Devices descending from K133218
130 later devices reach Crystal ®; Mosaic ®; Vertu ® through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +1 | K193153 | SPIRA-C Integrated Fixation System | Camber Spine Technologies | 2020 | 2 | — |
| +1 | K192906 | Mecta-C Stand Alone | Medacta International S.A. | 2020 | 1 | — |
| +1 | K181837 | Spinal Elements Ti-Bond coated devices | Spinal Elements, Inc. | 2018 | 98 | — |
| +1 | K181621 | Stable-C Interbody System | Nexus Spine, LLC | 2018 | 7 | — |
| +1 | K181471 | ACCUFUSE Cervical System | Absolute Advantage Medical, LLC | 2018 | 0 | — |
| +1 | K143685 | Hedgehog Cervical Interbody Fusion Device | Vertera, Inc. | 2015 | 23 | — |
| +2 | K253894 | BMD Titanium Spinal Fusion System | Global Biomedica s.r.o. | 2026 | 0 | — |
| +2 | K231763 | Stable-C Interbody System | Nexus Spine, LLC | 2023 | 6 | — |
| +2 | K223837 | SPIRA®-C Integrated Fixation System | Camber Spine Technologies | 2023 | 0 | — |
| +2 | K203076 | Mecta-C Stand Alone Extension | Medacta International S.A. | 2020 | 0 | — |
| +2 | K191477 | AEON-C Stand Alone System | Huvexel Co., Ltd. | 2019 | 10 | — |
| +2 | K190546 | NEXXT MATRIXX Stand Alone Cervical System | Nexxt Spine, LLC | 2019 | 93 | — |
| +2 | K173030 | Vertera Spine Cohere Cervical Interbody Fusion Device | Nu Vasive, Incorporated | 2017 | 22 | — |
| +3 | K260036 | NeckTune™ 3D SA Cervical Cage | Medyssey Co, Ltd. | 2026 | 0 | — |
| +3 | K241846 | E3D™-C Interbody System | Evolution Spine | 2024 | 6 | — |
| +3 | K241467 | Stable-C Interbody System | Nexus Spine, LLC | 2024 | 2 | — |
| +3 | K232530 | Stable-L Standalone Lumbar Interbody System, Stable-C Interbody System | Nexus Spine, LLC | 2023 | 5 | — |
| +3 | K231735 | NuVasive CoRoent Small Interbody System; NuVasive CoRoent Small Contoured Interbody… | Nu Vasive, Incorporated | 2023 | 9 | — |
| +3 | K222004 | INTEGRATE -C Interbody Fusion System | Happe Spine | 2023 | 6 | — |
| +3 | K223140 | AEON-C™ Stand Alone System | Dio Medical, Inc. | 2022 | 2 | — |
| +3 | K220875 | HAcancellous PEEK-C Porous HA PEEK Cervical IBF System | Innovasis, Inc. | 2022 | 4 | — |
| +3 | K193000 | Hexanium® ACIF | Spinevision, S.A.S. | 2020 | 14 | — |
| +3 | K200087 | F3D Cervical Stand-Alone Interbody Fusion System | Corelink, LLC | 2020 | 25 | — |
| +3 | K200543 | NEXXT MATRIXX Stand Alone Cervical-Turn Lock (-TL) System | Nexxt Spine, LLC | 2020 | 72 | — |
| +4 | K261882 | Pisces-SC Standalone Cervical Interbody System | Osseus Fusions Systems, LLC | 2026 | 0 | — |
| +4 | K262094 | E3D™-C Interbody System | Evolution Spine | 2026 | 0 | — |
| +4 | K261279 | DeltaNEC Interbody System | Nexus Spine | 2026 | 0 | — |
| +4 | K254105 | Hive™ Standalone Cervical System and Hive™ C Interbody System | NanoHive Medical, LLC | 2026 | 0 | — |
| +4 | K260038 | E3D™-C Interbody System | Evolution Spine | 2026 | 1 | — |
| +4 | K252894 | aprevo® cervical interbody system | Carlsmed, Inc. | 2026 | 1 | — |
| +4 | K253876 | HEDRON™ Cervical Spacers (HEDRON C-MIS™ Spacer) | Globus Medical, Inc. | 2025 | 1 | — |
| +4 | K250076 | Endeavor™ Stand-Alone Cervical IBF System | Innovasis | 2025 | 0 | — |
| +4 | K251735 | Stabilis SA Cervical Stand-Alone System (Various PNs) | Acuity Surgical Devices, LLC | 2025 | 1 | — |
| +4 | K243934 | Stable-L Lumbar Interbody System | Nexus Spine, LLC | 2025 | 0 | — |
| +4 | K241375 | IdentiTi Porous Ti Interbody System; IdentiTi NanoTec Interbody System; IdentiTi… | Alphatec Spine | 2025 | 3 | — |
| +4 | K240830 | Reef TO/TA System; Regatta Lateral System; Explorer TO System; WaveForm C Interbody… | Orthofix Medical, Inc. | 2024 | 2 | — |
| +4 | K241396 | uCerv Flux™-C 3D Porous Titanium Cervical Interbody | Ulrich Medical USA, Inc. | 2024 | 0 | — |
| +4 | K233375 | Tranquil-L Interbody System | Nexus Spine, LLC | 2024 | 0 | — |
| +4 | K240416 | Tranquil-C Interbody System | Nexus Spine, LLC | 2024 | 3 | — |
| +4 | K232877 | FaSet Fixation System, UNITY Sacroiliac Joint Fixation System, Huvex Interspinous… | K&J Consulting Corporation | 2023 | 1 | — |
| +4 | K232348 | RIGEL™ 3DR Standalone Anterior Cervical Interbody Fusion System | MiRus, LLC | 2023 | 1 | — |
| +4 | K231899 | HAtetracell™-C Titanium Cervical IBF System | Innovasis, Inc. | 2023 | 2 | — |
| +4 | K232150 | ZSFab Cervical Interbody System | Zsfab, Inc. | 2023 | 4 | — |
| +4 | K230329 | F3D Interbody System | Corelink, LLC | 2023 | 0 | — |
| +4 | K223510 | Matrix HA Fusion Porous Cervical IBF System | Innovasis, Inc. | 2022 | 0 | — |
| +4 | K222903 | Tailored-H Cervical Stand Alone System | Bespoke Technologies, LLC | 2022 | 0 | — |
| +4 | K221578 | Hexanium ACIF | Spinevision, S.A.S. | 2022 | 4 | — |
| +4 | K211417 | F3D-C2 Cervical Stand-Alone System | Corelink, LLC | 2022 | 3 | — |
| +4 | K212853 | Cervical Stand-Alone System | Eminent Spine, LLC | 2021 | 18 | — |
| +4 | K211111 | SureMAX-SA Cervical Standalone System | Additive Implants, Inc. | 2021 | 8 | — |
| +4 | K202812 | IdentiTi Cervical Standalone Interbody System | Alphatec Spine, Inc. | 2020 | 67 | — |
| +5 | K262025 | Innovasis AxTiHA® Stand-Alone ALIF System;Innovasis TxTiHA® IBF System;Innovasis… | INNO Holdings Inc. DBA Innovasis | 2026 | 0 | — |
| +5 | K254130 | C.A. Medical Interbody Fusion System | C.A. Medical, LLC | 2026 | 0 | — |
| +5 | K253420 | Admiral ACP System; Explorer TO System; Laminoplasty System; Manta Ray TDF Spacer… | SeaSpine Orthopedics Corporation | 2026 | 0 | — |
| +5 | K260385 | aprevo® anterior and lateral lumbar interbody system; aprevo® posterior and… | Carlsmed, Inc. | 2026 | 0 | — |
| +5 | K251575 | IdentiTi™ II ALIF Standalone Interbody System; Transcend™ ALIF Standalone Interbody System | Alphatec Spine | 2025 | 0 | — |
| +5 | K250335 | IVA & AEON Cervical and Lumbar Cage System | K&J Consulting | 2025 | 0 | — |
| +5 | K252113 | PRADO™ Lumbar Interbody Fusion System | Bethesda Medical Devices | 2025 | 0 | — |
| +5 | K251080 | IdentiTi II Cervical Interbody System | Alphatec Spine, Inc. | 2025 | 0 | — |
| +5 | K251617 | X-PAC® TLIF Expandable Posterior Cage System; X-PAC® LLIF Expandable Lateral Cage System | Expanding Innovations, Inc. | 2025 | 0 | — |
| +5 | K242260 | aprevo® Cervical ACDF; aprevo® Cervical ACDF-X; aprevo® Cervical ACDF-X NO CAM | Carlsmed, Inc. | 2024 | 3 | — |
| +5 | K242734 | ZSFab Cervical Interbody System; ZSFab Lumbar Interbody System | Zsfab | 2024 | 3 | — |
| +5 | K240838 | Spectrum Spine Cervical Cage System | Spectrum Spine, Inc. | 2024 | 4 | — |
| +5 | K230608 | SPICCA Stand-Alone Cervical Fusion Cages | Southern Medical (Pty), Ltd. | 2023 | 0 | — |
| +5 | K223105 | Tesera-K SC System | Kyocera Medical Technologies, Inc. | 2022 | 5 | — |
| +5 | K223190 | Hive™ Standalone Cervical System | NanoHive Medical, LLC | 2022 | 5 | — |
| +5 | K220782 | IdentiTi™ Porous Ti Interbody System, IdentiTi™ NanoTec™ Interbody System, Transcend™… | Alphatec Spine, Inc. | 2022 | 36 | — |
| +5 | K212358 | Romero Cervical Cage | Spineup, Inc. | 2022 | 6 | — |
| +5 | K203742 | IdentiTi ALIF Standalone Interbody System | Alphatec Spine, Inc. | 2021 | 59 | — |
| +6 | K261451 | ZSAlign Cervical Interbody System | ZSFab, Inc. | 2026 | 0 | — |
| +6 | K260549 | ZSFab Cervical Interbody System and ZSFab Lumbar Interbody System | Zsfab, Inc. | 2026 | 0 | — |
| +6 | K252240 | Spectrum Spine Cervical Cage System; Spectrum Spine Lumbar Cage System | Spectrum Spine | 2026 | 0 | — |
| +6 | K252781 | MSFX Mikron Peek Cages | Mikron Makina Sanayi VE Tic. Ltd. Sti. | 2025 | 1 | — |
| +6 | K252610 | ZSFab Lumbar Interbody System | Zsfab, Inc. | 2025 | 1 | — |
| +6 | K253377 | Expandable Titanium PLIF/TLIF System | Spectrum Spine, Inc. | 2025 | 0 | — |
| +6 | K250827 | aprevo® anterior lumbar interbody fusion device; aprevo® lateral lumbar interbody fusion… | Carlsmed, Inc. | 2025 | 2 | — |
| +6 | K242928 | Tesera-k SC System | Kyocera Medical Technologies, Inc. | 2025 | 0 | — |
| +6 | K243074 | Spectrum Spine Lumbar Cage System | Spectrum Spine, Inc. | 2025 | 2 | — |
| +6 | K240893 | ARTFX MEDICAL Cervical PEEK Cages | Artfx Medical | 2024 | 4 | — |
| +6 | K232432 | E3D™-A Interbody System | Evolution Spine | 2024 | 8 | — |
| +6 | K231766 | Skyway Anterior Cervical Plate System | Kyocera Medical Technologies Inc. (KMTI) | 2023 | 3 | — |
| +6 | K223513 | UniVy™ OsteoVy™-Ti Cervical IBF System | Vy Spine, LLC | 2023 | 1 | — |
| +6 | K230026 | Squale | Implanet, S.A. | 2023 | 0 | — |
| +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 | — |
| +6 | K213935 | PISCES-SA Standalone ALIF Interbody System | Osseus Fusion Systems | 2022 | 12 | — |
| +6 | K214006 | Invictus® Spinal Fixation System | Alphatec Spine, Inc. | 2022 | 16 | — |
| +7 | K262067 | iFuse Granite Onyx™ Implant System | SI-BONE, Inc. | 2026 | 0 | — |
| +7 | K260340 | HC Biologics Osteopoint Peek Cages, HC Biologics Osteopoint Cervical Peek Cages, HC… | HC Biologics, LLC | 2026 | 0 | — |
| +7 | K252686 | EffortMed PEEK Cages & Corpectomy Cages | Effortmed, LLC | 2025 | 1 | — |
| +7 | K250845 | Curiteva Porous PEEK Standalone ALIF System | Curiteva, Inc. | 2025 | 1 | — |
| +7 | K241783 | FortiVy™ OsteoVy™ Lumbar IBF | Vy Spine, LLC | 2025 | 0 | — |
| +7 | K243635 | aprevo® anterior lumbar interbody fusion device with interfixation | Carlsmed, Inc. | 2024 | 5 | — |
| +7 | K243015 | Skyway Anterior Cervical Plate System | Kyocera Medical Technologies, Inc. | 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 | K240326 | Solar™ Lumbar Interbody Fusion System | Degen Medical, Inc. | 2024 | 4 | — |
| +7 | K240368 | E3D™-A Interbody System | Evolution Spine | 2024 | 7 | — |
| +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 |