Devices descending from K101993
162 later devices reach Viper System, Expedium System through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +1 | K191212 | CrossOver Cross Connectors, DePuy PULSE Thoracolumbar Screw System, EXPEDIUM Fenestrated… | Medos International SARL | 2019 | 0 | — |
| +1 | K162995 | Ibis® Pedicle Screw System | Ortho Development Corporation | 2017 | 3 | — |
| +1 | K133369 | Tiger Spine System | Corelink, LLC | 2014 | 29 | — |
| +1 | K131802 | Expedium, Viper. Viper 2 Spine System | Depuy Spine, A Johnson & Johnson Company | 2013 | 139 | — |
| +1 | K121130 | Polaris Spinal System-Ballista Spinal Rods | Biomet Spine | 2012 | 1 | — |
| +1 | K110216 | Expedium System, Viper System | Depuy Spine, Inc. | 2011 | 4 | — |
| +2 | K242900 | VADER® Pedicle System and VADER®one Pedicle System | Icotec AG | 2025 | 0 | — |
| +2 | K231494 | CoreLink Robotic Navigation Instruments | Corelink, LLC | 2023 | 0 | — |
| +2 | K212489 | BonOs Inject Bone Cement; NEO Pedicle Screw System | Neo Medical SA | 2021 | 5 | — |
| +2 | K203607 | MOSS VRS Spinal System | Biedermann Motech GmbH & Co. KG | 2021 | 0 | — |
| +2 | K200937 | ACURA Stabilization System | Indius Medical Technologies Pvt., Ltd. | 2020 | 0 | — |
| +2 | K193211 | Nano FortiFix® System | Nanovis Spine, LLC | 2020 | 1 | — |
| +2 | K193219 | G Surgical Marksman System | G Surgical, LLC | 2019 | 1 | — |
| +2 | K192281 | AEGIS Anterior Lumbar Plate System, ALC Dynamized Fixation System, Anterior ISOLA Spine… | Medos International SARL | 2019 | 0 | — |
| +2 | K191932 | Momentum™ Posterior Spinal Fixation System | Ulrich Medical USA | 2019 | 2 | — |
| +2 | K191726 | mont blanc & mont blanc MIS Spinal Systems | Spineway SA | 2019 | 0 | — |
| +2 | K181821 | MOSS VRS Spinal System | Biedermann Motech GmbH & Co. KG | 2018 | 1 | — |
| +2 | K181677 | Kodiak Spinal Fixation System | Alphatec Spine, Inc. | 2018 | 70 | — |
| +2 | K181139 | OLYMPIC Posterior Spinal Fixation System | Astura Medical, LLC | 2018 | 8 | — |
| +2 | K171421 | VERTICALE® Posterior Spinal Fixation System/VERTICALE® System | Silony Medical GmbH | 2018 | 6 | — |
| +2 | K171582 | NEO Pedicle Screw System™ | Neo Medical SA | 2017 | 0 | — |
| +2 | K161225 | Paonan Armstrong Posterior Spinal Fixation System | Paonan Biotech Co., Ltd. | 2017 | 2 | — |
| +2 | K161387 | Mont Blanc and Mont Blanc MIS Spinal Systems | Spineway SA | 2016 | 3 | — |
| +2 | K153453 | Inertia Pedicle Screw and Deformity Correxxion System | Nexxt Spine, LLC | 2016 | 17 | — |
| +2 | K151770 | Libra Pedicle Screw System | Spinal Balance, Inc. | 2015 | 1 | — |
| +2 | K151648 | Altus Spine Pedicle Screw System, Altus Spine MIS Pedicle Screw System, Valencia Pedicle… | Altus Partners, LLC | 2015 | 5 | — |
| +2 | K150417 | Astra Spine System | Spinecraft, LLC | 2015 | 21 | — |
| +2 | K143200 | MIS Z-Pedicle Screw System | Z-Medical GmbH & Co. KG | 2015 | 14 | — |
| +2 | K123451 | Polaris Spinal System - Ballista II Rods | Biomet Spine (Aka Ebi, LLC) | 2012 | 0 | — |
| +2 | K120928 | Synthes Matrix System | Synthes Spine | 2012 | 0 | — |
| +3 | K262828 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2026 | 0 | — |
| +3 | K253045 | “Socko” Vimax Spinal Fixation System | Socko Medical Co., Ltd. | 2026 | 0 | — |
| +3 | K251719 | Momentum® Posterior Spinal Fixation System | Ulrich Medical USA, Inc. | 2025 | 0 | — |
| +3 | K242764 | MediRod Pedicle Screw System | Cmf Medicon Surgical, Inc. | 2024 | 0 | — |
| +3 | K242069 | Eminent Spine Scoliosis Deformity Pedicle Screw System | Eminent Spine | 2024 | 0 | — |
| +3 | K231694 | MASADA Modular Spinal Fixation System | Astura Medical | 2023 | 2 | — |
| +3 | K231809 | Momentum® Posterior Spinal Fixation System with G21 V-STEADY Bone Cement; Momentum® MIS… | Ulrich Medical USA | 2023 | 1 | — |
| +3 | K231658 | VEOS Spinal Fixation System | Spineway | 2023 | 0 | — |
| +3 | K231799 | INERTIA® CONNEXX™ Modular Pedicle Screw System | Nexxt Spine, LLC | 2023 | 0 | — |
| +3 | K223806 | VERTICALE® Triangular Fixation System | Silony Medical GmbH | 2023 | 0 | — |
| +3 | K231636 | LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System, AccelFix Spinal Fixation… | L&K BIOMED Co., Ltd. | 2023 | 2 | — |
| +3 | K230774 | PERLA® TL System; TEKTONA® HV US Bone Cement | Spineart | 2023 | 0 | — |
| +3 | K230245 | LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System; AccelFix Spinal Fixation… | L&K BIOMED Co., Ltd. | 2023 | 3 | — |
| +3 | K230063 | G Surgical Marksman Spinal Deformity System | G Surgical, LLC | 2023 | 0 | — |
| +3 | K223273 | ASTRA Spine System | Spinecraft, LLC | 2022 | 8 | — |
| +3 | K222256 | BonOs® Inject Bone Cement; NEO Pedicle Screw System™ | Neo Medical SA | 2022 | 3 | — |
| +3 | K221332 | OsteoCentric Spine MIS Pedicle Fastener System | OsteoCentric Technologies | 2022 | 1 | — |
| +3 | K221905 | INERTIA CONNEXX Modular Pedicle Screw System | Nexxt Spine, LLC | 2022 | 1 | — |
| +3 | K211935 | ORIO-Ti Intervertebral Body Fusion Cage System | Spinecraft, LLC | 2021 | 0 | — |
| +3 | K211323 | ASTRA Spine System | Spinecraft, LLC | 2021 | 12 | — |
| +3 | K201420 | Republic Spine Dark Star Spinal System | Republic Spine, LLC | 2021 | 2 | — |
| +3 | K203452 | Nano FortiFix® System | Nanovis, LLC | 2020 | 0 | — |
| +3 | K203056 | Invictus™ Spinal Fixation System | Alphatec Spine, Inc. | 2020 | 61 | — |
| +3 | K202327 | Invictus™ OsseoScrew® System | Alphatec Spine, Inc. | 2020 | 0 | — |
| +3 | K200981 | Mega Plus MIS Spine System | Bk Meditech, Co., Ltd. | 2020 | 0 | — |
| +3 | K192680 | Percusys® Plus Pedicle Screw System | Joimax GmbH | 2019 | 0 | — |
| +3 | K192938 | Invictus™ Spinal Fixation System | Alphatec Spine, Inc. | 2019 | 69 | — |
| +3 | K192121 | Black Diamond Pedicle Screw System | Osseus Fusion Systems | 2019 | 13 | — |
| +3 | K180226 | TREND II Spinal Fixation System- STEP Series | Paonan Biotech Co., Ltd. | 2018 | 1 | — |
| +3 | K181281 | Altus Spine Pedicle Screw System | Altus Partners, LLC | 2018 | 1 | — |
| +3 | K162786 | PASS LP Spinal System | Medicrea International SA | 2017 | 6 | — |
| +3 | K162750 | Libra Pedicle Screw System | Spinal Balance, Inc. | 2016 | 0 | — |
| +3 | K151727 | Everest Spinal System | K2m, Inc. | 2015 | 11 | — |
| +4 | K250520 | OsteoCentric Navigated Instruments System | Osteocentric Technologies, Inc. | 2025 | 0 | — |
| +4 | K252346 | OLYMPIC Posterior Spinal Fixation System; MASADA Modular Spinal Fixation System | Astura Medical | 2025 | 0 | — |
| +4 | K243419 | Altus Spine Navigation System | Altus Partners, LLC | 2025 | 0 | — |
| +4 | K243259 | MASADA Modular Spinal Fixation System | Astura Medical | 2025 | 0 | — |
| +4 | K243693 | NEO Pedicle Screw System™ | Neo Medical SA | 2024 | 0 | — |
| +4 | K242361 | OZARK Cervical Plate System; PYRENEES® Cervical Plate System; EVEREST® Spinal System… | Stryker Spine | 2024 | 1 | — |
| +4 | K240233 | Pitkar Spinal Pedicle Screw System | S.H.Pitkar Orthotools Pvt., Ltd. | 2024 | 0 | — |
| +4 | K241519 | Invictus® Small Stature Spinal Fixation System | Alphatec Spine, Inc. | 2024 | 2 | — |
| +4 | K233508 | iFuse Bedrock Granite® Implant System | SI-BONE, Inc. | 2024 | 5 | — |
| +4 | K232311 | LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System, AccelFix Spinal Fixation… | L&K BIOMED Co., Ltd. | 2023 | 1 | — |
| +4 | K223096 | Dark Star Deformity Pedicle Screw System | Republic Spine, LLC | 2023 | 1 | — |
| +4 | K221403 | Cortera Spinal Fixation System | Surgalign Spine Technologies | 2022 | 3 | 2 |
| +4 | K221776 | NextGen Pedicle Screw System | Corelink, LLC | 2022 | 2 | — |
| +4 | K213935 | PISCES-SA Standalone ALIF Interbody System | Osseus Fusion Systems | 2022 | 12 | — |
| +4 | K213460 | Invictus Spinal Fixation System | Alphatec Spine, Inc. | 2021 | 17 | — |
| +4 | K210963 | ENNOVATE Spinal System | Aesculap Implant Systems, LLC | 2021 | 0 | — |
| +4 | K203742 | IdentiTi ALIF Standalone Interbody System | Alphatec Spine, Inc. | 2021 | 59 | — |
| +4 | K203125 | Invictus™ OCT Spinal Fixation System | Alphatec Spine, Inc. | 2020 | 0 | — |
| +4 | K200936 | Invictus™ CT Spinal Fixation System | Alphatec Spine, Inc. | 2020 | 3 | — |
| +4 | K182239 | OLYMPIC Posterior Spinal Fixation System | Astura Medical, LLC | 2018 | 2 | — |
| +4 | K182240 | PASS LP Spinal System | Medicrea International SA | 2018 | 2 | — |
| +4 | K161369 | EVEREST Spinal System | K2m, Incorporated | 2016 | 9 | — |
| +5 | K262067 | iFuse Granite Onyx™ Implant System | SI-BONE, Inc. | 2026 | 0 | — |
| +5 | K261284 | Invictus® Small Stature Spinal Fixation System; Invictus® 2.0 Spinal Fixation System | Alphatec Spine, Inc. | 2026 | 0 | — |
| +5 | K261130 | AccelFix Spinal Fixation System | L&K BIOMED Co., Ltd. | 2026 | 0 | — |
| +5 | K254274 | ARx® SAI Implant System | Life Spine, Inc. | 2026 | 0 | — |
| +5 | K253615 | Invictus Bands System | Alphatec Spine, Inc. | 2026 | 0 | — |
| +5 | K252597 | Valence Robotic Navigation System; Valence Robotic Navigation Instruments (For Use with… | Alphatec Spine, Inc. | 2026 | 1 | — |
| +5 | K253545 | Vulcan Spinal System | K2m, Inc. | 2026 | 0 | — |
| +5 | K252322 | SIros-X System | Genesys Spine | 2025 | 0 | — |
| +5 | K253094 | iFuse Bedrock Granite Implant System | SI-BONE, Inc. | 2025 | 0 | — |
| +5 | K251575 | IdentiTi™ II ALIF Standalone Interbody System; Transcend™ ALIF Standalone Interbody System | Alphatec Spine | 2025 | 0 | — |
| +5 | K250845 | Curiteva Porous PEEK Standalone ALIF System | Curiteva, Inc. | 2025 | 1 | — |
| +5 | K241892 | Cortera™ Spinal Fixation System | Xtant Medical Holdings, Inc. | 2024 | 2 | — |
| +5 | K240326 | Solar™ Lumbar Interbody Fusion System | Degen Medical, Inc. | 2024 | 4 | — |
| +5 | K241464 | ARx® SAI Implant System | Life Spine, Inc. | 2024 | 1 | — |
| +5 | K231443 | Mini-OSTEO Pedicle Fixation System | Osteomed Indústria E Comércio DE Implantes Ltda | 2023 | 0 | — |