510(k) · Cleared
Recalled · Class II · 2015Polaris Spinal System
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Biomet Spine (Aka Ebi, LLC) · NKB Thoracolumbosacral Pedicle Screw System
Cleared on Mar 12, 2014 as substantially equivalent to K091445 (Medtronic Sofamor Danek, 2010) and 22 other predicates after a 93-day review. Its family tree reaches back 16 generations to 2001. 1 of the 387 devices in its family, counting itself, has a Class I recall. 67 later devices descend from it. It has been recalled once.
- Decided
- Mar 12, 2014
- Review
- 93 days
- Class
- Class II
- Product code
- NKB
- Recalls
- 1
- Predicates
- 23
Its longest line of descent runs back 16 generations to K003155 (2001). 319 ancestors in all, the oldest K781443 (1978). 67 later devices descend from it, 5 citing it directly. 1 of the 387 devices in this family, counting this one, has a Class I recall.
- Root · 16 generations backK003155 Vertebral Body ReplacementOsteotech, Inc. · 2001
- 12 generations between
- 3 generations backK113593 Nextgen Altius Oct SystemBiomet Spine (Aka Ebi, LLC) · 2012
- 2 generations backK123549 Polaris Spinal System - Ballista II Percutaneous Screw Placement…Biomet Spine (Aka Ebi, LLC) · 2013 · Recalled
- 1 generation backK131615 Polaris Spinal SystemBiomet Spine (Aka Ebi, LLC) · 2013
- This deviceK133746 Polaris Spinal SystemBiomet Spine (Aka Ebi, LLC) · 2014
- Descendant · cites it directly · 30 of its ownK143248 Reform Pedicle Screw SystemPrecision Spine, Inc. · 2014
- Descendant · 2 generations on · 26 of its ownK150856 Reform Pedicle Screw SystemPrecision Spine, Inc. · 2015
- Descendant · 3 generations on · 21 of its ownK173130 Reform® Midline Cortical Screw SystemPrecision Spine, Inc. · 2017
- Descendant · cites it directly · 19 of its ownK150896 Vitality Spinal Fixation SystemZimmer Spine, Inc. · 2015 · Recalled
- Descendant · cites it directly · 19 of its ownK151422 Reform Pedicle Screw SystemPrecision Spine, Inc. · 2015
Show all 16 generations
- Root · 16 generations backK003155 Vertebral Body ReplacementOsteotech, Inc. · 2001
- 15 generations backK012254 VBROsteotech, Inc. · 2001
- 14 generations backK021791 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2002
- 13 generations backK023570 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2002
- 12 generations backK030601 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2003
- 11 generations backK040536 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
- 10 generations backK041556 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
- 9 generations backK043561 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
- 8 generations backK060719 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2006
- 7 generations backK061938 Verte-Stack Spinal SystemMedtronic Sofamor Danek, Inc. · 2006
- 6 generations backK062427 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2006
- 5 generations backK070742 Modification to Vertex Reconstruction SystemMedtronic Sofamor Danek · 2007
- 4 generations backK110522 Vertex Reconstruction System, Vertex Select Reconstruction SystemMedtronic Sofamor Danek USA, Inc. · 2011
- 3 generations backK113593 Nextgen Altius Oct SystemBiomet Spine (Aka Ebi, LLC) · 2012
- 2 generations backK123549 Polaris Spinal System - Ballista II Percutaneous Screw Placement…Biomet Spine (Aka Ebi, LLC) · 2013 · Recalled
- 1 generation backK131615 Polaris Spinal SystemBiomet Spine (Aka Ebi, LLC) · 2013
- This deviceK133746 Polaris Spinal SystemBiomet Spine (Aka Ebi, LLC) · 2014
Showing 5 of 67 descendants. See all descendants
Descendants cleared per year
Class I recalls in this family
- K100952 Modification to Synthes Matrix System2 generations back · 2010
Most influential descendants
Showing 5 of 67 · See all- K143248Reform Pedicle Screw SystemPrecision Spine, Inc. · 2014 · cites it directly30descendants
- K150856Reform Pedicle Screw SystemPrecision Spine, Inc. · 2015 · 2 generations on26descendants
- K173130Reform® Midline Cortical Screw SystemPrecision Spine, Inc. · 2017 · 3 generations on21descendants
- K150896Vitality Spinal Fixation SystemZimmer Spine, Inc. · 2015 · cites it directly19descendants
- K151422Reform Pedicle Screw SystemPrecision Spine, Inc. · 2015 · cites it directly19descendants
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −16 | K003155 | Vertebral Body Replacement | Osteotech, Inc. | 2001 | — |
| −15 | K012254 | VBR | Osteotech, Inc. | 2001 | — |
| −14 | K021791 | Verte-Stack Spinal System | Medtronic Sofamor Danek | 2002 | — |
| −13 | K023570 | Modification to Verte-Stack Spinal System | Medtronic Sofamor Danek | 2002 | — |
| −12 | K030601 | Verte-Stack Spinal System | Medtronic Sofamor Danek | 2003 | — |
| −11 | K040536 | Modification to Verte-Stack Spinal System | Medtronic Sofamor Danek | 2004 | — |
| −10 | K041556 | Modification to Verte-Stack Spinal System | Medtronic Sofamor Danek | 2004 | — |
| −9 | K043561 | Modification to Verte-Stack Spinal System | Medtronic Sofamor Danek | 2004 | — |
| −8 | K060719 | Modification to Verte-Stack Spinal System | Medtronic Sofamor Danek | 2006 | — |
| −7 | K061938 | Verte-Stack Spinal System | Medtronic Sofamor Danek, Inc. | 2006 | — |
| −6 | K062427 | Verte-Stack Spinal System | Medtronic Sofamor Danek | 2006 | — |
| −5 | K070742 | Modification to Vertex Reconstruction System | Medtronic Sofamor Danek | 2007 | — |
| −4 | K110522 | Vertex Reconstruction System, Vertex Select Reconstruction System | Medtronic Sofamor Danek USA, Inc. | 2011 | — |
| −3 | K113593 | Nextgen Altius Oct System | Biomet Spine (Aka Ebi, LLC) | 2012 | — |
| −2 | K123549 | Polaris Spinal System - Ballista II Percutaneous Screw Placement System | Biomet Spine (Aka Ebi, LLC) | 2013 | 2 |
| −1 | K131615 | Polaris Spinal System | Biomet Spine (Aka Ebi, LLC) | 2013 | — |
| 0 (this device) | K133746 | Polaris Spinal System | Biomet Spine (Aka Ebi, LLC) | 2014 | — |
| +1 | K143248 | Reform Pedicle Screw System | Precision Spine, Inc. | 2014 | — |
| +2 | K150856 | Reform Pedicle Screw System | Precision Spine, Inc. | 2015 | — |
| +3 | K173130 | Reform® Midline Cortical Screw System | Precision Spine, Inc. | 2017 | — |
| +1 | K150896 | Vitality Spinal Fixation System | Zimmer Spine, Inc. | 2015 | 3 |
| +1 | K151422 | Reform Pedicle Screw System | Precision Spine, Inc. | 2015 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1978 | 1 | 0 |
| 1984 | 1 | 0 |
| 1985 | 1 | 0 |
| 1990 | 2 | 0 |
| 1991 | 1 | 0 |
| 1992 | 5 | 0 |
| 1993 | 3 | 0 |
| 1994 | 2 | 0 |
| 1995 | 6 | 0 |
| 1996 | 6 | 0 |
| 1997 | 7 | 0 |
| 1998 | 12 | 0 |
| 1999 | 9 | 0 |
| 2000 | 21 | 0 |
| 2001 | 22 | 0 |
| 2002 | 16 | 0 |
| 2003 | 18 | 0 |
| 2004 | 36 | 0 |
| 2005 | 31 | 0 |
| 2006 | 22 | 0 |
| 2007 | 12 | 0 |
| 2008 | 19 | 0 |
| 2009 | 19 | 0 |
| 2010 | 16 | 1 |
| 2011 | 11 | 0 |
| 2012 | 4 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2014 | 1 | 0 |
| 2015 | 4 | 0 |
| 2016 | 1 | 0 |
| 2017 | 5 | 0 |
| 2018 | 2 | 0 |
| 2019 | 3 | 0 |
| 2020 | 5 | 0 |
| 2021 | 6 | 0 |
| 2022 | 6 | 0 |
| 2023 | 8 | 0 |
| 2024 | 10 | 0 |
| 2025 | 8 | 0 |
| 2026 | 8 | 0 |
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.
1 device in this family has a Class I recall. 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 K223494 CD Horizon Spinal Systemscore 40.4 · 30 generations · no Class I recall
- #2 Held for the reportin the report
- #3 Held for the reportin the report
What was it cleared against? (23)
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.
| Type | Number | Device | Decided |
|---|---|---|---|
| * | K091445 | CD Horizon Spinal SystemSummary page 2…s based on the worst-case construct testing. Substantial Equivalence: The Polaris Spinal System is substantially equivalent to the CD Horizon" Spinal System, Medtronic (K09 1445, K 111457 & K 113 174) the CDTM Spinal System, Sofamor Danek (K9641I59, K9801I84 &K000476), Synthes' USS (K 12057 1, K082572 & K0… | 2010 |
| * | K111457 | CD Horizon Spinal SystemSummary page 2…the worst-case construct testing. Substantial Equivalence: The Polaris Spinal System is substantially equivalent to the CD Horizon" Spinal System, Medtronic (K09 1445, K 111457 & K 113 174) the CDTM Spinal System, Sofamor Danek (K9641I59, K9801I84 &K000476), Synthes' USS (K 12057 1, K082572 & K022949) the… | 2011 |
| * | K113174 | CD Horizon Spinal SystemSummary page 2…case construct testing. Substantial Equivalence: The Polaris Spinal System is substantially equivalent to the CD Horizon" Spinal System, Medtronic (K09 1445, K 111457 & K 113 174) the CDTM Spinal System, Sofamor Danek (K9641I59, K9801I84 &K000476), Synthes' USS (K 12057 1, K082572 & K022949) the Isola, Depu… | 2011 |
| * | K964159 | CD Spinal System | 1997 |
| * | K980184 | CD Spinal System | 1998 |
| * | K000476 | Modification to CD Spinal SystemSummary page 2…ystem is substantially equivalent to the CD Horizon" Spinal System, Medtronic (K09 1445, K 111457 & K 113 174) the CDTM Spinal System, Sofamor Danek (K9641I59, K9801I84 &K000476), Synthes' USS (K 12057 1, K082572 & K022949) the Isola, Depuy & AcroMed (K003822, K022285, K962984 & K905826) and the Polaris Sp… | 2000 |
| * | K120571 | Synthes Uss ConnectorSummary page 2…quivalent to the CD Horizon" Spinal System, Medtronic (K09 1445, K 111457 & K 113 174) the CDTM Spinal System, Sofamor Danek (K9641I59, K9801I84 &K000476), Synthes' USS (K 12057 1, K082572 & K022949) the Isola, Depuy & AcroMed (K003822, K022285, K962984 & K905826) and the Polaris Spinal System (K090203, Kl31… | 2012 |
| * | K082572 | Uss Iliosacral, Uss PolyaxialSummary page 2…o the CD Horizon" Spinal System, Medtronic (K09 1445, K 111457 & K 113 174) the CDTM Spinal System, Sofamor Danek (K9641I59, K9801I84 &K000476), Synthes' USS (K 12057 1, K082572 & K022949) the Isola, Depuy & AcroMed (K003822, K022285, K962984 & K905826) and the Polaris Spinal System (K090203, Kl31615, K 12… | 2008 |
| * | K022949 | Synthes Uss, Click'x, Uss Vas, Dual-Opening Uss and Small Stature UssSummary page 2…orizon" Spinal System, Medtronic (K09 1445, K 111457 & K 113 174) the CDTM Spinal System, Sofamor Danek (K9641I59, K9801I84 &K000476), Synthes' USS (K 12057 1, K082572 & K022949) the Isola, Depuy & AcroMed (K003822, K022285, K962984 & K905826) and the Polaris Spinal System (K090203, Kl31615, K 123549, K 10… | 2003 |
| * | K003822 | Isola Closed Dual Rod ConnectorSummary page 2…1445, K 111457 & K 113 174) the CDTM Spinal System, Sofamor Danek (K9641I59, K9801I84 &K000476), Synthes' USS (K 12057 1, K082572 & K022949) the Isola, Depuy & AcroMed (K003822, K022285, K962984 & K905826) and the Polaris Spinal System (K090203, Kl31615, K 123549, K 100409, K091067, K090523, K06144 1, KI… | 2001 |
| * | K022285 | Modification to Isola Spinal SystemSummary page 2…111457 & K 113 174) the CDTM Spinal System, Sofamor Danek (K9641I59, K9801I84 &K000476), Synthes' USS (K 12057 1, K082572 & K022949) the Isola, Depuy & AcroMed (K003822, K022285, K962984 & K905826) and the Polaris Spinal System (K090203, Kl31615, K 123549, K 100409, K091067, K090523, K06144 1, KI 13593, K9… | 2002 |
| * | K962984 | Isola Pediatric ComponentsSummary page 2…K 113 174) the CDTM Spinal System, Sofamor Danek (K9641I59, K9801I84 &K000476), Synthes' USS (K 12057 1, K082572 & K022949) the Isola, Depuy & AcroMed (K003822, K022285, K962984 & K905826) and the Polaris Spinal System (K090203, Kl31615, K 123549, K 100409, K091067, K090523, K06144 1, KI 13593, K974749, K9… | 1996 |
| * | K905826 | Isola Slotted Connect/Angled Slotted ConnectorSummary page 2…the CDTM Spinal System, Sofamor Danek (K9641I59, K9801I84 &K000476), Synthes' USS (K 12057 1, K082572 & K022949) the Isola, Depuy & AcroMed (K003822, K022285, K962984 & K905826) and the Polaris Spinal System (K090203, Kl31615, K 123549, K 100409, K091067, K090523, K06144 1, KI 13593, K974749, K950099) in… | 1991 |
| * | K090203 | 5.5 Helical Flange Spinal System, Polaris ComponentsSummary page 2…K9641I59, K9801I84 &K000476), Synthes' USS (K 12057 1, K082572 & K022949) the Isola, Depuy & AcroMed (K003822, K022285, K962984 & K905826) and the Polaris Spinal System (K090203, Kl31615, K 123549, K 100409, K091067, K090523, K06144 1, KI 13593, K974749, K950099) in regards to intended use, indications for… | 2009 |
| * | K131615 | Polaris Spinal System | 2013 |
| * | K123549 | Polaris Spinal System - Ballista II Percutaneous Screw Placement SystemSummary page 2…&K000476), Synthes' USS (K 12057 1, K082572 & K022949) the Isola, Depuy & AcroMed (K003822, K022285, K962984 & K905826) and the Polaris Spinal System (K090203, Kl31615, K 123549, K 100409, K091067, K090523, K06144 1, KI 13593, K974749, K950099) in regards to intended use, indications for use, fundamental t… | 2013 |
| * | K100409 | Polaris Spinal System, Polaris/Synergy Structue Anterior Fixation SystemSummary page 2…, Synthes' USS (K 12057 1, K082572 & K022949) the Isola, Depuy & AcroMed (K003822, K022285, K962984 & K905826) and the Polaris Spinal System (K090203, Kl31615, K 123549, K 100409, K091067, K090523, K06144 1, KI 13593, K974749, K950099) in regards to intended use, indications for use, fundamental technology… | 2010 |
| * | K091067 | 5.5 Polaris Spinal SystemSummary page 2…USS (K 12057 1, K082572 & K022949) the Isola, Depuy & AcroMed (K003822, K022285, K962984 & K905826) and the Polaris Spinal System (K090203, Kl31615, K 123549, K 100409, K091067, K090523, K06144 1, KI 13593, K974749, K950099) in regards to intended use, indications for use, fundamental technology including… | 2009 |
| * | K090523 | Polaris Spinal SystemSummary page 2…2057 1, K082572 & K022949) the Isola, Depuy & AcroMed (K003822, K022285, K962984 & K905826) and the Polaris Spinal System (K090203, Kl31615, K 123549, K 100409, K091067, K090523, K06144 1, KI 13593, K974749, K950099) in regards to intended use, indications for use, fundamental technology including design,… | 2009 |
| * | K061441 | Ebi 5.5 Helical Flange Spinal SystemSummary page 2…082572 & K022949) the Isola, Depuy & AcroMed (K003822, K022285, K962984 & K905826) and the Polaris Spinal System (K090203, Kl31615, K 123549, K 100409, K091067, K090523, K06144 1, KI 13593, K974749, K950099) in regards to intended use, indications for use, fundamental technology including design, materials,… | 2006 |
| * | K113593 | Nextgen Altius Oct System | 2012 |
| * | K974749 | Synergy Closed Variable Locking Screw (VLS), Part of the Cross Medical-Synergy Anterior…Summary page 2…e Isola, Depuy & AcroMed (K003822, K022285, K962984 & K905826) and the Polaris Spinal System (K090203, Kl31615, K 123549, K 100409, K091067, K090523, K06144 1, KI 13593, K974749, K950099) in regards to intended use, indications for use, fundamental technology including design, materials, manufacturing meth… | 1998 |
| * | K950099 | Synergy (TM) TI Posterior Spinal SystemSummary page 2…Depuy & AcroMed (K003822, K022285, K962984 & K905826) and the Polaris Spinal System (K090203, Kl31615, K 123549, K 100409, K091067, K090523, K06144 1, KI 13593, K974749, K950099) in regards to intended use, indications for use, fundamental technology including design, materials, manufacturing methods, ster… | 1997 |
What descends from it? (67)
See all 675 later devices cite it directly; ranked here by how many devices descend from each in turn.
Has anything in its family been recalled? (1 Class I)
Recalls of this device
| Date | Class | Recall | Root cause | Reason |
|---|---|---|---|---|
| Mar 12, 2015 | Class II | Z-2152-2015 | Nonconforming Material/Component | Multiaxial screws may not meet internal requirements related to fatigue strength. Compression testing result and surface treatment are out of specification. |
Relatives with a Class I recall
Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.
- K100952Modification to Synthes Matrix SystemSynthes Spine · 2010 · 2 generations back · ◆ in the 2010 ancestors bar of FIG. 11 Class I recall
What does this lineage say?
- The line of descent spans 13 years and passes through 5 companies; a new generation was cleared every 9 months on median.
- 32 of the 319 ancestors have a recall of any class; 1 has a Class I recall.
- Of its descendants, K143248 (Precision Spine, Inc., 2014) has gone furthest, with 30 descendants of its own.
- 26 other devices also cite its predicate K091445.
How does its category compare?
All NKB devicesNKB Thoracolumbosacral Pedicle Screw System: FDA decisions, review times, recalls and adverse event reports over 20 years. 2014, this device’s year, is highlighted.
FDA decisions per year · NKB
24in 2025
2026 to Oct 25, outlined.
Median 510(k) review, days · NKB
61in 2025
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · NKB
1in 2025
Class I (1 since 2007) Class II/III not classified
Adverse event reports per year · NKB
1,171in 2025
MAUDE reports naming product code NKB, not matched to any one device; reports are not rates.
View these four charts as a table
| Year | Decisions | Median 510(k) review, days | Recalls (Class I) | MAUDE reports |
|---|---|---|---|---|
| 2007 | 38 | 87 | 4 | 34 |
| 2008 | 36 | 59 | 5 | 82 |
| 2009 | 44 | 71 | 33 | 171 |
| 2010 | 37 | 111 | 4 | 462 |
| 2011 | 48 | 84 | 3 | 577 |
| 2012 | 60 | 79 | 13 | 1,747 |
| 2013 | 35 | 73 | 0 | 1,962 |
| 2014 | 46 | 90 | 3 (1) | 1,671 |
| 2015 | 55 | 90 | 3 | 1,446 |
| 2016 | 50 | 84 | 1 | 1,585 |
| 2017 | 63 | 69 | 1 | 1,618 |
| 2018 | 56 | 61 | 3 | 1,684 |
| 2019 | 39 | 84 | 1 | 1,915 |
| 2020 | 48 | 68 | 1 | 2,076 |
| 2021 | 32 | 61 | 0 | 1,745 |
| 2022 | 34 | 88 | 5 | 1,339 |
| 2023 | 44 | 72 | 2 | 919 |
| 2024 | 39 | 57 | 3 | 1,614 |
| 2025 | 24 | 61 | 1 | 1,171 |
| 2026 | 30 | 91 | 3 | — |
What is it indicated for?
The Polaris Spinal System is a non-cervical spinal fixation device intended for immobilization and stabilization as an adjunct to fusion as a pedicle screw fixation system, a posterior hook and sacral/iliac screw fixation system, or as an anterior or anterolateral fixation system for use with autograft and/or allograft. The Polaris Spinal System is indicated for the following conditions: degenerative disc disease (defined as discogenic back pain with…
Read the full statement (293 words)
The Polaris Spinal System is a non-cervical spinal fixation device intended for immobilization and stabilization as an adjunct to fusion as a pedicle screw fixation system, a posterior hook and sacral/iliac screw fixation system, or as an anterior or anterolateral fixation system for use with autograft and/or allograft. The Polaris Spinal System is indicated for the following conditions: degenerative disc disease (defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies), spondylolisthesis, trauma, (i.e., fracture or dislocation), deformity or curvature (i.e., scoliosis, kyphosis, Scheuermann's disease, and/or lordosis), tumor, stenosis, pseudoarthrosis, or failed previous fusion.
The Ballista and Cypher MIS instruments are intended to be used with Ballista/Cypher MIS/Polaris 5.5mm implants. Cannulated screws and percutaneous rods may be used with the Ballista/Cypher MIS instruments to provide the surgeon with a percutaneous approach for posterior spinal surgery for the above indications.
For pediatric patients, the Polaris Spinal System may be used for posterior, non-cervical pedicle screw fixation as an adjunct to fusion to treat adolescent idiopathic scoliosis and is also indicated for treatment of the following conditions: spondylolisthesis/spondylolysis and fractures caused by tumor and/or trauma. Pedicle screw fixation is limited to a posterior approach.
The Polaris Spinal System may be used with the instruments in the AccuVision Minimally Invasive Spinal Exposure System to provide the surgeon with a minimally invasive approach for posterior spinal surgery.
The dominos in the Polaris Spinal System can be used to connect the Polaris Spinal System to the Altius Spinal System, Lineum OCT Spine System, the Array Spinal System, the Biomet Omega2I Spinal System, or the Synergy Spinal System to achieve additional levels of fixation. Please refer to the individual system's Package Insert for a list of the indications for use for each system.
Indications for use as stated in the FDA summary.
https://510kreport.com/device/K133746 · printed Nov 5, 2026
Cite this page
510(k) Report. “K133746: Polaris Spinal System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K133746
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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