510(k) Report

510(k) · Cleared

Cleared

Mantis & Mantis Redux Spinal System, Radius Spinal System, Trio & Trio+ Spinal Fixation Systems, and Trio Trauma Spinal

K133188510(k) SpecialCleared Dec 17, 201361-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

Stryker Spine · NKB Thoracolumbosacral Pedicle Screw System

Cleared on Dec 17, 2013 as substantially equivalent to K061813 (Stryker Spine, 2006) and 26 other predicates after a 61-day review. Its family tree reaches back 11 generations to 2004. 84 later devices descend from it.

Decided
Dec 17, 2013
Review
61 days
Class
Class II
Product code
NKB
Recalls
None
Predicates
28

Its longest line of descent runs back 11 generations to K040583 (2004). 148 ancestors in all, the oldest K781443 (1978). 84 later devices descend from it, 4 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2012: 1 other ancestor2011: 3 other ancestors2010: 5 other ancestors2009: 7 other ancestors2008: 7 other ancestors2007: 6 other ancestors2006: 13 other ancestors2005: 19 other ancestors2003: 10 other ancestors2001: 12 other ancestors1998: 3 other ancestors2002: 6 other ancestors2000: 12 other ancestors1999: 4 other ancestors1997: 3 other ancestors1995: 3 other ancestors2004: 17 other ancestors1996: 3 other ancestors1978: 1 other ancestor1993: 1 other ancestor1984: 1 other ancestor2017: 5 descendants cleared2015: 2 descendants cleared2014: 1 descendant cleared2023: 15 descendants cleared2018: 7 descendants cleared2020: 7 descendants cleared2024: 16 descendants cleared2021: 2 descendants cleared2019: 3 descendants cleared2022: 6 descendants cleared2016: 1 descendant cleared2026: 9 descendants cleared2025: 10 descendants cleared×7: 7 generations cleared close together, K040583 (2004), K041118 (2004), K042025 (2004), K043151 (2005), K050809 (2005), K052187 (2005), K053101 (2006) ×2: 2 generations cleared close together, K091442 (2009), K091974 (2009) K102807 · CD Horizon Spinal System · Medtronic Sofamor Danek, Inc. · 2010K121342 · Xia 4.5 Spinal System · Stryker Corp. · 201219801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 26 other ancestors2 generations back: 28 other ancestors3 generations back: 27 other ancestors4 generations back: 25 other ancestors5 generations back: 16 other ancestors6 generations back: 12 other ancestors7 generations back: 3 other ancestors 1 generation forward: 4 descendants2 generations forward: 21 descendants3 generations forward: 24 descendants4 generations forward: 16 descendants5 generations forward: 10 descendants6 generations forward: 6 descendants7 generations forward: 3 descendants K121342 · Xia 4.5 Spinal System · Stryker Corp. · 2012K102807 · CD Horizon Spinal System · Medtronic Sofamor Danek, Inc. · 2010K091974 · Modification to CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2009 · recalledK091442 · CD Horizon Spinal System · Medtronic Sofamor Danek · 2009K053101 · CD Horizon Spinal System · Medtronic Sofamor Danek · 2006K052187 · Modification to: CD Horizon Spinal System · Medtronic Sofamor Danek · 2005K050809 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2005K043151 · Modification to: CD Horizon Spinal System · Medtronic Sofamor Danek · 2005K042025 · Modification to CD Horizon Spinal System · Medtronic Sofamor Danek, Inc. · 2004 · recalledK041118 · Modification to CD Horizon Spinal System · Medtronic Sofamor Danek · 2004K040583 · Modification to: CD Horizon Spinal System · Medtronic Sofamor Danek · 2004−10−50+5
  1. Root · 11 generations backK040583 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  2. 7 generations between
  3. 3 generations backK091974 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2009 · Recalled
  4. 2 generations backK102807 CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2010
  5. 1 generation backK121342 Xia 4.5 Spinal SystemStryker Corp. · 2012
  6. This deviceK133188 Mantis & Mantis Redux Spinal System, Radius Spinal System, Trio &…Stryker Spine · 2013
  7. Descendant · cites it directly · 83 of its ownK142381 Xia 3 Spinal SystemStryker Corp. · 2014
  8. Descendant · cites it directly · 31 of its ownK152632 XIA 4.5 Spinal Fixation System, Power Adaaptor Instrument AccessoryStryker Corporation · 2015
  9. Descendant · 2 generations on · 15 of its ownK170496 Xia® 3 Spinal System, Stryker Spine Power Adaptor Instrument AccessoryStryker Corporation · 2017 · Recalled
  10. Descendant · 2 generations on · 13 of its ownK192121 Black Diamond Pedicle Screw SystemOsseus Fusion Systems · 2019
  11. Descendant · 3 generations on · 12 of its ownK213935 PISCES-SA Standalone ALIF Interbody SystemOsseus Fusion Systems · 2022
Show all 11 generations
  1. Root · 11 generations backK040583 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  2. 10 generations backK041118 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  3. 9 generations backK042025 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2004 · Recalled
  4. 8 generations backK043151 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  5. 7 generations backK050809 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2005
  6. 6 generations backK052187 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  7. 5 generations backK053101 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2006
  8. 4 generations backK091442 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2009
  9. 3 generations backK091974 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2009 · Recalled
  10. 2 generations backK102807 CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2010
  11. 1 generation backK121342 Xia 4.5 Spinal SystemStryker Corp. · 2012
  12. This deviceK133188 Mantis & Mantis Redux Spinal System, Radius Spinal System, Trio &…Stryker Spine · 2013

Showing 5 of 84 descendants. See all descendants

Descendants cleared per year

2014: 12015: 22016: 12017: 52018: 72019: 32020: 72021: 22022: 62023: 152024: 162025: 102026: 9
2014high 16 (2024) · low 1 (2014)2026

Most influential descendants

Showing 5 of 84 · See all
  • K142381Xia 3 Spinal SystemStryker Corp. · 2014 · cites it directly83descendants
  • K152632XIA 4.5 Spinal Fixation System, Power Adaaptor Instrument AccessoryStryker Corporation · 2015 · cites it directly31descendants
  • K170496Xia® 3 Spinal System, Stryker Spine Power Adaptor Instrument AccessoryStryker Corporation · 2017 · 2 generations on15descendants
  • K192121Black Diamond Pedicle Screw SystemOsseus Fusion Systems · 2019 · 2 generations on13descendants
  • K213935PISCES-SA Standalone ALIF Interbody SystemOsseus Fusion Systems · 2022 · 3 generations on12descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11K040583Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
−10K041118Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
−9K042025Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.20044
−8K043151Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
−7K050809CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2005—
−6K052187Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
−5K053101CD Horizon Spinal SystemMedtronic Sofamor Danek2006—
−4K091442CD Horizon Spinal SystemMedtronic Sofamor Danek2009—
−3K091974Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.20091
−2K102807CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.2010—
−1K121342Xia 4.5 Spinal SystemStryker Corp.2012—
0 (this device)K133188Mantis & Mantis Redux Spinal System, Radius Spinal System, Trio & Trio+ Spinal…Stryker Spine2013—
+1K142381Xia 3 Spinal SystemStryker Corp.2014—
+1K152632XIA 4.5 Spinal Fixation System, Power Adaaptor Instrument AccessoryStryker Corporation2015—
+2K170496Xia® 3 Spinal System, Stryker Spine Power Adaptor Instrument AccessoryStryker Corporation20171
+2K192121Black Diamond Pedicle Screw SystemOsseus Fusion Systems2019—
+3K213935PISCES-SA Standalone ALIF Interbody SystemOsseus Fusion Systems2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197810
198410
199310
199530
199630
199730
199830
199940
2000120
2001120
200260
2003100
2004170
2005190
2006130
200760
200870
200970
201050
201130
201210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201410
201520
201610
201750
201870
201930
202070
202120
202260
2023150
2024160
2025100
202690
FIG. 1 — Lineage of K133188, 2004–2026Source: 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? (28)

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
*K061813Mantis Spinal System
Summary page 3
…* KWP, KWQ, MNH, MNI, NK13, OSH Predicate Devices I. MANTIS® & MANTIS® Spinal Systems * K061813, K073151, K09263 1,andKl102235 2. Radius® Spinal System *…
Stryker Spine20062
*K073151Mantis Spinal System
Summary page 3
…* KWP, KWQ, MNH, MNI, NK13, OSH Predicate Devices I. MANTIS® & MANTIS® Spinal Systems * K061813, K073151, K09263 1,andKl102235 2. Radius® Spinal System * K062270,…
Stryker Corp.2007—
*K092631Mantis Redux Spinal System
Summary page 3
…* KWP, KWQ, MNH, MNI, NK13, OSH Predicate Devices I. MANTIS® & MANTIS® Spinal Systems * K061813, K073151, K09263 1,andKl102235 2. Radius® Spinal System * K062270, K07063, K0…
Stryker Spine2009—
*K102235Mantis Spinal System & Mantis Redux Spinal System
Summary page 4
…ed 510(k) Sterility Review Guidance K90-1, Guidancefor Jndustiy and FDA. Intended Use MANTIS® & MANTIS Redlux Spinal Systems (K102235) The MANTIS® Spinal System and MANIS® Redlux Spinal System is intended for perc…
Stryker Spine2010—
*K062270Radius Spinal System
Summary page 3
…* K061813, K073151, K09263 1,andKl102235 2. Radius® Spinal System * K062270, K07063, K082608, and KI10I1144 3. TRIO® & TRIO + Spinal Fixation Systems…
Stryker Spine20061
Kept off the family treeK070630FDA’s K070630 is Health Line International Corporation's Primary IV Solution Administration Set…
Our reading of the summary gave K070630, FDA’s number for Health Line International Corporation's Primary IV… (Health Line International Corporation (Hlic)). Its FDA name has none of the distinctive words the summary uses for the device it names, “Radius® Spinal System”. Kept off the family tree.
Health Line International Corporation (Hlic)2007—
*K082608Radius Spinal System, Vitallium Rod #486613601
Summary page 3
…* K061813, K073151, K09263 1,andKl102235 2. Radius® Spinal System * K062270, K07063, K082608, and KI10I1144 3. TRIO® & TRIO + Spinal Fixation Systems *…
Stryker Spine2008—
*K101144Modification to:Radius Spinal SystemStryker Spine2010—
*K052971Stryker Spine Trio Spinal Fixation System
Summary page 3
…* K062270, K07063, K082608, and KI10I1144 3. TRIO® & TRIO + Spinal Fixation Systems * K052971, K062698, K070368, and K100737 4. TRIO® Trauma Spinal System…
Stryker Spine20052
*K062698Trio + Spinal System
Summary page 3
…* K062270, K07063, K082608, and KI10I1144 3. TRIO® & TRIO + Spinal Fixation Systems * K052971, K062698, K070368, and K100737 4. TRIO® Trauma Spinal System * Kl03…
Stryker Spine20062
*K070368Trio Plate System, Trio Spinal Fixation System, Trio+ Spinal System
Summary page 3
…2270, K07063, K082608, and KI10I1144 3. TRIO® & TRIO + Spinal Fixation Systems * K052971, K062698, K070368, and K100737 4. TRIO® Trauma Spinal System * Kl03292…
Stryker Corp.2007—
*K100737Modification to: Trio+Spinal Fixation System
Summary page 3
…K082608, and KI10I1144 3. TRIO® & TRIO + Spinal Fixation Systems * K052971, K062698, K070368, and K100737 4. TRIO® Trauma Spinal System * Kl03292…
Stryker Spine2010—
*K103292Trio Trauma Spinal System
Summary page 7
…Trauma, XIA®. XJI® 3, and XIA®li 4.5 the Multi-Axis Cross Connectors.' TRIO® TRAUMA (K 103292) 1 he Stryker Spine TRIO® TRAUMA Spinal System is intended for percutaneous, posterior, non-cervical…
Stryker Corporation2011—
*K982494BWM Spine System
Summary page 3
…Trauma Spinal System * Kl03292 5. XIA® Spinal Systems *K982494, K01 3823, K03 1893, K043473, K052181, K06036l1, and K060979…
Howmedica Corp.1998—
*K013823Xia Spinal System
Summary page 3
…pinal System * Kl03292 5. XIA® Spinal Systems *K982494, K01 3823, K03 1893, K043473, K052181, K06036l1, and K060979 6. XI…
Howmedica Osteonics Corp.2001—
*K031893Xia Spinal System and Xia Stainless Steel System
Summary page 3
…em * Kl03292 5. XIA® Spinal Systems *K982494, K01 3823, K03 1893, K043473, K052181, K06036l1, and K060979 6. XIA® 3 Spina…
Howmedica Osteonics Corp.2003—
*K043473Modification to Xia Spinal System
Summary page 3
…* Kl03292 5. XIA® Spinal Systems *K982494, K01 3823, K03 1893, K043473, K052181, K06036l1, and K060979 6. XIA® 3 Spinal System…
Stryker Spine2005—
*K052181Modification to Xia Spinal System
Summary page 3
…* Kl03292 5. XIA® Spinal Systems *K982494, K01 3823, K03 1893, K043473, K052181, K06036l1, and K060979 6. XIA® 3 Spinal System…
Stryker Spine2005—
*K060361Xia Spinal System, Xia 4.5 Spinal System
Summary page 7
…* Tumor; * Pseudloarthorisis; * and Failed Pervious Fusion XIA®R Spinal Systems (K060361) Ehe XIA® Spinal System and XIA® 4.5 Spinal System are intended for anterior/anterolateral and poster…
Stryker Spine20061
*K060979Xia Titanium and 4.5 Spinal Systems
Summary page 3
…XIA® Spinal Systems *K982494, K01 3823, K03 1893, K043473, K052181, K06036l1, and K060979 6. XIA® 3 Spinal System *K071373, K083393, K09129l1, and…
Stryker Spine2006—
*K071373Stryker Spine Xia Iii Spinal System
Summary page 3
…52181, K06036l1, and K060979 6. XIA® 3 Spinal System *K071373, K083393, K09129l1, and Kl113666 7. XIA® 4.5 Spinal System…
Stryker Spine20071
*K083393Xia 3 Spinal System
Summary page 3
…K06036l1, and K060979 6. XIA® 3 Spinal System *K071373, K083393, K09129l1, and Kl113666 7. XIA® 4.5 Spinal System * K0504…
Stryker Spine20091
*K091291Xia 3 Spinal System, Uniplanner/Reduction Screws & Vitallium RodStryker Spine2009—
*K113666Xia 3 Spinal System
Summary page 3
…K06036l1, and K060979 6. XIA® 3 Spinal System *K071373, K083393, K09129l1, and Kl113666 7. XIA® 4.5 Spinal System * K050461, K06036l, K060748, K0…
Stryker Spine2012—
*K050461Xia 4.5 Spinal System
Summary page 3
…*K071373, K083393, K09129l1, and Kl113666 7. XIA® 4.5 Spinal System * K050461, K06036l, K060748, K060979, K092605, and K 121342 Description of Device The ST…
Stryker Spine2005—
*K060748Modification to Xia 4.5 Spinal System
Summary page 3
…*K071373, K083393, K09129l1, and Kl113666 7. XIA® 4.5 Spinal System * K050461, K06036l, K060748, K060979, K092605, and K 121342 Description of Device The STRYKER Spine thorac…
Stryker Spine2006—
*K092605Xia 4.5 Spinal System
Summary page 3
…, K083393, K09129l1, and Kl113666 7. XIA® 4.5 Spinal System * K050461, K06036l, K060748, K060979, K092605, and K 121342 Description of Device The STRYKER Spine thoraco-lumbar spinal Fi…
Stryker Spine2009—
*K121342Xia 4.5 Spinal System
Summary page 3
…7. XIA® 4.5 Spinal System * K050461, K06036l, K060748, K060979, K092605, and K 121342 Description of Device The STRYKER Spine thoraco-lumbar spinal Fixation systems, subject Modifications of th…
Stryker Corp.2012—

Also cleared against K061813: 4 other devices →

What descends from it? (84)

See all 84

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

NumberDeviceApplicantDecidedDescendants
K142381Xia 3 Spinal SystemStryker Corp.201483
K152632XIA 4.5 Spinal Fixation System, Power Adaaptor Instrument AccessoryStryker Corporation201531
K172101ROMEO® 2 Posterior Osteosynthesis SystemSpineart20179
K222684XIA® 4.5 Spinal System, XIA® 4.5 Cortical Trajectory, XIA® 3 Spinal System, Serrato®…Stryker Spine20234

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 9 years and passes through 5 companies; a new generation was cleared every 4 months on median.
  • 21 of the 148 ancestors have a recall of any class.
  • Of its descendants, K142381 (Stryker Corp., 2014) has gone furthest, with 83 descendants of its own.
  • 4 other devices also cite its predicate K061813.

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?

The MANTIS Spinal System and MANISO Redlux Spinal System is intended Ibr percutaneous, posterior, non-cervical pedicle and non-pedicle fixation of the spine to provide immobilization and stabilization of spinal segments in skeletbally mature patients as an adjunct to fiusion for the following indications: * Degenerative Disc Disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies); *…

Read the full statement (1,092 words)

The MANTIS Spinal System and MANISO Redlux Spinal System is intended Ibr percutaneous, posterior, non-cervical pedicle and non-pedicle fixation of the spine to provide immobilization and stabilization of spinal segments in skeletbally mature patients as an adjunct to fiusion for the following indications:

* Degenerative Disc Disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies);

* Spondylolisthesis;

* Trauma (iLe. fracture or dislocation);

* Spinal Stenosis;

* Curvatre (i.e. scoliosis, kyphosis, and/or lordosis);

* Tumor

* Pseudoarthorisis; and

* Failed Previous Fusion

The Radius@ Spinal System is intended for use inthe noncen'ical spine. When used as an anterior/anterolatemal and posterior, noncervical pedicle and non-pedicle fixation system, the Radius8) Spinal system is intended to provide additional support during fussion using autograft or allograft in skeletally mature patients in the treatment of the following acute and chronic instabilities or deformnities:

* 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;

* Curvature (i.e. scoliosis, kyphosis, and/or lordosis);

* Tumor;

* Pseudoarthorisis;

* and Failed Pervious Fusion

The Radiutd Spinal System can also be linked to the XIAO Titanium Spinal System via the 05.5mm to 06.0mmn Radiust) rod-to-rod connector.

The Stryker Spine TRIOV! Spinal Fixation System is intended fir posterior, noncervicai pedicle and non-pedicle fixation of the spine. The Stryker Spine TRIO6!Spinal Fixation System is indicated for

* Degenerative Disc Disease (ODD) (defined as back pain of discogenic origin with degeneration of the disc conflrmed by history and radiographic studies);

* Spondylolisthesis;

* Trauma (i.e. fracture or dislocation);

* Spinal Stenosis;

* Curvature (i.e. scoliosis, kyphosis, andlor lordosis);

* Tumor

* Pseudoaithorisis;

* and Failed Pervious Fusion

The TRIO'2 Spinal Fixation System is intended to be used in conjunction with the OSS Diapason Rods, Opus Spinal System Rods, and the Multi-Axis Cross Connectors.

The Stryker Spine TRIO@ Plate System is intended for posterior, noncervical (TIO-SI) pediele and nonpedicle fixation of the spine for the following indications:

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;

*Curvature (i.e. scoliosis, kyphosis, and/or lordosis);

*Tumor,

* Psaudoarthorisis;

* and Failed Pervious Fusion

The Stryker Spine TRIOSt Spinal System is intended for posterior, noncervical pedicle and nanpedicle fixation of the spine to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion for the following indications:

0 Degenerative Disc Disease (DDD) (defined as back pai of discogenic origin with degeneration of the disc confirmed by history and radiographic studies);

* Spondylolisthesis;

* Tmauma (i.e. fracture or dislocation);

a Spinal Stenosis;.

* Curvature (i.e. scoliosis, kyphasis, and/or lordosis);

& Tumor

a Pseudoarthorisis;

* and Fai led Pervious Fusion

The TRIOS + Spinal System is intended to be used in conjunction with the OSS/Diapason Rods or Opus Rods, XIAS Pme-bent Rods, and the Multi-Axis Cross Connectors.

The Stryker Spine TR108 TRAUMA Spinal System is intended for percutaneous, posterior, non-cervical pedicle fixation of the spine to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion for the following indications:

* Degenerative Disc Disease (DDD) (dcfined as back pain of discogenic origin with degeneration of the disc confirned by history and radiographic studies);

* Spondylolisthesis;

* Trauma (i.e. fracture or dislocation);

* Spinal Stenosis;

* Curvature (i.e. scoliosis, kyphosis, and/or lordosis);

* Tumor

* Pseudoarthorisis;

* and Failed Pervious Fusion

The XIA@ Spinal System and XIAO 4.5 Spinal System are intended for anterior/anterolateral and posterior, noncervical pedicle and non-pedicle fixation for the following indications:

* Degenerative Disc Disease (DDD) (Defined as back pain of discogenic origin with degenerration of the disc confinmed by history and radiographic studies);

* Spondylolisthesis;

* Trauma (i.e., fr-acture or dislocation);

* Spinal Stenosis;

* Curvatures (i.e., Scoliosis, Kyphosis, and/or Lordosis);

* Tumor

* Pseudoarthroisis and;

* Failed previous fusion.

The 6mm diameter rods from the DIAPASONO Spinal System and OPUSOD Spinal System are intended to be used with the other components of the XIAO Titanium Spinal System. The Titanium Multi-Axial Cross Connector are intended to be used with the other components of dhe XIAdD Titanium Spinal System.

The XIAC 3 Spinal System is intended for use in the noncerv icat spine. When used as an mnterior/antemolatemal and posterior, noncorvical pedicle and non-pedicle fixation system, the XIAC) 3 Spinal System is intended to provide additional support during fusion using autograft or allografi in skeletally mature patients in the treatment of the following acute and chronic 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);

* Spondylollistliesis;

* Trauma (i.e. fracture or dislocation);

* Spinal Stenosis;

* Curvature (i.e. scoliosis, kyphosis, and/or lordosis);

* Tumor,

* Pseudoarthorisis;

* and Failed Pervious Fusion

The 05.5 mm rods from the Stryker Spine RadiusO Spinal System and the 06.0mm Vitailliumn Rods from the XIAOD Spinal System are intended to be used with the other components of the XIAO) 3 Spinal System.

When used for posterior noncervical pedicle screw fixation in pediatric patients, the XIAO Spinal System implants are indicated as an adjunct to futsion to treat adolescent idiopathic scoliosis.

The XIAC 3 Spinal System for pediatric use is intended to be used with autograft and/or allograft

Pediatric pedicle screw fixation is limited to a posterior approach.

The XIAO) 4.5 Spinal System is intended for anterior/anteriolateral and posterior, noncervicall pedicle and non-pedicle fixation for the following indications:

* Degenerative Disc Disease (DDD) (defined as back pain of discogenic origin with degeneration of the disc confinmed by history and radiographic studies);

* Spondylolisthesis;

* Trauima (i.e. fracture or dislocation);

* Spinal Stenosis;

* Curvature (i.e. scoliosis, kyphosis, and/or lordosis);

* Tumor

* Pseudoarthorisis;

* and Failed Pervious Fusion

The Stryker Spine DIAPASONt Spinal System, OPUSO Spinal System and XIAO 4.5 Spinal System can be linked to the X!AO 4.5 Spinal System via the rod-to-rod connector when used for the aforementioned indications in skeletally mature patients as an adjunct to fusion.

Except for the staples, the XIAO 4.5 Spinal System is indicated as an adjunct to fusion to treat adolescent idiopathic scoliosis when used for posterior noncervical pedicle screw fixation in pediatric patients. The XIA@ 4.5 Spinal System for pediatric use in intended to be used with autografi and/or allograft. Pediatric pedicle screw fixation is limited to a posterior approach.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K133188: Mantis & Mantis Redux Spinal System, Radius Spinal System, Trio & Trio+ Spinal Fixation Systems, and Trio Trauma Spinal.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K133188

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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