Devices descending from K121342
88 later devices reach Xia 4.5 Spinal System through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +1 | K230325 | GREENS BRAND Posterior, Non-cervical Pedicle Screw Spinal System | Greens Surgicals Pvt., Ltd. | 2024 | 0 | — |
| +1 | K230482 | Swedge™ Pedicle Screw Fixation System | Spinal Resources, Inc. | 2023 | 1 | — |
| +1 | K152632 | XIA 4.5 Spinal Fixation System, Power Adaaptor Instrument Accessory | Stryker Corporation | 2015 | 31 | — |
| +1 | K142381 | Xia 3 Spinal System | Stryker Corp. | 2014 | 83 | — |
| +1 | K133188 | Mantis & Mantis Redux Spinal System, Radius Spinal System, Trio & Trio+ Spinal Fixation… | Stryker Spine | 2013 | 84 | — |
| +2 | K252461 | Swedge™ Pedicle Screw Fixation System Bezier Rod | Spinal Resources, Inc. | 2026 | 0 | — |
| +2 | K243004 | Xpine Spinal Fixation System | Jeil Medical Corporation | 2024 | 0 | — |
| +2 | K242361 | OZARK Cervical Plate System; PYRENEES® Cervical Plate System; EVEREST® Spinal System… | Stryker Spine | 2024 | 1 | — |
| +2 | K222684 | XIA® 4.5 Spinal System, XIA® 4.5 Cortical Trajectory, XIA® 3 Spinal System, Serrato®… | Stryker Spine | 2023 | 4 | — |
| +2 | K223096 | Dark Star Deformity Pedicle Screw System | Republic Spine, LLC | 2023 | 1 | — |
| +2 | K210549 | ARx Spinal System | Life Spine, Inc. | 2021 | 1 | — |
| +2 | K200937 | ACURA Stabilization System | Indius Medical Technologies Pvt., Ltd. | 2020 | 0 | — |
| +2 | K202528 | Cannulated Power Driver Attachment | K2m, Inc. | 2020 | 0 | — |
| +2 | K200245 | EXPEDIUM® Spine System; EXPEDIUM VERSE® Spine System | Medos International Sàrl | 2020 | 12 | — |
| +2 | K200666 | Stryker Xia 3 Power Adaptor | Stryker Spine | 2020 | 3 | — |
| +2 | K192121 | Black Diamond Pedicle Screw System | Osseus Fusion Systems | 2019 | 13 | — |
| +2 | K181139 | OLYMPIC Posterior Spinal Fixation System | Astura Medical, LLC | 2018 | 8 | — |
| +2 | K172724 | XIA® 4.5 Spinal System, Power Adaptor Instrument Accessory | Stryker Corporation | 2017 | 9 | — |
| +2 | K172275 | Vitality® Spinal Fixation System, Vitality®+ Power Instrument System | Zimmer Biomet Spine, Inc. | 2017 | 0 | — |
| +2 | K172101 | ROMEO® 2 Posterior Osteosynthesis System | Spineart | 2017 | 9 | — |
| +2 | K170496 | Xia® 3 Spinal System, Stryker Spine Power Adaptor Instrument Accessory | Stryker Corporation | 2017 | 15 | 1 |
| +2 | K163604 | SeaSpine® Daytona® Small Stature Spinal System | SeaSpine Orthopedics Corporation | 2017 | 12 | — |
| +2 | K151216 | Everest Spinal System | K2m, Inc. | 2015 | 11 | — |
| +3 | K262828 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2026 | 0 | — |
| +3 | K253545 | Vulcan Spinal System | K2m, Inc. | 2026 | 0 | — |
| +3 | K253990 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2026 | 2 | — |
| +3 | K253249 | TriALTIS™ Spine System | Medos International SARL | 2025 | 1 | — |
| +3 | K242764 | MediRod Pedicle Screw System | Cmf Medicon Surgical, Inc. | 2024 | 0 | — |
| +3 | K240872 | Erisma® Deformity Spinal System; Erisma® Lp Spinal Fixation System | Clariance | 2024 | 1 | — |
| +3 | K233300 | POWEReam 1/4 Drive | Stryker Instruments | 2023 | 1 | — |
| +3 | K231443 | Mini-OSTEO Pedicle Fixation System | Osteomed Indústria E Comércio DE Implantes Ltda | 2023 | 0 | — |
| +3 | K231694 | MASADA Modular Spinal Fixation System | Astura Medical | 2023 | 2 | — |
| +3 | K231069 | PERLA® TL Posterior Thoraco-lumbar Fixation System | Spineart SA | 2023 | 1 | — |
| +3 | K231636 | LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System, AccelFix Spinal Fixation… | L&K BIOMED Co., Ltd. | 2023 | 2 | — |
| +3 | K230245 | LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System; AccelFix Spinal Fixation… | L&K BIOMED Co., Ltd. | 2023 | 3 | — |
| +3 | K222473 | EXPEDIUM® Spine System, EXPEDIUM VERSE® Spine System: ALTALYNE™ Ultra Rods | Medos-International Sarl | 2022 | 1 | — |
| +3 | K213935 | PISCES-SA Standalone ALIF Interbody System | Osseus Fusion Systems | 2022 | 12 | — |
| +3 | K220025 | ARx® Spinal System | Life Spine, Inc. | 2022 | 0 | — |
| +3 | K220374 | EXPEDIUM VERSE® Fenestrated Screw System (Sterile Fenestrated Screws) | Medos International SARL | 2022 | 9 | — |
| +3 | K213470 | PERLA® TL Posterior Osteosynthesis System | Spineart | 2022 | 2 | — |
| +3 | K203222 | PERLA TL Posterior Osteosynthesis System | Spineart | 2020 | 4 | — |
| +3 | K200381 | Daytona® Small Stature Spinal System | SeaSpine Orthopedics Corporation | 2020 | 2 | — |
| +3 | K193396 | PERLA® TL posterior osteosynthesis system | Spineart | 2020 | 7 | 2 |
| +3 | K183639 | Mariner Outrigger Revision System | SeaSpine Orthopedics Corporation | 2019 | 8 | — |
| +3 | K182239 | OLYMPIC Posterior Spinal Fixation System | Astura Medical, LLC | 2018 | 2 | — |
| +3 | K182240 | PASS LP Spinal System | Medicrea International SA | 2018 | 2 | — |
| +3 | K173814 | DeGen Medical E3 MIS Pedicle Screw System | Degen Medical | 2018 | 0 | — |
| +3 | K173508 | Everest Spinal System | K2m | 2018 | 9 | — |
| +3 | K153525 | Seneka II Polyscrew Pedicle Fixation System | Senecka Spine | 2016 | 0 | — |
| +4 | K253943 | Tiger 2 System | Zavation Medical Products, LLC | 2026 | 0 | — |
| +4 | K253966 | PERLA® TL Posterior Thoraco-lumbar Fixation System | Spineart SA | 2026 | 0 | — |
| +4 | K260786 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2026 | 1 | — |
| +4 | K252729 | Universal Spinal System | Double Medical Technology, Inc. | 2025 | 0 | — |
| +4 | K252346 | OLYMPIC Posterior Spinal Fixation System; MASADA Modular Spinal Fixation System | Astura Medical | 2025 | 0 | — |
| +4 | K250845 | Curiteva Porous PEEK Standalone ALIF System | Curiteva, Inc. | 2025 | 1 | — |
| +4 | K243259 | MASADA Modular Spinal Fixation System | Astura Medical | 2025 | 0 | — |
| +4 | K240326 | Solar™ Lumbar Interbody Fusion System | Degen Medical, Inc. | 2024 | 4 | — |
| +4 | K241863 | Erisma® Lp Spinal Fixation System; Erisma® LP MIS | Clariance | 2024 | 0 | — |
| +4 | K240526 | POWEReam Xia/Serrato | Stryker Instruments | 2024 | 0 | — |
| +4 | K232566 | NewPort Spinal System; Daytona Small Stature Spinal System; Malibu Spinal System… | SeaSpine Orthopedics Corporation | 2024 | 1 | 2 |
| +4 | K231479 | TriALTIS Spine System | Medos International SARL | 2023 | 8 | — |
| +4 | K232311 | LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System, AccelFix Spinal Fixation… | L&K BIOMED Co., Ltd. | 2023 | 1 | — |
| +4 | K230774 | PERLA® TL System; TEKTONA® HV US Bone Cement | Spineart | 2023 | 0 | — |
| +4 | K231199 | Solar Lumbar Interbody Fusion System | Degen Medical | 2023 | 5 | — |
| +4 | K223413 | Pisces™-SA STANDALONE ALIF Interbody System | Osseus Fusion Systems | 2023 | 3 | — |
| +4 | K203506 | PERLA® TL posterior osteosynthesis system | Spineart | 2021 | 3 | 2 |
| +4 | K190376 | PASS LP Spinal System | Medicrea International SA | 2019 | 1 | 5 |
| +4 | K181119 | Range (Denali and Mesa) Spinal Systems | K2m, Inc. | 2018 | 5 | — |
| +4 | K180376 | K2M Patient Specific Rods | K2m, Inc. | 2018 | 2 | — |
| +5 | K253420 | Admiral ACP System; Explorer TO System; Laminoplasty System; Manta Ray TDF Spacer… | SeaSpine Orthopedics Corporation | 2026 | 0 | — |
| +5 | K261130 | AccelFix Spinal Fixation System | L&K BIOMED Co., Ltd. | 2026 | 0 | — |
| +5 | K252205 | Curiteva Porous PEEK Cervical Interbody System; Curiteva Porous PEEK Lumbar Interbody… | Curiteva, Inc. | 2026 | 0 | — |
| +5 | K252737 | DeGen Medical Latitude-C AM Cervical Interbody Fusion System | Degen Medical | 2025 | 0 | — |
| +5 | K243249 | TriALTIS™ Spine System | Medos International SARL | 2025 | 0 | — |
| +5 | K241077 | DeGen Medical Patient Specific Implant (PSI) System | Degen Medical | 2024 | 2 | — |
| +5 | K240126 | ProAM ALIF System | Pro Surgical, Inc. | 2024 | 2 | — |
| +5 | K233684 | TriALTIS™ Spine System | Medos International SARL | 2023 | 4 | — |
| +5 | K232341 | CarboClear® Pedicle Screw System | CarboFix Orthopedics, Ltd. | 2023 | 4 | — |
| +5 | K213281 | PASS LP™ Spinal System, CD Horizon™ Spinal System | Medicrea International SA | 2022 | 0 | — |
| +6 | K251644 | ProAM ALIF System | Pro Surgical, Inc. | 2025 | 0 | — |
| +6 | K250667 | DeGen Medical Patient Specific Implant (PSI) System | Degen Medical | 2025 | 1 | — |
| +6 | K242517 | ProAM ACDF System | Pro Surgical, Inc. | 2024 | 0 | — |
| +6 | K242042 | TriALTIS™ Spine System | Medos International SARL | 2024 | 1 | — |
| +6 | K233793 | CarboClear® X Pedicle Screw System | CarboFix Orthopedics, Ltd. | 2024 | 1 | — |
| +6 | K233944 | CarboClear® X Pedicle Screw System; CarboClear® X Navigated Instruments | CarboFix Orthopedics, Ltd. | 2024 | 3 | — |
| +7 | K251829 | DeGen Medical Patient Specific Implant (PSI) System | Degen Medical | 2025 | 0 | — |
| +7 | K243106 | CarboClear® Hybrid Pedicle Screw System | CarboFix Orthopedics, Ltd. | 2024 | 0 | — |
| +7 | K240846 | CarboClear® Hybrid Pedicle Screw System; CarboClear® Hybrid Navigated Instruments… | CarboFix Orthopedics, Ltd. | 2024 | 2 | — |