510(k) Report

510(k) · Cleared

Cleared

Firebird Spinal Fixation System, Phoenix Mis Spinal Fixation System

K122901510(k) TraditionalCleared Dec 3, 201273-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

Orthofix · NKB Thoracolumbosacral Pedicle Screw System

Cleared on Dec 3, 2012 as substantially equivalent to K082797 (Blackstone Medical, Inc., 2008) and 2 other predicates after a 73-day review. Its family tree reaches back 9 generations to 1998. 116 later devices descend from it.

Decided
Dec 3, 2012
Review
73 days
Class
Class II
Product code
NKB
Recalls
None
Predicates
4

Its longest line of descent runs back 9 generations to K980447 (1998). 66 ancestors in all, the oldest K901587 (1990). 116 later devices descend from it, 6 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2008: 2 other ancestors2006: 1 other ancestor2005: 3 other ancestors2007: 1 other ancestor2004: 4 other ancestors2003: 6 other ancestors2002: 4 other ancestors2001: 3 other ancestors2000: 3 other ancestors1999: 3 other ancestors1997: 4 other ancestors1998: 5 other ancestors1996: 4 other ancestors1995: 3 other ancestors1994: 2 other ancestors1993: 2 other ancestors1992: 5 other ancestors1990: 2 other ancestors2013: 3 descendants cleared2020: 7 descendants cleared2016: 6 descendants cleared2018: 7 descendants cleared2024: 10 descendants cleared2015: 4 descendants cleared2017: 11 descendants cleared2023: 15 descendants cleared2019: 8 descendants cleared2025: 12 descendants cleared2022: 13 descendants cleared2021: 9 descendants cleared2026: 11 descendants clearedK980447 · Depuy Motech Moss Miami Spinal System · DePuy Orthopaedics, Inc. · 1998K013558 · Blackstone Spinal Fixation System 4.5MM Mono-Axial Screw · Blackstone Medical, Inc. · 2002K022399 · Blackstone Spinal Fixation System Spacer · Blackstone Medical, Inc. · 2002K030241 · Modification to Blackstone Spinal Fixation System · Blackstone Medical, Inc. · 2003K080407 · Blackstone SFS Parallel Rod Connectors · Blackstone Medical, Inc. · 2008 · recalled×2: 2 generations cleared close together, K081684 (2008), K082797 (2008) ×2: 2 generations cleared close together, K092624 (2009), K100044 (2010) 1990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 5 other ancestors3 generations back: 19 other ancestors4 generations back: 12 other ancestors5 generations back: 19 other ancestors6 generations back: 2 other ancestors 1 generation forward: 6 descendants2 generations forward: 16 descendants3 generations forward: 22 descendants4 generations forward: 22 descendants5 generations forward: 29 descendants6 generations forward: 14 descendants7 generations forward: 6 descendants8 generations forward: 1 descendant K100044 · Firebird Spinal Fixation System, Firebird Side-Loading Body · Blackstone · 2010K092624 · Firebird Spinal Fixation System · Blackstone Medical, Inc. · 2009 · recalledK082797 · Blackstone Pedicle Screw System · Blackstone Medical, Inc. · 2008K081684 · Blackstone Pedicle Screw System · Blackstone Medical, Inc. · 2008 · recalledK080407 · Blackstone SFS Parallel Rod Connectors · Blackstone Medical, Inc. · 2008 · recalledK030241 · Modification to Blackstone Spinal Fixation System · Blackstone Medical, Inc. · 2003K022399 · Blackstone Spinal Fixation System Spacer · Blackstone Medical, Inc. · 2002K013558 · Blackstone Spinal Fixation System 4.5MM Mono-Axial Screw · Blackstone Medical, Inc. · 2002K980447 · Depuy Motech Moss Miami Spinal System · DePuy Orthopaedics, Inc. · 1998−50+5
  1. Root · 9 generations backK980447 Depuy Motech Moss Miami Spinal SystemDePuy Orthopaedics, Inc. · 1998
  2. 5 generations between
  3. 3 generations backK082797 Blackstone Pedicle Screw SystemBlackstone Medical, Inc. · 2008
  4. 2 generations backK092624 Firebird Spinal Fixation SystemBlackstone Medical, Inc. · 2009 · Recalled
  5. 1 generation backK100044 Firebird Spinal Fixation System, Firebird Side-Loading BodyBlackstone · 2010
  6. This deviceK122901 Firebird Spinal Fixation System, Phoenix Mis Spinal Fixation SystemOrthofix · 2012
  7. Descendant · cites it directly · 81 of its ownK130932 Firebird Spinal Fixation SystemOrthofix, Inc. · 2013 · Recalled
  8. Descendant · 2 generations on · 78 of its ownK151488 Firebird Spinal Fixation System/Phoenix MIS Spinal Fixation SystemOrthofix, Inc. · 2015 · Recalled
  9. Descendant · 2 generations on · 73 of its ownK153428 Firebird Spinal Fixation System, Phoenix MIS Spinal Fixation SystemOrthofix, Inc. · 2016 · Recalled
  10. Descendant · 3 generations on · 61 of its ownK171082 Firebird Spinal Fixation System, Phoenix MIS Spinal Fixation System…Orthofix, Inc. · 2017 · Recalled
  11. Descendant · 4 generations on · 37 of its ownK180179 Firebird® Spinal Fixation Systems: Firebird System; Firebird…Orthofix, Inc. · 2018
Show all 9 generations
  1. Root · 9 generations backK980447 Depuy Motech Moss Miami Spinal SystemDePuy Orthopaedics, Inc. · 1998
  2. 8 generations backK013558 Blackstone Spinal Fixation System 4.5MM Mono-Axial ScrewBlackstone Medical, Inc. · 2002
  3. 7 generations backK022399 Blackstone Spinal Fixation System SpacerBlackstone Medical, Inc. · 2002
  4. 6 generations backK030241 Modification to Blackstone Spinal Fixation SystemBlackstone Medical, Inc. · 2003
  5. 5 generations backK080407 Blackstone SFS Parallel Rod ConnectorsBlackstone Medical, Inc. · 2008 · Recalled
  6. 4 generations backK081684 Blackstone Pedicle Screw SystemBlackstone Medical, Inc. · 2008 · Recalled
  7. 3 generations backK082797 Blackstone Pedicle Screw SystemBlackstone Medical, Inc. · 2008
  8. 2 generations backK092624 Firebird Spinal Fixation SystemBlackstone Medical, Inc. · 2009 · Recalled
  9. 1 generation backK100044 Firebird Spinal Fixation System, Firebird Side-Loading BodyBlackstone · 2010
  10. This deviceK122901 Firebird Spinal Fixation System, Phoenix Mis Spinal Fixation SystemOrthofix · 2012

Showing 5 of 116 descendants. See all descendants

Descendants cleared per year

2013: 32015: 42016: 62017: 112018: 72019: 82020: 72021: 92022: 132023: 152024: 102025: 122026: 11
2013high 15 (2023) · low 0 (2014)2026

Most influential descendants

Showing 5 of 116 · See all
  • K130932Firebird Spinal Fixation SystemOrthofix, Inc. · 2013 · cites it directly81descendants
  • K151488Firebird Spinal Fixation System/Phoenix MIS Spinal Fixation SystemOrthofix, Inc. · 2015 · 2 generations on78descendants
  • K153428Firebird Spinal Fixation System, Phoenix MIS Spinal Fixation SystemOrthofix, Inc. · 2016 · 2 generations on73descendants
  • K171082Firebird Spinal Fixation System, Phoenix MIS Spinal Fixation System, JANUS Midline…Orthofix, Inc. · 2017 · 3 generations on61descendants
  • K180179Firebird® Spinal Fixation Systems: Firebird System; Firebird Deformity System; Firebird®…Orthofix, Inc. · 2018 · 4 generations on37descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K980447Depuy Motech Moss Miami Spinal SystemDePuy Orthopaedics, Inc.1998—
−8K013558Blackstone Spinal Fixation System 4.5MM Mono-Axial ScrewBlackstone Medical, Inc.2002—
−7K022399Blackstone Spinal Fixation System SpacerBlackstone Medical, Inc.2002—
−6K030241Modification to Blackstone Spinal Fixation SystemBlackstone Medical, Inc.2003—
−5K080407Blackstone SFS Parallel Rod ConnectorsBlackstone Medical, Inc.20081
−4K081684Blackstone Pedicle Screw SystemBlackstone Medical, Inc.20083
−3K082797Blackstone Pedicle Screw SystemBlackstone Medical, Inc.2008—
−2K092624Firebird Spinal Fixation SystemBlackstone Medical, Inc.20091
−1K100044Firebird Spinal Fixation System, Firebird Side-Loading BodyBlackstone2010—
0 (this device)K122901Firebird Spinal Fixation System, Phoenix Mis Spinal Fixation SystemOrthofix2012—
+1K130932Firebird Spinal Fixation SystemOrthofix, Inc.20131
+2K151488Firebird Spinal Fixation System/Phoenix MIS Spinal Fixation SystemOrthofix, Inc.20151
+2K153428Firebird Spinal Fixation System, Phoenix MIS Spinal Fixation SystemOrthofix, Inc.20161
+3K171082Firebird Spinal Fixation System, Phoenix MIS Spinal Fixation System, JANUS…Orthofix, Inc.20171
+4K180179Firebird® Spinal Fixation Systems: Firebird System; Firebird Deformity System…Orthofix, Inc.2018—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199020
199250
199320
199420
199530
199640
199740
199850
199930
200030
200130
200240
200360
200440
200530
200610
200710
200820

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201330
201540
201660
2017110
201870
201980
202070
202190
2022130
2023150
2024100
2025120
2026110
FIG. 1 — Lineage of K122901, 1998–2026Source: 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? (4)

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; numbers the summary cites that cannot be its predicate are marked – and kept off the family tree.

TypeNumberDeviceApplicantDecidedRecalls
Kept off the family treeK081684FDA’s K081684 is Blackstone Pedicle Screw System
Not matched in our reading of the summary (scans can blur digits), so it is kept off the family tree
Blackstone Medical, Inc.20083
*K082797Blackstone Pedicle Screw System
Summary page 2
…Spinal Fixation System are substantially equivalent to the previously cleared Firebird Spinal Fixation System (KOS 1684, K082797, K092624, K 100044). Page 2 of 3…
Blackstone Medical, Inc.2008—
*K092624Firebird Spinal Fixation System
Summary page 2
…Fixation System are substantially equivalent to the previously cleared Firebird Spinal Fixation System (KOS 1684, K082797, K092624, K 100044). Page 2 of 3…
Blackstone Medical, Inc.20091
*K100044Firebird Spinal Fixation System, Firebird Side-Loading Body
Summary page 2
…System are substantially equivalent to the previously cleared Firebird Spinal Fixation System (KOS 1684, K082797, K092624, K 100044). Page 2 of 3…
Blackstone2010—

Also cleared against K082797: 8 other devices →

What descends from it? (116)

See all 116

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

NumberDeviceApplicantDecidedDescendants
K130932Firebird Spinal Fixation SystemOrthofix, Inc.201381
K132603Apex Spine SystemSpinecraft, LLC201325
K200303Reform Pedicle Screw SystemPrecision Spine202010
K153323Palisade Pedicular Fixation SystemSpineology, Inc.20167
K130176Firebird Spinal Fixation SystemOrthofix20135
K161516G Surgical Marksman MIS SystemG Surgical, LLC20163

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 14 years and passes through 4 companies; a new generation was cleared every 7 months on median.
  • 6 of the 66 ancestors have a recall of any class.
  • Of its descendants, K130932 (Orthofix, Inc., 2013) has gone furthest, with 81 descendants of its own.
  • 8 other devices also cite its predicate K082797.

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 Firebird Spinal Fixation System is intended for posterior, non-cervical pedicle fixation. Pedicle screw fixation is limited to skeletally mature patients and is intended to be used as an adjunct to fusion using autograft or allograft. The device is indicated for all of the following indications: *degenerative disc disease (defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies) *spondylolisthesis…

Read the full statement (138 words)

The Firebird Spinal Fixation System is intended for posterior, non-cervical pedicle fixation. Pedicle screw fixation is limited to skeletally mature patients and is intended to be used as an adjunct to fusion using autograft or allograft. The device is indicated for all of 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),

*spinal stenosis,

*deformities or curvatures (i.e., scoliosis, kyphosis, and/or lordosis),

*tumor,

*pseudoarthrosis, and

*failed previous fusion

The Firebird Spinal Fixation System components are used with certain components of the Blackstone SFS system, including rods, rod connectors and cross-connectors.

The Phoenix MIS Spinal Fixation System when used with the Firebird Spinal Fixation System is indicated to provide the surgeon with a minimally invasive approach for posterior spinal surgery.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K122901: Firebird Spinal Fixation System, Phoenix Mis Spinal Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K122901

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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