Devices descending from K091291
169 later devices reach Xia 3 Spinal System, Uniplanner/Reduction Screws & Vitallium Rod through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +5 | K252346 | OLYMPIC Posterior Spinal Fixation System; MASADA Modular Spinal Fixation System | Astura Medical | 2025 | 0 | — |
| +5 | K251644 | ProAM ALIF System | Pro Surgical, Inc. | 2025 | 0 | — |
| +5 | K250667 | DeGen Medical Patient Specific Implant (PSI) System | Degen Medical | 2025 | 1 | — |
| +5 | K243259 | MASADA Modular Spinal Fixation System | Astura Medical | 2025 | 0 | — |
| +5 | K242517 | ProAM ACDF System | Pro Surgical, Inc. | 2024 | 0 | — |
| +5 | K230325 | GREENS BRAND Posterior, Non-cervical Pedicle Screw Spinal System | Greens Surgicals Pvt., Ltd. | 2024 | 0 | — |
| +5 | K232566 | NewPort Spinal System; Daytona Small Stature Spinal System; Malibu Spinal System… | SeaSpine Orthopedics Corporation | 2024 | 1 | 2 |
| +5 | K231479 | TriALTIS Spine System | Medos International SARL | 2023 | 8 | — |
| +5 | K231839 | CastleLoc-P Anterior Cervical Plate System, AccelFix Lumbar Plate System | L&K BIOMED Co., Ltd. | 2023 | 2 | — |
| +5 | K221926 | Invictus® Bone Cement, Invictus Spinal Fixation System | Alphatec Spine, Inc. | 2022 | 14 | — |
| +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 | K190376 | PASS LP Spinal System | Medicrea International SA | 2019 | 1 | 5 |
| +5 | K182974 | NuVasive Reline System | Nu Vasive, Incorporated | 2019 | 11 | — |
| +5 | K181119 | Range (Denali and Mesa) Spinal Systems | K2m, Inc. | 2018 | 5 | — |
| +5 | K180376 | K2M Patient Specific Rods | K2m, Inc. | 2018 | 2 | — |
| +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 | K253420 | Admiral ACP System; Explorer TO System; Laminoplasty System; Manta Ray TDF Spacer… | SeaSpine Orthopedics Corporation | 2026 | 0 | — |
| +6 | K261112 | CastleLoc-P Anterior Cervical Plate System | L&K BIOMED Co., Ltd. | 2026 | 0 | — |
| +6 | K251940 | PathLoc Lumbar Plate System | L&K BIOMED Co., Ltd. | 2026 | 0 | — |
| +6 | K251829 | DeGen Medical Patient Specific Implant (PSI) System | Degen Medical | 2025 | 0 | — |
| +6 | K242827 | A8 INTEGR8™ Porous Pedicle Screws | Allumin8, Inc. | 2025 | 1 | — |
| +6 | K243249 | TriALTIS™ Spine System | Medos International SARL | 2025 | 0 | — |
| +6 | K242297 | Reform Pedicle Screw System | Precision Spine, Inc. | 2024 | 0 | — |
| +6 | K233684 | TriALTIS™ Spine System | Medos International SARL | 2023 | 4 | — |
| +6 | K232341 | CarboClear® Pedicle Screw System | CarboFix Orthopedics, Ltd. | 2023 | 4 | — |
| +6 | K232044 | Invictus Robotic Navigation Instruments | Alphatec Spine, Inc. | 2023 | 3 | — |
| +6 | K232275 | Invictus® Spinal Fixation System | Alphatec Spine, Inc. | 2023 | 11 | — |
| +6 | K230721 | ATEC Lateral Plate System | Alphatec Spine, Inc. | 2023 | 0 | — |
| +6 | K220862 | E-GPS Navigated Instruments | Precision Spine, Inc. | 2022 | 7 | — |
| +6 | K213281 | PASS LP™ Spinal System, CD Horizon™ Spinal System | Medicrea International SA | 2022 | 0 | — |
| +6 | K191575 | ARx Spinal System | Life Spine, Inc. | 2019 | 10 | — |
| +6 | K173130 | Reform® Midline Cortical Screw System | Precision Spine, Inc. | 2017 | 21 | — |
| +7 | K261284 | Invictus® Small Stature Spinal Fixation System; Invictus® 2.0 Spinal Fixation System | Alphatec Spine, Inc. | 2026 | 0 | — |
| +7 | K253216 | IntraOp Alignment System; CONTOUR3D Bending System | Alphatec Spine, Inc. | 2026 | 0 | — |
| +7 | K253615 | Invictus Bands System | Alphatec Spine, Inc. | 2026 | 0 | — |
| +7 | K252597 | Valence Robotic Navigation System; Valence Robotic Navigation Instruments (For Use with… | Alphatec Spine, Inc. | 2026 | 1 | — |
| +7 | K251780 | iGPS Navigation Instruments | SI-BONE, Inc. | 2025 | 0 | — |
| +7 | K243514 | Salvo® Robotic Navigation Instruments | Spine Wave, Inc. | 2025 | 0 | — |
| +7 | K242364 | IdentiTi™ II Interbody System | Alphatec Spine, Inc. | 2024 | 4 | — |
| +7 | K242042 | TriALTIS™ Spine System | Medos International SARL | 2024 | 1 | — |
| +7 | K233793 | CarboClear® X Pedicle Screw System | CarboFix Orthopedics, Ltd. | 2024 | 1 | — |
| +7 | K241519 | Invictus® Small Stature Spinal Fixation System | Alphatec Spine, Inc. | 2024 | 2 | — |
| +7 | K233256 | Robotic Integration Instruments | DePuy Synthes | 2024 | 0 | — |
| +7 | K240951 | Invictus Robotic Navigation Instruments | Alphatec Spine | 2024 | 2 | — |
| +7 | K233944 | CarboClear® X Pedicle Screw System; CarboClear® X Navigated Instruments | CarboFix Orthopedics, Ltd. | 2024 | 3 | — |
| +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 | K261020 | Symmetrix™ L Spinal System | Medtronic Sofamor Danek USA, Inc. | 2026 | 0 | — |
| +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 | K251575 | IdentiTi™ II ALIF Standalone Interbody System; Transcend™ ALIF Standalone Interbody System | Alphatec Spine | 2025 | 0 | — |
| +8 | K251080 | IdentiTi II Cervical Interbody System | Alphatec Spine, Inc. | 2025 | 0 | — |
| +8 | K251617 | X-PAC® TLIF Expandable Posterior Cage System; X-PAC® LLIF Expandable Lateral Cage System | Expanding Innovations, Inc. | 2025 | 0 | — |
| +8 | K243106 | CarboClear® Hybrid Pedicle Screw System | CarboFix Orthopedics, Ltd. | 2024 | 0 | — |
| +8 | K240846 | CarboClear® Hybrid Pedicle Screw System; CarboClear® Hybrid Navigated Instruments… | CarboFix Orthopedics, Ltd. | 2024 | 2 | — |
| +8 | K231494 | CoreLink Robotic Navigation Instruments | Corelink, LLC | 2023 | 0 | — |
| +8 | K221776 | NextGen Pedicle Screw System | Corelink, LLC | 2022 | 2 | — |
| +8 | K220341 | ARx Modular Spinal System | Life Spine, Inc. | 2022 | 1 | — |
| +8 | K203163 | ARx Illiac Spinal Screw System | Life Spine, Inc. | 2020 | 5 | — |
| +9 | K241464 | ARx® SAI Implant System | Life Spine, Inc. | 2024 | 1 | — |
| +9 | K233455 | ARx MIS Spinal Screw System | Life Spine, Inc. | 2023 | 0 | — |
| +9 | K230880 | CoreLink Navigation Instruments | Corelink, LLC | 2023 | 0 | — |
| +10 | K254274 | ARx® SAI Implant System | Life Spine, Inc. | 2026 | 0 | — |