Devices descending from K110906
103 later devices reach Apex Spine System through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +1 | K143683 | APEX-DL Spine System | Spinecraft, LLC | 2015 | 3 | — |
| +1 | K132603 | Apex Spine System | Spinecraft, LLC | 2013 | 25 | — |
| +1 | K113058 | Tiger Spine System | Corelink, LLC | 2012 | 81 | — |
| +2 | K234048 | M.U.S.T. Pedicle Screw System - Extension | Medacta International S.A. | 2024 | 1 | — |
| +2 | K211935 | ORIO-Ti Intervertebral Body Fusion Cage System | Spinecraft, LLC | 2021 | 0 | — |
| +2 | K200596 | G21 Cement, VADER® Pedicle System | Icotec AG | 2020 | 27 | 1 |
| +2 | K193423 | VADER®one Pedicle System MIS and LightMore® Pedicle System 6.0 | Icotec AG | 2020 | 6 | 1 |
| +2 | K190545 | VADER® one Pedicle System MIS and LightMore® Pedicle System 6.0 | Icotec AG | 2019 | 29 | 1 |
| +2 | K151977 | icotec Pedicle System | Icotec AG | 2016 | 30 | — |
| +2 | K150184 | Dymaxeon Spine System | Back 2 Basics Direct, LLC | 2015 | 4 | 1 |
| +2 | K150417 | Astra Spine System | Spinecraft, LLC | 2015 | 21 | — |
| +2 | K142146 | Ibis Pedicle Screw System | Ortho Development Corp. | 2014 | 5 | — |
| +2 | K131250 | Tiger Spine System | Corelink, LLC | 2013 | 40 | — |
| +2 | K131785 | Pagoda Pedicle Screw System | Ortho Development Corp. | 2013 | 6 | — |
| +2 | K121786 | Dymaxeon Spine System | B2b Spine Pty, Ltd. | 2012 | 5 | — |
| +3 | K253940 | M.U.S.T. Pedicle Screw System - Extension | Medacta International S.A. | 2026 | 0 | — |
| +3 | K242900 | VADER® Pedicle System and VADER®one Pedicle System | Icotec AG | 2025 | 0 | — |
| +3 | K242297 | Reform Pedicle Screw System | Precision Spine, Inc. | 2024 | 0 | — |
| +3 | K240846 | CarboClear® Hybrid Pedicle Screw System; CarboClear® Hybrid Navigated Instruments… | CarboFix Orthopedics, Ltd. | 2024 | 2 | — |
| +3 | K231809 | Momentum® Posterior Spinal Fixation System with G21 V-STEADY Bone Cement; Momentum® MIS… | Ulrich Medical USA | 2023 | 1 | — |
| +3 | K231280 | CarboClear® X Pedicle Screw System; CarboClear® X Navigated Instruments; CarboClear® X… | CarboFix Orthopedics, Ltd. | 2023 | 4 | — |
| +3 | K230774 | PERLA® TL System; TEKTONA® HV US Bone Cement | Spineart | 2023 | 0 | — |
| +3 | K222789 | VADER® Pedicle System, G21 Cement | Icotec AG | 2023 | 5 | 2 |
| +3 | K223273 | ASTRA Spine System | Spinecraft, LLC | 2022 | 8 | — |
| +3 | K221926 | Invictus® Bone Cement, Invictus Spinal Fixation System | Alphatec Spine, Inc. | 2022 | 14 | — |
| +3 | K203023 | Pisces Spinal System | Ortho Development Corporation | 2021 | 0 | — |
| +3 | K211323 | ASTRA Spine System | Spinecraft, LLC | 2021 | 12 | — |
| +3 | K210539 | CoreLink Midline Fixation System | Corelink, LLC | 2021 | 4 | — |
| +3 | K192930 | Dymaxeon Spine System | Back 2 Basics Direct, LLC | 2020 | 1 | — |
| +3 | K180754 | C-Zero Pedicle Screw System, Freedom Pedicle Screw System | Signature Orthopaedics Pty, Ltd. | 2018 | 0 | — |
| +3 | K161225 | Paonan Armstrong Posterior Spinal Fixation System | Paonan Biotech Co., Ltd. | 2017 | 2 | — |
| +3 | K170989 | Dymaxeon Spine System | Back 2 Basics Direct, LLC | 2017 | 2 | — |
| +3 | K162995 | Ibis® Pedicle Screw System | Ortho Development Corporation | 2017 | 3 | — |
| +3 | K162786 | PASS LP Spinal System | Medicrea International SA | 2017 | 6 | — |
| +3 | K151648 | Altus Spine Pedicle Screw System, Altus Spine MIS Pedicle Screw System, Valencia Pedicle… | Altus Partners, LLC | 2015 | 5 | — |
| +3 | K133369 | Tiger Spine System | Corelink, LLC | 2014 | 29 | — |
| +4 | K260989 | Varion Thoracolumbar Fixation System | Kyocera Medical Technologies Inc. (KMTI) | 2026 | 0 | — |
| +4 | K251719 | Momentum® Posterior Spinal Fixation System | Ulrich Medical USA, Inc. | 2025 | 0 | — |
| +4 | K243106 | CarboClear® Hybrid Pedicle Screw System | CarboFix Orthopedics, Ltd. | 2024 | 0 | — |
| +4 | K233793 | CarboClear® X Pedicle Screw System | CarboFix Orthopedics, Ltd. | 2024 | 1 | — |
| +4 | K232628 | VADER® Pedicle System | Icotec AG | 2024 | 1 | — |
| +4 | K233508 | iFuse Bedrock Granite® Implant System | SI-BONE, Inc. | 2024 | 5 | — |
| +4 | K233944 | CarboClear® X Pedicle Screw System; CarboClear® X Navigated Instruments | CarboFix Orthopedics, Ltd. | 2024 | 3 | — |
| +4 | K231494 | CoreLink Robotic Navigation Instruments | Corelink, LLC | 2023 | 0 | — |
| +4 | K232044 | Invictus Robotic Navigation Instruments | Alphatec Spine, Inc. | 2023 | 3 | — |
| +4 | K232275 | Invictus® Spinal Fixation System | Alphatec Spine, Inc. | 2023 | 11 | — |
| +4 | K231799 | INERTIA® CONNEXX™ Modular Pedicle Screw System | Nexxt Spine, LLC | 2023 | 0 | — |
| +4 | K230721 | ATEC Lateral Plate System | Alphatec Spine, Inc. | 2023 | 0 | — |
| +4 | K221776 | NextGen Pedicle Screw System | Corelink, LLC | 2022 | 2 | — |
| +4 | K221332 | OsteoCentric Spine MIS Pedicle Fastener System | OsteoCentric Technologies | 2022 | 1 | — |
| +4 | K200981 | Mega Plus MIS Spine System | Bk Meditech, Co., Ltd. | 2020 | 0 | — |
| +4 | K193211 | Nano FortiFix® System | Nanovis Spine, LLC | 2020 | 1 | — |
| +4 | K193219 | G Surgical Marksman System | G Surgical, LLC | 2019 | 1 | — |
| +4 | K191932 | Momentum™ Posterior Spinal Fixation System | Ulrich Medical USA | 2019 | 2 | — |
| +4 | K182239 | OLYMPIC Posterior Spinal Fixation System | Astura Medical, LLC | 2018 | 2 | — |
| +4 | K182240 | PASS LP Spinal System | Medicrea International SA | 2018 | 2 | — |
| +4 | K180226 | TREND II Spinal Fixation System- STEP Series | Paonan Biotech Co., Ltd. | 2018 | 1 | — |
| +4 | K181281 | Altus Spine Pedicle Screw System | Altus Partners, LLC | 2018 | 1 | — |
| +4 | K153453 | Inertia Pedicle Screw and Deformity Correxxion System | Nexxt Spine, LLC | 2016 | 17 | — |
| +4 | K151770 | Libra Pedicle Screw System | Spinal Balance, Inc. | 2015 | 1 | — |
| +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 | K253216 | IntraOp Alignment System; CONTOUR3D Bending System | Alphatec Spine, Inc. | 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 | K250520 | OsteoCentric Navigated Instruments System | Osteocentric Technologies, Inc. | 2025 | 0 | — |
| +5 | K252322 | SIros-X System | Genesys Spine | 2025 | 0 | — |
| +5 | K252346 | OLYMPIC Posterior Spinal Fixation System; MASADA Modular Spinal Fixation System | Astura Medical | 2025 | 0 | — |
| +5 | K253094 | iFuse Bedrock Granite Implant System | SI-BONE, Inc. | 2025 | 0 | — |
| +5 | K243419 | Altus Spine Navigation System | Altus Partners, LLC | 2025 | 0 | — |
| +5 | K243259 | MASADA Modular Spinal Fixation System | Astura Medical | 2025 | 0 | — |
| +5 | K242364 | IdentiTi™ II Interbody System | Alphatec Spine, Inc. | 2024 | 4 | — |
| +5 | K240233 | Pitkar Spinal Pedicle Screw System | S.H.Pitkar Orthotools Pvt., Ltd. | 2024 | 0 | — |
| +5 | K242069 | Eminent Spine Scoliosis Deformity Pedicle Screw System | Eminent Spine | 2024 | 0 | — |
| +5 | K241464 | ARx® SAI Implant System | Life Spine, Inc. | 2024 | 1 | — |
| +5 | K241519 | Invictus® Small Stature Spinal Fixation System | Alphatec Spine, Inc. | 2024 | 2 | — |
| +5 | K240951 | Invictus Robotic Navigation Instruments | Alphatec Spine | 2024 | 2 | — |
| +5 | K230880 | CoreLink Navigation Instruments | Corelink, LLC | 2023 | 0 | — |
| +5 | K230063 | G Surgical Marksman Spinal Deformity System | G Surgical, LLC | 2023 | 0 | — |
| +5 | K221905 | INERTIA CONNEXX Modular Pedicle Screw System | Nexxt Spine, LLC | 2022 | 1 | — |
| +5 | K203452 | Nano FortiFix® System | Nanovis, LLC | 2020 | 0 | — |
| +5 | K192121 | Black Diamond Pedicle Screw System | Osseus Fusion Systems | 2019 | 13 | — |
| +5 | K190376 | PASS LP Spinal System | Medicrea International SA | 2019 | 1 | 5 |
| +5 | K162750 | Libra Pedicle Screw System | Spinal Balance, Inc. | 2016 | 0 | — |
| +6 | K261020 | Symmetrix™ L Spinal System | Medtronic Sofamor Danek USA, Inc. | 2026 | 0 | — |
| +6 | K251575 | IdentiTi™ II ALIF Standalone Interbody System; Transcend™ ALIF Standalone Interbody System | Alphatec Spine | 2025 | 0 | — |
| +6 | K251080 | IdentiTi II Cervical Interbody System | Alphatec Spine, Inc. | 2025 | 0 | — |
| +6 | K251617 | X-PAC® TLIF Expandable Posterior Cage System; X-PAC® LLIF Expandable Lateral Cage System | Expanding Innovations, Inc. | 2025 | 0 | — |
| +6 | K213935 | PISCES-SA Standalone ALIF Interbody System | Osseus Fusion Systems | 2022 | 12 | — |
| +6 | K213281 | PASS LP™ Spinal System, CD Horizon™ Spinal System | Medicrea International SA | 2022 | 0 | — |
| +7 | K250845 | Curiteva Porous PEEK Standalone ALIF System | Curiteva, Inc. | 2025 | 1 | — |
| +7 | K240326 | Solar™ Lumbar Interbody Fusion System | Degen Medical, Inc. | 2024 | 4 | — |
| +7 | K231199 | Solar Lumbar Interbody Fusion System | Degen Medical | 2023 | 5 | — |
| +7 | K223413 | Pisces™-SA STANDALONE ALIF Interbody System | Osseus Fusion Systems | 2023 | 3 | — |
| +8 | K252205 | Curiteva Porous PEEK Cervical Interbody System; Curiteva Porous PEEK Lumbar Interbody… | Curiteva, Inc. | 2026 | 0 | — |
| +8 | K252737 | DeGen Medical Latitude-C AM Cervical Interbody Fusion System | Degen Medical | 2025 | 0 | — |
| +8 | K241077 | DeGen Medical Patient Specific Implant (PSI) System | Degen Medical | 2024 | 2 | — |
| +8 | K240126 | ProAM ALIF System | Pro Surgical, Inc. | 2024 | 2 | — |
| +9 | K251644 | ProAM ALIF System | Pro Surgical, Inc. | 2025 | 0 | — |