510(k) Report

510(k) · Cleared

Cleared

Interspinous Plate System

K142378510(k) TraditionalCleared Dec 18, 2014114-day reviewClass II21 CFR 888.3050

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Precision Spine, Inc. · PEK Spinous Process Plate

Cleared on Dec 18, 2014 as substantially equivalent to K133363 (Ldr Spine USA, Inc., 2014) and 5 other predicates after a 114-day review. Its family tree reaches back 8 generations to 2004. 3 later devices descend from it.

Decided
Dec 18, 2014
Review
114 days
Class
Class II
Product code
PEK
Recalls
None
Predicates
6

Its longest line of descent runs back 8 generations to K033826 (2004). 43 ancestors in all, the oldest K781443 (1978). 3 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2013: 1 other ancestor2012: 2 other ancestors2010: 4 other ancestors2008: 3 other ancestors2011: 2 other ancestors2009: 4 other ancestors2007: 1 other ancestor2005: 2 other ancestors2003: 3 other ancestors2000: 4 other ancestors2001: 3 other ancestors1998: 1 other ancestor1997: 1 other ancestor1996: 2 other ancestors1978: 1 other ancestor1999: 1 other ancestor2015: 1 descendant cleared2016: 2 descendants clearedK033826 · Orthopedic Alliance Spine System · Orthopedic Alliance, LLC · 2004 · recalledK043484 · Lanx Spinal Fixation System · Lanx, LLC · 2005K071633 · Lanx Deformity System · Lanx, LLC · 2007K103237 · Lanx Spinal System · Lanx, Inc. · 2011×3: 3 generations cleared close together, K120399 (2012), K121940 (2012), K123093 (2012) K133363 · Interbridge Interspinous Posterior Fixation System · Ldr Spine USA, Inc. · 201419801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 4 other ancestors2 generations back: 10 other ancestors3 generations back: 3 other ancestors4 generations back: 3 other ancestors5 generations back: 12 other ancestors6 generations back: 3 other ancestors 1 generation forward: 2 descendants2 generations forward: 1 descendant K133363 · Interbridge Interspinous Posterior Fixation System · Ldr Spine USA, Inc. · 2014K123093 · Stabilink Mis Spinal Fixation System · Southern Spine, LLC · 2012K121940 · Lanx Spinal Fixation System · Lanx, Inc. · 2012K120399 · Lanx Spinal Fixation System · Lanx, LLC · 2012K103237 · Lanx Spinal System · Lanx, Inc. · 2011K071633 · Lanx Deformity System · Lanx, LLC · 2007K043484 · Lanx Spinal Fixation System · Lanx, LLC · 2005K033826 · Orthopedic Alliance Spine System · Orthopedic Alliance, LLC · 2004 · recalled−50
  1. Root · 8 generations backK033826 Orthopedic Alliance Spine SystemOrthopedic Alliance, LLC · 2004 · Recalled
  2. 7 generations backK043484 Lanx Spinal Fixation SystemLanx, LLC · 2005
  3. 6 generations backK071633 Lanx Deformity SystemLanx, LLC · 2007
  4. 5 generations backK103237 Lanx Spinal SystemLanx, Inc. · 2011
  5. 4 generations backK120399 Lanx Spinal Fixation SystemLanx, LLC · 2012
  6. 3 generations backK121940 Lanx Spinal Fixation SystemLanx, Inc. · 2012
  7. 2 generations backK123093 Stabilink Mis Spinal Fixation SystemSouthern Spine, LLC · 2012
  8. 1 generation backK133363 Interbridge Interspinous Posterior Fixation SystemLdr Spine USA, Inc. · 2014
  9. This deviceK142378 Interspinous Plate SystemPrecision Spine, Inc. · 2014
  10. Descendant · cites it directly · 2 of its ownK151863 Precision Spine Interspinous Plate SystemPrecision Spine, Inc. · 2015
  11. Descendant · 2 generations on · 0 of its ownK160465 Spinal Elements' Spinous Process Plate SystemSpinal Elements, Inc. · 2016
  12. Descendant · cites it directly · 0 of its ownK160568 Precision Spine Interspinous Plate SystemPrecision Spine, Inc. · 2016

Most influential descendants

Showing 3 of 3 · See all
  • K151863Precision Spine Interspinous Plate SystemPrecision Spine, Inc. · 2015 · cites it directly2descendants
  • K160465Spinal Elements' Spinous Process Plate SystemSpinal Elements, Inc. · 2016 · 2 generations on0descendants
  • K160568Precision Spine Interspinous Plate SystemPrecision Spine, Inc. · 2016 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K033826Orthopedic Alliance Spine SystemOrthopedic Alliance, LLC20041
−7K043484Lanx Spinal Fixation SystemLanx, LLC2005—
−6K071633Lanx Deformity SystemLanx, LLC2007—
−5K103237Lanx Spinal SystemLanx, Inc.2011—
−4K120399Lanx Spinal Fixation SystemLanx, LLC2012—
−3K121940Lanx Spinal Fixation SystemLanx, Inc.2012—
−2K123093Stabilink Mis Spinal Fixation SystemSouthern Spine, LLC2012—
−1K133363Interbridge Interspinous Posterior Fixation SystemLdr Spine USA, Inc.2014—
0 (this device)K142378Interspinous Plate SystemPrecision Spine, Inc.2014—
+1K151863Precision Spine Interspinous Plate SystemPrecision Spine, Inc.2015—
+2K160465Spinal Elements' Spinous Process Plate SystemSpinal Elements, Inc.2016—
+1K160568Precision Spine Interspinous Plate SystemPrecision Spine, Inc.2016—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197810
199620
199710
199810
199910
200040
200130
200330
200520
200710
200830
200940
201040
201120
201220
201310

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201510
201620
FIG. 1 — Lineage of K142378, 2004–2016Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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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 PEK? 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 PEK device

  1. #1 K253250 Minuteman® G6 MIS Fusion Platescore 15.2 · 17 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? (6)

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.

TypeNumberDeviceApplicantDecidedRecalls
*K133363Interbridge Interspinous Posterior Fixation System
Summary page 6
… Structural support mechanism  Sterilization Table 5-1: Primary Predicate Device 510k Number Trade or Proprietary or Model Name Manufacturer K133363 InterBRIDGE Interspinous Posterior LDR Spine USA, Inc. Fixation System Table 5-2…
Ldr Spine USA, Inc.2014—
*K073278Spinous Process Plate System
Summary page 6
…SA, Inc. Fixation System Table 5-2: Additional Predicate Devices 510k Number Trade or Proprietary or Model Name Manufacturer K073278, K131238 Affix Spinous Process Plate System NuVasive® K123093 StabiLink™ MIS Spinal Fixation System…
Nuvasive, Inc.2008—
*K131238Affix Spinous Process Plate System
Summary page 6
…Fixation System Table 5-2: Additional Predicate Devices 510k Number Trade or Proprietary or Model Name Manufacturer K073278, K131238 Affix Spinous Process Plate System NuVasive® K123093 StabiLink™ MIS Spinal Fixation System Southe…
Nuvasive, Inc.2013—
*K123093Stabilink Mis Spinal Fixation System
Summary page 6
…redicate Devices 510k Number Trade or Proprietary or Model Name Manufacturer K073278, K131238 Affix Spinous Process Plate System NuVasive® K123093 StabiLink™ MIS Spinal Fixation System Southern Spine K100354 PrimaLOK™ Interspinous Fusion Sy…
Southern Spine, LLC2012—
*K100354Primal OK Interspinous Fusion System
Summary page 6
…Manufacturer K073278, K131238 Affix Spinous Process Plate System NuVasive® K123093 StabiLink™ MIS Spinal Fixation System Southern Spine K100354 PrimaLOK™ Interspinous Fusion System OsteoMed K122509 Spinous Process Fixation Plate…
Osteomed LP2010—
*K122509Vertiflex Spinous Process Fixation Plate
Summary page 6
…NuVasive® K123093 StabiLink™ MIS Spinal Fixation System Southern Spine K100354 PrimaLOK™ Interspinous Fusion System OsteoMed K122509 Spinous Process Fixation Plate VertiFlex® PERFORMANCE DATA The Precision Spine Interspinous Plate Syst…
Vertiflex, Inc.2012—

Also cleared against K133363: 1 other device →

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K151863Precision Spine Interspinous Plate SystemPrecision Spine, Inc.20152
K160568Precision Spine Interspinous Plate SystemPrecision Spine, Inc.20160

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 10 years and passes through 6 companies; a new generation was cleared every 11 months on median.
  • 3 of the 43 ancestors have a recall of any class.
  • Of its descendants, K151863 (Precision Spine, Inc., 2015) has gone furthest, with 2 descendants of its own.
  • 1 other device also cites its predicate K133363.

How does its category compare?

All PEK devices

PEK Spinous Process Plate: FDA decisions, review times, recalls and adverse event reports over 20 years. 2014, this device’s year, is highlighted.

FDA decisions per year · PEK

1in 2025

2013: 102014: 82015: 62016: 42017: 32018: 42020: 22021: 22022: 32023: 42024: 12025: 12026 (partial year): 1
2007high 10 (2013) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PEK

60in 2023

2013: 118 days median2014: 120 days median2015: 166 days median2016: 176 days median2017: 94 days median2018: 69 days median2022: 135 days median2023: 60 days median
2007high 176 (2016) · low 60 (2023)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · PEK

1in 2021

2021: 1
2007high 1 (2021) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · PEK

3in 2025

2011: 22014: 22015: 32018: 22019: 42020: 22021: 172022: 112023: 82024: 52025: 3
2007high 17 (2021) · low 0 (2007)2025

MAUDE reports naming product code PEK, 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
20070—00
20080—00
20090—00
20100—00
20110—02
20120—00
20131011800
2014812002
2015616603
2016417600
201739400
201846902
20190—04
20202—02
20212—117
20223135011
202346008
20241—05
20251—03
20261—0—

What is it indicated for?

The Interspinous Plate System is a posterior, non-pedicle supplemental fixation device, intended for use in the non-cervical spine (T1-S1) of skeletally mature patients. It is intended for single level plate fixation/attachment to spinous process for the purpose of achieving supplemental fusion in the following conditions: degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies), trauma (i.e. fracture or dislocation), spondylolisthesis, and/or tumor. It is not intended for stand-alone use.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K142378: Interspinous Plate System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K142378

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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