510(k) Report

510(k) · Cleared

Cleared

Modification to: Trio+Spinal Fixation System

K100737510(k) SpecialCleared Apr 12, 201028-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

Stryker Spine · NKB Thoracolumbosacral Pedicle Screw System

Cleared on Apr 12, 2010 as substantially equivalent to K052971 (Stryker Spine, 2005) and 4 other predicates after a 28-day review. Its family tree reaches back 5 generations to 1995. 86 later devices descend from it.

Decided
Apr 12, 2010
Review
28 days
Class
Class II
Product code
NKB
Recalls
None
Predicates
5

Its longest line of descent runs back 5 generations to K950697 (1995). 21 ancestors in all. 86 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2006: 1 other ancestor2005: 4 other ancestors2002: 3 other ancestors2003: 3 other ancestors2001: 2 other ancestors1995: 1 other ancestor2000: 1 other ancestor1997: 1 other ancestor2011: 1 descendant cleared2013: 1 descendant cleared2017: 5 descendants cleared2015: 2 descendants cleared2014: 1 descendant cleared2023: 15 descendants cleared2018: 7 descendants cleared2020: 7 descendants cleared2024: 16 descendants cleared2021: 2 descendants cleared2019: 3 descendants cleared2022: 6 descendants cleared2016: 1 descendant cleared2026: 9 descendants cleared2025: 10 descendants clearedK950697 · Depuy Motech Moss Miami Spinal System - Pedicle Fixation · Depuy Motech · 1995×2: 2 generations cleared close together, K050461 (2005), K052761 (2005) K060361 · Xia Spinal System, Xia 4.5 Spinal System · Stryker Spine · 2006 · recalledK070368 · Trio Plate System, Trio Spinal Fixation System, Trio+ Spinal System · Stryker Corp. · 20071995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 4 other ancestors2 generations back: 6 other ancestors3 generations back: 5 other ancestors4 generations back: 1 other ancestor 1 generation forward: 2 descendants2 generations forward: 4 descendants3 generations forward: 21 descendants4 generations forward: 24 descendants5 generations forward: 16 descendants6 generations forward: 10 descendants7 generations forward: 6 descendants8 generations forward: 3 descendants K070368 · Trio Plate System, Trio Spinal Fixation System, Trio+ Spinal System · Stryker Corp. · 2007K060361 · Xia Spinal System, Xia 4.5 Spinal System · Stryker Spine · 2006 · recalledK052761 · Modification to: Xia 4.5 Spinal System · Stryker Spine · 2005K050461 · Xia 4.5 Spinal System · Stryker Spine · 2005K950697 · Depuy Motech Moss Miami Spinal System - Pedicle Fixation · Depuy Motech · 1995−50+5
  1. Root · 5 generations backK950697 Depuy Motech Moss Miami Spinal System - Pedicle FixationDepuy Motech · 1995
  2. 4 generations backK050461 Xia 4.5 Spinal SystemStryker Spine · 2005
  3. 3 generations backK052761 Modification to: Xia 4.5 Spinal SystemStryker Spine · 2005
  4. 2 generations backK060361 Xia Spinal System, Xia 4.5 Spinal SystemStryker Spine · 2006 · Recalled
  5. 1 generation backK070368 Trio Plate System, Trio Spinal Fixation System, Trio+ Spinal SystemStryker Corp. · 2007
  6. This deviceK100737 Modification to: Trio+Spinal Fixation SystemStryker Spine · 2010
  7. Descendant · cites it directly · 85 of its ownK103292 Trio Trauma Spinal SystemStryker Corporation · 2011
  8. Descendant · cites it directly · 84 of its ownK133188 Mantis & Mantis Redux Spinal System, Radius Spinal System, Trio &…Stryker Spine · 2013
  9. Descendant · 2 generations on · 83 of its ownK142381 Xia 3 Spinal SystemStryker Corp. · 2014
  10. Descendant · 2 generations on · 31 of its ownK152632 XIA 4.5 Spinal Fixation System, Power Adaaptor Instrument AccessoryStryker Corporation · 2015
  11. Descendant · 3 generations on · 15 of its ownK170496 Xia® 3 Spinal System, Stryker Spine Power Adaptor Instrument AccessoryStryker Corporation · 2017 · Recalled

Showing 5 of 86 descendants. See all descendants

Descendants cleared per year

2011: 12013: 12014: 12015: 22016: 12017: 52018: 72019: 32020: 72021: 22022: 62023: 152024: 162025: 102026: 9
2011high 16 (2024) · low 0 (2012)2026

Most influential descendants

Showing 5 of 86 · See all
  • K103292Trio Trauma Spinal SystemStryker Corporation · 2011 · cites it directly85descendants
  • 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
  • K152632XIA 4.5 Spinal Fixation System, Power Adaaptor Instrument AccessoryStryker Corporation · 2015 · 2 generations on31descendants
  • K170496Xia® 3 Spinal System, Stryker Spine Power Adaptor Instrument AccessoryStryker Corporation · 2017 · 3 generations on15descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K950697Depuy Motech Moss Miami Spinal System - Pedicle FixationDepuy Motech1995—
−4K050461Xia 4.5 Spinal SystemStryker Spine2005—
−3K052761Modification to: Xia 4.5 Spinal SystemStryker Spine2005—
−2K060361Xia Spinal System, Xia 4.5 Spinal SystemStryker Spine20061
−1K070368Trio Plate System, Trio Spinal Fixation System, Trio+ Spinal SystemStryker Corp.2007—
0 (this device)K100737Modification to: Trio+Spinal Fixation SystemStryker Spine2010—
+1K103292Trio Trauma Spinal SystemStryker Corporation2011—
+1K133188Mantis & Mantis Redux Spinal System, Radius Spinal System, Trio & Trio+ Spinal…Stryker Spine2013—
+2K142381Xia 3 Spinal SystemStryker Corp.2014—
+2K152632XIA 4.5 Spinal Fixation System, Power Adaaptor Instrument AccessoryStryker Corporation2015—
+3K170496Xia® 3 Spinal System, Stryker Spine Power Adaptor Instrument AccessoryStryker Corporation20171

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199510
199710
200010
200120
200230
200330
200540
200610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201110
201310
201410
201520
201610
201750
201870
201930
202070
202120
202260
2023150
2024160
2025100
202690
FIG. 1 — Lineage of K100737, 1995–2026Source: 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 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. #1 K223494 CD Horizon Spinal Systemscore 40.4 · 30 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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
*K052971Stryker Spine Trio Spinal Fixation System
Summary page 1
…om Date Summary Prepared: April 9, 2010 Predicate Devices * Stryker Spine TRIO Spinal Fixation System, K052971; * Stryker Spine TRIO and TRIO+ Spinal Systems,…
Stryker Spine20052
*K062698Trio + Spinal System
Summary page 1
…stem, K052971; * Stryker Spine TRIO and TRIO+ Spinal Systems, K062698, K070368. * Medtronic Sofamor Danek TSRH Spinal System,…
Stryker Spine20062
*K070368Trio Plate System, Trio Spinal Fixation System, Trio+ Spinal System
Summary page 1
…2971; * Stryker Spine TRIO and TRIO+ Spinal Systems, K062698, K070368. * Medtronic Sofamor Danek TSRH Spinal System,…
Stryker Corp.2007—
*K020699TSRH Spinal System
Summary page 1
…62698, K070368. * Medtronic Sofamor Danek TSRH Spinal System, K020699, K02I1170.…
Medtronic Sofamor Danek, Inc.2002—
*K021170TSRH Spinal SystemMedtronic Sofamor Danek USA, Inc.2002—

Also cleared against K052971: 5 other devices →

What descends from it? (86)

See all 86

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K103292Trio Trauma Spinal SystemStryker Corporation201185
K133188Mantis & Mantis Redux Spinal System, Radius Spinal System, Trio & Trio+ Spinal Fixation…Stryker Spine201384

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 15 years and passes through 3 companies; a new generation was cleared every 1.2 years on median.
  • 4 of the 21 ancestors have a recall of any class.
  • Of its descendants, K103292 (Stryker Corporation, 2011) has gone furthest, with 85 descendants of its own.
  • 5 other devices also cite its predicate K052971.

How does its category compare?

All NKB devices

NKB 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

2007: 382008: 362009: 442010: 372011: 482012: 602013: 352014: 462015: 552016: 502017: 632018: 562019: 392020: 482021: 322022: 342023: 442024: 392025: 242026 (partial year): 30
2007high 63 (2017) · low 24 (2025)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NKB

61in 2025

2007: 87 days median2008: 59 days median2009: 71 days median2010: 111 days median2011: 84 days median2012: 79 days median2013: 73 days median2014: 90 days median2015: 90 days median2016: 84 days median2017: 69 days median2018: 61 days median2019: 84 days median2020: 68 days median2021: 61 days median2022: 88 days median2023: 72 days median2024: 57 days median2025: 61 days median2026 (partial year): 91 days median
2007high 111 (2010) · low 57 (2024)2026

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

Recalls per year · NKB

1in 2025

2007: 42008: 52009: 332010: 42011: 32012: 132014: 3, 1 Class I2015: 32016: 12017: 12018: 32019: 12020: 12022: 52023: 22024: 32025: 12026 (partial year): 3
2007high 33 (2009) · low 0 (2013)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · NKB

1,171in 2025

2007: 342008: 822009: 1712010: 4622011: 5772012: 1,7472013: 1,9622014: 1,6712015: 1,4462016: 1,5852017: 1,6182018: 1,6842019: 1,9152020: 2,0762021: 1,7452022: 1,3392023: 9192024: 1,6142025: 1,171
2007high 2,076 (2020) · low 34 (2007)2025

MAUDE reports naming product code NKB, 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
20073887434
20083659582
2009447133171
2010371114462
201148843577
20126079131,747
2013357301,962
201446903 (1)1,671
2015559031,446
2016508411,585
2017636911,618
2018566131,684
2019398411,915
2020486812,076
2021326101,745
2022348851,339
202344722919
2024395731,614
2025246111,171
202630913—

What is it indicated for?

The Stryker Spine TRIO+ Spinal Fixation System is intended for posterior, noncervical pedicle and nonpedicle fixation of the spine to provide immobilization and stabilization of spinal segments 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…

Read the full statement (114 words)

The Stryker Spine TRIO+ Spinal Fixation System is intended for posterior, noncervical pedicle and nonpedicle fixation of the spine to provide immobilization and stabilization of spinal segments 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 TRIO+ Spinal Fixation System is intended to be used in conjunction with the OSS/DIAPASON or Opus Rods, Xia pre-bent rods and the Multi-Axia Cross Connector.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K100737: Modification to: Trio+Spinal Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K100737

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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