis, Inc. | 2025 | 0 | 1 |
| +6 | K251644 | ProAM ALIF System | Pro Surgical, Inc. | 2025 | 0 | — |
| +6 | K250667 | DeGen Medical Patient Specific Implant (PSI) System | Degen Medical | 2025 | 1 | — |
| +6 | K242517 | ProAM ACDF System | Pro Surgical, Inc. | 2024 | 0 | — |
| +6 | K242364 | IdentiTi™ II Interbody System | Alphatec Spine, Inc. | 2024 | 4 | — |
| +6 | K241892 | Cortera™ Spinal Fixation System | Xtant Medical Holdings, Inc. | 2024 | 2 | — |
| +6 | K241082 | INNOVERSE Navigation Instruments | Innosys Co., Ltd. | 2024 | 0 | — |
| +6 | K240951 | Invictus Robotic Navigation Instruments | Alphatec Spine | 2024 | 2 | — |
| +6 | K231443 | Mini-OSTEO Pedicle Fixation System | Osteomed Indústria E Comércio DE Implantes Ltda | 2023 | 0 | — |
| +6 | K233443 | Vital™ Navigation System | Zimvie Spine (Zimmer Biomet Spine, Inc.) | 2023 | 0 | — |
| +6 | K232292 | Peridot-EX Expandable Intervertebral Body Fusion System | Gbs Commonwealth Co., Ltd. | 2023 | 0 | — |
| +6 | K231069 | PERLA® TL Posterior Thoraco-lumbar Fixation System | Spineart SA | 2023 | 1 | — |
| +6 | K231839 | CastleLoc-P Anterior Cervical Plate System, AccelFix Lumbar Plate System | L&K BIOMED Co., Ltd. | 2023 | 2 | — |
| +6 | K222684 | XIA® 4.5 Spinal System, XIA® 4.5 Cortical Trajectory, XIA® 3 Spinal System, Serrato®… | Stryker Spine | 2023 | 4 | — |
| +6 | K220862 | E-GPS Navigated Instruments | Precision Spine, Inc. | 2022 | 7 | — |
| +6 | K220782 | IdentiTi™ Porous Ti Interbody System, IdentiTi™ NanoTec™ Interbody System, Transcend™… | Alphatec Spine, Inc. | 2022 | 36 | — |
| +6 | K214006 | Invictus® Spinal Fixation System | Alphatec Spine, Inc. | 2022 | 16 | — |
| +6 | K220025 | ARx® Spinal System | Life Spine, Inc. | 2022 | 0 | — |
| +6 | K213654 | NuVasive Reline Cervical System | Nu Vasive, Incorporated | 2022 | 1 | — |
| +6 | K213470 | PERLA® TL Posterior Osteosynthesis System | Spineart | 2022 | 2 | — |
| +6 | K213720 | Vital Navigation System | Zimvie (Zimmer Biomet Spine, Inc.) | 2022 | 0 | — |
| +6 | K211993 | Z-LINKPC System | Zavation Medical Products, LLC | 2021 | 0 | — |
| +6 | K203506 | PERLA® TL posterior osteosynthesis system | Spineart | 2021 | 3 | 2 |
| +6 | K203222 | PERLA TL Posterior Osteosynthesis System | Spineart | 2020 | 4 | — |
| +6 | K190636 | NuVasive® Reline® 4.5-5.0 System | Nu Vasive, Incorporated | 2019 | 13 | — |
| +6 | K191553 | NuVaisve® Reline® Cervical System | Nu Vasive, Incorporated | 2019 | 2 | — |
| +6 | K191575 | ARx Spinal System | Life Spine, Inc. | 2019 | 10 | — |
| +6 | K190360 | LineSider™ Spinal System | Integrity Implants, Inc. | 2019 | 13 | — |
| +6 | K182470 | Plateau Spacer System | Life Spine | 2018 | 0 | — |
| +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 | K261020 | Symmetrix™ L Spinal System | Medtronic Sofamor Danek USA, Inc. | 2026 | 0 | — |
| +7 | K261112 | CastleLoc-P Anterior Cervical Plate System | L&K BIOMED Co., Ltd. | 2026 | 0 | — |
| +7 | K251940 | PathLoc Lumbar Plate System | L&K BIOMED Co., Ltd. | 2026 | 0 | — |
| +7 | K251829 | DeGen Medical Patient Specific Implant (PSI) System | Degen Medical | 2025 | 0 | — |
| +7 | K251780 | iGPS Navigation Instruments | SI-BONE, Inc. | 2025 | 0 | — |
| +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 | K243946 | EffortMed Spinal Fixation System | Effortmed, LLC | 2025 | 1 | — |
| +7 | K242260 | aprevo® Cervical ACDF; aprevo® Cervical ACDF-X; aprevo® Cervical ACDF-X NO CAM | Carlsmed, Inc. | 2024 | 3 | — |
| +7 | K233256 | Robotic Integration Instruments | DePuy Synthes | 2024 | 0 | — |
| +7 | K240872 | Erisma® Deformity Spinal System; Erisma® Lp Spinal Fixation System | Clariance | 2024 | 1 | — |
| +7 | K232432 | E3D™-A Interbody System | Evolution Spine | 2024 | 8 | — |
| +7 | K231098 | LineSider® Spinal System | Integrity Implants, Inc. | 2023 | 3 | — |
| +7 | K223513 | UniVy™ OsteoVy™-Ti Cervical IBF System | Vy Spine, LLC | 2023 | 1 | — |
| +7 | K223181 | NuVasive Reline System | Nu Vasive, Incorporated | 2023 | 11 | — |
| +7 | K222973 | IdentiTi and Transcend Interbody Systems: IndentiTi Cervical Porous Ti Interbody System… | Alphatec Spine, Inc. | 2022 | 13 | — |
| +7 | K222028 | IdentiTi™ Porous Ti Interbody System, IdentiTi™ NanoTec™ Interbody System, Transcend™… | Alphatec Spine | 2022 | 28 | — |
| +7 | K221388 | NuVasive Reline Cervical System | Nu Vasive, Incorporated | 2022 | 0 | — |
| +7 | K212088 | Integrity Implants Navigated Instruments | Integrity Implants, Inc. | 2021 | 0 | — |
| +7 | K202836 | GX Navigation Instrument System | Life Spine, Inc. | 2021 | 1 | — |
| +7 | K203367 | LineSider™ Spinal System | Integrity Implants, Inc. | 2020 | 5 | 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 | — |