510(k) Report

510(k) · Cleared

Cleared

Polaris Spinal System

K111957510(k) TraditionalCleared Aug 19, 201139-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

Biomet Spine (Ebi, LLC) · NKB Thoracolumbosacral Pedicle Screw System

Cleared on Aug 19, 2011 as substantially equivalent to K090203 (Ebi, L.P., 2009) and 2 other predicates after a 39-day review. Its family tree reaches back 8 generations to 1995. 76 later devices descend from it.

Decided
Aug 19, 2011
Review
39 days
Class
Class II
Product code
NKB
Recalls
None
Predicates
3

Its longest line of descent runs back 8 generations to K950697 (1995). 68 ancestors in all, the oldest K901587 (1990). 76 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2010: 1 other ancestor2009: 2 other ancestors2008: 4 other ancestors2006: 4 other ancestors2004: 7 other ancestors2001: 6 other ancestors2007: 3 other ancestors2005: 4 other ancestors2002: 1 other ancestor1998: 2 other ancestors1997: 2 other ancestors1995: 2 other ancestors1994: 1 other ancestor2003: 5 other ancestors1999: 3 other ancestors1993: 2 other ancestors1992: 5 other ancestors1990: 2 other ancestors2000: 3 other ancestors1996: 1 other ancestor2013: 2 descendants cleared2016: 1 descendant cleared2014: 4 descendants cleared2018: 4 descendants cleared2015: 4 descendants cleared2021: 6 descendants cleared2017: 5 descendants cleared2024: 10 descendants cleared2019: 3 descendants cleared2020: 7 descendants cleared2022: 6 descendants cleared2023: 8 descendants cleared2026: 8 descendants cleared2025: 8 descendants clearedK950697 · Depuy Motech Moss Miami Spinal System - Pedicle Fixation · Depuy Motech · 1995×2: 2 generations cleared close together, K050461 (2005), K052761 (2005) ×2: 2 generations cleared close together, K060361 (2006), K060979 (2006) ×3: 3 generations cleared close together, K082942 (2008), K090230 (2009), K091067 (2009) 1990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 7 other ancestors3 generations back: 14 other ancestors4 generations back: 22 other ancestors5 generations back: 8 other ancestors6 generations back: 7 other ancestors 1 generation forward: 2 descendants2 generations forward: 5 descendants3 generations forward: 8 descendants4 generations forward: 11 descendants5 generations forward: 15 descendants6 generations forward: 13 descendants7 generations forward: 12 descendants8 generations forward: 7 descendants9 generations forward: 3 descendants K091067 · 5.5 Polaris Spinal System · Biomet Spine · 2009K090230 · Expedium Spine System · Depuy Spine, Inc. · 2009K082942 · Modfication to: Expedium Spine System · Depuy Spine, Inc. · 2008K060979 · Xia Titanium and 4.5 Spinal Systems · Stryker Spine · 2006K060361 · Xia Spinal System, Xia 4.5 Spinal System · Stryker Spine · 2006 · recalledK052761 · Modification to: Xia 4.5 Spinal System · Stryker Spine · 2005K050461 · Xia 4.5 Spinal System · Stryker Spine · 2005K950697 · Depuy Motech Moss Miami Spinal System - Pedicle Fixation · Depuy Motech · 1995−50+5
  1. Root · 8 generations backK950697 Depuy Motech Moss Miami Spinal System - Pedicle FixationDepuy Motech · 1995
  2. 7 generations backK050461 Xia 4.5 Spinal SystemStryker Spine · 2005
  3. 6 generations backK052761 Modification to: Xia 4.5 Spinal SystemStryker Spine · 2005
  4. 5 generations backK060361 Xia Spinal System, Xia 4.5 Spinal SystemStryker Spine · 2006 · Recalled
  5. 4 generations backK060979 Xia Titanium and 4.5 Spinal SystemsStryker Spine · 2006
  6. 3 generations backK082942 Modfication to: Expedium Spine SystemDepuy Spine, Inc. · 2008
  7. 2 generations backK090230 Expedium Spine SystemDepuy Spine, Inc. · 2009
  8. 1 generation backK091067 5.5 Polaris Spinal SystemBiomet Spine · 2009
  9. This deviceK111957 Polaris Spinal SystemBiomet Spine (Ebi, LLC) · 2011
  10. Descendant · cites it directly · 75 of its ownK123549 Polaris Spinal System - Ballista II Percutaneous Screw Placement…Biomet Spine (Aka Ebi, LLC) · 2013 · Recalled
  11. Descendant · 2 generations on · 70 of its ownK131615 Polaris Spinal SystemBiomet Spine (Aka Ebi, LLC) · 2013
  12. Descendant · 2 generations on · 67 of its ownK133746 Polaris Spinal SystemBiomet Spine (Aka Ebi, LLC) · 2014 · Recalled
  13. Descendant · 3 generations on · 30 of its ownK143248 Reform Pedicle Screw SystemPrecision Spine, Inc. · 2014
  14. Descendant · 4 generations on · 26 of its ownK150856 Reform Pedicle Screw SystemPrecision Spine, Inc. · 2015

Showing 5 of 76 descendants. See all descendants

Descendants cleared per year

2013: 22014: 42015: 42016: 12017: 52018: 42019: 32020: 72021: 62022: 62023: 82024: 102025: 82026: 8
2013high 10 (2024) · low 1 (2016)2026

Most influential descendants

Showing 5 of 76 · See all
  • K123549Polaris Spinal System - Ballista II Percutaneous Screw Placement SystemBiomet Spine (Aka Ebi, LLC) · 2013 · cites it directly75descendants
  • K131615Polaris Spinal SystemBiomet Spine (Aka Ebi, LLC) · 2013 · 2 generations on70descendants
  • K133746Polaris Spinal SystemBiomet Spine (Aka Ebi, LLC) · 2014 · 2 generations on67descendants
  • K143248Reform Pedicle Screw SystemPrecision Spine, Inc. · 2014 · 3 generations on30descendants
  • K150856Reform Pedicle Screw SystemPrecision Spine, Inc. · 2015 · 4 generations on26descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K950697Depuy Motech Moss Miami Spinal System - Pedicle FixationDepuy Motech1995—
−7K050461Xia 4.5 Spinal SystemStryker Spine2005—
−6K052761Modification to: Xia 4.5 Spinal SystemStryker Spine2005—
−5K060361Xia Spinal System, Xia 4.5 Spinal SystemStryker Spine20061
−4K060979Xia Titanium and 4.5 Spinal SystemsStryker Spine2006—
−3K082942Modfication to: Expedium Spine SystemDepuy Spine, Inc.2008—
−2K090230Expedium Spine SystemDepuy Spine, Inc.2009—
−1K0910675.5 Polaris Spinal SystemBiomet Spine2009—
0 (this device)K111957Polaris Spinal SystemBiomet Spine (Ebi, LLC)2011—
+1K123549Polaris Spinal System - Ballista II Percutaneous Screw Placement SystemBiomet Spine (Aka Ebi, LLC)20132
+2K131615Polaris Spinal SystemBiomet Spine (Aka Ebi, LLC)2013—
+2K133746Polaris Spinal SystemBiomet Spine (Aka Ebi, LLC)20141
+3K143248Reform Pedicle Screw SystemPrecision Spine, Inc.2014—
+4K150856Reform Pedicle Screw SystemPrecision Spine, Inc.2015—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199020
199250
199320
199410
199520
199610
199720
199820
199930
200030
200160
200210
200350
200470
200540
200640
200730
200840
200920
201010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201320
201440
201540
201610
201750
201840
201930
202070
202160
202260
202380
2024100
202580
202680
FIG. 1 — Lineage of K111957, 1995–2026Source: 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? (3)

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
*K0902035.5 Helical Flange Spinal System, Polaris Components
Summary page 2
…multiaxial and fixed titanium screws and CoCr rods in the Polaris Spinal System are substantially equivalent to the other components in Polaris Spinal System cleared in K090203, K091067and K100220. These screws and rods are substantially equivalent to the predicates with respect to intended use and indica…
Ebi, L.P.2009—
*K0910675.5 Polaris Spinal System
Summary page 2
…al and fixed titanium screws and CoCr rods in the Polaris Spinal System are substantially equivalent to the other components in Polaris Spinal System cleared in K090203, K091067and K100220. These screws and rods are substantially equivalent to the predicates with respect to intended use and indications, te…
Biomet Spine2009—
*K100220Polaris Spinal System
Summary page 2
…d titanium screws and CoCr rods in the Polaris Spinal System are substantially equivalent to the other components in Polaris Spinal System cleared in K090203, K091067and K100220. These screws and rods are substantially equivalent to the predicates with respect to intended use and indications, technological…
Ebi, L.P.2010—

Also cleared against K090203: 7 other devices →

What descends from it? (76)

See all 76

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

NumberDeviceApplicantDecidedDescendants
K123549Polaris Spinal System - Ballista II Percutaneous Screw Placement SystemBiomet Spine (Aka Ebi, LLC)201375
K162134ENNOVATE Spinal SystemAesculap Implant Systems, LLC20162

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 16 years and passes through 5 companies; a new generation was cleared every 5 months on median.
  • 4 of the 68 ancestors have a recall of any class.
  • Of its descendants, K123549 (Biomet Spine (Aka Ebi, LLC), 2013) has gone furthest, with 75 descendants of its own.
  • 7 other devices also cite its predicate K090203.

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 Polaris Spinal System is a non-cervical spinal fixation device intended for immobilization and stabilization as an adjunct to fusion as a pedicle screw fixation system, a posterior hook and sacral/iliac screw fixation system, or as an anterior or anterolateral fixation system. Pedicle screw fixation is limited to skeletally mature patients and for use with autograft and/or allograft. The device is indicated for all the following indications…

Read the full statement (318 words)

The Polaris Spinal System is a non-cervical spinal fixation device intended for immobilization and stabilization as an adjunct to fusion as a pedicle screw fixation system, a posterior hook and sacral/iliac screw fixation system, or as an anterior or anterolateral fixation system. Pedicle screw fixation is limited to skeletally mature patients and for use with autograft and/or allograft. The device is indicated for all 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), deformity or curvature (i.e., scoliosis, kyphosis, and/or lordosis), tumor, stenosis, pseudoarthrosis, or failed previous fusion.

The Ballista instruments are intended to be used with Ballista/Polaris 5.5mm implants. Cannulated screws and percutaneous rods may be used with the Ballista instruments to provide the surgeon with a percutaneous approach for posterior spinal surgery for 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), deformity or curvature (i.e., scoliosis, kyphosis, and/or lordosis), tumor, stenosis, pseudoarthrosis, or failed previous fusion that warrant the use of a non-cervical spinal fixation device intended for use as a pedicle screw fixation system or sacral/iliac screw fixation system. Pedicle screw fixation is limited to skeletally mature patients and for use with autograft and/or allograft.

The Polaris Spinal System may be used with the instruments in the AccuVision Minimally Invasive Spinal Exposure System to provide the surgeon with a minimally invasive approach for posterior spinal surgery.

The dominos in the Polaris Spinal System can be used to connect the Polaris Spinal System to the Altius Spinal System, The Array Spinal System, the Biomet Omega21 Spinal System, or the Synergy Spinal System to achieve additional levels of fixation. Please refer to the individual system's Package Insert for a list of the indications for use for each system.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K111957: Polaris Spinal System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K111957

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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