510(k) Report

510(k) · Cleared

Recalled · Class II · 2015

Expedium Spine System

K101070510(k) TraditionalCleared Aug 31, 2010137-day reviewClass II21 CFR 888.3070Recalls 1

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

Medos International SARL · NKB Thoracolumbosacral Pedicle Screw System

Cleared on Aug 31, 2010 as substantially equivalent to K092473 (Depuy Spine, Inc., 2009) and 11 other predicates after a 137-day review. Its family tree reaches back 12 generations to 1985. 1 of the 338 devices in its family, counting itself, has a Class I recall. 260 later devices descend from it. It has been recalled once.

Decided
Aug 31, 2010
Review
137 days
Class
Class II
Product code
NKB
Recalls
1
Predicates
12

Its longest line of descent runs back 12 generations to K853033 (1985). 77 ancestors in all. 260 later devices descend from it, 5 citing it directly. 1 of the 338 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2009: 2 other ancestors2007: 4 other ancestors2003: 6 other ancestors2001: 9 other ancestors1999: 7 other ancestors1998: 4 other ancestors2008: 4 other ancestors2006: 3 other ancestors2005: 6 other ancestors2004: 5 other ancestors2002: 4 other ancestors1997: 2 other ancestors1996: 3 other ancestors1995: 3 other ancestors1994: 1 other ancestor2000: 2 other ancestors2013: 5 descendants cleared2018: 14 descendants cleared2012: 1 descendant cleared2017: 5 descendants cleared2014: 6 descendants cleared2023: 35 descendants cleared2021: 15 descendants cleared, 1 with a Class I recall12015: 9 descendants cleared2024: 41 descendants cleared2019: 14 descendants cleared2025: 36 descendants cleared2026: 31 descendants cleared2020: 19 descendants cleared2016: 5 descendants cleared2022: 24 descendants clearedK853033 · Hartshill Rect & Wires, Spinal Fixation System · A.W. Showell (Surgicraft), Ltd. · 1985K965221 · Ransford Cervical Fixation System · Surgicraft, Ltd. · 1997K982322 · Synthes Spine Occipital-Cervical Plate/Rod and Hook System · Synthes (Usa) · 1998K002733 · Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2000K013222 · Summit Occipito-Cervico- Thoracic (Oct) Spinal System · Depuyacromed · 2001K022190 · Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2002K030103 · Summit Oct Spinal System Minipolyaxial Screws · Depuyacromed · 2003K041203 · Summit Oct Spinal System · Depuy Spine, Inc. · 2004×3: 3 generations cleared close together, K062174 (2006), K063156 (2006), K063741 (2007) K080313 · Modification to Expedium Spine System · Depuy Spine, Inc. · 20081990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 10 other ancestors2 generations back: 24 other ancestors3 generations back: 14 other ancestors4 generations back: 11 other ancestors5 generations back: 4 other ancestors6 generations back: 2 other ancestors 1 generation forward: 5 descendants2 generations forward: 17 descendants3 generations forward: 43 descendants4 generations forward: 67 descendants, 1 with a Class I recall15 generations forward: 47 descendants6 generations forward: 32 descendants7 generations forward: 22 descendants8 generations forward: 19 descendants9 generations forward: 8 descendants K080313 · Modification to Expedium Spine System · Depuy Spine, Inc. · 2008K063741 · Expedium Spine System · Depuy Spine, Inc. · 2007K063156 · Modification to Expedium Spine System · Depuy Spine, Inc. · 2006K062174 · Modification to Expedium Spine System · Depuy Spine, Inc. · 2006K041203 · Summit Oct Spinal System · Depuy Spine, Inc. · 2004K030103 · Summit Oct Spinal System Minipolyaxial Screws · Depuyacromed · 2003K022190 · Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2002K013222 · Summit Occipito-Cervico- Thoracic (Oct) Spinal System · Depuyacromed · 2001K002733 · Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2000K982322 · Synthes Spine Occipital-Cervical Plate/Rod and Hook System · Synthes (Usa) · 1998K965221 · Ransford Cervical Fixation System · Surgicraft, Ltd. · 1997K853033 · Hartshill Rect & Wires, Spinal Fixation System · A.W. Showell (Surgicraft), Ltd. · 1985−10−50+5
  1. Root · 12 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 8 generations between
  3. 3 generations backK063156 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2006
  4. 2 generations backK063741 Expedium Spine SystemDepuy Spine, Inc. · 2007
  5. 1 generation backK080313 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2008
  6. This deviceK101070 Expedium Spine SystemMedos International SARL · 2010
  7. Descendant · cites it directly · 225 of its ownK122226 Revere Stabilization SystemGlobus Medical, Inc. · 2012
  8. Descendant · 2 generations on · 172 of its ownK124058 Creo Stabilization SystemGlobus Medical, Inc. · 2013
  9. Descendant · 3 generations on · 158 of its ownK143633 CREO Stabilization SystemGlobus Medical, Inc. · 2015
  10. Descendant · 2 generations on · 97 of its ownK123783 Ellipse Occipito-Cerico-Thoracic Spinal System and Capitol ImplantsGlobus Medical, Inc. · 2013
  11. Descendant · 3 generations on · 96 of its ownK150552 ELLIPSE and PROTEX CT OCCIPITO-CERVICO-THORACIC SPINAL SYSTEMSGlobus Medical, Inc. · 2015 · Recalled
Show all 12 generations
  1. Root · 12 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 11 generations backK965221 Ransford Cervical Fixation SystemSurgicraft, Ltd. · 1997
  3. 10 generations backK982322 Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa) · 1998
  4. 9 generations backK002733 Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2000
  5. 8 generations backK013222 Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed · 2001
  6. 7 generations backK022190 Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2002
  7. 6 generations backK030103 Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed · 2003
  8. 5 generations backK041203 Summit Oct Spinal SystemDepuy Spine, Inc. · 2004
  9. 4 generations backK062174 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2006
  10. 3 generations backK063156 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2006
  11. 2 generations backK063741 Expedium Spine SystemDepuy Spine, Inc. · 2007
  12. 1 generation backK080313 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2008
  13. This deviceK101070 Expedium Spine SystemMedos International SARL · 2010

Showing 5 of 260 descendants. See all descendants

Descendants cleared per year

2012: 12013: 52014: 62015: 92016: 52017: 52018: 142019: 142020: 192021: 152022: 242023: 352024: 412025: 362026: 31
2012high 41 (2024) · low 1 (2012)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 260 · See all
  • K122226Revere Stabilization SystemGlobus Medical, Inc. · 2012 · cites it directly225descendants
  • K124058Creo Stabilization SystemGlobus Medical, Inc. · 2013 · 2 generations on172descendants
  • K143633CREO Stabilization SystemGlobus Medical, Inc. · 2015 · 3 generations on158descendants
  • K123783Ellipse Occipito-Cerico-Thoracic Spinal System and Capitol ImplantsGlobus Medical, Inc. · 2013 · 2 generations on97descendants
  • K150552ELLIPSE and PROTEX CT OCCIPITO-CERVICO-THORACIC SPINAL SYSTEMSGlobus Medical, Inc. · 2015 · 3 generations on96descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K853033Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd.1985—
−11K965221Ransford Cervical Fixation SystemSurgicraft, Ltd.1997—
−10K982322Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa)1998—
−9K002733Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2000—
−8K013222Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed2001—
−7K022190Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2002—
−6K030103Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed2003—
−5K041203Summit Oct Spinal SystemDepuy Spine, Inc.2004—
−4K062174Modification to Expedium Spine SystemDepuy Spine, Inc.2006—
−3K063156Modification to Expedium Spine SystemDepuy Spine, Inc.2006—
−2K063741Expedium Spine SystemDepuy Spine, Inc.2007—
−1K080313Modification to Expedium Spine SystemDepuy Spine, Inc.2008—
0 (this device)K101070Expedium Spine SystemMedos International SARL2010—
+1K122226Revere Stabilization SystemGlobus Medical, Inc.2012—
+2K124058Creo Stabilization SystemGlobus Medical, Inc.2013—
+3K143633CREO Stabilization SystemGlobus Medical, Inc.2015—
+2K123783Ellipse Occipito-Cerico-Thoracic Spinal System and Capitol ImplantsGlobus Medical, Inc.2013—
+3K150552ELLIPSE and PROTEX CT OCCIPITO-CERVICO-THORACIC SPINAL SYSTEMSGlobus Medical, Inc.20151

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199410
199530
199630
199720
199840
199970
200020
200190
200240
200360
200450
200560
200630
200740
200840
200920

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201210
201350
201460
201590
201650
201750
2018140
2019140
2020190
2021151
2022240
2023350
2024410
2025360
2026310
FIG. 1 — Lineage of K101070, 1985–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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.

1 device in this family has a Class I recall. 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? (12)

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
*K092473Expedium Spine System
Summary page 3
…rade titanium alloy, and ASTM F 562 implant grade cobalt-nickel-Chro01miumii-moiybdenumi alloy. Predicate Devices: EXPEDIUM Spine System - K092473. K,109023)0. K080313I' K062l74, and K071495 ISOLA System - K013)44 1, K0 10972. a…
Depuy Spine, Inc.2009—
*K090230Expedium Spine SystemDepuy Spine, Inc.2009—
*K080313Modification to Expedium Spine System
Summary page 3
…and ASTM F 562 implant grade cobalt-nickel-Chro01miumii-moiybdenumi alloy. Predicate Devices: EXPEDIUM Spine System - K092473. K,109023)0. K080313I' K062l74, and K071495 ISOLA System - K013)44 1, K0 10972. and K980485…
Depuy Spine, Inc.2008—
*K062174Modification to Expedium Spine SystemDepuy Spine, Inc.2006—
*K071495Expedium 4.5MM Spine System
Summary page 3
…grade cobalt-nickel-Chro01miumii-moiybdenumi alloy. Predicate Devices: EXPEDIUM Spine System - K092473. K,109023)0. K080313I' K062l74, and K071495 ISOLA System - K013)44 1, K0 10972. and K980485 MONARCH Spine System - K024348 an…
Depuy Spine, A Johnson & Johnson Company2007—
*K013441Isola Polyaxial WasherDepuyacromed2001—
*K010972Isola Band Clamp
Summary page 3
…icate Devices: EXPEDIUM Spine System - K092473. K,109023)0. K080313I' K062l74, and K071495 ISOLA System - K013)44 1, K0 10972. and K980485 MONARCH Spine System - K024348 and K0 10576 VSP System - K9843 50…
Depuyacromed2001—
*K980485Isola Spinal System
Summary page 3
…EXPEDIUM Spine System - K092473. K,109023)0. K080313I' K062l74, and K071495 ISOLA System - K013)44 1, K0 10972. and K980485 MONARCH Spine System - K024348 and K0 10576 VSP System - K9843 50…
Acromed Corp.1998—
*K024348Monarch Spine System
Summary page 3
…313I' K062l74, and K071495 ISOLA System - K013)44 1, K0 10972. and K980485 MONARCH Spine System - K024348 and K0 10576 VSP System - K9843 50 TJMX System - K98 1274 Summary of Technologica…
Depuyacromed2003—
*K010576Monarch Spine System
Summary page 3
…K062l74, and K071495 ISOLA System - K013)44 1, K0 10972. and K980485 MONARCH Spine System - K024348 and K0 10576 VSP System - K9843 50 TJMX System - K98 1274 Summary of Technological Differences…
Depuyacromed2001—
*K984350VSP System
Summary page 3
…ISOLA System - K013)44 1, K0 10972. and K980485 MONARCH Spine System - K024348 and K0 10576 VSP System - K9843 50 TJMX System - K98 1274 Summary of Technological Differences: The purpose of this submission is…
Depuy Motech Acromed1999—
*K981274Acromed Timx Plate Based Low Back System
Summary page 3
…0972. and K980485 MONARCH Spine System - K024348 and K0 10576 VSP System - K9843 50 TJMX System - K98 1274 Summary of Technological Differences: The purpose of this submission is to obtain market clearance for…
Acromed Corp.1998—

Also cleared against K092473: 1 other device →

What descends from it? (260)

See all 260

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

NumberDeviceApplicantDecidedDescendants
K122226Revere Stabilization SystemGlobus Medical, Inc.2012225
K131250Tiger Spine SystemCorelink, LLC201340
K173508Everest Spinal SystemK2m20189
K130877Expedium Spine SystemMedos International SARL20138
K170861PremierShandong Weigao Orthopaedic Device Co., Ltd.20170

Has anything in its family been recalled? (1 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Apr 21, 2015Class IIZ-1674-2015Process designDevice does not mate as intended.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K211616ExcelsiusHubGlobus Medical, Inc. · 2021 · 4 generations on · ◆ in the 2021 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 25 years and passes through 6 companies; a new generation was cleared every 1.3 years on median.
  • 2 of the 77 ancestors have a recall of any class.
  • Of its descendants, K122226 (Globus Medical, Inc., 2012) has gone furthest, with 225 descendants of its own.
  • 1 other device also cites its predicate K092473.

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 EXPEDIUM Spine System is intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of acute and chronic instabilities or deformities of the thoracic, lumbar and sacral spine. The EXPEDIUM Spine System is intended for noncervical pedicle fixation and nonpedicle fixation for the following indications: degenerative disc disease (defined as back pain of discogenic origin…

Read the full statement (102 words)

The EXPEDIUM Spine System is intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of acute and chronic instabilities or deformities of the thoracic, lumbar and sacral spine.

The EXPEDIUM Spine System is intended for noncervical pedicle fixation and nonpedicle fixation 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 in skeletally mature patients.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K101070: Expedium Spine System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K101070

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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