510(k) Report

510(k) · Cleared

Cleared

Streamline TL Spinal System

K111502510(k) TraditionalCleared Aug 23, 201184-day reviewClass II21 CFR 888.3070

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

Pioneer Surgical Technology, Inc. · NKB Thoracolumbosacral Pedicle Screw System

Cleared on Aug 23, 2011 as substantially equivalent to K110692 (Pioneer Surgical Technology, Inc., 2011) after an 84-day review. Its family tree reaches back 9 generations to 1990. 88 later devices descend from it.

Decided
Aug 23, 2011
Review
84 days
Class
Class II
Product code
NKB
Recalls
None
Predicates
1

Its longest line of descent runs back 9 generations to K901587 (1990). 41 ancestors in all. 88 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2010: 1 other ancestor2008: 2 other ancestors2007: 5 other ancestors2000: 5 other ancestors2005: 1 other ancestor2004: 1 other ancestor2003: 3 other ancestors2006: 1 other ancestor2002: 2 other ancestors1995: 2 other ancestors1994: 1 other ancestor1993: 2 other ancestors1992: 5 other ancestors1990: 1 other ancestor2014: 2 descendants cleared2013: 2 descendants cleared2019: 3 descendants cleared2017: 3 descendants cleared2016: 1 descendant cleared2015: 1 descendant cleared2020: 5 descendants cleared2018: 2 descendants cleared2023: 12 descendants cleared2021: 3 descendants cleared2024: 15 descendants cleared2022: 8 descendants cleared2025: 16 descendants cleared2026: 15 descendants clearedK901587 · TSRH Sacral L-Connector · Danek Medical, Inc. · 1990K950099 · Synergy (TM) TI Posterior Spinal System · Buckman Co., Inc. · 1997×2: 2 generations cleared close together, K973836 (1998), K974749 (1998) K993503 · Haider-Ucr Spinal System · International Advanced Medical Enterprises, Inc. · 2000K021623 · Ucr Spinal System, 5.5MM, 8.0MM Screws & Instruments · Iame, Inc. · 2002K032739 · Ucr Spinal System · Seaspine · 2003K081331 · Fixxsure Cross Link · Spineworks, LLC · 2008K110692 · Streamline TL Spinal System · Pioneer Surgical Technology, Inc. · 20111990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor3 generations back: 5 other ancestors4 generations back: 7 other ancestors5 generations back: 3 other ancestors6 generations back: 8 other ancestors7 generations back: 8 other ancestors 1 generation forward: 3 descendants2 generations forward: 7 descendants3 generations forward: 6 descendants4 generations forward: 6 descendants5 generations forward: 7 descendants6 generations forward: 8 descendants7 generations forward: 11 descendants8 generations forward: 20 descendants9 generations forward: 19 descendants10 generations forward: 1 descendant K110692 · Streamline TL Spinal System · Pioneer Surgical Technology, Inc. · 2011K081331 · Fixxsure Cross Link · Spineworks, LLC · 2008K032739 · Ucr Spinal System · Seaspine · 2003K021623 · Ucr Spinal System, 5.5MM, 8.0MM Screws & Instruments · Iame, Inc. · 2002K993503 · Haider-Ucr Spinal System · International Advanced Medical Enterprises, Inc. · 2000K974749 · Synergy Closed Variable Locking Screw (VLS), Part of the Cross Medical-Synergy Anterior and Posterior Spinal Systems · Cross Medical Products, Inc. · 1998K973836 · Synergy 6.35MM SS Rod with Screws for Anterior Use, Part of the Cross Medical-Synergy Anterior Spinal System · Cross Medical Products, Inc. · 1998K950099 · Synergy (TM) TI Posterior Spinal System · Buckman Co., Inc. · 1997K901587 · TSRH Sacral L-Connector · Danek Medical, Inc. · 1990−50+5+10
  1. Root · 9 generations backK901587 TSRH Sacral L-ConnectorDanek Medical, Inc. · 1990
  2. 5 generations between
  3. 3 generations backK032739 Ucr Spinal SystemSeaspine · 2003
  4. 2 generations backK081331 Fixxsure Cross LinkSpineworks, LLC · 2008
  5. 1 generation backK110692 Streamline TL Spinal SystemPioneer Surgical Technology, Inc. · 2011
  6. This deviceK111502 Streamline TL Spinal SystemPioneer Surgical Technology, Inc. · 2011
  7. Descendant · cites it directly · 82 of its ownK132049 Thunderbolt and Lancer Pedicle Screw SystemsChoicespine · 2014
  8. Descendant · 2 generations on · 73 of its ownK160775 Thunderbolt™ Minimally Invasive and Lancer™ Open Pedicle Screw SystemsChoicespine, LP · 2016
  9. Descendant · 3 generations on · 70 of its ownK181677 Kodiak Spinal Fixation SystemAlphatec Spine, Inc. · 2018
  10. Descendant · 4 generations on · 69 of its ownK192938 Invictus™ Spinal Fixation SystemAlphatec Spine, Inc. · 2019
  11. Descendant · 4 generations on · 61 of its ownK203056 Invictus™ Spinal Fixation SystemAlphatec Spine, Inc. · 2020
Show all 9 generations
  1. Root · 9 generations backK901587 TSRH Sacral L-ConnectorDanek Medical, Inc. · 1990
  2. 8 generations backK950099 Synergy (TM) TI Posterior Spinal SystemBuckman Co., Inc. · 1997
  3. 7 generations backK973836 Synergy 6.35MM SS Rod with Screws for Anterior Use, Part of the…Cross Medical Products, Inc. · 1998
  4. 6 generations backK974749 Synergy Closed Variable Locking Screw (VLS), Part of the Cross…Cross Medical Products, Inc. · 1998
  5. 5 generations backK993503 Haider-Ucr Spinal SystemInternational Advanced Medical Enterprises, Inc. · 2000
  6. 4 generations backK021623 Ucr Spinal System, 5.5MM, 8.0MM Screws & InstrumentsIame, Inc. · 2002
  7. 3 generations backK032739 Ucr Spinal SystemSeaspine · 2003
  8. 2 generations backK081331 Fixxsure Cross LinkSpineworks, LLC · 2008
  9. 1 generation backK110692 Streamline TL Spinal SystemPioneer Surgical Technology, Inc. · 2011
  10. This deviceK111502 Streamline TL Spinal SystemPioneer Surgical Technology, Inc. · 2011

Showing 5 of 88 descendants. See all descendants

Descendants cleared per year

2013: 22014: 22015: 12016: 12017: 32018: 22019: 32020: 52021: 32022: 82023: 122024: 152025: 162026: 15
2013high 16 (2025) · low 1 (2015)2026

Most influential descendants

Showing 5 of 88 · See all
  • K132049Thunderbolt and Lancer Pedicle Screw SystemsChoicespine · 2014 · cites it directly82descendants
  • K160775Thunderbolt™ Minimally Invasive and Lancer™ Open Pedicle Screw SystemsChoicespine, LP · 2016 · 2 generations on73descendants
  • K181677Kodiak Spinal Fixation SystemAlphatec Spine, Inc. · 2018 · 3 generations on70descendants
  • K192938Invictus™ Spinal Fixation SystemAlphatec Spine, Inc. · 2019 · 4 generations on69descendants
  • K203056Invictus™ Spinal Fixation SystemAlphatec Spine, Inc. · 2020 · 4 generations on61descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K901587TSRH Sacral L-ConnectorDanek Medical, Inc.1990—
−8K950099Synergy (TM) TI Posterior Spinal SystemBuckman Co., Inc.1997—
−7K973836Synergy 6.35MM SS Rod with Screws for Anterior Use, Part of the Cross…Cross Medical Products, Inc.1998—
−6K974749Synergy Closed Variable Locking Screw (VLS), Part of the Cross Medical-Synergy…Cross Medical Products, Inc.1998—
−5K993503Haider-Ucr Spinal SystemInternational Advanced Medical Enterprises, Inc.2000—
−4K021623Ucr Spinal System, 5.5MM, 8.0MM Screws & InstrumentsIame, Inc.2002—
−3K032739Ucr Spinal SystemSeaspine2003—
−2K081331Fixxsure Cross LinkSpineworks, LLC2008—
−1K110692Streamline TL Spinal SystemPioneer Surgical Technology, Inc.2011—
0 (this device)K111502Streamline TL Spinal SystemPioneer Surgical Technology, Inc.2011—
+1K132049Thunderbolt and Lancer Pedicle Screw SystemsChoicespine2014—
+2K160775Thunderbolt™ Minimally Invasive and Lancer™ Open Pedicle Screw SystemsChoicespine, LP2016—
+3K181677Kodiak Spinal Fixation SystemAlphatec Spine, Inc.2018—
+4K192938Invictus™ Spinal Fixation SystemAlphatec Spine, Inc.2019—
+4K203056Invictus™ Spinal Fixation SystemAlphatec Spine, Inc.2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199010
199250
199320
199410
199520
200050
200220
200330
200410
200510
200610
200750
200820
201010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201320
201420
201510
201610
201730
201820
201930
202050
202130
202280
2023120
2024150
2025160
2026150
FIG. 1 — Lineage of K111502, 1990–2026Source: 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? (1)

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
*K110692Streamline TL Spinal System
Summary page 1
…d 888.3070 Pedicle Screw Spinal System, Class Ill Product Codes: NKB, KWQ, MNH, MN, Panel Code 87 Predicate Device: K 110692 - Streamline TL Spinal System (SE date - May 12, 2011) Description: The Streamline TL Spinal System consists of a…
Pioneer Surgical Technology, Inc.2011—

What descends from it? (88)

See all 88

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

NumberDeviceApplicantDecidedDescendants
K132049Thunderbolt and Lancer Pedicle Screw SystemsChoicespine201482
K130286Streamline Mis Spinal Fixation SystemPioneer Surgical Technology, Inc.20137
K131100Streamline TL Spinal SystemPioneer Surgical Technology, Inc.20136

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 21 years and passes through 8 companies; a new generation was cleared every 2.1 years on median.
  • 2 of the 41 ancestors have a recall of any class.
  • Of its descendants, K132049 (Choicespine, 2014) has gone furthest, with 82 descendants of its own.

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. 2011, 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 Streamline TL Spinal System components are non-cervical spinal fixation devices intended as an adjunct to fusion for use as a pedicle screw (T1-S2), sacral/iliac screw fixation or as an anterolateral fixation system (T8-L5). Pedicle screw fixation is limited to skeletally mature patients. These devices are indicated for all of the following indications: degenerative disc disease (defined as discogenic back pain with degeneration of the disc confirmed…

Read the full statement (95 words)

The Streamline TL Spinal System components are non-cervical spinal fixation devices intended as an adjunct to fusion for use as a pedicle screw (T1-S2), sacral/iliac screw fixation or as an anterolateral fixation system (T8-L5). Pedicle screw fixation is limited to skeletally mature patients. These devices are indicated for all of the following indications: degenerative disc disease (defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies), spondylolisthesis, trauma (i.e. fracture or dislocation), deformities or curvatures (i.e. scoliosis, kyphosis, and/or lordosis, Scheuermann's Disease), tumor, stenosis, pseudoarthosis, and failed previous fusion.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K111502: Streamline TL Spinal System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K111502

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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