510(k) · Cleared
ClearedAPEX-DL Spine System
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Spinecraft, LLC · NKB Thoracolumbosacral Pedicle Screw System
Cleared on May 22, 2015 as substantially equivalent to K142185 (Depuy Spine, Inc., 2014) and 16 other predicates after a 149-day review. Its family tree reaches back 12 generations to 1999. 3 later devices descend from it.
- Decided
- May 22, 2015
- Review
- 149 days
- Class
- Class II
- Product code
- NKB
- Recalls
- None
- Predicates
- 17
Its longest line of descent runs back 12 generations to K990745 (1999). 201 ancestors in all, the oldest K781443 (1978). 3 later devices descend from it, 2 citing it directly.
- Root · 12 generations backK990745 Modification to Synthes Universal Spinal SystemSynthes Spine · 1999
- 8 generations between
- 3 generations backK102488 Apex Spine System W/ Cocr RodsSpinecraft, LLC · 2010
- 2 generations backK110906 Apex Spine SystemSpinecraft, LLC · 2011
- 1 generation backK132603 Apex Spine SystemSpinecraft, LLC · 2013
- This deviceK143683 APEX-DL Spine SystemSpinecraft, LLC · 2015
- Descendant · cites it directly · 1 of its ownK234048 M.U.S.T. Pedicle Screw System - ExtensionMedacta International S.A. · 2024
- Descendant · 2 generations on · 0 of its ownK253940 M.U.S.T. Pedicle Screw System - ExtensionMedacta International S.A. · 2026
- Descendant · cites it directly · 0 of its ownK211935 ORIO-Ti Intervertebral Body Fusion Cage SystemSpinecraft, LLC · 2021
Show all 12 generations
- Root · 12 generations backK990745 Modification to Synthes Universal Spinal SystemSynthes Spine · 1999
- 11 generations backK992739 Click'xSynthes Spine · 2000 · Recalled
- 10 generations backK040442 Protex Stabilization SystemGlobus Medical, Inc. · 2004
- 9 generations backK052069 Protex Stabilization System with Additional ComponentesGlobus Medical, Inc. · 2005
- 8 generations backK061202 Revere Stabilization SystemGlobus Medical, Inc. · 2006
- 7 generations backK081195 Revere Uniplanar ScrewsGlobus Medical, Inc. · 2008
- 6 generations backK091782 Revere 6.35 Stabilization SystemGlobus Medical, Inc. · 2009
- 5 generations backK093294 Revere Stabilization SystemGlobus Medical, Inc. · 2010
- 4 generations backK100788 Cocr RodsGlobus Medical, Inc. · 2010
- 3 generations backK102488 Apex Spine System W/ Cocr RodsSpinecraft, LLC · 2010
- 2 generations backK110906 Apex Spine SystemSpinecraft, LLC · 2011
- 1 generation backK132603 Apex Spine SystemSpinecraft, LLC · 2013
- This deviceK143683 APEX-DL Spine SystemSpinecraft, LLC · 2015
Most influential descendants
Showing 3 of 3 · See all- K234048M.U.S.T. Pedicle Screw System - ExtensionMedacta International S.A. · 2024 · cites it directly1descendant
- K253940M.U.S.T. Pedicle Screw System - ExtensionMedacta International S.A. · 2026 · 2 generations on0descendants
- K211935ORIO-Ti Intervertebral Body Fusion Cage SystemSpinecraft, LLC · 2021 · cites it directly0descendants
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −12 | K990745 | Modification to Synthes Universal Spinal System | Synthes Spine | 1999 | — |
| −11 | K992739 | Click'x | Synthes Spine | 2000 | 1 |
| −10 | K040442 | Protex Stabilization System | Globus Medical, Inc. | 2004 | — |
| −9 | K052069 | Protex Stabilization System with Additional Componentes | Globus Medical, Inc. | 2005 | — |
| −8 | K061202 | Revere Stabilization System | Globus Medical, Inc. | 2006 | — |
| −7 | K081195 | Revere Uniplanar Screws | Globus Medical, Inc. | 2008 | — |
| −6 | K091782 | Revere 6.35 Stabilization System | Globus Medical, Inc. | 2009 | — |
| −5 | K093294 | Revere Stabilization System | Globus Medical, Inc. | 2010 | — |
| −4 | K100788 | Cocr Rods | Globus Medical, Inc. | 2010 | — |
| −3 | K102488 | Apex Spine System W/ Cocr Rods | Spinecraft, LLC | 2010 | — |
| −2 | K110906 | Apex Spine System | Spinecraft, LLC | 2011 | — |
| −1 | K132603 | Apex Spine System | Spinecraft, LLC | 2013 | — |
| 0 (this device) | K143683 | APEX-DL Spine System | Spinecraft, LLC | 2015 | — |
| +1 | K234048 | M.U.S.T. Pedicle Screw System - Extension | Medacta International S.A. | 2024 | — |
| +2 | K253940 | M.U.S.T. Pedicle Screw System - Extension | Medacta International S.A. | 2026 | — |
| +1 | K211935 | ORIO-Ti Intervertebral Body Fusion Cage System | Spinecraft, LLC | 2021 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1978 | 1 | 0 |
| 1985 | 1 | 0 |
| 1990 | 2 | 0 |
| 1992 | 5 | 0 |
| 1993 | 3 | 0 |
| 1994 | 3 | 0 |
| 1995 | 7 | 0 |
| 1996 | 8 | 0 |
| 1997 | 7 | 0 |
| 1998 | 14 | 0 |
| 1999 | 8 | 0 |
| 2000 | 17 | 0 |
| 2001 | 15 | 0 |
| 2002 | 10 | 0 |
| 2003 | 12 | 0 |
| 2004 | 15 | 0 |
| 2005 | 12 | 0 |
| 2006 | 11 | 0 |
| 2007 | 6 | 0 |
| 2008 | 11 | 0 |
| 2009 | 7 | 0 |
| 2010 | 8 | 0 |
| 2011 | 2 | 0 |
| 2012 | 3 | 0 |
| 2014 | 1 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2021 | 1 | 0 |
| 2024 | 1 | 0 |
| 2026 | 1 | 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.
Planning a device in NKB? 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? (17)
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 |
|---|---|---|---|
| * | K142185 | Expedium Verse Spine SystemSummary page 4…interlaminal fixation orthosis per KWP 888.3050 3. Primary predicate or legally marketed device which is substantially equivalent: x EXPEDIUM Verse Spine System (K142185) DePuy Synthes Spine 4. Secondary predicate devices: x Viper Spine System (K090648 / K102701) DePuy Spine x APEX Spin… | 2014 |
| * | K090648 | Viper 2 SystemSummary page 4…device which is substantially equivalent: x EXPEDIUM Verse Spine System (K142185) DePuy Synthes Spine 4. Secondary predicate devices: x Viper Spine System (K090648 / K102701) DePuy Spine x APEX Spine System (K062513 / K092825 / K102488 / K110906 / K132603) SpineCraft x Xia Spinal Sy… | 2009 |
| * | K102701 | Viper Spine SystemSummary page 4…ich is substantially equivalent: x EXPEDIUM Verse Spine System (K142185) DePuy Synthes Spine 4. Secondary predicate devices: x Viper Spine System (K090648 / K102701) DePuy Spine x APEX Spine System (K062513 / K092825 / K102488 / K110906 / K132603) SpineCraft x Xia Spinal System (K113… | 2010 |
| * | K062513 | Apex Spine SystemSummary page 4…UM Verse Spine System (K142185) DePuy Synthes Spine 4. Secondary predicate devices: x Viper Spine System (K090648 / K102701) DePuy Spine x APEX Spine System (K062513 / K092825 / K102488 / K110906 / K132603) SpineCraft x Xia Spinal System (K113666 / K071373 / K060748) Stryker x SPINE-T… | 2006 |
| * | K092825 | Apex Spine System 5.50 MM Titanium Rod & Polyaxial Screw WasherSummary page 4…pine System (K142185) DePuy Synthes Spine 4. Secondary predicate devices: x Viper Spine System (K090648 / K102701) DePuy Spine x APEX Spine System (K062513 / K092825 / K102488 / K110906 / K132603) SpineCraft x Xia Spinal System (K113666 / K071373 / K060748) Stryker x SPINE-TECH SILHOU… | 2010 |
| * | K102488 | Apex Spine System W/ Cocr RodsSummary page 4…m (K142185) DePuy Synthes Spine 4. Secondary predicate devices: x Viper Spine System (K090648 / K102701) DePuy Spine x APEX Spine System (K062513 / K092825 / K102488 / K110906 / K132603) SpineCraft x Xia Spinal System (K113666 / K071373 / K060748) Stryker x SPINE-TECH SILHOUETTE SPINA… | 2010 |
| * | K110906 | Apex Spine SystemSummary page 4…) DePuy Synthes Spine 4. Secondary predicate devices: x Viper Spine System (K090648 / K102701) DePuy Spine x APEX Spine System (K062513 / K092825 / K102488 / K110906 / K132603) SpineCraft x Xia Spinal System (K113666 / K071373 / K060748) Stryker x SPINE-TECH SILHOUETTE SPINAL FIXATION… | 2011 |
| * | K132603 | Apex Spine SystemSummary page 4…nthes Spine 4. Secondary predicate devices: x Viper Spine System (K090648 / K102701) DePuy Spine x APEX Spine System (K062513 / K092825 / K102488 / K110906 / K132603) SpineCraft x Xia Spinal System (K113666 / K071373 / K060748) Stryker x SPINE-TECH SILHOUETTE SPINAL FIXATION SYSTEM (K… | 2013 |
| * | K113666 | Xia 3 Spinal SystemSummary page 4…x Viper Spine System (K090648 / K102701) DePuy Spine x APEX Spine System (K062513 / K092825 / K102488 / K110906 / K132603) SpineCraft x Xia Spinal System (K113666 / K071373 / K060748) Stryker x SPINE-TECH SILHOUETTE SPINAL FIXATION SYSTEM (K980288) SPINE-TECH, INC x MOSS MIAMI SS (… | 2012 |
| * | K071373 | Stryker Spine Xia Iii Spinal SystemSummary page 4…er Spine System (K090648 / K102701) DePuy Spine x APEX Spine System (K062513 / K092825 / K102488 / K110906 / K132603) SpineCraft x Xia Spinal System (K113666 / K071373 / K060748) Stryker x SPINE-TECH SILHOUETTE SPINAL FIXATION SYSTEM (K980288) SPINE-TECH, INC x MOSS MIAMI SS (K950697 /… | 2007 |
| * | K060748 | Modification to Xia 4.5 Spinal SystemSummary page 4…ystem (K090648 / K102701) DePuy Spine x APEX Spine System (K062513 / K092825 / K102488 / K110906 / K132603) SpineCraft x Xia Spinal System (K113666 / K071373 / K060748) Stryker x SPINE-TECH SILHOUETTE SPINAL FIXATION SYSTEM (K980288) SPINE-TECH, INC x MOSS MIAMI SS (K950697 / K000536) D… | 2006 |
| * | K980288 | Spine-Tech Silhouette Spinal Fixation SystemSummary page 4…3 / K092825 / K102488 / K110906 / K132603) SpineCraft x Xia Spinal System (K113666 / K071373 / K060748) Stryker x SPINE-TECH SILHOUETTE SPINAL FIXATION SYSTEM (K980288) SPINE-TECH, INC x MOSS MIAMI SS (K950697 / K000536) DePuy Spine x Synergy VLS – open – (K940631 / K950099) Cross Medic… | 1998 |
| * | K950697 | Depuy Motech Moss Miami Spinal System - Pedicle FixationSummary page 4…eCraft x Xia Spinal System (K113666 / K071373 / K060748) Stryker x SPINE-TECH SILHOUETTE SPINAL FIXATION SYSTEM (K980288) SPINE-TECH, INC x MOSS MIAMI SS (K950697 / K000536) DePuy Spine x Synergy VLS – open – (K940631 / K950099) Cross Medical x Ti Expedium 4.5 Spine System (K081252… | 1995 |
| * | K000536 | Synthes Anterior CSLP SystemSummary page 4…x Xia Spinal System (K113666 / K071373 / K060748) Stryker x SPINE-TECH SILHOUETTE SPINAL FIXATION SYSTEM (K980288) SPINE-TECH, INC x MOSS MIAMI SS (K950697 / K000536) DePuy Spine x Synergy VLS – open – (K940631 / K950099) Cross Medical x Ti Expedium 4.5 Spine System (K081252) DePuy Sp… | 2000 |
| * | K940631 | Cross Medical - Synergy (TM) Spine SystemSummary page 4…) Stryker x SPINE-TECH SILHOUETTE SPINAL FIXATION SYSTEM (K980288) SPINE-TECH, INC x MOSS MIAMI SS (K950697 / K000536) DePuy Spine x Synergy VLS – open – (K940631 / K950099) Cross Medical x Ti Expedium 4.5 Spine System (K081252) DePuy Spine 5. Description of the device: The APE… | 1995 |
| * | K950099 | Synergy (TM) TI Posterior Spinal SystemSummary page 4…x SPINE-TECH SILHOUETTE SPINAL FIXATION SYSTEM (K980288) SPINE-TECH, INC x MOSS MIAMI SS (K950697 / K000536) DePuy Spine x Synergy VLS – open – (K940631 / K950099) Cross Medical x Ti Expedium 4.5 Spine System (K081252) DePuy Spine 5. Description of the device: The APEX-DL Spine… | 1997 |
| * | K081252 | Expedium 4.5MM Spine SystemSummary page 4…) SPINE-TECH, INC x MOSS MIAMI SS (K950697 / K000536) DePuy Spine x Synergy VLS – open – (K940631 / K950099) Cross Medical x Ti Expedium 4.5 Spine System (K081252) DePuy Spine 5. Description of the device: The APEX-DL Spine System includes Monoaxial, Uniplanar, and Polyaxial Double… | 2008 |
What descends from it? (3)
2 later devices cite it directly; ranked here by how many devices descend from each in turn.
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 16 years and passes through 3 companies; a new generation was cleared every 1.2 years on median.
- 15 of the 201 ancestors have a recall of any class.
- Of its descendants, K234048 (Medacta International S.A., 2024) has gone furthest, with 1 descendant of its own.
- 3 other devices also cite its predicate K142185.
How does its category compare?
All NKB devicesNKB Thoracolumbosacral Pedicle Screw System: FDA decisions, review times, recalls and adverse event reports over 20 years. 2015, 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 APEX-DL Spine System with APEX Spine System Components is intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of the thoracic, lumbar, and sacral spine: severe spondylolisthesis (grades 3 and 4) of the L5-S1 vertebra; degenerative spondylolisthesis with objective evidence of neurologic impairment…
Read the full statement (353 words)
The APEX-DL Spine System with APEX Spine System Components is intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of the thoracic, lumbar, and sacral spine: severe spondylolisthesis (grades 3 and 4) of the L5-S1 vertebra; degenerative spondylolisthesis with objective evidence of neurologic impairment; fracture; dislocation; scoliosis; kyphosis; spinal tumor; and failed previous fusion (pseudoarthrosis).
The APEX-DL Spine System with APEX Spine System Components is also indicated for pedicle screw fixation for the treatment of severe spondylolisthesis (Grades 3 and 4) of the L5-S1 vertebra in skeletally mature patients receiving fusion by autogenous bone graft, with the device fixed or attached to the lumbar and sacral spine (levels of pedicle screw fixation are L3 to S1), and for whom the device is intended to be removed after solid fusion is attained.
The APEX-DL Spine System with APEX Spine System Components is also a sacral/iliac screw fixation system of the non-cervical spine indicated for degenerative disc disease (defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies), spondylolisthesis, trauma (fracture and/or dislocation), spinal stenosis, deformities (scoliosis, lordosis and/or kyphosis), tumor, and previous failed fusion (pseudo-arthrosis).
When used in a percutaneous posterior approach with AIM MIS instrumentation, the APEX-DL Spine System with APEX Spine System Components is intended for non-cervical pedicle fixation for the following indications: 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), spinal stenosis, curvatures (i.e., scoliosis, kyphosis, and/or lordosis), tumor, pseudoarthrosis, and failed previous fusion in skeletally mature patients . Levels of fixation are for the thoracic, lumbar and sacral spine.
When used for posterior non-cervical pedicle screw fixation in pediatric patients, the APEX-DL Spine System implants with APEX Spine System Components are indicated as an adjunct to fusion to treat adolescent idiopathic scoliosis. The APEX DL Spine System is intended to be used with autograft and/or allograft. Pediatric pedicle screw fixation is limited to a posterior approach.
Indications for use as stated in the FDA summary.
https://510kreport.com/device/K143683 · printed Nov 6, 2026
Cite this page
510(k) Report. “K143683: APEX-DL Spine System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K143683
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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