510(k) · Cleared
ClearedLanx Posterior Cervicothoracic Spinal Fixation System (PCFS)
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Lanx, LLC · NKB Thoracolumbosacral Pedicle Screw System
Cleared on Feb 8, 2011 as substantially equivalent to K071905 (Lanx, LLC, 2007) and 3 other predicates after a 118-day review. Its family tree reaches back 12 generations to 1985. 2 later devices descend from it.
- Decided
- Feb 8, 2011
- Review
- 118 days
- Class
- Class II
- Product code
- NKB
- Recalls
- None
- Predicates
- 4
Its longest line of descent runs back 12 generations to K853033 (1985). 30 ancestors in all. 2 later devices descend from it, 1 citing it directly.
- Root · 12 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
- 8 generations between
- 3 generations backK071905 Posterior Cervicothoracic Spinal Fixation System (PCFS)Lanx, LLC · 2007
- 2 generations backK092656 Lanx Posterior Cervicothoracic Spinal Fixation SystemLanx, Inc. · 2009
- 1 generation backK100191 Lanx Posterior Cervicothoracic Spinal Fixation System (PCFS)Lanx, Inc. · 2010
- This deviceK103040 Lanx Posterior Cervicothoracic Spinal Fixation System (PCFS)Lanx, LLC · 2011
- Descendant · cites it directly · 1 of its ownK113434 Lanx Posterior Cervicothoracic Spinal Fixation System (PCFS)Lanx, Inc. · 2011
- Descendant · 2 generations on · 0 of its ownK140734 Nextgen Altius Oct SystemEbi, LLC · 2014
Show all 12 generations
- Root · 12 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
- 11 generations backK965221 Ransford Cervical Fixation SystemSurgicraft, Ltd. · 1997
- 10 generations backK982322 Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa) · 1998
- 9 generations backK002733 Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2000
- 8 generations backK013222 Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed · 2001
- 7 generations backK022190 Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2002
- 6 generations backK030103 Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed · 2003
- 5 generations backK041203 Summit Oct Spinal SystemDepuy Spine, Inc. · 2004
- 4 generations backK042508 Sumit Oct Spinal System and Mountaineer Oct Spinal SystemDepuy Spine, Inc. · 2004
- 3 generations backK071905 Posterior Cervicothoracic Spinal Fixation System (PCFS)Lanx, LLC · 2007
- 2 generations backK092656 Lanx Posterior Cervicothoracic Spinal Fixation SystemLanx, Inc. · 2009
- 1 generation backK100191 Lanx Posterior Cervicothoracic Spinal Fixation System (PCFS)Lanx, Inc. · 2010
- This deviceK103040 Lanx Posterior Cervicothoracic Spinal Fixation System (PCFS)Lanx, LLC · 2011
Most influential descendants
Showing 2 of 2 · See allView FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −12 | K853033 | Hartshill Rect & Wires, Spinal Fixation System | A.W. Showell (Surgicraft), Ltd. | 1985 | — |
| −11 | K965221 | Ransford Cervical Fixation System | Surgicraft, Ltd. | 1997 | — |
| −10 | K982322 | Synthes Spine Occipital-Cervical Plate/Rod and Hook System | Synthes (Usa) | 1998 | — |
| −9 | K002733 | Summit Occipito-Cervico-Thoracic (Oct) Spinal System | Depuyacromed | 2000 | — |
| −8 | K013222 | Summit Occipito-Cervico- Thoracic (Oct) Spinal System | Depuyacromed | 2001 | — |
| −7 | K022190 | Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal System | Depuyacromed | 2002 | — |
| −6 | K030103 | Summit Oct Spinal System Minipolyaxial Screws | Depuyacromed | 2003 | — |
| −5 | K041203 | Summit Oct Spinal System | Depuy Spine, Inc. | 2004 | — |
| −4 | K042508 | Sumit Oct Spinal System and Mountaineer Oct Spinal System | Depuy Spine, Inc. | 2004 | — |
| −3 | K071905 | Posterior Cervicothoracic Spinal Fixation System (PCFS) | Lanx, LLC | 2007 | — |
| −2 | K092656 | Lanx Posterior Cervicothoracic Spinal Fixation System | Lanx, Inc. | 2009 | — |
| −1 | K100191 | Lanx Posterior Cervicothoracic Spinal Fixation System (PCFS) | Lanx, Inc. | 2010 | — |
| 0 (this device) | K103040 | Lanx Posterior Cervicothoracic Spinal Fixation System (PCFS) | Lanx, LLC | 2011 | — |
| +1 | K113434 | Lanx Posterior Cervicothoracic Spinal Fixation System (PCFS) | Lanx, Inc. | 2011 | — |
| +2 | K140734 | Nextgen Altius Oct System | Ebi, LLC | 2014 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1999 | 4 | 0 |
| 2000 | 1 | 0 |
| 2001 | 2 | 0 |
| 2002 | 1 | 0 |
| 2003 | 1 | 0 |
| 2004 | 5 | 0 |
| 2005 | 3 | 0 |
| 2010 | 1 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2011 | 1 | 0 |
| 2014 | 1 | 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? (4)
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 |
|---|---|---|---|
| * | K071905 | Posterior Cervicothoracic Spinal Fixation System (PCFS)Summary page 1…Spinal Interlaminal Fixation Orthosis (KWP), 21 CFR 888.3050 Device Class: Class 11 and Class III Predicate Device Information Lanx PCFS: K071905, K092656, K 100 19 1, K 100888 Intended Use / Indications for Use When intended to promote fusion of the occipito-cervico-thorac… | 2007 |
| * | K092656 | Lanx Posterior Cervicothoracic Spinal Fixation SystemSummary page 1…terlaminal Fixation Orthosis (KWP), 21 CFR 888.3050 Device Class: Class 11 and Class III Predicate Device Information Lanx PCFS: K071905, K092656, K 100 19 1, K 100888 Intended Use / Indications for Use When intended to promote fusion of the occipito-cervico-thoracic region… | 2009 |
| * | K100191 | Lanx Posterior Cervicothoracic Spinal Fixation System (PCFS)Summary page 1…l Fixation Orthosis (KWP), 21 CFR 888.3050 Device Class: Class 11 and Class III Predicate Device Information Lanx PCFS: K071905, K092656, K 100 19 1, K 100888 Intended Use / Indications for Use When intended to promote fusion of the occipito-cervico-thoracic region of the spin… | 2010 |
| * | K100888 | Modification to Lanx Posterior Cervicothoracic Spinal Fixation System Cleared while this submission was under review Summary page 1…rthosis (KWP), 21 CFR 888.3050 Device Class: Class 11 and Class III Predicate Device Information Lanx PCFS: K071905, K092656, K 100 19 1, K 100888 Intended Use / Indications for Use When intended to promote fusion of the occipito-cervico-thoracic region of the spine (occiput… | 2010 |
What descends from it? (2)
1 later device cites it directly; ranked here by how many devices descend from each in turn.
| Number | Device | Decided | Descendants |
|---|---|---|---|
| K113434 | Lanx Posterior Cervicothoracic Spinal Fixation System (PCFS) | 2011 | 1 |
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 26 years and passes through 7 companies; a new generation was cleared every 1.3 years on median.
- 3 of the 30 ancestors have a recall of any class.
- Of its descendants, K113434 (Lanx, Inc., 2011) has gone furthest, with 1 descendant of its own.
- 3 other devices also cite its predicate K071905.
How does its category compare?
All NKB devicesNKB Thoracolumbosacral Pedicle Screw System: FDA decisions, review times, recalls and adverse event reports over 20 years. 2011, 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?
When intended to promote fusion of the occipito-cervico-thoracic region of the spine (occiput-T3) in skeletally mature patients, the Lanx Posterior Cervicothoracic Spinal Fixation System is indicated for the following: * Degenerative Disc Disease (as defined by neck and back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies) * Spondylolisthesis * Spinal Stenosis * Trauma/Fracture/Dislocation *…
Read the full statement (120 words)
When intended to promote fusion of the occipito-cervico-thoracic region of the spine (occiput-T3) in skeletally mature patients, the Lanx Posterior Cervicothoracic Spinal Fixation System is indicated for the following:
* Degenerative Disc Disease (as defined by neck and back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies)
* Spondylolisthesis
* Spinal Stenosis
* Trauma/Fracture/Dislocation
* Atlanto-Axial Fracture with Instability
* Occipito-Cervical Dislocation
* Failed Previous Fusion
* Tumor
The use of occipital bone screws is limited to placement in the occiput only.
The use of polyaxial screws is limited to placement in the upper thoracic spine (T1-T3) in treating thoracic conditions only. They are not intended to be placed in the cervical spine.
Indications for use as stated in the FDA summary.
https://510kreport.com/device/K103040 · printed Nov 6, 2026
Cite this page
510(k) Report. “K103040: Lanx Posterior Cervicothoracic Spinal Fixation System (PCFS).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K103040
Report an extraction error
Are you the manufacturer?
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