Devices descending from K142838
192 later devices reach Synapse Occipital-Cervical-Thoracic (OCT) System through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +3 | K223558 | CUVIS-spine | Curexo, Inc. | 2023 | 0 | — |
| +3 | K222684 | XIA® 4.5 Spinal System, XIA® 4.5 Cortical Trajectory, XIA® 3 Spinal System, Serrato®… | Stryker Spine | 2023 | 4 | — |
| +3 | K223350 | Remi Robotic Navigation System | Fusion Robotics, LLC | 2023 | 0 | — |
| +3 | K221388 | NuVasive Reline Cervical System | Nu Vasive, Incorporated | 2022 | 0 | — |
| +3 | K220862 | E-GPS Navigated Instruments | Precision Spine, Inc. | 2022 | 7 | — |
| +3 | K211616 | ExcelsiusHub | Globus Medical, Inc. | 2021 | 9 | Class I |
| +3 | K201569 | CUVIS-spine | Curexo, Inc. | 2021 | 2 | — |
| +3 | K202184 | Practical Navigation Surgical Guidance System (PNSGS) | Practical Navigation, LLC | 2021 | 5 | — |
| +3 | K203153 | CREO Stabilization System, Navigation Instruments, ExcelsiusGPS | Globus Medical, Inc. | 2021 | 1 | — |
| +3 | K200047 | ExcelsiusGPS Cranial 1.0 Module | Globus Medical, Inc. | 2020 | 5 | 3 |
| +3 | K201481 | Centurion POCT System | Orthofix, Inc. | 2020 | 3 | — |
| +3 | K191100 | ExcelsiusGPS Spine 1.1 Interbody Module | Globus Medical, Inc. | 2019 | 42 | — |
| +3 | K191045 | Salvo™ Spine System | Spine Wave, Inc. | 2019 | 5 | — |
| +3 | K183639 | Mariner Outrigger Revision System | SeaSpine Orthopedics Corporation | 2019 | 8 | — |
| +3 | K183381 | Navigation Enabled Instruments | Stryker | 2019 | 1 | — |
| +3 | K183119 | SI-LOK® Sacroiliac Joint Fixation System, Navigation Instruments, ExcelsiusGPS®… | Globus Medical, Inc. | 2019 | 2 | — |
| +3 | K182000 | AQrate Robotic Assistance System | Globus Medical, Inc. | 2019 | 1 | — |
| +3 | K172495 | Reform® POCT System | Precision Spine, Inc. | 2018 | 1 | — |
| +3 | K172194 | Connector System | Orthofix, Inc. | 2017 | 16 | 2 |
| +3 | K162136 | CastleLoc-S Posterior Cervical Fixation System; LnK Posterior Cervical Fixation System | L&K BIOMED Co., Ltd. | 2016 | 12 | — |
| +3 | K153439 | PathLoc-C Posterior Cervical Fixation System | L&K BIOMED Co., Ltd. | 2016 | 0 | — |
| +4 | K261284 | Invictus® Small Stature Spinal Fixation System; Invictus® 2.0 Spinal Fixation System | Alphatec Spine, Inc. | 2026 | 0 | — |
| +4 | K260369 | Dynamis Robotic Surgical System | LEM Surgical AG | 2026 | 0 | — |
| +4 | K261665 | CORUS™ Navigation System-GN | Providence Medical Technology, Inc. | 2026 | 0 | — |
| +4 | K253739 | SCRIPT™ Rods, CREO™ Stabilization System, REVERE® Stabilization System, REVERE® 4.5… | Globus Medical, Inc. | 2026 | 0 | — |
| +4 | K253545 | Vulcan Spinal System | K2m, Inc. | 2026 | 0 | — |
| +4 | K250599 | ExcelsiusGPS™ Instruments | Globus Medical, Inc. | 2025 | 0 | — |
| +4 | K251060 | CORUS™ Navigation System-GX | Providence Medical Technology, Inc. | 2025 | 0 | — |
| +4 | K233256 | Robotic Integration Instruments | DePuy Synthes | 2024 | 0 | — |
| +4 | K233228 | Spine Navigation and Robotic-Assistance Device | Ecential Robotics | 2024 | 2 | 1 |
| +4 | K240872 | Erisma® Deformity Spinal System; Erisma® Lp Spinal Fixation System | Clariance | 2024 | 1 | — |
| +4 | K231923 | Liberty SI Lateral Implant System | Spinal Simplicity, LLC | 2023 | 0 | — |
| +4 | K231069 | PERLA® TL Posterior Thoraco-lumbar Fixation System | Spineart SA | 2023 | 1 | — |
| +4 | K231840 | CastleLoc-S Posterior Cervical Fixation System | L&K BIOMED Co., Ltd. | 2023 | 0 | — |
| +4 | K223070 | Remi Robotic Navigation System | Fusion Robotics, LLC | 2022 | 4 | — |
| +4 | K222270 | HEDRON Cervical Spacers, HEDRON Lumbar Spacers, SABLE Expandable Spacer, ExcelsiusGPS… | Globus Medical, Inc. | 2022 | 23 | — |
| +4 | K222698 | CUVIS-spine | Curexo, Inc. | 2022 | 0 | — |
| +4 | K212962 | TRELLIS™ SI Joint Fusion System | Orthofundamentals, LLC | 2022 | 0 | — |
| +4 | K211710 | Ascent POCT System, Centurion POCT System, Spinal Fixation System (SFS), Firebird Spinal… | Orthofix, Inc. | 2021 | 2 | — |
| +4 | K202476 | Salvo® Spine System | Spine Wave, Inc. | 2020 | 4 | — |
| +4 | K200793 | LnK Posterior Cervical Fixation System and CastleLoc-S Posterior Cervical Fixation System | L&K BIOMED Co., Ltd. | 2020 | 11 | — |
| +4 | K201006 | K2M Navigation Instruments | K2m, Inc. | 2020 | 0 | — |
| +4 | K193396 | PERLA® TL posterior osteosynthesis system | Spineart | 2020 | 7 | 2 |
| +4 | K190751 | Connector System | Orthofix, Inc. | 2019 | 3 | — |
| +5 | K261113 | Op.n™ Spine Navigation and Robotic Guidance | Ecential Robotics | 2026 | 1 | — |
| +5 | K253966 | PERLA® TL Posterior Thoraco-lumbar Fixation System | Spineart SA | 2026 | 0 | — |
| +5 | K253401 | SCRIPT™ Implant System | Globus Medical, Inc. | 2026 | 0 | — |
| +5 | K253876 | HEDRON™ Cervical Spacers (HEDRON C-MIS™ Spacer) | Globus Medical, Inc. | 2025 | 1 | — |
| +5 | K252088 | Firebird SI Navigation System | Orthofix US, LLC | 2025 | 1 | — |
| +5 | K252737 | DeGen Medical Latitude-C AM Cervical Interbody Fusion System | Degen Medical | 2025 | 0 | — |
| +5 | K243635 | aprevo® anterior lumbar interbody fusion device with interfixation | Carlsmed, Inc. | 2024 | 5 | — |
| +5 | K242764 | MediRod Pedicle Screw System | Cmf Medicon Surgical, Inc. | 2024 | 0 | — |
| +5 | K234035 | COSINE™ Spacer | Globus Medical, Inc. | 2024 | 0 | — |
| +5 | K241846 | E3D™-C Interbody System | Evolution Spine | 2024 | 6 | — |
| +5 | K241863 | Erisma® Lp Spinal Fixation System; Erisma® LP MIS | Clariance | 2024 | 0 | — |
| +5 | K234077 | SPIRA® Anterior Lumbar Spacers | Camber Spine Technologies | 2024 | 0 | — |
| +5 | K232413 | Fusion Robotic Navigation System | Alphatec Spine, Inc. | 2023 | 2 | — |
| +5 | K231199 | Solar Lumbar Interbody Fusion System | Degen Medical | 2023 | 5 | — |
| +5 | K223837 | SPIRA®-C Integrated Fixation System | Camber Spine Technologies | 2023 | 0 | — |
| +5 | K222362 | Salvo® Spine System | Spine Wave, Inc. | 2022 | 3 | — |
| +5 | K221050 | ZESPIN SI Joint Fusion System, Paeon Posterior Cervical Fixation System, Paeon Anterior… | Aegis Spine, Inc. | 2022 | 6 | — |
| +5 | K213470 | PERLA® TL Posterior Osteosynthesis System | Spineart | 2022 | 2 | — |
| +5 | K210035 | ZESPIN SI Joint Fusion System, MegaCerfix Posterior Cervical Fixation System, MegaCerfix… | Aegis Spine | 2021 | 10 | — |
| +5 | K203506 | PERLA® TL posterior osteosynthesis system | Spineart | 2021 | 3 | 2 |
| +5 | K203222 | PERLA TL Posterior Osteosynthesis System | Spineart | 2020 | 4 | — |
| +6 | K261882 | Pisces-SC Standalone Cervical Interbody System | Osseus Fusions Systems, LLC | 2026 | 0 | — |
| +6 | K261205 | SPINEART Navigation Instrument System | Spineart SA | 2026 | 0 | — |
| +6 | K262094 | E3D™-C Interbody System | Evolution Spine | 2026 | 0 | — |
| +6 | K260036 | NeckTune™ 3D SA Cervical Cage | Medyssey Co, Ltd. | 2026 | 0 | — |
| +6 | K260571 | SIMPACT Sacroiliac Joint Fixation System GX Navigation Instruments | Life Spine, Inc. | 2026 | 0 | — |
| +6 | K254105 | Hive™ Standalone Cervical System and Hive™ C Interbody System | NanoHive Medical, LLC | 2026 | 0 | — |
| +6 | K260038 | E3D™-C Interbody System | Evolution Spine | 2026 | 1 | — |
| +6 | K252894 | aprevo® cervical interbody system | Carlsmed, Inc. | 2026 | 1 | — |
| +6 | K243802 | aprevo® anterior and lateral lumbar interbody fusion device, aprevo® anterior lumbar… | Carlsmed, Inc. | 2025 | 3 | — |
| +6 | K240326 | Solar™ Lumbar Interbody Fusion System | Degen Medical, Inc. | 2024 | 4 | — |
| +6 | K240685 | Salvo® Spine System | Spine Wave, Inc. | 2024 | 2 | — |
| +6 | K232318 | VICTORY™ Lumbar Plate System | Globus Medical, Inc. | 2023 | 0 | — |
| +6 | K231839 | CastleLoc-P Anterior Cervical Plate System, AccelFix Lumbar Plate System | L&K BIOMED Co., Ltd. | 2023 | 2 | — |
| +6 | K231841 | PathLoc SI Joint Fusion System | L&K BIOMED Co., Ltd. | 2023 | 1 | — |
| +6 | K230774 | PERLA® TL System; TEKTONA® HV US Bone Cement | Spineart | 2023 | 0 | — |
| +6 | K223521 | ZESPIN SI Joint Fusion System | Aegis Spine, Inc. | 2023 | 2 | — |
| +6 | K223719 | Paeon Anterior Cervical Plate System, Elatus Lumbar Plate System | Aegis Spine, Inc. | 2023 | 3 | — |
| +7 | K260286 | Dynamo™ Spinal Cement; Salvo® Spine System | Spine Wave, Inc. | 2026 | 0 | — |
| +7 | K260385 | aprevo® anterior and lateral lumbar interbody system; aprevo® posterior and… | Carlsmed, Inc. | 2026 | 0 | — |
| +7 | K261112 | CastleLoc-P Anterior Cervical Plate System | L&K BIOMED Co., Ltd. | 2026 | 0 | — |
| +7 | K251940 | PathLoc Lumbar Plate System | L&K BIOMED Co., Ltd. | 2026 | 0 | — |
| +7 | K250827 | aprevo® anterior lumbar interbody fusion device; aprevo® lateral lumbar interbody fusion… | Carlsmed, Inc. | 2025 | 2 | — |
| +7 | K251131 | Annex® 2 Adjacent Level System | Spine Wave, Inc. | 2025 | 0 | — |
| +7 | K241077 | DeGen Medical Patient Specific Implant (PSI) System | Degen Medical | 2024 | 2 | — |
| +7 | K240201 | PathLoc SI Joint Fusion System | L&K BIOMED Co., Ltd. | 2024 | 0 | — |
| +8 | K250667 | DeGen Medical Patient Specific Implant (PSI) System | Degen Medical | 2025 | 1 | — |
| +9 | K251829 | DeGen Medical Patient Specific Implant (PSI) System | Degen Medical | 2025 | 0 | — |