Devices descending from K133827
26 later devices reach A-Link Z through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +1 | K201671 | A-Link Z | Acuity Surgical Devices, LLC | 2021 | 25 | — |
| +2 | K243386 | Ventris Intervertebral Body Fusion Device | Acuity Surgical Devices, LLC | 2025 | 2 | — |
| +2 | K233694 | Meridian Interbody System; WaveForm A Interbody System | SeaSpine Orthopedics Corporation | 2024 | 8 | — |
| +2 | K222561 | Align | Acuity Surgical Devices, LLC | 2022 | 14 | — |
| +2 | K221535 | Align Lumbar Interbody Fusion System | Acuity Surgical Devices, LLC | 2022 | 3 | — |
| +2 | K220610 | SOLO-L | Aurora Spine, Inc. | 2022 | 0 | — |
| +3 | K251459 | OneLIF™ Interbody Fusion System | Novapproach Spine, LLC | 2025 | 0 | — |
| +3 | K251335 | Tera Lumbar Interbody Fusion System (Various PNs) | Acuity Surgical Devices, LLC | 2025 | 1 | — |
| +3 | K242509 | HAnano InterFuse (R) Modular Interbody | Next Orthosurgical | 2024 | 0 | — |
| +3 | K241413 | sagAlign Lumbar Cage System (Various PNs) | Acuity Surgical Devices, LLC | 2024 | 0 | — |
| +3 | K240830 | Reef TO/TA System; Regatta Lateral System; Explorer TO System; WaveForm C Interbody… | Orthofix Medical, Inc. | 2024 | 2 | — |
| +3 | K241466 | Shoreline ACS Interbody System; Shoreline RT Interbody System; Regatta Lateral System… | SeaSpine Orthopedics Corporation | 2024 | 3 | — |
| +3 | K240749 | PILLAR SA Ti Spacer System (82-XXX) | Orthofix, Inc. | 2024 | 0 | 2 |
| +3 | K232432 | E3D™-A Interbody System | Evolution Spine | 2024 | 8 | — |
| +4 | K254130 | C.A. Medical Interbody Fusion System | C.A. Medical, LLC | 2026 | 0 | — |
| +4 | K253420 | Admiral ACP System; Explorer TO System; Laminoplasty System; Manta Ray TDF Spacer… | SeaSpine Orthopedics Corporation | 2026 | 0 | — |
| +4 | K254105 | Hive™ Standalone Cervical System and Hive™ C Interbody System | NanoHive Medical, LLC | 2026 | 0 | — |
| +4 | K250987 | aprevo® posterior/transforaminal lumbar interbody fusion device | Carlsmed, Inc. | 2025 | 1 | — |
| +4 | K251617 | X-PAC® TLIF Expandable Posterior Cage System; X-PAC® LLIF Expandable Lateral Cage System | Expanding Innovations, Inc. | 2025 | 0 | — |
| +4 | K241846 | E3D™-C Interbody System | Evolution Spine | 2024 | 6 | — |
| +4 | K240368 | E3D™-A Interbody System | Evolution Spine | 2024 | 7 | — |
| +5 | K262094 | E3D™-C Interbody System | Evolution Spine | 2026 | 0 | — |
| +5 | K260036 | NeckTune™ 3D SA Cervical Cage | Medyssey Co, Ltd. | 2026 | 0 | — |
| +5 | K260385 | aprevo® anterior and lateral lumbar interbody system; aprevo® posterior and… | Carlsmed, Inc. | 2026 | 0 | — |
| +5 | K260038 | E3D™-C Interbody System | Evolution Spine | 2026 | 1 | — |
| +5 | K252894 | aprevo® cervical interbody system | Carlsmed, Inc. | 2026 | 1 | — |