Devices descending from K132049
82 later devices reach Thunderbolt and Lancer Pedicle Screw Systems through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +1 | K182721 | Choice Spine Navigation System | Choicespine, LP | 2019 | 2 | — |
| +1 | K171456 | Thunderbolt™ Minimally Invasive and Lancer™ Open Pedicle Screw Systems | Choicespine | 2017 | 0 | — |
| +1 | K170942 | The Thunderbolt™ Minimally Invasive and Lancer™ Open Pedicle Screw Systems | Choicespine, LP | 2017 | 0 | — |
| +1 | K160775 | Thunderbolt™ Minimally Invasive and Lancer™ Open Pedicle Screw Systems | Choicespine, LP | 2016 | 73 | — |
| +1 | K150380 | ProMIS Fixation System | Premia Spine, Ltd. | 2015 | 4 | — |
| +2 | K231844 | ProMIS™ Fixation System | Premia Spine, Ltd. | 2023 | 1 | — |
| +2 | K203561 | ChoiceSpine Navigation System | Choice Spine, LLC | 2021 | 1 | — |
| +2 | K182598 | VersaLink™ Fixation System | Premia Spine, Ltd. | 2018 | 0 | — |
| +2 | K181677 | Kodiak Spinal Fixation System | Alphatec Spine, Inc. | 2018 | 70 | — |
| +2 | K170061 | ProMIS™ Fixation System | Premia Spine, Ltd. | 2017 | 0 | — |
| +3 | K232719 | ProMIS Extension Rod System | Premia Spine, Ltd. | 2023 | 0 | — |
| +3 | K220024 | ChoiceSpine Navigation System | Choice Spine, LLC | 2022 | 0 | — |
| +3 | K203056 | Invictus™ Spinal Fixation System | Alphatec Spine, Inc. | 2020 | 61 | — |
| +3 | K202327 | Invictus™ OsseoScrew® System | Alphatec Spine, Inc. | 2020 | 0 | — |
| +3 | K192938 | Invictus™ Spinal Fixation System | Alphatec Spine, Inc. | 2019 | 69 | — |
| +4 | K241519 | Invictus® Small Stature Spinal Fixation System | Alphatec Spine, Inc. | 2024 | 2 | — |
| +4 | K221403 | Cortera Spinal Fixation System | Surgalign Spine Technologies | 2022 | 3 | 2 |
| +4 | K213460 | Invictus Spinal Fixation System | Alphatec Spine, Inc. | 2021 | 17 | — |
| +4 | K203742 | IdentiTi ALIF Standalone Interbody System | Alphatec Spine, Inc. | 2021 | 59 | — |
| +4 | K203125 | Invictus™ OCT Spinal Fixation System | Alphatec Spine, Inc. | 2020 | 0 | — |
| +4 | K200936 | Invictus™ CT Spinal Fixation System | Alphatec Spine, Inc. | 2020 | 3 | — |
| +5 | K261284 | Invictus® Small Stature Spinal Fixation System; Invictus® 2.0 Spinal Fixation System | Alphatec Spine, Inc. | 2026 | 0 | — |
| +5 | K253615 | Invictus Bands System | Alphatec Spine, Inc. | 2026 | 0 | — |
| +5 | K252597 | Valence Robotic Navigation System; Valence Robotic Navigation Instruments (For Use with… | Alphatec Spine, Inc. | 2026 | 1 | — |
| +5 | K251575 | IdentiTi™ II ALIF Standalone Interbody System; Transcend™ ALIF Standalone Interbody System | Alphatec Spine | 2025 | 0 | — |
| +5 | K241892 | Cortera™ Spinal Fixation System | Xtant Medical Holdings, Inc. | 2024 | 2 | — |
| +5 | K220782 | IdentiTi™ Porous Ti Interbody System, IdentiTi™ NanoTec™ Interbody System, Transcend™… | Alphatec Spine, Inc. | 2022 | 36 | — |
| +5 | K213935 | PISCES-SA Standalone ALIF Interbody System | Osseus Fusion Systems | 2022 | 12 | — |
| +5 | K214006 | Invictus® Spinal Fixation System | Alphatec Spine, Inc. | 2022 | 16 | — |
| +6 | K262067 | iFuse Granite Onyx™ Implant System | SI-BONE, Inc. | 2026 | 0 | — |
| +6 | K250845 | Curiteva Porous PEEK Standalone ALIF System | Curiteva, Inc. | 2025 | 1 | — |
| +6 | K243946 | EffortMed Spinal Fixation System | Effortmed, LLC | 2025 | 1 | — |
| +6 | K242260 | aprevo® Cervical ACDF; aprevo® Cervical ACDF-X; aprevo® Cervical ACDF-X NO CAM | Carlsmed, Inc. | 2024 | 3 | — |
| +6 | K240326 | Solar™ Lumbar Interbody Fusion System | Degen Medical, Inc. | 2024 | 4 | — |
| +6 | K232432 | E3D™-A Interbody System | Evolution Spine | 2024 | 8 | — |
| +6 | K231199 | Solar Lumbar Interbody Fusion System | Degen Medical | 2023 | 5 | — |
| +6 | K223513 | UniVy™ OsteoVy™-Ti Cervical IBF System | Vy Spine, LLC | 2023 | 1 | — |
| +6 | K223413 | Pisces™-SA STANDALONE ALIF Interbody System | Osseus Fusion Systems | 2023 | 3 | — |
| +6 | K221926 | Invictus® Bone Cement, Invictus Spinal Fixation System | Alphatec Spine, Inc. | 2022 | 14 | — |
| +6 | K222973 | IdentiTi and Transcend Interbody Systems: IndentiTi Cervical Porous Ti Interbody System… | Alphatec Spine, Inc. | 2022 | 13 | — |
| +6 | K222028 | IdentiTi™ Porous Ti Interbody System, IdentiTi™ NanoTec™ Interbody System, Transcend™… | Alphatec Spine | 2022 | 28 | — |
| +7 | K254247 | Osteomni Spinal Fixation System | Osteomni, Inc. | 2026 | 0 | — |
| +7 | K252205 | Curiteva Porous PEEK Cervical Interbody System; Curiteva Porous PEEK Lumbar Interbody… | Curiteva, Inc. | 2026 | 0 | — |
| +7 | K252737 | DeGen Medical Latitude-C AM Cervical Interbody Fusion System | Degen Medical | 2025 | 0 | — |
| +7 | K250827 | aprevo® anterior lumbar interbody fusion device; aprevo® lateral lumbar interbody fusion… | Carlsmed, Inc. | 2025 | 2 | — |
| +7 | K241783 | FortiVy™ OsteoVy™ Lumbar IBF | Vy Spine, LLC | 2025 | 0 | — |
| +7 | K241375 | IdentiTi Porous Ti Interbody System; IdentiTi NanoTec Interbody System; IdentiTi… | Alphatec Spine | 2025 | 3 | — |
| +7 | K243635 | aprevo® anterior lumbar interbody fusion device with interfixation | Carlsmed, Inc. | 2024 | 5 | — |
| +7 | K241077 | DeGen Medical Patient Specific Implant (PSI) System | Degen Medical | 2024 | 2 | — |
| +7 | K242364 | IdentiTi™ II Interbody System | Alphatec Spine, Inc. | 2024 | 4 | — |
| +7 | K242147 | Calibrate LTX Interbody System; Calibrate NanoTec LTX Interbody System | Alphatec Spine, Inc. | 2024 | 1 | — |
| +7 | K241846 | E3D™-C Interbody System | Evolution Spine | 2024 | 6 | — |
| +7 | K240368 | E3D™-A Interbody System | Evolution Spine | 2024 | 7 | — |
| +7 | K240126 | ProAM ALIF System | Pro Surgical, Inc. | 2024 | 2 | — |
| +7 | K233640 | Segmental Plating System (SPS);IdentiTi SPS Interbody System;IdentiTi NanoTec SPS… | Alphatec Spine, Inc. | 2024 | 5 | — |
| +7 | K232504 | Calibrate CCX Interbody System | Alphatec Spine, Inc. | 2023 | 1 | 1 |
| +7 | K232044 | Invictus Robotic Navigation Instruments | Alphatec Spine, Inc. | 2023 | 3 | — |
| +7 | K232275 | Invictus® Spinal Fixation System | Alphatec Spine, Inc. | 2023 | 11 | — |
| +7 | K232097 | IdentiTi ALIF Interbody Systems | Alphatec Spine, Inc. | 2023 | 7 | 1 |
| +7 | K231438 | Calibrate PSX Interbody System, Calibrate NanoTec PSX Interbody System | Alphatec Spine, Inc. | 2023 | 7 | — |
| +7 | K230721 | ATEC Lateral Plate System | Alphatec Spine, Inc. | 2023 | 0 | — |
| +7 | K223611 | Calibrate LTX Interbody System | Alphatec Spine, Inc. | 2023 | 7 | — |
| +8 | K262094 | E3D™-C Interbody System | Evolution Spine | 2026 | 0 | — |
| +8 | K261020 | Symmetrix™ L Spinal System | Medtronic Sofamor Danek USA, Inc. | 2026 | 0 | — |
| +8 | K253216 | IntraOp Alignment System; CONTOUR3D Bending System | Alphatec Spine, Inc. | 2026 | 0 | — |
| +8 | K260036 | NeckTune™ 3D SA Cervical Cage | Medyssey Co, Ltd. | 2026 | 0 | — |
| +8 | K260385 | aprevo® anterior and lateral lumbar interbody system; aprevo® posterior and… | Carlsmed, Inc. | 2026 | 0 | — |
| +8 | K253401 | SCRIPT™ Implant System | Globus Medical, Inc. | 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 | K251965 | Proximity Anterior Cervical Plate System; Segmental Plating System (SPS) | Alphatec Spine, Inc. | 2025 | 0 | — |
| +8 | K252113 | PRADO™ Lumbar Interbody Fusion System | Bethesda Medical Devices | 2025 | 0 | — |
| +8 | K251080 | IdentiTi II Cervical Interbody System | Alphatec Spine, Inc. | 2025 | 0 | — |
| +8 | K251644 | ProAM ALIF System | Pro Surgical, Inc. | 2025 | 0 | — |
| +8 | K251617 | X-PAC® TLIF Expandable Posterior Cage System; X-PAC® LLIF Expandable Lateral Cage System | Expanding Innovations, Inc. | 2025 | 0 | — |
| +8 | K250667 | DeGen Medical Patient Specific Implant (PSI) System | Degen Medical | 2025 | 1 | — |
| +8 | K243802 | aprevo® anterior and lateral lumbar interbody fusion device, aprevo® anterior lumbar… | Carlsmed, Inc. | 2025 | 3 | — |
| +8 | K243461 | Calibrate Interbody Systems | Alphatec Spine, Inc. | 2025 | 0 | — |
| +8 | K242517 | ProAM ACDF System | Pro Surgical, Inc. | 2024 | 0 | — |
| +8 | K240951 | Invictus Robotic Navigation Instruments | Alphatec Spine | 2024 | 2 | — |
| +9 | K251829 | DeGen Medical Patient Specific Implant (PSI) System | Degen Medical | 2025 | 0 | — |