Devices descending from K121020
94 later devices reach Viper 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 | K153442 | CD HORIZON Spinal System, Medtronic Navigated Manual Reusable Instruments for Use with… | Medtronic Sofamor Danek USA, Inc. | 2016 | 84 | — |
| +1 | K131538 | Caplox II Pedicle Screw System/Towerlox Pedicle Screw System | Captiva Spine | 2013 | 6 | — |
| +1 | K123487 | Gso GS1 Cannulated Screw System | Gold Standard Orthopaedics, LLC | 2013 | 0 | — |
| +2 | K252322 | SIros-X System | Genesys Spine | 2025 | 0 | — |
| +2 | K240846 | CarboClear® Hybrid Pedicle Screw System; CarboClear® Hybrid Navigated Instruments… | CarboFix Orthopedics, Ltd. | 2024 | 2 | — |
| +2 | K233951 | CD Horizon ModuLeX Spinal System (Shanks, Head Assemblies, and Set Screw) | Medtronic Sofamor Danek USA, Inc. | 2024 | 5 | — |
| +2 | K223301 | ASTRA & AVANT Navigation Instruments System and ASTRA-OCT Navigation Instruments System | Spinecraft, LLC | 2023 | 0 | — |
| +2 | K221244 | CD Horizon™ Spinal System | Medtronic | 2022 | 20 | — |
| +2 | K213491 | Universal Pilot Guidance Instrument System | Ctl Medical Corporation | 2022 | 0 | — |
| +2 | K220038 | Camber Spine Navigation System | Camber Spine Technologies | 2022 | 0 | — |
| +2 | K210716 | CarboClear X Pedicle Screw System, CarboClear X Navigated Instruments | CarboFix Orthopedics, Ltd. | 2021 | 8 | — |
| +2 | K201251 | CarboClear Navigated Instruments | CarboFix Orthopedics, Ltd. | 2020 | 9 | — |
| +2 | K193270 | CapLOX II®/TowerLOX® MIS Pedicle Screw System | Captiva Spine, Inc. | 2020 | 0 | — |
| +2 | K191854 | Premia Spine XL Instruments | Premia Spine, Ltd. | 2019 | 0 | — |
| +2 | K180475 | CapLOX II® / TowerLOX® MIS Pedicle Screw System | Captiva Spine, Inc. | 2018 | 0 | — |
| +2 | K172115 | Navigated Instrument System | Orthofix, Inc. | 2018 | 4 | — |
| +2 | K162921 | Navigated Instrument System | Orthofix, Inc. | 2017 | 5 | — |
| +2 | K161014 | NuVasive® Reline® System | Nu Vasive, Incorporated | 2016 | 48 | — |
| +2 | K151116 | CapLOX II/TowerLOX Pedicle Screw System | Captiva Spine | 2015 | 3 | — |
| +3 | K260216 | CD Horizon™ ModuLeX™ Fenestrated Screw Set; CD Horizon™ ModuLeX™ Spinal System | Medtronic Sofamor Danek USA, Inc. | 2026 | 0 | — |
| +3 | K253941 | CD Horizon™ ModuLeX™ Spinal System (LigaMAS Head Assembly) | Medtronic Sofamor Danek USA, Inc. | 2026 | 0 | — |
| +3 | K253335 | CD Horizon™ Spinal System | Medtronic Sofamor Danek USA, Inc. | 2025 | 0 | — |
| +3 | K243106 | CarboClear® Hybrid Pedicle Screw System | CarboFix Orthopedics, Ltd. | 2024 | 0 | — |
| +3 | K243007 | CD Horizon™ Spinal System | Medtronic Sofamor Danek USA, Inc. | 2024 | 3 | — |
| +3 | K233793 | CarboClear® X Pedicle Screw System | CarboFix Orthopedics, Ltd. | 2024 | 1 | — |
| +3 | K241276 | Vector™ Pedicle Screw System | Innovasis, Inc. | 2024 | 1 | 1 |
| +3 | K233989 | CarboClear® Posterior Cervical Screw System | CarboFix Orthopedics, Ltd. | 2024 | 2 | — |
| +3 | K233944 | CarboClear® X Pedicle Screw System; CarboClear® X Navigated Instruments | CarboFix Orthopedics, Ltd. | 2024 | 3 | — |
| +3 | K232141 | CD Horizon ModuLeX FNS Screw Set (Fenestrated Screw); CD Horizon ModuLeX Spinal System… | Medtronic Sofamor Danek USA, Inc. | 2023 | 1 | — |
| +3 | K231280 | CarboClear® X Pedicle Screw System; CarboClear® X Navigated Instruments; CarboClear® X… | CarboFix Orthopedics, Ltd. | 2023 | 4 | — |
| +3 | K223494 | CD Horizon Spinal System | Medtronic | 2023 | 17 | — |
| +3 | K191722 | Vital Navigation System | Zimmer Biomet Spine, Inc. | 2019 | 2 | — |
| +3 | K180198 | NuVasive® VuePoint® II OCT System | Nu Vasive, Incorporated | 2018 | 4 | — |
| +3 | K172105 | The Plateau-LO Spacer System | Life Spine, Inc. | 2018 | 1 | — |
| +3 | K171894 | NuVasive® Precept™ Spinal System | Nu Vasive, Incorporated | 2017 | 0 | — |
| +3 | K170126 | NuVasive® Reline® 4.5-5.0 System | Nu Vasive, Incorporated | 2017 | 39 | — |
| +3 | K160020 | Captiva Spine and CapLOX II/TowerLOX Pedicle Screw System | Captiva Spine | 2016 | 0 | — |
| +4 | K253802 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2026 | 1 | — |
| +4 | K260989 | Varion Thoracolumbar Fixation System | Kyocera Medical Technologies Inc. (KMTI) | 2026 | 0 | — |
| +4 | K252542 | LEO Spinal System | ZheJiang Decans Medical Devices Co., Ltd. | 2026 | 0 | — |
| +4 | K260011 | Foundation Surgical Navigated Lateral Disc Prep Instruments | Foundation Surgical Group, Inc. | 2026 | 0 | — |
| +4 | K254045 | CarboClear® Posterior Cervical Screw System; CarboClear® Hybrid Posterior Cervical Screw… | CarboFix Orthopedics, Ltd. | 2026 | 0 | — |
| +4 | K252327 | CMORE® CT System; CMORE® CT System Navigated Instruments | Icotec AG | 2025 | 1 | — |
| +4 | K253331 | PressON Spinal Fixation System | Nexus Spine | 2025 | 0 | — |
| +4 | K251073 | Innovasis Navigation Instruments (Vector G-E Navigation Instruments and the Excella G-E… | Innovasis, Inc. | 2025 | 0 | 1 |
| +4 | K241082 | INNOVERSE Navigation Instruments | Innosys Co., Ltd. | 2024 | 0 | — |
| +4 | K233508 | iFuse Bedrock Granite® Implant System | SI-BONE, Inc. | 2024 | 5 | — |
| +4 | K233443 | Vital™ Navigation System | Zimvie Spine (Zimmer Biomet Spine, Inc.) | 2023 | 0 | — |
| +4 | K213654 | NuVasive Reline Cervical System | Nu Vasive, Incorporated | 2022 | 1 | — |
| +4 | K213720 | Vital Navigation System | Zimvie (Zimmer Biomet Spine, Inc.) | 2022 | 0 | — |
| +4 | K211993 | Z-LINKPC System | Zavation Medical Products, LLC | 2021 | 0 | — |
| +4 | K190636 | NuVasive® Reline® 4.5-5.0 System | Nu Vasive, Incorporated | 2019 | 13 | — |
| +4 | K191553 | NuVaisve® Reline® Cervical System | Nu Vasive, Incorporated | 2019 | 2 | — |
| +4 | K190360 | LineSider™ Spinal System | Integrity Implants, Inc. | 2019 | 13 | — |
| +4 | K182974 | NuVasive Reline System | Nu Vasive, Incorporated | 2019 | 11 | — |
| +4 | K182470 | Plateau Spacer System | Life Spine | 2018 | 0 | — |
| +5 | K262067 | iFuse Granite Onyx™ Implant System | SI-BONE, Inc. | 2026 | 0 | — |
| +5 | K262828 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2026 | 0 | — |
| +5 | K254274 | ARx® SAI Implant System | Life Spine, Inc. | 2026 | 0 | — |
| +5 | K242827 | A8 INTEGR8™ Porous Pedicle Screws | Allumin8, Inc. | 2025 | 1 | — |
| +5 | K253094 | iFuse Bedrock Granite Implant System | SI-BONE, Inc. | 2025 | 0 | — |
| +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 | — |
| +5 | K231098 | LineSider® Spinal System | Integrity Implants, Inc. | 2023 | 3 | — |
| +5 | K223181 | NuVasive Reline System | Nu Vasive, Incorporated | 2023 | 11 | — |
| +5 | K221388 | NuVasive Reline Cervical System | Nu Vasive, Incorporated | 2022 | 0 | — |
| +5 | K212088 | Integrity Implants Navigated Instruments | Integrity Implants, Inc. | 2021 | 0 | — |
| +5 | K210539 | CoreLink Midline Fixation System | Corelink, LLC | 2021 | 4 | — |
| +5 | K203367 | LineSider™ Spinal System | Integrity Implants, Inc. | 2020 | 5 | 4 |
| +5 | K191575 | ARx Spinal System | Life Spine, Inc. | 2019 | 10 | — |
| +6 | K253739 | SCRIPT™ Rods, CREO™ Stabilization System, REVERE® Stabilization System, REVERE® 4.5… | Globus Medical, Inc. | 2026 | 0 | — |
| +6 | K241519 | Invictus® Small Stature Spinal Fixation System | Alphatec Spine, Inc. | 2024 | 2 | — |
| +6 | K231494 | CoreLink Robotic Navigation Instruments | Corelink, LLC | 2023 | 0 | — |
| +6 | K232650 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2023 | 6 | — |
| +6 | K232413 | Fusion Robotic Navigation System | Alphatec Spine, Inc. | 2023 | 2 | — |
| +6 | K221776 | NextGen Pedicle Screw System | Corelink, LLC | 2022 | 2 | — |
| +6 | K220025 | ARx® Spinal System | Life Spine, Inc. | 2022 | 0 | — |
| +6 | K202836 | GX Navigation Instrument System | Life Spine, Inc. | 2021 | 1 | — |
| +6 | K200070 | ARx Spinal System | Life Spine, Inc. | 2020 | 9 | — |
| +7 | K261284 | Invictus® Small Stature Spinal Fixation System; Invictus® 2.0 Spinal Fixation System | Alphatec Spine, Inc. | 2026 | 0 | — |
| +7 | K260571 | SIMPACT Sacroiliac Joint Fixation System GX Navigation Instruments | Life Spine, Inc. | 2026 | 0 | — |
| +7 | K260786 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2026 | 1 | — |
| +7 | K253615 | Invictus Bands System | Alphatec Spine, Inc. | 2026 | 0 | — |
| +7 | K252597 | Valence Robotic Navigation System; Valence Robotic Navigation Instruments (For Use with… | Alphatec Spine, Inc. | 2026 | 1 | — |
| +7 | K253990 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2026 | 2 | — |
| +7 | K253721 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2025 | 2 | — |
| +7 | K253093 | Vital™ Spinal Fixation System | Highridge Medical, LLC | 2025 | 0 | — |
| +7 | K251804 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2025 | 4 | — |
| +7 | K230880 | CoreLink Navigation Instruments | Corelink, LLC | 2023 | 0 | — |
| +7 | K220341 | ARx Modular Spinal System | Life Spine, Inc. | 2022 | 1 | — |
| +7 | K210549 | ARx Spinal System | Life Spine, Inc. | 2021 | 1 | — |
| +7 | K203163 | ARx Illiac Spinal Screw System | Life Spine, Inc. | 2020 | 5 | — |
| +8 | K233455 | ARx MIS Spinal Screw System | Life Spine, Inc. | 2023 | 0 | — |