510(k) Report

510(k) · Cleared

Cleared

Modification to: DSS Stabilization System

K091944510(k) SpecialCleared Aug 3, 200934-day reviewClass II21 CFR 888.3070

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

Paradigm Spine, LLC · NQP Posterior Metal/Polymer Spinal System, Fusion

Cleared on Aug 3, 2009 as substantially equivalent to K072969 (Paradigm Spine, LLC, 2008) and 4 other predicates after a 34-day review. Its family tree reaches back 5 generations to 1990. 3 later devices descend from it.

Decided
Aug 3, 2009
Review
34 days
Class
Class II
Product code
NQP
Recalls
None
Predicates
5

Its longest line of descent runs back 5 generations to K901587 (1990). 26 ancestors in all. 3 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2009: 1 other ancestor2008: 2 other ancestors2005: 1 other ancestor1999: 3 other ancestors1997: 1 other ancestor2000: 1 other ancestor1995: 2 other ancestors1994: 1 other ancestor1998: 1 other ancestor1993: 2 other ancestors1992: 5 other ancestors1990: 1 other ancestor2010: 1 descendant cleared2012: 2 descendants clearedK901587 · TSRH Sacral L-Connector · Danek Medical, Inc. · 1990K950099 · Synergy (TM) TI Posterior Spinal System · Buckman Co., Inc. · 1997K973836 · Synergy 6.35MM SS Rod with Screws for Anterior Use, Part of the Cross Medical-Synergy Anterior Spinal System · Cross Medical Products, Inc. · 1998×2: 2 generations cleared close together, K080241 (2008), K090408 (2009) 1990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors2 generations back: 3 other ancestors3 generations back: 5 other ancestors4 generations back: 10 other ancestors 1 generation forward: 1 descendant2 generations forward: 2 descendants K090408 · Modification to: DSS Stabilization System · Paradigm Spine, LLC · 2009K080241 · DDS Stabilization System · Paradigm Spine, LLC · 2008K973836 · Synergy 6.35MM SS Rod with Screws for Anterior Use, Part of the Cross Medical-Synergy Anterior Spinal System · Cross Medical Products, Inc. · 1998K950099 · Synergy (TM) TI Posterior Spinal System · Buckman Co., Inc. · 1997K901587 · TSRH Sacral L-Connector · Danek Medical, Inc. · 1990−50
  1. Root · 5 generations backK901587 TSRH Sacral L-ConnectorDanek Medical, Inc. · 1990
  2. 4 generations backK950099 Synergy (TM) TI Posterior Spinal SystemBuckman Co., Inc. · 1997
  3. 3 generations backK973836 Synergy 6.35MM SS Rod with Screws for Anterior Use, Part of the…Cross Medical Products, Inc. · 1998
  4. 2 generations backK080241 DDS Stabilization SystemParadigm Spine, LLC · 2008
  5. 1 generation backK090408 Modification to: DSS Stabilization SystemParadigm Spine, LLC · 2009
  6. This deviceK091944 Modification to: DSS Stabilization SystemParadigm Spine, LLC · 2009
  7. Descendant · cites it directly · 2 of its ownK101083 DSS Stabilization SystemParadigm Spine, LLC · 2010
  8. Descendant · 2 generations on · 1 of its ownK113625 DSS Stabilization SystemParadigm Spine, LLC · 2012
  9. Descendant · 2 generations on · 0 of its ownK120491 DSS Stabilization System-RigidParadigm Spine, LLC · 2012

Most influential descendants

Showing 3 of 3 · See all
  • K101083DSS Stabilization SystemParadigm Spine, LLC · 2010 · cites it directly2descendants
  • K113625DSS Stabilization SystemParadigm Spine, LLC · 2012 · 2 generations on1descendant
  • K120491DSS Stabilization System-RigidParadigm Spine, LLC · 2012 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K901587TSRH Sacral L-ConnectorDanek Medical, Inc.1990—
−4K950099Synergy (TM) TI Posterior Spinal SystemBuckman Co., Inc.1997—
−3K973836Synergy 6.35MM SS Rod with Screws for Anterior Use, Part of the Cross…Cross Medical Products, Inc.1998—
−2K080241DDS Stabilization SystemParadigm Spine, LLC2008—
−1K090408Modification to: DSS Stabilization SystemParadigm Spine, LLC2009—
0 (this device)K091944Modification to: DSS Stabilization SystemParadigm Spine, LLC2009—
+1K101083DSS Stabilization SystemParadigm Spine, LLC2010—
+2K113625DSS Stabilization SystemParadigm Spine, LLC2012—
+2K120491DSS Stabilization System-RigidParadigm Spine, LLC2012—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199010
199250
199320
199410
199520
199710
199810
199930
200010
200510
200820
200910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201010
201220
FIG. 1 — Lineage of K091944, 1990–2012Source: 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 NQP? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new NQP device

  1. #1 K203678 CD HORIZON™ Spinal Systemscore 10.9 · 15 generations · no Class I recall
Get a 510(k) Report

What was it cleared against? (5)

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
*K072969DSS
Summary page 2
…red from medical grade titanium alloy (Ti6AI4V). Predicate Device(s): DSSTM Stabilization System was shown to be substantially equivalent to previously cleared devices (K072969, K080963, K080241, K090408 and K090099) and has the same indications for use, design, function, and materials used. Performance…
Paradigm Spine, LLC2008—
*K080963DSS Stabilization System
Summary page 2
…medical grade titanium alloy (Ti6AI4V). Predicate Device(s): DSSTM Stabilization System was shown to be substantially equivalent to previously cleared devices (K072969, K080963, K080241, K090408 and K090099) and has the same indications for use, design, function, and materials used. Performance Standards…
Paradigm Spine2008—
*K080241DDS Stabilization System
Summary page 2
…rade titanium alloy (Ti6AI4V). Predicate Device(s): DSSTM Stabilization System was shown to be substantially equivalent to previously cleared devices (K072969, K080963, K080241, K090408 and K090099) and has the same indications for use, design, function, and materials used. Performance Standards: Testing…
Paradigm Spine, LLC2008—
*K090408Modification to: DSS Stabilization System
Summary page 2
…nium alloy (Ti6AI4V). Predicate Device(s): DSSTM Stabilization System was shown to be substantially equivalent to previously cleared devices (K072969, K080963, K080241, K090408 and K090099) and has the same indications for use, design, function, and materials used. Performance Standards: Testing performe…
Paradigm Spine, LLC2009—
*K090099DSS Stabilization System
Summary page 2
…Ti6AI4V). Predicate Device(s): DSSTM Stabilization System was shown to be substantially equivalent to previously cleared devices (K072969, K080963, K080241, K090408 and K090099) and has the same indications for use, design, function, and materials used. Performance Standards: Testing performed indicate t…
Paradigm Spine, LLC2009—

What descends from it? (3)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K101083DSS Stabilization SystemParadigm Spine, LLC20102

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?

  • The line of descent spans 19 years and passes through 4 companies; a new generation was cleared every 1.1 years on median.
  • 1 of the 26 ancestors has a recall of any class.
  • Of its descendants, K101083 (Paradigm Spine, LLC, 2010) has gone furthest, with 2 descendants of its own.

How does its category compare?

All NQP devices

NQP Posterior Metal/Polymer Spinal System, Fusion: FDA decisions, review times, recalls and adverse event reports over 20 years. 2009, this device’s year, is highlighted.

FDA decisions per year · NQP

1in 2021

2007: 22008: 62009: 32010: 22014: 12019: 22021: 1
2007high 6 (2008) · low 0 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NQP

70in 2009

2008: 156 days median2009: 70 days median
2007high 156 (2008) · low 70 (2009)2026

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

Recalls per year · NQP

6in 2012

2007: 342008: 42009: 62012: 6
2007high 34 (2007) · low 0 (2010)2026

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

Adverse event reports per year · NQP

8in 2025

2007: 452008: 1012009: 1092010: 1192011: 602012: 662013: 582014: 462015: 382016: 792017: 282018: 292019: 82020: 152021: 72022: 122023: 22024: 82025: 8
2007high 119 (2010) · low 2 (2023)2025

MAUDE reports naming product code NQP, 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
20072—3445
200861564101
20093706109
20102—0119
20110—060
20120—666
20130—058
20141—046
20150—038
20160—079
20170—028
20180—029
20192—08
20200—015
20211—07
20220—012
20230—02
20240—08
20250—08
20260—0—

What is it indicated for?

DSSTM Stabilization System - Rigid The DSSTM Stabilization System - Rigid is intended as a single-level system for noncervical pedicle fixation from the T4 to S1 vertebrae in skeletally mature patients to help provide immobilization and stabilization of spinal segments as an adjunct to fusion for the following indications: degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and…

Read the full statement (228 words)

DSSTM Stabilization System - Rigid

The DSSTM Stabilization System - Rigid is intended as a single-level system for noncervical pedicle fixation from the T4 to S1 vertebrae in skeletally mature patients to help provide immobilization and stabilization of spinal segments as an adjunct to fusion for the following indications: degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies); spondylolisthesis; trauma (i.e., fracture or dislocation); spinal stenosis; curvatures (i.e., scoliosis, kyphosis, and/or lordosis); tumor; pseudarthrosis; and failed previous fusion. The DSSTM Stabilization System - Rigid is intended to be used with autograft and/or allograft.

DSSTM Stabilization System - Slotted

The DSSTM Stabilization System - Slotted is intended to provide immobilization and stabilization of spinal segments 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, kyphosis, and failed previous fusion (pseudarthrosis).

In addition, the DSSTM Stabilization System - Slotted is indicated for use in patients:

Who are receiving fusions with autogenous graft only;

Who are having the device fixed or attached to the lumbar or sacral spine;

Who are having the device removed after the development of a solid fusion mass.

Note: The Rigid Coupler and Slotted Coupler are not intended to be used together.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K091944: Modification to: DSS Stabilization System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K091944

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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