510(k) · Cleared
Recalled · Class II · 2012Aesculap Implant Systems S4 Spinal System
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Aesculap Implant Systems · NKB Thoracolumbosacral Pedicle Screw System
Cleared on Jun 9, 2010 as substantially equivalent to K090657 (Aesculap Implant Systems, 2009) and 6 other predicates after a 97-day review. Its family tree reaches back 7 generations to 1998. 92 later devices descend from it. It has been recalled once.
- Decided
- Jun 9, 2010
- Review
- 97 days
- Class
- Class II
- Product code
- NKB
- Recalls
- 1
- Predicates
- 7
Its longest line of descent runs back 7 generations to K980447 (1998). 63 ancestors in all, the oldest K933881 (1994). 92 later devices descend from it, 5 citing it directly.
- Root · 7 generations backK980447 Depuy Motech Moss Miami Spinal SystemDePuy Orthopaedics, Inc. · 1998
- 6 generations backK013558 Blackstone Spinal Fixation System 4.5MM Mono-Axial ScrewBlackstone Medical, Inc. · 2002
- 5 generations backK022399 Blackstone Spinal Fixation System SpacerBlackstone Medical, Inc. · 2002
- 4 generations backK030241 Modification to Blackstone Spinal Fixation SystemBlackstone Medical, Inc. · 2003
- 3 generations backK080407 Blackstone SFS Parallel Rod ConnectorsBlackstone Medical, Inc. · 2008 · Recalled
- 2 generations backK081684 Blackstone Pedicle Screw SystemBlackstone Medical, Inc. · 2008 · Recalled
- 1 generation backK082797 Blackstone Pedicle Screw SystemBlackstone Medical, Inc. · 2008
- This deviceK100623 Aesculap Implant Systems S4 Spinal SystemAesculap Implant Systems · 2010
- Descendant · cites it directly · 61 of its ownK112551 S4 Spinal SystemAesculap Implant System, Inc. · 2011
- Descendant · 2 generations on · 51 of its ownK123352 S4 Spinal SystemAesculap Implant Systems, Inc. · 2012
- Descendant · 2 generations on · 44 of its ownK130291 S4 Spinal SystemAesculap Implant System, Inc. · 2013
- Descendant · 3 generations on · 39 of its ownK182377 CarboClear® Pedicle Screw SystemCarboFix Orthopedics, Ltd. · 2018
- Descendant · 4 generations on · 29 of its ownK190545 VADER® one Pedicle System MIS and LightMore® Pedicle System 6.0Icotec AG · 2019 · Recalled
Showing 5 of 92 descendants. See all descendants
Descendants cleared per year
Most influential descendants
Showing 5 of 92 · See all- K112551S4 Spinal SystemAesculap Implant System, Inc. · 2011 · cites it directly61descendants
- K123352S4 Spinal SystemAesculap Implant Systems, Inc. · 2012 · 2 generations on51descendants
- K130291S4 Spinal SystemAesculap Implant System, Inc. · 2013 · 2 generations on44descendants
- K182377CarboClear® Pedicle Screw SystemCarboFix Orthopedics, Ltd. · 2018 · 3 generations on39descendants
- K190545VADER® one Pedicle System MIS and LightMore® Pedicle System 6.0Icotec AG · 2019 · 4 generations on29descendants
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −7 | K980447 | Depuy Motech Moss Miami Spinal System | DePuy Orthopaedics, Inc. | 1998 | — |
| −6 | K013558 | Blackstone Spinal Fixation System 4.5MM Mono-Axial Screw | Blackstone Medical, Inc. | 2002 | — |
| −5 | K022399 | Blackstone Spinal Fixation System Spacer | Blackstone Medical, Inc. | 2002 | — |
| −4 | K030241 | Modification to Blackstone Spinal Fixation System | Blackstone Medical, Inc. | 2003 | — |
| −3 | K080407 | Blackstone SFS Parallel Rod Connectors | Blackstone Medical, Inc. | 2008 | 1 |
| −2 | K081684 | Blackstone Pedicle Screw System | Blackstone Medical, Inc. | 2008 | 3 |
| −1 | K082797 | Blackstone Pedicle Screw System | Blackstone Medical, Inc. | 2008 | — |
| 0 (this device) | K100623 | Aesculap Implant Systems S4 Spinal System | Aesculap Implant Systems | 2010 | — |
| +1 | K112551 | S4 Spinal System | Aesculap Implant System, Inc. | 2011 | — |
| +2 | K123352 | S4 Spinal System | Aesculap Implant Systems, Inc. | 2012 | — |
| +2 | K130291 | S4 Spinal System | Aesculap Implant System, Inc. | 2013 | — |
| +3 | K182377 | CarboClear® Pedicle Screw System | CarboFix Orthopedics, Ltd. | 2018 | — |
| +4 | K190545 | VADER® one Pedicle System MIS and LightMore® Pedicle System 6.0 | Icotec AG | 2019 | 1 |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1994 | 1 | 0 |
| 1995 | 1 | 0 |
| 1996 | 1 | 0 |
| 1997 | 1 | 0 |
| 1998 | 2 | 0 |
| 1999 | 2 | 0 |
| 2000 | 3 | 0 |
| 2001 | 4 | 0 |
| 2002 | 5 | 0 |
| 2003 | 8 | 0 |
| 2004 | 5 | 0 |
| 2005 | 7 | 0 |
| 2006 | 5 | 0 |
| 2007 | 5 | 0 |
| 2008 | 3 | 0 |
| 2009 | 3 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2011 | 1 | 0 |
| 2012 | 3 | 0 |
| 2013 | 5 | 0 |
| 2014 | 1 | 0 |
| 2015 | 2 | 0 |
| 2016 | 4 | 0 |
| 2017 | 12 | 0 |
| 2018 | 4 | 0 |
| 2019 | 6 | 0 |
| 2020 | 8 | 0 |
| 2021 | 3 | 0 |
| 2022 | 1 | 0 |
| 2023 | 14 | 0 |
| 2024 | 12 | 0 |
| 2025 | 10 | 0 |
| 2026 | 6 | 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? (7)
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 |
|---|---|---|---|
| * | K090657 | Modification to: S4 Spinal SystemSummary page 1…to the 54 Spinal System. SUBSTANTIAL EQUIVALENCE Aesculap® Implant Systems, Inc. believes that the 54 Spinal System is substantially equivalent to the 54 Spinal System (K090657/K071945/K062085/K032219), Blackstone Pedicle Screw System (K082797), Stryker XIA 3 Spinal System (K083393), and the Depuy Expediu… | 2009 |
| * | K071945 | S4 Spinal SystemSummary page 1…4 Spinal System. SUBSTANTIAL EQUIVALENCE Aesculap® Implant Systems, Inc. believes that the 54 Spinal System is substantially equivalent to the 54 Spinal System (K090657/K071945/K062085/K032219), Blackstone Pedicle Screw System (K082797), Stryker XIA 3 Spinal System (K083393), and the Depuy Expedium Spine… | 2007 |
| * | K062085 | S4 Spinal SystemSummary page 1…System. SUBSTANTIAL EQUIVALENCE Aesculap® Implant Systems, Inc. believes that the 54 Spinal System is substantially equivalent to the 54 Spinal System (K090657/K071945/K062085/K032219), Blackstone Pedicle Screw System (K082797), Stryker XIA 3 Spinal System (K083393), and the Depuy Expedium Spine System (… | 2007 |
| * | K032219 | Revolution Spinal Fixation SystemSummary page 1…SUBSTANTIAL EQUIVALENCE Aesculap® Implant Systems, Inc. believes that the 54 Spinal System is substantially equivalent to the 54 Spinal System (K090657/K071945/K062085/K032219), Blackstone Pedicle Screw System (K082797), Stryker XIA 3 Spinal System (K083393), and the Depuy Expedium Spine System (K090230)… | 2003 |
| * | K082797 | Blackstone Pedicle Screw SystemSummary page 1…Systems, Inc. believes that the 54 Spinal System is substantially equivalent to the 54 Spinal System (K090657/K071945/K062085/K032219), Blackstone Pedicle Screw System (K082797), Stryker XIA 3 Spinal System (K083393), and the Depuy Expedium Spine System (K090230). DEVICE DESCRIPTION The S4 Spinal System… | 2008 |
| * | K083393 | Xia 3 Spinal SystemSummary page 1…nal System is substantially equivalent to the 54 Spinal System (K090657/K071945/K062085/K032219), Blackstone Pedicle Screw System (K082797), Stryker XIA 3 Spinal System (K083393), and the Depuy Expedium Spine System (K090230). DEVICE DESCRIPTION The S4 Spinal System consists of polyaxial screws and monoax… | 2009 |
| * | K090230 | Expedium Spine SystemSummary page 1…4 Spinal System (K090657/K071945/K062085/K032219), Blackstone Pedicle Screw System (K082797), Stryker XIA 3 Spinal System (K083393), and the Depuy Expedium Spine System (K090230). DEVICE DESCRIPTION The S4 Spinal System consists of polyaxial screws and monoaxial screws of varying diameters and lengths, va… | 2009 |
What descends from it? (92)
See all 925 later devices cite it directly; ranked here by how many devices descend from each in turn.
Has anything in its family been recalled? (0 Class I)
Recalls of this device
| Date | Class | Recall | Root cause | Reason |
|---|---|---|---|---|
| Jul 25, 2012 | Class II | Z-2333-2012 | Nonconforming Material/Component | There is a possibility that the screw channel that holds the rod in place may be out of tolerance. When the depth of the channel is not deep enough, the rod may not be able to provide ample compression on the insert preventing the screw… |
No ancestor or descendant has a Class I recall.
What does this lineage say?
- The line of descent spans 12 years and passes through 3 companies; a new generation was cleared every 7 months on median.
- 8 of the 63 ancestors have a recall of any class.
- Of its descendants, K112551 (Aesculap Implant System, Inc., 2011) has gone furthest, with 61 descendants of its own.
- 3 other devices also cite its predicate K090657.
How does its category compare?
All NKB devicesNKB Thoracolumbosacral Pedicle Screw System: FDA decisions, review times, recalls and adverse event reports over 20 years. 2010, 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 S4 Spinal System is intended for anterior/anterolateral and posterior, non-cervical pedicle and non-pedicle fixation. Fixation is limited to skeletally mature patients and is intended to be used as an adjunct to fusion using autograft or allograft. The device is indicated for treatment of the following acute and chronic instabilities or deformities: 1) degenerative disc disease (defined as discogenic back pain with degeneration of the disc confirmed…
Read the full statement (101 words)
The S4 Spinal System is intended for anterior/anterolateral and posterior, non-cervical pedicle and non-pedicle fixation. Fixation is limited to skeletally mature patients and is intended to be used as an adjunct to fusion using autograft or allograft. The device is indicated for treatment of the following acute and chronic instabilities or deformities:
1) degenerative disc disease (defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies)
2) spondylolisthesis,
3) trauma (i.e., fracture or dislocation),
4) spinal stenosis,
5) deformities or curvatures (i.e., scoliosis, kyphosis, and/or lordosis),
6) tumor,
7) pseudoarthrosis, and
8) failed previous fusion.
Indications for use as stated in the FDA summary.
https://510kreport.com/device/K100623 · printed Nov 3, 2026
Cite this page
510(k) Report. “K100623: Aesculap Implant Systems S4 Spinal System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K100623
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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