Devices descending from K141993
8 later devices reach Nakoma Acp through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +1 | K231766 | Skyway Anterior Cervical Plate System | Kyocera Medical Technologies Inc. (KMTI) | 2023 | 3 | — |
| +1 | K201521 | Medina Anterior Cervical Plate System | Alliance Partners, LLC | 2020 | 0 | — |
| +1 | K173128 | Alamo® C | Alliance Partners, LLC | 2018 | 2 | — |
| +2 | K252737 | DeGen Medical Latitude-C AM Cervical Interbody Fusion System | Degen Medical | 2025 | 0 | — |
| +2 | K243015 | Skyway Anterior Cervical Plate System | Kyocera Medical Technologies, Inc. | 2024 | 2 | — |
| +2 | K213115 | CHENA-C Spacer System | Kahtnu Surgical, Inc. | 2021 | 0 | — |
| +3 | K250486 | Skyway Anterior Cervical Plate System | Kyocera Medical Technologies Inc. (KMTI) | 2025 | 1 | — |
| +4 | K261451 | ZSAlign Cervical Interbody System | ZSFab, Inc. | 2026 | 0 | — |