510(k) Report

510(k) · Cleared

Cleared

Nautilus Spinal System

K123373510(k) TraditionalCleared Mar 6, 2013125-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

Life Spine · NKB Thoracolumbosacral Pedicle Screw System

Cleared on Mar 6, 2013 as substantially equivalent to K080767 (Life Spine, 2008) and 1 other predicate after a 125-day review. Its family tree reaches back 12 generations to 1985. 17 later devices descend from it.

Decided
Mar 6, 2013
Review
125 days
Class
Class II
Product code
NKB
Recalls
None
Predicates
3

Its longest line of descent runs back 12 generations to K853033 (1985). 142 ancestors in all. 17 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2006: 6 other ancestors2007: 8 other ancestors2003: 13 other ancestors2005: 10 other ancestors2004: 16 other ancestors2002: 8 other ancestors2001: 9 other ancestors2000: 10 other ancestors1999: 11 other ancestors1998: 11 other ancestors1997: 4 other ancestors1994: 3 other ancestors1996: 4 other ancestors1995: 7 other ancestors1993: 3 other ancestors1992: 5 other ancestors1990: 2 other ancestors2015: 2 descendants cleared2021: 2 descendants cleared2013: 1 descendant cleared2014: 2 descendants cleared2022: 2 descendants cleared2019: 2 descendants cleared2023: 1 descendant cleared2020: 2 descendants cleared2026: 2 descendants cleared2024: 1 descendant clearedK853033 · Hartshill Rect & Wires, Spinal Fixation System · A.W. Showell (Surgicraft), Ltd. · 1985K965221 · Ransford Cervical Fixation System · Surgicraft, Ltd. · 1997K982322 · Synthes Spine Occipital-Cervical Plate/Rod and Hook System · Synthes (Usa) · 1998K002733 · Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2000K013222 · Summit Occipito-Cervico- Thoracic (Oct) Spinal System · Depuyacromed · 2001K022190 · Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2002K030103 · Summit Oct Spinal System Minipolyaxial Screws · Depuyacromed · 2003K041203 · Summit Oct Spinal System · Depuy Spine, Inc. · 2004K062174 · Modification to Expedium Spine System · Depuy Spine, Inc. · 2006×3: 3 generations cleared close together, K070387 (2007), K073430 (2008), K080767 (2008) 1990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor3 generations back: 11 other ancestors4 generations back: 41 other ancestors5 generations back: 37 other ancestors6 generations back: 24 other ancestors7 generations back: 14 other ancestors8 generations back: 2 other ancestors 1 generation forward: 3 descendants2 generations forward: 4 descendants3 generations forward: 6 descendants4 generations forward: 2 descendants5 generations forward: 1 descendant6 generations forward: 1 descendant K080767 · Conquest Spinal System · Life Spine · 2008K073430 · Valeo Pedicle Screw Spinal System · Amedica Corp. · 2008K070387 · Expedium Spine System · Depuy Spine, Inc. · 2007K062174 · Modification to Expedium Spine System · Depuy Spine, Inc. · 2006K041203 · Summit Oct Spinal System · Depuy Spine, Inc. · 2004K030103 · Summit Oct Spinal System Minipolyaxial Screws · Depuyacromed · 2003K022190 · Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2002K013222 · Summit Occipito-Cervico- Thoracic (Oct) Spinal System · Depuyacromed · 2001K002733 · Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2000K982322 · Synthes Spine Occipital-Cervical Plate/Rod and Hook System · Synthes (Usa) · 1998K965221 · Ransford Cervical Fixation System · Surgicraft, Ltd. · 1997K853033 · Hartshill Rect & Wires, Spinal Fixation System · A.W. Showell (Surgicraft), Ltd. · 1985−10−50+5
  1. Root · 12 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 8 generations between
  3. 3 generations backK070387 Expedium Spine SystemDepuy Spine, Inc. · 2007
  4. 2 generations backK073430 Valeo Pedicle Screw Spinal SystemAmedica Corp. · 2008
  5. 1 generation backK080767 Conquest Spinal SystemLife Spine · 2008
  6. This deviceK123373 Nautilus Spinal SystemLife Spine · 2013
  7. Descendant · cites it directly · 14 of its ownK132760 Nautilus Spinal SystemLife Spine, Inc. · 2013
  8. Descendant · cites it directly · 13 of its ownK141222 Nautilus Spinal System and Solstice Oct SystemLife Spine, Inc. · 2015
  9. Descendant · 2 generations on · 13 of its ownK133564 Modification to Nautilus Spinal SystemLife Spine, LLC · 2014
  10. Descendant · 2 generations on · 12 of its ownK151196 Nautilus Spinal SystemLife Spine, Inc. · 2015
  11. Descendant · 3 generations on · 10 of its ownK191575 ARx Spinal SystemLife Spine, Inc. · 2019
Show all 12 generations
  1. Root · 12 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 11 generations backK965221 Ransford Cervical Fixation SystemSurgicraft, Ltd. · 1997
  3. 10 generations backK982322 Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa) · 1998
  4. 9 generations backK002733 Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2000
  5. 8 generations backK013222 Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed · 2001
  6. 7 generations backK022190 Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2002
  7. 6 generations backK030103 Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed · 2003
  8. 5 generations backK041203 Summit Oct Spinal SystemDepuy Spine, Inc. · 2004
  9. 4 generations backK062174 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2006
  10. 3 generations backK070387 Expedium Spine SystemDepuy Spine, Inc. · 2007
  11. 2 generations backK073430 Valeo Pedicle Screw Spinal SystemAmedica Corp. · 2008
  12. 1 generation backK080767 Conquest Spinal SystemLife Spine · 2008
  13. This deviceK123373 Nautilus Spinal SystemLife Spine · 2013

Showing 5 of 17 descendants. See all descendants

Descendants cleared per year

2013: 12014: 22015: 22019: 22020: 22021: 22022: 22023: 12024: 12026: 2
2013high 2 (2014) · low 0 (2016)2026

Most influential descendants

Showing 5 of 17 · See all
  • K132760Nautilus Spinal SystemLife Spine, Inc. · 2013 · cites it directly14descendants
  • K141222Nautilus Spinal System and Solstice Oct SystemLife Spine, Inc. · 2015 · cites it directly13descendants
  • K133564Modification to Nautilus Spinal SystemLife Spine, LLC · 2014 · 2 generations on13descendants
  • K151196Nautilus Spinal SystemLife Spine, Inc. · 2015 · 2 generations on12descendants
  • K191575ARx Spinal SystemLife Spine, Inc. · 2019 · 3 generations on10descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K853033Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd.1985—
−11K965221Ransford Cervical Fixation SystemSurgicraft, Ltd.1997—
−10K982322Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa)1998—
−9K002733Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2000—
−8K013222Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed2001—
−7K022190Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2002—
−6K030103Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed2003—
−5K041203Summit Oct Spinal SystemDepuy Spine, Inc.2004—
−4K062174Modification to Expedium Spine SystemDepuy Spine, Inc.2006—
−3K070387Expedium Spine SystemDepuy Spine, Inc.2007—
−2K073430Valeo Pedicle Screw Spinal SystemAmedica Corp.2008—
−1K080767Conquest Spinal SystemLife Spine2008—
0 (this device)K123373Nautilus Spinal SystemLife Spine2013—
+1K132760Nautilus Spinal SystemLife Spine, Inc.2013—
+1K141222Nautilus Spinal System and Solstice Oct SystemLife Spine, Inc.2015—
+2K133564Modification to Nautilus Spinal SystemLife Spine, LLC2014—
+2K151196Nautilus Spinal SystemLife Spine, Inc.2015—
+3K191575ARx Spinal SystemLife Spine, Inc.2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199020
199250
199330
199430
199570
199640
199740
1998110
1999110
2000100
200190
200280
2003130
2004160
2005100
200660
200780

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201310
201420
201520
201920
202020
202120
202220
202310
202410
202620
FIG. 1 — Lineage of K123373, 1985–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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

TypeNumberDeviceApplicantDecidedRecalls
Kept off the family treeK119953NAUTILUS Spinal System
Not matched in our reading of the summary (scans can blur digits), so it is kept off the family tree
*K080767Conquest Spinal System
Summary page 1
…11 MfNI, CFR 888.3070, Class 11 Predicate Device: NAUTILUS Spinal System (KI 11953) CONQUEST Spinal System (K080767) ARiX Spinal System (K061600) Device Description: The NAUTILUS Thoracolumbar Spinal System consist…
Life Spine2008—
*K061600Arx Spinal System
Summary page 1
…11 Predicate Device: NAUTILUS Spinal System (KI 11953) CONQUEST Spinal System (K080767) ARiX Spinal System (K061600) Device Description: The NAUTILUS Thoracolumbar Spinal System consists of an assortment of rods, screws, cross connectors, a…
Life Spine2006—

Also cleared against K080767: 4 other devices →

What descends from it? (17)

See all 17

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

NumberDeviceApplicantDecidedDescendants
K132760Nautilus Spinal SystemLife Spine, Inc.201314
K141222Nautilus Spinal System and Solstice Oct SystemLife Spine, Inc.201513
K210549ARx Spinal SystemLife Spine, Inc.20211

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 28 years and passes through 7 companies; a new generation was cleared every 1.3 years on median.
  • 13 of the 142 ancestors have a recall of any class.
  • Of its descendants, K132760 (Life Spine, Inc., 2013) has gone furthest, with 14 descendants of its own.
  • 4 other devices also cite its predicate K080767.

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. 2013, 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?

Internal fixation implants are load-sharing devices intended to stabilize and maintain alignment until normal healing occurs. Implants are not intended to replace normal body structures or bear the weight of the body in the presence of incomplete bone healing. The NAUTILUS Spinal System, when properly used, is intended for posterior pedicle screw fixation of the non-cervical posterior spine in skeletally mature patients. It provides stabilization and…

Read the full statement (145 words)

Internal fixation implants are load-sharing devices intended to stabilize and maintain alignment until normal healing occurs. Implants are not intended to replace normal body structures or bear the weight of the body in the presence of incomplete bone healing.

The NAUTILUS Spinal System, when properly used, is intended for posterior pedicle screw fixation of the non-cervical posterior spine in skeletally mature patients. It provides stabilization and immobilization of spinal segments as an adjunct to fusion.

When used as a posterior spine thoracic/lumbar system, the NAUTILUS Spinal System is indicated for one or more of the following: (1) degenerative disc disease (is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies), (2) trauma (i.e. fracture or dislocation), (3) curvatures (scoliosis, kyphosis, and/or lordosis), (4) spinal tumor, (5) failed previous fusion (6) pseudoarthrosis, (7) spinal stenosis, (8) spondylolisthesis.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K123373: Nautilus Spinal System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K123373

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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