510(k) Report

510(k) · Cleared

Cleared

Zygafix Spinal Facet Screw System

K123932510(k) TraditionalCleared May 1, 2013132-day reviewClass U

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

X-Spine Systems, Inc. · MRW System, Facet Screw Spinal Device

Cleared on May 1, 2013 as substantially equivalent to K100154 (X-Spine Systems, Inc., 2010) and 1 other predicate after a 132-day review. Its family tree reaches back 4 generations to 2000. 18 later devices descend from it.

Decided
May 1, 2013
Review
132 days
Class
Class U
Product code
MRW
Recalls
None
Predicates
2

Its longest line of descent runs back 4 generations to K994308 (2000). 5 ancestors in all. 18 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2001: 1 other ancestor2016: 2 descendants cleared2013: 1 descendant cleared2018: 1 descendant cleared2022: 2 descendants cleared2024: 4 descendants cleared2026: 2 descendants cleared2023: 2 descendants cleared2025: 4 descendants clearedK994308 · Nuvasive Townley Facet Screw · Nuvasive, Inc. · 2000K012773 · Discovery Facet Screw Fixation System · Depuyacromed · 2001K071420 · Chameleon Fixation System · Spinefrontier, Inc. · 2008 · recalledK100154 · Fixcet Spinal Facet Screw System · X-Spine Systems, Inc. · 2010200020052010201520202025
Other ancestors, by generationDescendants, by generation 3 generations back: 1 other ancestor 1 generation forward: 3 descendants2 generations forward: 3 descendants3 generations forward: 7 descendants4 generations forward: 3 descendants5 generations forward: 2 descendants K100154 · Fixcet Spinal Facet Screw System · X-Spine Systems, Inc. · 2010K071420 · Chameleon Fixation System · Spinefrontier, Inc. · 2008 · recalledK012773 · Discovery Facet Screw Fixation System · Depuyacromed · 2001K994308 · Nuvasive Townley Facet Screw · Nuvasive, Inc. · 20000+5
  1. Root · 4 generations backK994308 Nuvasive Townley Facet ScrewNuvasive, Inc. · 2000
  2. 3 generations backK012773 Discovery Facet Screw Fixation SystemDepuyacromed · 2001
  3. 2 generations backK071420 Chameleon Fixation SystemSpinefrontier, Inc. · 2008 · Recalled
  4. 1 generation backK100154 Fixcet Spinal Facet Screw SystemX-Spine Systems, Inc. · 2010
  5. This deviceK123932 Zygafix Spinal Facet Screw SystemX-Spine Systems, Inc. · 2013
  6. Descendant · cites it directly · 11 of its ownK132126 Spectrum Spine Fenestrated Facet Screw SystemSpectrum Spine, LLC · 2013
  7. Descendant · 2 generations on · 10 of its ownK211855 Ion Facet Screw SystemSurGenTec, LLC · 2022
  8. Descendant · 3 generations on · 3 of its ownK232468 SC Medica FFXSc Medica · 2024
  9. Descendant · 3 generations on · 3 of its ownK240086 Ion 3DSurGenTec, LLC · 2024
  10. Descendant · cites it directly · 3 of its ownK180729 FaSet Fixation SystemHuvexel Co., Ltd. · 2018

Showing 5 of 18 descendants. See all descendants

Descendants cleared per year

2013: 12016: 22018: 12022: 22023: 22024: 42025: 42026: 2
2013high 4 (2024) · low 0 (2014)2026

Most influential descendants

Showing 5 of 18 · See all
  • K132126Spectrum Spine Fenestrated Facet Screw SystemSpectrum Spine, LLC · 2013 · cites it directly11descendants
  • K211855Ion Facet Screw SystemSurGenTec, LLC · 2022 · 2 generations on10descendants
  • K232468SC Medica FFXSc Medica · 2024 · 3 generations on3descendants
  • K240086Ion 3DSurGenTec, LLC · 2024 · 3 generations on3descendants
  • K180729FaSet Fixation SystemHuvexel Co., Ltd. · 2018 · cites it directly3descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K994308Nuvasive Townley Facet ScrewNuvasive, Inc.2000—
−3K012773Discovery Facet Screw Fixation SystemDepuyacromed2001—
−2K071420Chameleon Fixation SystemSpinefrontier, Inc.20081
−1K100154Fixcet Spinal Facet Screw SystemX-Spine Systems, Inc.2010—
0 (this device)K123932Zygafix Spinal Facet Screw SystemX-Spine Systems, Inc.2013—
+1K132126Spectrum Spine Fenestrated Facet Screw SystemSpectrum Spine, LLC2013—
+2K211855Ion Facet Screw SystemSurGenTec, LLC2022—
+3K232468SC Medica FFXSc Medica2024—
+3K240086Ion 3DSurGenTec, LLC2024—
+1K180729FaSet Fixation SystemHuvexel Co., Ltd.2018—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201310
201620
201810
202220
202320
202440
202540
202620
FIG. 1 — Lineage of K123932, 2000–2026Source: 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 MRW? 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 MRW device

  1. #1 K230840 PMT Facet Fixation System, Lumbar (PMT FFS-LX)score 26.0 · 6 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (2)

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
*K100154Fixcet Spinal Facet Screw System
Summary page 2
…*Anatomical Region *Implant Materials *Product Dimensions- *Mechanical Performance PREDICATE DEVICES *X-spine Systems, Inc. - Fixcet Spinal Facet Screw System (K100154) *SpineFrontier, Inc. - Chameleon Fixation System (K071420) PERFORMANCE DATA The implant components were tested using the foll…
X-Spine Systems, Inc.2010—
*K071420Chameleon Fixation System
Summary page 2
…s- *Mechanical Performance PREDICATE DEVICES *X-spine Systems, Inc. - Fixcet Spinal Facet Screw System (K100154) *SpineFrontier, Inc. - Chameleon Fixation System (K071420) PERFORMANCE DATA The implant components were tested using the following standards: P…
Spinefrontier, Inc.20081

Also cleared against K100154: 3 other devices →

What descends from it? (18)

See all 18

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

NumberDeviceApplicantDecidedDescendants
K132126Spectrum Spine Fenestrated Facet Screw SystemSpectrum Spine, LLC201311
K180729FaSet Fixation SystemHuvexel Co., Ltd.20183
K152137FacetBRIDGE SystemLdr Spine USA20161

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 13 years and passes through 4 companies; a new generation was cleared every 2.9 years on median.
  • 1 of the 5 ancestors has a recall of any class.
  • Of its descendants, K132126 (Spectrum Spine, LLC, 2013) has gone furthest, with 11 descendants of its own.
  • 3 other devices also cite its predicate K100154.

How does its category compare?

All MRW devices

MRW System, Facet Screw Spinal Device: FDA decisions, review times, recalls and adverse event reports over 20 years. 2013, this device’s year, is highlighted.

FDA decisions per year · MRW

7in 2025

2008: 32009: 62010: 62011: 32012: 42013: 72015: 22016: 22017: 12018: 22019: 32022: 32023: 32024: 72025: 72026 (partial year): 5
2007high 7 (2013) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MRW

97in 2025

2008: 88 days median2009: 89 days median2010: 108 days median2011: 122 days median2012: 119 days median2013: 110 days median2019: 90 days median2022: 252 days median2023: 190 days median2024: 50 days median2025: 97 days median2026 (partial year): 169 days median
2007high 252 (2022) · low 50 (2024)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · MRW

3in 2011

2011: 3
2007high 3 (2011) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · MRW

3in 2025

2007: 12009: 22010: 72011: 622012: 62013: 42014: 12015: 22016: 12017: 42018: 42021: 12023: 12024: 22025: 3
2007high 62 (2011) · low 0 (2008)2025

MAUDE reports naming product code MRW, 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
20070—01
200838800
200968902
2010610807
20113122362
2012411906
2013711004
20140—01
20152—02
20162—01
20171—04
20182—04
201939000
20200—00
20210—01
2022325200
2023319001
202475002
202579703
202651690—

What is it indicated for?

The X-spine Systems, Inc. Zygafix Spinal Facet Screw System is intended for posterior fixation to the lumbar spine (LI to S1 inclusive). The system is intended for bilateral, transfacet fixation of the facet joint in order to provide stability for fusion. The system is intended for use with only autogenous bone graft material. The system is indicated for posterior surgical treatment of any or all of the following at the Li to Si (inclusive) spinal…

Read the full statement (146 words)

The X-spine Systems, Inc. Zygafix Spinal Facet Screw System is intended for posterior fixation to the lumbar spine (LI to S1 inclusive). The system is intended for bilateral, transfacet fixation of the facet joint in order to provide stability for fusion. The system is intended for use with only autogenous bone graft material. The system is indicated for posterior surgical treatment of any or all of the following at the Li to Si (inclusive) spinal levels:

* Degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc as confirmed by patient history and radiographic studies),

" Degenerative disease of the facets with pain and/or instability on plain flexion and extension lateral radiographs where there is movement of the vertebral bodies relative to each other of more than 4mm,

*Trauma (i.e., fractures and/or dislocations),

*Spondylolisthesis,

*Spondylolysis,

*Pseudloarthrosis and/or failed previous fusions.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K123932: Zygafix Spinal Facet Screw System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K123932

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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