510(k) Report

510(k) · Cleared

Recalled · Class II · 2012

Lanx Spinal Fixation System

K122145510(k) SpecialCleared Aug 17, 201229-day reviewClass II21 CFR 888.3070Recalls 1

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

Lanx, Inc. · NKB Thoracolumbosacral Pedicle Screw System

Cleared on Aug 17, 2012 as substantially equivalent to K120399 (Lanx, LLC, 2012) and 2 other predicates after a 29-day review. Its family tree reaches back 8 generations to 1995. 7 later devices descend from it. It has been recalled once.

Decided
Aug 17, 2012
Review
29 days
Class
Class II
Product code
NKB
Recalls
1
Predicates
3

Its longest line of descent runs back 8 generations to K950697 (1995). 70 ancestors in all, the oldest K933881 (1994). 7 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2012: 1 other ancestor2010: 2 other ancestors2011: 3 other ancestors2008: 4 other ancestors2007: 4 other ancestors2006: 4 other ancestors2005: 8 other ancestors2002: 3 other ancestors2009: 4 other ancestors2004: 7 other ancestors2003: 6 other ancestors2000: 7 other ancestors1998: 1 other ancestor1997: 1 other ancestor1994: 1 other ancestor2001: 3 other ancestors1999: 2 other ancestors1996: 1 other ancestor2017: 2 descendants cleared2015: 1 descendant cleared2018: 1 descendant cleared2020: 1 descendant cleared2026: 2 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) ×2: 2 generations cleared close together, K082942 (2008), K090230 (2009) K120099 · Range Spinal System (Mesa and Denali) · K2m, Inc. · 20121990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 12 other ancestors3 generations back: 22 other ancestors4 generations back: 16 other ancestors5 generations back: 6 other ancestors6 generations back: 3 other ancestors7 generations back: 1 other ancestor 1 generation forward: 2 descendants2 generations forward: 3 descendants3 generations forward: 1 descendant4 generations forward: 1 descendant K120099 · Range Spinal System (Mesa and Denali) · K2m, Inc. · 2012K090230 · 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
  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 backK120099 Range Spinal System (Mesa and Denali)K2m, Inc. · 2012
  9. This deviceK122145 Lanx Spinal Fixation SystemLanx, Inc. · 2012
  10. Descendant · cites it directly · 4 of its ownK171838 TiLock2 Spinal SystemGenesys Spine · 2017
  11. Descendant · 2 generations on · 2 of its ownK201427 Trivergent Spinal Fixation SystemBenvenue Medical, Inc. · 2020
  12. Descendant · 3 generations on · 1 of its ownK253169 Duet™ Spinal Fixation SystemBox Spine, LLC · 2026
  13. Descendant · cites it directly · 1 of its ownK152132 X-spine Pedicle Screw SystemX-Spine Systems, Inc. · 2015 · Recalled
  14. Descendant · 4 generations on · 0 of its ownK262712 Duet™ Spinal Fixation SystemDuet Spine Holdings, LLC · 2026

Showing 5 of 7 descendants. See all descendants

Descendants cleared per year

2015: 12017: 22018: 12020: 12026: 2
2015high 2 (2017) · low 0 (2016)2026

Most influential descendants

Showing 5 of 7 · See all
  • K171838TiLock2 Spinal SystemGenesys Spine · 2017 · cites it directly4descendants
  • K201427Trivergent Spinal Fixation SystemBenvenue Medical, Inc. · 2020 · 2 generations on2descendants
  • K253169Duet™ Spinal Fixation SystemBox Spine, LLC · 2026 · 3 generations on1descendant
  • K152132X-spine Pedicle Screw SystemX-Spine Systems, Inc. · 2015 · cites it directly1descendant
  • K262712Duet™ Spinal Fixation SystemDuet Spine Holdings, LLC · 2026 · 4 generations on0descendants
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—
−1K120099Range Spinal System (Mesa and Denali)K2m, Inc.2012—
0 (this device)K122145Lanx Spinal Fixation SystemLanx, Inc.2012—
+1K171838TiLock2 Spinal SystemGenesys Spine2017—
+2K201427Trivergent Spinal Fixation SystemBenvenue Medical, Inc.2020—
+3K253169Duet™ Spinal Fixation SystemBox Spine, LLC2026—
+1K152132X-spine Pedicle Screw SystemX-Spine Systems, Inc.20151
+4K262712Duet™ Spinal Fixation SystemDuet Spine Holdings, LLC2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199410
199610
199710
199810
199920
200070
200130
200230
200360
200470
200580
200640
200740
200840
200940
201020
201130
201210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201510
201720
201810
202010
202620
FIG. 1 — Lineage of K122145, 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
*K120399Lanx Spinal Fixation System
Summary page 1
…21 CFR §888.3070, §888.3050 Device Class: Class 11 and Class Ill Predicate Device Information Lanx Spinal Fixation System (K 120399) GS Medical AnyPlus Spinal Fixation System (K091717) K2M Range Spinal System (K 120099) Device Description The Lanx Spinal Fix…
Lanx, LLC2012—
*K091717Any Plus Spinal Fixation System
Summary page 1
…050 Device Class: Class 11 and Class Ill Predicate Device Information Lanx Spinal Fixation System (K 120399) GS Medical AnyPlus Spinal Fixation System (K091717) K2M Range Spinal System (K 120099) Device Description The Lanx Spinal Fixation System consists of various screws, hooks, rods…
GS Medical Co., Ltd.2010—
*K120099Range Spinal System (Mesa and Denali)
Summary page 1
…Class 11 and Class Ill Predicate Device Information Lanx Spinal Fixation System (K 120399) GS Medical AnyPlus Spinal Fixation System (K091717) K2M Range Spinal System (K 120099) Device Description The Lanx Spinal Fixation System consists of various screws, hooks, rods, plates, connectors, etc. that are…
K2m, Inc.2012—

Also cleared against K120399: 1 other device →

What descends from it? (7)

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

NumberDeviceApplicantDecidedDescendants
K171838TiLock2 Spinal SystemGenesys Spine20174
K152132X-spine Pedicle Screw SystemX-Spine Systems, Inc.20151

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Nov 30, 2012Class IIZ-1146-2015Process controlBiomet Spine LLC is recalling the Set Screw 5.5 mm Rod due to the set screw being out of specification

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 17 years and passes through 5 companies; a new generation was cleared every 5 months on median.
  • 7 of the 70 ancestors have a recall of any class.
  • Of its descendants, K171838 (Genesys Spine, 2017) has gone furthest, with 4 descendants of its own.
  • 1 other device also cites its predicate K120399.

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. 2012, 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 Lanx Spinal Fixation System (SFS) is intended to be used to help provide immobilization and stabilization of spinal segments as an adjunct to fusion of the thoracic, lumbar and/or sacral spine. The System is intended for use with autograft or allogiift. The Lanx Spinal Fixation System is intended for posterior, non-cervical (T1-S2/ilium) pedicle and non-pedicle spinal fixation, to provide immobilization and stabilization of spinal segments in…

Read the full statement (219 words)

The Lanx Spinal Fixation System (SFS) is intended to be used to help provide immobilization and stabilization of spinal segments as an adjunct to fusion of the thoracic, lumbar and/or sacral spine. The System is intended for use with autograft or allogiift.

The Lanx Spinal Fixation System is intended for posterior, non-cervical (T1-S2/ilium) pedicle and non-pedicle spinal fixation, to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following instabilities or deformities: degenerative disc disease (DDD, defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies); spondylolisthesis; trauma (i.e. fracture or dislocation); spinal stenosis; deformities or curvatures (i.e. scoliosis, kyphosis and/or lordosis); tumor; pseudoarthrosis; and failed previous fusion.

The Lanx Spinous Process Fusion Plate (SPFP) is a posterior, non-pedicle supplemental fixation device, intended for use at a single level in the non-cervical spine (T1-S1). It is intended for plate fixation/attachment to spinous processes for the purpose of achieving supplemental fusion in the following conditions: degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies); spondylolisthesis; trauma (i.e., fracture or dislocation); and/or tumor. The Lanx SPFP is intended for use with bone graft material, not intended for stand-alone use.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K122145: Lanx Spinal Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K122145

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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