510(k) · Cleared
ClearedXia 4.5 Spinal System
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Stryker Spine · NKB Thoracolumbosacral Pedicle Screw System
Cleared on Dec 3, 2009 as substantially equivalent to K050461 (Stryker Spine, 2005) and 8 other predicates after a 101-day review. Its family tree reaches back 7 generations to 1995. 98 later devices descend from it.
- Decided
- Dec 3, 2009
- Review
- 101 days
- Class
- Class II
- Product code
- NKB
- Recalls
- None
- Predicates
- 9
Its longest line of descent runs back 7 generations to K950697 (1995). 28 ancestors in all. 98 later devices descend from it, 6 citing it directly.
- Root · 7 generations backK950697 Depuy Motech Moss Miami Spinal System - Pedicle FixationDepuy Motech · 1995
- 6 generations backK050461 Xia 4.5 Spinal SystemStryker Spine · 2005
- 5 generations backK052761 Modification to: Xia 4.5 Spinal SystemStryker Spine · 2005
- 4 generations backK060361 Xia Spinal System, Xia 4.5 Spinal SystemStryker Spine · 2006 · Recalled
- 3 generations backK060979 Xia Titanium and 4.5 Spinal SystemsStryker Spine · 2006
- 2 generations backK071373 Stryker Spine Xia Iii Spinal SystemStryker Spine · 2007 · Recalled
- 1 generation backK083393 Xia 3 Spinal SystemStryker Spine · 2009 · Recalled
- This deviceK092605 Xia 4.5 Spinal SystemStryker Spine · 2009
- Descendant · cites it directly · 88 of its ownK121342 Xia 4.5 Spinal SystemStryker Corp. · 2012
- Descendant · cites it directly · 84 of its ownK133188 Mantis & Mantis Redux Spinal System, Radius Spinal System, Trio &…Stryker Spine · 2013
- Descendant · 2 generations on · 83 of its ownK142381 Xia 3 Spinal SystemStryker Corp. · 2014
- Descendant · cites it directly · 34 of its ownK111478 Stryker Spine Power Adaptor (Accessory Instrument)Stryker Corporation · 2011
- Descendant · cites it directly · 32 of its ownK120434 Power Adaptor Instrument AccessoryStryker Corp. · 2012
Showing 5 of 98 descendants. See all descendants
Descendants cleared per year
Most influential descendants
Showing 5 of 98 · See all- K121342Xia 4.5 Spinal SystemStryker Corp. · 2012 · cites it directly88descendants
- K133188Mantis & Mantis Redux Spinal System, Radius Spinal System, Trio & Trio+ Spinal Fixation…Stryker Spine · 2013 · cites it directly84descendants
- K142381Xia 3 Spinal SystemStryker Corp. · 2014 · 2 generations on83descendants
- K111478Stryker Spine Power Adaptor (Accessory Instrument)Stryker Corporation · 2011 · cites it directly34descendants
- K120434Power Adaptor Instrument AccessoryStryker Corp. · 2012 · cites it directly32descendants
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −7 | K950697 | Depuy Motech Moss Miami Spinal System - Pedicle Fixation | Depuy Motech | 1995 | — |
| −6 | K050461 | Xia 4.5 Spinal System | Stryker Spine | 2005 | — |
| −5 | K052761 | Modification to: Xia 4.5 Spinal System | Stryker Spine | 2005 | — |
| −4 | K060361 | Xia Spinal System, Xia 4.5 Spinal System | Stryker Spine | 2006 | 1 |
| −3 | K060979 | Xia Titanium and 4.5 Spinal Systems | Stryker Spine | 2006 | — |
| −2 | K071373 | Stryker Spine Xia Iii Spinal System | Stryker Spine | 2007 | 1 |
| −1 | K083393 | Xia 3 Spinal System | Stryker Spine | 2009 | 1 |
| 0 (this device) | K092605 | Xia 4.5 Spinal System | Stryker Spine | 2009 | — |
| +1 | K121342 | Xia 4.5 Spinal System | Stryker Corp. | 2012 | — |
| +1 | K133188 | Mantis & Mantis Redux Spinal System, Radius Spinal System, Trio & Trio+ Spinal… | Stryker Spine | 2013 | — |
| +2 | K142381 | Xia 3 Spinal System | Stryker Corp. | 2014 | — |
| +1 | K111478 | Stryker Spine Power Adaptor (Accessory Instrument) | Stryker Corporation | 2011 | — |
| +1 | K120434 | Power Adaptor Instrument Accessory | Stryker Corp. | 2012 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1995 | 1 | 0 |
| 1997 | 1 | 0 |
| 1999 | 1 | 0 |
| 2000 | 1 | 0 |
| 2001 | 2 | 0 |
| 2002 | 2 | 0 |
| 2003 | 4 | 0 |
| 2004 | 3 | 0 |
| 2005 | 2 | 0 |
| 2006 | 4 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2011 | 3 | 0 |
| 2012 | 4 | 0 |
| 2013 | 1 | 0 |
| 2014 | 1 | 0 |
| 2015 | 2 | 0 |
| 2016 | 1 | 0 |
| 2017 | 6 | 0 |
| 2018 | 7 | 0 |
| 2019 | 3 | 0 |
| 2020 | 7 | 0 |
| 2021 | 2 | 0 |
| 2022 | 6 | 0 |
| 2023 | 16 | 0 |
| 2024 | 17 | 0 |
| 2025 | 11 | 0 |
| 2026 | 11 | 0 |
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 NKB? 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 NKB device
- #1 K223494 CD Horizon Spinal Systemscore 40.4 · 30 generations · no Class I recall
- #2 Held for the reportin the report
- #3 Held for the reportin the report
What was it cleared against? (9)
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.
| Type | Number | Device | Decided |
|---|---|---|---|
| * | K050461 | Xia 4.5 Spinal SystemSummary page 1…uesdale~Stryker.com Date Summary Prepared: December 2, 2009 Predicate Devices * Stryker Spine XIA 4.5 Spinal System, K050461, K060361; Stryker Spine XIA 4.5 Spinal System, K060748, K060979;… | 2005 |
| * | K060361 | Xia Spinal System, Xia 4.5 Spinal SystemSummary page 1…tryker.com Date Summary Prepared: December 2, 2009 Predicate Devices * Stryker Spine XIA 4.5 Spinal System, K050461, K060361; Stryker Spine XIA 4.5 Spinal System, K060748, K060979;… | 2006 |
| * | K060748 | Modification to Xia 4.5 Spinal SystemSummary page 1…* Stryker Spine XIA 4.5 Spinal System, K050461, K060361; Stryker Spine XIA 4.5 Spinal System, K060748, K060979; • Stryker Spine Xiae 3 Spinal System, K071373. K083393;… | 2006 |
| * | K060979 | Xia Titanium and 4.5 Spinal SystemsSummary page 1…* Stryker Spine XIA 4.5 Spinal System, K050461, K060361; Stryker Spine XIA 4.5 Spinal System, K060748, K060979; • Stryker Spine Xiae 3 Spinal System, K071373. K083393;… | 2006 |
| * | K071373 | Stryker Spine Xia Iii Spinal SystemSummary page 1…Stryker Spine XIA 4.5 Spinal System, K060748, K060979; • Stryker Spine Xiae 3 Spinal System, K071373. K083393; • Stryker Spine Xia® 1I Spinal System. K063428;… | 2007 |
| * | K083393 | Xia 3 Spinal SystemSummary page 1…Stryker Spine XIA 4.5 Spinal System, K060748, K060979; • Stryker Spine Xiae 3 Spinal System, K071373. K083393; • Stryker Spine Xia® 1I Spinal System. K063428;… | 2009 |
| * | K063428 | Xia Stainless Steel Spinal SystemSummary page 1…• Stryker Spine Xiae 3 Spinal System, K071373. K083393; • Stryker Spine Xia® 1I Spinal System. K063428; * Medtronic CD Legacy Spinal System, K020709;… | 2006 |
| * | K020709 | Modification to CD Horizon Spinal SystemSummary page 1…• Stryker Spine Xia® 1I Spinal System. K063428; * Medtronic CD Legacy Spinal System, K020709; * Stryker Spine Moss Miami Spinal System, K950697.… | 2002 |
| * | K950697 | Depuy Motech Moss Miami Spinal System - Pedicle FixationSummary page 1…* Medtronic CD Legacy Spinal System, K020709; * Stryker Spine Moss Miami Spinal System, K950697.… | 1995 |
What descends from it? (98)
See all 986 later devices cite it directly; ranked here by how many devices descend from each in turn.
| Number | Device | Decided | Descendants |
|---|---|---|---|
| K121342 | Xia 4.5 Spinal System | 2012 | 88 |
| K133188 | Mantis & Mantis Redux Spinal System, Radius Spinal System, Trio & Trio+ Spinal Fixation… | 2013 | 84 |
| K111478 | Stryker Spine Power Adaptor (Accessory Instrument) | 2011 | 34 |
| K120434 | Power Adaptor Instrument Accessory | 2012 | 32 |
| K110842 | Atlas Spine Pedicle Screw System | 2011 | 4 |
| K120928 | Synthes Matrix System | 2012 | 0 |
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 14 years and passes through 2 companies; a new generation was cleared every 8 months on median.
- 5 of the 28 ancestors have a recall of any class.
- Of its descendants, K121342 (Stryker Corp., 2012) has gone furthest, with 88 descendants of its own.
- 11 other devices also cite its predicate K050461.
How does its category compare?
All NKB devicesNKB Thoracolumbosacral Pedicle Screw System: FDA decisions, review times, recalls and adverse event reports over 20 years. 2009, this device’s year, is highlighted.
FDA decisions per year · NKB
24in 2025
2026 to Oct 25, outlined.
Median 510(k) review, days · NKB
61in 2025
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · NKB
1in 2025
Class I (1 since 2007) Class II/III not classified
Adverse event reports per year · NKB
1,171in 2025
MAUDE reports naming product code NKB, not matched to any one device; reports are not rates.
View these four charts as a table
| Year | Decisions | Median 510(k) review, days | Recalls (Class I) | MAUDE reports |
|---|---|---|---|---|
| 2007 | 38 | 87 | 4 | 34 |
| 2008 | 36 | 59 | 5 | 82 |
| 2009 | 44 | 71 | 33 | 171 |
| 2010 | 37 | 111 | 4 | 462 |
| 2011 | 48 | 84 | 3 | 577 |
| 2012 | 60 | 79 | 13 | 1,747 |
| 2013 | 35 | 73 | 0 | 1,962 |
| 2014 | 46 | 90 | 3 (1) | 1,671 |
| 2015 | 55 | 90 | 3 | 1,446 |
| 2016 | 50 | 84 | 1 | 1,585 |
| 2017 | 63 | 69 | 1 | 1,618 |
| 2018 | 56 | 61 | 3 | 1,684 |
| 2019 | 39 | 84 | 1 | 1,915 |
| 2020 | 48 | 68 | 1 | 2,076 |
| 2021 | 32 | 61 | 0 | 1,745 |
| 2022 | 34 | 88 | 5 | 1,339 |
| 2023 | 44 | 72 | 2 | 919 |
| 2024 | 39 | 57 | 3 | 1,614 |
| 2025 | 24 | 61 | 1 | 1,171 |
| 2026 | 30 | 91 | 3 | — |
What is it indicated for?
The XIA® 4.5 Spinal System is intended for anterior/anteriolateral and posterior, noncervical pedicle and non-pedicle fixation in skeletally mature patients 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…
Read the full statement (105 words)
The XIA® 4.5 Spinal System is intended for anterior/anteriolateral and posterior, noncervical pedicle and non-pedicle fixation in skeletally mature patients 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;
* Pseudoarthrosis; and
* Failed previous fusion.
The Stryker Spine DIAPASON™ Spinal System, OPUS™ Spinal System and XIA® 4.5 Spinal System can be linked to the XIA® 4.5 Spinal System via the rod-to-rod connector.
Indications for use as stated in the FDA summary.
https://510kreport.com/device/K092605 · printed Nov 4, 2026
Cite this page
510(k) Report. “K092605: Xia 4.5 Spinal System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K092605
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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