510(k) Report

510(k) · Cleared

Recalled · Class II · 2012

Viper System, Expedium System

K101993510(k) SpecialCleared Dec 7, 2010145-day reviewClass II21 CFR 888.3070Recalls 8

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

Depuy Spine, Inc. · NKB Thoracolumbosacral Pedicle Screw System

Cleared on Dec 7, 2010 as substantially equivalent to K033901 (Depuy Spine, Inc., 2004) and 5 other predicates after a 145-day review. Its family tree reaches back 12 generations to 1985. 162 later devices descend from it. It has been recalled 8 times.

Decided
Dec 7, 2010
Review
145 days
Class
Class II
Product code
NKB
Recalls
8
Predicates
6

Its longest line of descent runs back 12 generations to K853033 (1985). 68 ancestors in all. 162 later devices descend from it, 6 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2009: 1 other ancestor2005: 6 other ancestors2004: 6 other ancestors2008: 3 other ancestors2007: 3 other ancestors2006: 4 other ancestors1998: 4 other ancestors1997: 1 other ancestor1994: 1 other ancestor2003: 5 other ancestors2002: 3 other ancestors2001: 6 other ancestors1995: 3 other ancestors1999: 6 other ancestors1996: 2 other ancestors2000: 2 other ancestors2014: 1 descendant cleared2011: 1 descendant cleared2019: 9 descendants cleared2017: 5 descendants cleared2013: 1 descendant cleared2012: 3 descendants cleared2018: 10 descendants cleared2021: 8 descendants cleared2015: 5 descendants cleared2016: 4 descendants cleared2020: 9 descendants cleared2025: 24 descendants cleared2023: 25 descendants cleared2022: 13 descendants cleared2024: 24 descendants cleared2026: 20 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: 3 other ancestors2 generations back: 9 other ancestors3 generations back: 12 other ancestors4 generations back: 14 other ancestors5 generations back: 10 other ancestors6 generations back: 6 other ancestors7 generations back: 2 other ancestors 1 generation forward: 6 descendants2 generations forward: 24 descendants3 generations forward: 33 descendants4 generations forward: 22 descendants5 generations forward: 23 descendants6 generations forward: 14 descendants7 generations forward: 21 descendants8 generations forward: 18 descendants9 generations forward: 1 descendant 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 deviceK101993 Viper System, Expedium SystemDepuy Spine, Inc. · 2010
  7. Descendant · cites it directly · 139 of its ownK131802 Expedium, Viper. Viper 2 Spine SystemDepuy Spine, A Johnson & Johnson Company · 2013
  8. Descendant · 2 generations on · 70 of its ownK181677 Kodiak Spinal Fixation SystemAlphatec Spine, Inc. · 2018
  9. Descendant · 3 generations on · 69 of its ownK192938 Invictus™ Spinal Fixation SystemAlphatec Spine, Inc. · 2019
  10. Descendant · 3 generations on · 61 of its ownK203056 Invictus™ Spinal Fixation SystemAlphatec Spine, Inc. · 2020
  11. Descendant · 4 generations on · 59 of its ownK203742 IdentiTi ALIF Standalone Interbody SystemAlphatec Spine, Inc. · 2021
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 deviceK101993 Viper System, Expedium SystemDepuy Spine, Inc. · 2010

Showing 5 of 162 descendants. See all descendants

Descendants cleared per year

2011: 12012: 32013: 12014: 12015: 52016: 42017: 52018: 102019: 92020: 92021: 82022: 132023: 252024: 242025: 242026: 20
2011high 25 (2023) · low 1 (2011)2026

Most influential descendants

Showing 5 of 162 · See all
  • K131802Expedium, Viper. Viper 2 Spine SystemDepuy Spine, A Johnson & Johnson Company · 2013 · cites it directly139descendants
  • K181677Kodiak Spinal Fixation SystemAlphatec Spine, Inc. · 2018 · 2 generations on70descendants
  • K192938Invictus™ Spinal Fixation SystemAlphatec Spine, Inc. · 2019 · 3 generations on69descendants
  • K203056Invictus™ Spinal Fixation SystemAlphatec Spine, Inc. · 2020 · 3 generations on61descendants
  • K203742IdentiTi ALIF Standalone Interbody SystemAlphatec Spine, Inc. · 2021 · 4 generations on59descendants
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)K101993Viper System, Expedium SystemDepuy Spine, Inc.2010—
+1K131802Expedium, Viper. Viper 2 Spine SystemDepuy Spine, A Johnson & Johnson Company2013—
+2K181677Kodiak Spinal Fixation SystemAlphatec Spine, Inc.2018—
+3K192938Invictus™ Spinal Fixation SystemAlphatec Spine, Inc.2019—
+3K203056Invictus™ Spinal Fixation SystemAlphatec Spine, Inc.2020—
+4K203742IdentiTi ALIF Standalone Interbody SystemAlphatec Spine, Inc.2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199410
199530
199620
199710
199840
199960
200020
200160
200230
200350
200460
200560
200640
200730
200830
200910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201110
201230
201310
201410
201550
201640
201750
2018100
201990
202090
202180
2022130
2023250
2024240
2025240
2026200
FIG. 1 — Lineage of K101993, 1985–2026Source: 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? (6)

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
*K033901Merlin Spine System
Summary page 1
…: 87 Product Code(s): NKB, KWQ, KWP, MM-I, MNI Proprietary Name: EXPEDIUM® Spine System; VIPER® System Predicate Devices: VIPER@ System (K033901, K090648) EXPEDIUJM® Spine System (K033901, K05 1024, K063 156, K063741,…
Depuy Spine, Inc.2004—
*K090648Viper 2 System
Summary page 1
…Product Code(s): NKB, KWQ, KWP, MM-I, MNI Proprietary Name: EXPEDIUM® Spine System; VIPER® System Predicate Devices: VIPER@ System (K033901, K090648) EXPEDIUJM® Spine System (K033901, K05 1024, K063 156, K063741, K080313)…
Depuy Spine, Inc.2009—
*K051024Expedium Spine System
Summary page 1
…me: EXPEDIUM® Spine System; VIPER® System Predicate Devices: VIPER@ System (K033901, K090648) EXPEDIUJM® Spine System (K033901, K05 1024, K063 156, K063741, K080313) Device Description: The subject EXPEDIUM and VIPER Spine System c…
Depuy Spine, Inc.2005—
*K063156Modification to Expedium Spine System
Summary page 1
…PEDIUM® Spine System; VIPER® System Predicate Devices: VIPER@ System (K033901, K090648) EXPEDIUJM® Spine System (K033901, K05 1024, K063 156, K063741, K080313) Device Description: The subject EXPEDIUM and VIPER Spine System components…
Depuy Spine, Inc.2006—
*K063741Expedium Spine System
Summary page 1
…Predicate Devices: VIPER@ System (K033901, K090648) EXPEDIUJM® Spine System (K033901, K05 1024, K063 156, K063741, K080313) Device Description: The subject EXPEDIUM and VIPER Spine System components consist of…
Depuy Spine, Inc.2007—
*K080313Modification to Expedium Spine System
Summary page 1
…icate Devices: VIPER@ System (K033901, K090648) EXPEDIUJM® Spine System (K033901, K05 1024, K063 156, K063741, K080313) Device Description: The subject EXPEDIUM and VIPER Spine System components consist of screws an…
Depuy Spine, Inc.2008—

Also cleared against K033901: 34 other devices →

What descends from it? (162)

See all 162

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

NumberDeviceApplicantDecidedDescendants
K131802Expedium, Viper. Viper 2 Spine SystemDepuy Spine, A Johnson & Johnson Company2013139
K133369Tiger Spine SystemCorelink, LLC201429
K110216Expedium System, Viper SystemDepuy Spine, Inc.20114
K162995Ibis® Pedicle Screw SystemOrtho Development Corporation20173
K121130Polaris Spinal System-Ballista Spinal RodsBiomet Spine20121
K191212CrossOver Cross Connectors, DePuy PULSE Thoracolumbar Screw System, EXPEDIUM Fenestrated…Medos International SARL20190

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Nov 7, 2012Class IIZ-0705-2013Component change controlPolyaxial screws 8x 80 and larger may disassociate when inserting in the Ilium., VIPER large diameter long screws in high-torque circumstances, the screw shank has the potential to separate from the polyaxial head
Nov 7, 2012Class IIZ-0707-2013Component change controlPolyaxial screws 8x 80 and larger may disassociate when inserting in the Ilium., VIPER large diameter long screws in high-torque circumstances, the screw shank has the potential to separate from the polyaxial head
Nov 7, 2012Class IIZ-0706-2013Component change controlPolyaxial screws 8x 80 and larger may disassociate when inserting in the Ilium., VIPER large diameter long screws in high-torque circumstances, the screw shank has the potential to separate from the polyaxial head
Nov 7, 2012Class IIZ-0708-2013Component change controlPolyaxial screws 8x 80 and larger may disassociate when inserting in the Ilium., VIPER large diameter long screws in high-torque circumstances, the screw shank has the potential to separate from the polyaxial head
Nov 7, 2012Class IIZ-0709-2013Component change controlPolyaxial screws 8x 80 and larger may disassociate when inserting in the Ilium., VIPER large diameter long screws in high-torque circumstances, the screw shank has the potential to separate from the polyaxial head
Nov 7, 2012Class IIZ-0710-2013Component change controlPolyaxial screws 8x 80 and larger may disassociate when inserting in the Ilium., VIPER large diameter long screws in high-torque circumstances, the screw shank has the potential to separate from the polyaxial head
Nov 7, 2012Class IIZ-0712-2013Component change controlPolyaxial screws 8x 80 and larger may disassociate when inserting in the Ilium., VIPER large diameter long screws in high-torque circumstances, the screw shank has the potential to separate from the polyaxial head
Nov 7, 2012Class IIZ-0713-2013Component change controlPolyaxial screws 8x 80 and larger may disassociate when inserting in the ilium. VIPER large diameter long screws in high-torque circumstances, the screw shank has the potential to separate from the polyaxial head.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 25 years and passes through 5 companies; a new generation was cleared every 1.3 years on median.
  • 2 of the 68 ancestors have a recall of any class.
  • Of its descendants, K131802 (Depuy Spine, A Johnson & Johnson Company, 2013) has gone furthest, with 139 descendants of its own.
  • 34 other devices also cite its predicate K033901.

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 and VIPER Systems are 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 and VIPER Systems are intended for noncervical pedicle fixation and nonpedicle fixation for the following indications: degenerative disc disease (defined as back pain of…

Read the full statement (174 words)

The EXPEDIUM and VIPER Systems are 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 and VIPER Systems are 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.

When used in a percutaneous approach with MIS Instrumentation, the VIPER Systems are 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; pseudoarthrosis; and failed previous fusion in skeletally mature patients.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K101993: Viper System, Expedium System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K101993

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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