Devices descending from K121982
155 later devices reach Sovereign Spinal System through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +7 | K262067 | iFuse Granite Onyx™ Implant System | SI-BONE, Inc. | 2026 | 0 | — |
| +7 | K261451 | ZSAlign Cervical Interbody System | ZSFab, Inc. | 2026 | 0 | — |
| +7 | K261284 | Invictus® Small Stature Spinal Fixation System; Invictus® 2.0 Spinal Fixation System | Alphatec Spine, Inc. | 2026 | 0 | — |
| +7 | K253420 | Admiral ACP System; Explorer TO System; Laminoplasty System; Manta Ray TDF Spacer… | SeaSpine Orthopedics Corporation | 2026 | 0 | — |
| +7 | K253401 | SCRIPT™ Implant System | Globus Medical, Inc. | 2026 | 0 | — |
| +7 | K260549 | ZSFab Cervical Interbody System and ZSFab Lumbar Interbody System | Zsfab, Inc. | 2026 | 0 | — |
| +7 | K254274 | ARx® SAI Implant System | Life Spine, Inc. | 2026 | 0 | — |
| +7 | K252742 | Navigated Instruments | Tyber Medical, LLC | 2025 | 1 | — |
| +7 | K252322 | SIros-X System | Genesys Spine | 2025 | 0 | — |
| +7 | K253094 | iFuse Bedrock Granite Implant System | SI-BONE, Inc. | 2025 | 0 | — |
| +7 | K251444 | Endoskeleton™ Interbody Systems | Medtronic Sofamor Danek USA, Inc. | 2025 | 0 | — |
| +7 | K251575 | IdentiTi™ II ALIF Standalone Interbody System; Transcend™ ALIF Standalone Interbody System | Alphatec Spine | 2025 | 0 | — |
| +7 | K252113 | PRADO™ Lumbar Interbody Fusion System | Bethesda Medical Devices | 2025 | 0 | — |
| +7 | K251080 | IdentiTi II Cervical Interbody System | Alphatec Spine, Inc. | 2025 | 0 | — |
| +7 | K251617 | X-PAC® TLIF Expandable Posterior Cage System; X-PAC® LLIF Expandable Lateral Cage System | Expanding Innovations, Inc. | 2025 | 0 | — |
| +7 | K243074 | Spectrum Spine Lumbar Cage System | Spectrum Spine, Inc. | 2025 | 2 | — |
| +7 | K243802 | aprevo® anterior and lateral lumbar interbody fusion device, aprevo® anterior lumbar… | Carlsmed, Inc. | 2025 | 3 | — |
| +7 | K243461 | Calibrate Interbody Systems | Alphatec Spine, Inc. | 2025 | 0 | — |
| +7 | K242517 | ProAM ACDF System | Pro Surgical, Inc. | 2024 | 0 | — |
| +7 | K243007 | CD Horizon™ Spinal System | Medtronic Sofamor Danek USA, Inc. | 2024 | 3 | — |
| +7 | K241846 | E3D™-C Interbody System | Evolution Spine | 2024 | 6 | — |
| +7 | K241464 | ARx® SAI Implant System | Life Spine, Inc. | 2024 | 1 | — |
| +7 | K240830 | Reef TO/TA System; Regatta Lateral System; Explorer TO System; WaveForm C Interbody… | Orthofix Medical, Inc. | 2024 | 2 | — |
| +7 | K241466 | Shoreline ACS Interbody System; Shoreline RT Interbody System; Regatta Lateral System… | SeaSpine Orthopedics Corporation | 2024 | 3 | — |
| +7 | K240838 | Spectrum Spine Cervical Cage System | Spectrum Spine, Inc. | 2024 | 4 | — |
| +7 | K240126 | ProAM ALIF System | Pro Surgical, Inc. | 2024 | 2 | — |
| +7 | K233694 | Meridian Interbody System; WaveForm A Interbody System | SeaSpine Orthopedics Corporation | 2024 | 8 | — |
| +7 | K222973 | IdentiTi and Transcend Interbody Systems: IndentiTi Cervical Porous Ti Interbody System… | Alphatec Spine, Inc. | 2022 | 13 | — |
| +7 | K222732 | WaveForm A Interbody System | SeaSpine Orthopedics Corporation | 2022 | 9 | — |
| +7 | K220523 | restor3d TiDAL Lumbar Interbody Fusion Device | Restor3D | 2022 | 2 | — |
| +7 | K212904 | SeaSpine WaveForm C Interbody System | SeaSpine Orthopedics Corporation | 2021 | 15 | — |
| +7 | K213359 | SeaSpine WaveForm, C Interbody System | SeaSpine Orthopedics Corporation | 2021 | 7 | — |
| +7 | K203003 | Pantheon IBFD | Pantheon Spinal | 2021 | 0 | — |
| +8 | K262094 | E3D™-C Interbody System | Evolution Spine | 2026 | 0 | — |
| +8 | K253802 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2026 | 1 | — |
| +8 | K260036 | NeckTune™ 3D SA Cervical Cage | Medyssey Co, Ltd. | 2026 | 0 | — |
| +8 | K261060 | Navigated LLIF Impactable Tracker | Tyber Medical, LLC | 2026 | 0 | — |
| +8 | K252240 | Spectrum Spine Cervical Cage System; Spectrum Spine Lumbar Cage System | Spectrum Spine | 2026 | 0 | — |
| +8 | K254105 | Hive™ Standalone Cervical System and Hive™ C Interbody System | NanoHive Medical, LLC | 2026 | 0 | — |
| +8 | K260038 | E3D™-C Interbody System | Evolution Spine | 2026 | 1 | — |
| +8 | K252894 | aprevo® cervical interbody system | Carlsmed, Inc. | 2026 | 1 | — |
| +8 | K253377 | Expandable Titanium PLIF/TLIF System | Spectrum Spine, Inc. | 2025 | 0 | — |
| +8 | K250827 | aprevo® anterior lumbar interbody fusion device; aprevo® lateral lumbar interbody fusion… | Carlsmed, Inc. | 2025 | 2 | — |
| +8 | K250987 | aprevo® posterior/transforaminal lumbar interbody fusion device | Carlsmed, Inc. | 2025 | 1 | — |
| +8 | K251644 | ProAM ALIF System | Pro Surgical, Inc. | 2025 | 0 | — |
| +8 | K242260 | aprevo® Cervical ACDF; aprevo® Cervical ACDF-X; aprevo® Cervical ACDF-X NO CAM | Carlsmed, Inc. | 2024 | 3 | — |
| +8 | K240749 | PILLAR SA Ti Spacer System (82-XXX) | Orthofix, Inc. | 2024 | 0 | 2 |
| +8 | K233640 | Segmental Plating System (SPS);IdentiTi SPS Interbody System;IdentiTi NanoTec SPS… | Alphatec Spine, Inc. | 2024 | 5 | — |
| +8 | K234087 | restor3d TIDAL Lumbar Interbody Fusion System | Restor3D | 2024 | 0 | — |
| +8 | K223326 | Axiom PSR System | Restor3D | 2023 | 0 | 1 |
| +8 | K220296 | Manta Ray TDF Spacer | SeaSpine Orthopedics Corporation | 2023 | 1 | — |
| +8 | K223190 | Hive™ Standalone Cervical System | NanoHive Medical, LLC | 2022 | 5 | — |
| +9 | K262828 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2026 | 0 | — |
| +9 | K260385 | aprevo® anterior and lateral lumbar interbody system; aprevo® posterior and… | Carlsmed, Inc. | 2026 | 0 | — |
| +9 | K251965 | Proximity Anterior Cervical Plate System; Segmental Plating System (SPS) | Alphatec Spine, Inc. | 2025 | 0 | — |