510(k) Report

510(k) · Cleared

Recalled · Class II · 2016

Streamline OCT Occipito-Cervico-Thoracic System

K150254510(k) TraditionalCleared Apr 28, 201584-day reviewClass II21 CFR 888.3050Recalls 3

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

Pioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) · KWP Appliance, Fixation, Spinal Interlaminal

Cleared on Apr 28, 2015 as substantially equivalent to K133374 (Pioneer Surgical Technology, Inc. (Rti Surgical, I, 2014) and 2 other predicates after an 84-day review. Its family tree reaches back 16 generations to 2001. 2 later devices descend from it. It has been recalled 3 times.

Decided
Apr 28, 2015
Review
84 days
Class
Class II
Product code
KWP
Recalls
3
Predicates
3

Its longest line of descent runs back 16 generations to K003155 (2001). 122 ancestors in all, the oldest K841189 (1984). 2 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2014: 1 other ancestor2013: 3 other ancestors2011: 2 other ancestors2010: 4 other ancestors2009: 7 other ancestors2008: 4 other ancestors2007: 6 other ancestors2004: 22 other ancestors2003: 7 other ancestors2002: 8 other ancestors2001: 7 other ancestors1999: 5 other ancestors2012: 1 other ancestor2006: 6 other ancestors2005: 11 other ancestors2000: 7 other ancestors1998: 2 other ancestors1997: 1 other ancestor1985: 1 other ancestor1984: 1 other ancestor2016: 1 descendant cleared2017: 1 descendant clearedK003155 · Vertebral Body Replacement · Osteotech, Inc. · 2001K012254 · VBR · Osteotech, Inc. · 2001×3: 3 generations cleared close together, K021791 (2002), K023570 (2002), K030601 (2003) ×2: 2 generations cleared close together, K040536 (2004), K041556 (2004) K043561 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2004×3: 3 generations cleared close together, K060719 (2006), K061938 (2006), K062427 (2006) K070742 · Modification to Vertex Reconstruction System · Medtronic Sofamor Danek · 2007K110522 · Vertex Reconstruction System, Vertex Select Reconstruction System · Medtronic Sofamor Danek USA, Inc. · 2011K113593 · Nextgen Altius Oct System · Biomet Spine (Aka Ebi, LLC) · 2012K121725 · Pioneer Posterior Occipito-Cervico-Thoracic (Oct) System · Pioneer Surgical Technology, Inc. · 2012K133374 · Streamline Oct Occipito-Cervico-Thoracic System · Pioneer Surgical Technology, Inc. (Rti Surgical, I · 201419801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 16 other ancestors3 generations back: 17 other ancestors4 generations back: 28 other ancestors5 generations back: 9 other ancestors6 generations back: 4 other ancestors7 generations back: 11 other ancestors8 generations back: 18 other ancestors9 generations back: 1 other ancestor 1 generation forward: 1 descendant2 generations forward: 1 descendant K133374 · Streamline Oct Occipito-Cervico-Thoracic System · Pioneer Surgical Technology, Inc. (Rti Surgical, I · 2014K121725 · Pioneer Posterior Occipito-Cervico-Thoracic (Oct) System · Pioneer Surgical Technology, Inc. · 2012K113593 · Nextgen Altius Oct System · Biomet Spine (Aka Ebi, LLC) · 2012K110522 · Vertex Reconstruction System, Vertex Select Reconstruction System · Medtronic Sofamor Danek USA, Inc. · 2011K070742 · Modification to Vertex Reconstruction System · Medtronic Sofamor Danek · 2007K062427 · Verte-Stack Spinal System · Medtronic Sofamor Danek · 2006K061938 · Verte-Stack Spinal System · Medtronic Sofamor Danek, Inc. · 2006K060719 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2006K043561 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2004K041556 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2004K040536 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2004K030601 · Verte-Stack Spinal System · Medtronic Sofamor Danek · 2003K023570 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2002K021791 · Verte-Stack Spinal System · Medtronic Sofamor Danek · 2002K012254 · VBR · Osteotech, Inc. · 2001K003155 · Vertebral Body Replacement · Osteotech, Inc. · 2001−15−10−50
  1. Root · 16 generations backK003155 Vertebral Body ReplacementOsteotech, Inc. · 2001
  2. 12 generations between
  3. 3 generations backK113593 Nextgen Altius Oct SystemBiomet Spine (Aka Ebi, LLC) · 2012
  4. 2 generations backK121725 Pioneer Posterior Occipito-Cervico-Thoracic (Oct) SystemPioneer Surgical Technology, Inc. · 2012
  5. 1 generation backK133374 Streamline Oct Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Rti Surgical, I · 2014
  6. This deviceK150254 Streamline OCT Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) · 2015
  7. Descendant · cites it directly · 1 of its ownK161498 Streamline OCT Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) · 2016
  8. Descendant · 2 generations on · 0 of its ownK172139 Streamline OCT Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) · 2017
Show all 16 generations
  1. Root · 16 generations backK003155 Vertebral Body ReplacementOsteotech, Inc. · 2001
  2. 15 generations backK012254 VBROsteotech, Inc. · 2001
  3. 14 generations backK021791 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2002
  4. 13 generations backK023570 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2002
  5. 12 generations backK030601 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2003
  6. 11 generations backK040536 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
  7. 10 generations backK041556 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
  8. 9 generations backK043561 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
  9. 8 generations backK060719 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2006
  10. 7 generations backK061938 Verte-Stack Spinal SystemMedtronic Sofamor Danek, Inc. · 2006
  11. 6 generations backK062427 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2006
  12. 5 generations backK070742 Modification to Vertex Reconstruction SystemMedtronic Sofamor Danek · 2007
  13. 4 generations backK110522 Vertex Reconstruction System, Vertex Select Reconstruction SystemMedtronic Sofamor Danek USA, Inc. · 2011
  14. 3 generations backK113593 Nextgen Altius Oct SystemBiomet Spine (Aka Ebi, LLC) · 2012
  15. 2 generations backK121725 Pioneer Posterior Occipito-Cervico-Thoracic (Oct) SystemPioneer Surgical Technology, Inc. · 2012
  16. 1 generation backK133374 Streamline Oct Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Rti Surgical, I · 2014
  17. This deviceK150254 Streamline OCT Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) · 2015

Most influential descendants

Showing 2 of 2 · See all
  • K161498Streamline OCT Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) · 2016 · cites it directly1descendant
  • K172139Streamline OCT Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) · 2017 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−16K003155Vertebral Body ReplacementOsteotech, Inc.2001—
−15K012254VBROsteotech, Inc.2001—
−14K021791Verte-Stack Spinal SystemMedtronic Sofamor Danek2002—
−13K023570Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2002—
−12K030601Verte-Stack Spinal SystemMedtronic Sofamor Danek2003—
−11K040536Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2004—
−10K041556Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2004—
−9K043561Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2004—
−8K060719Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2006—
−7K061938Verte-Stack Spinal SystemMedtronic Sofamor Danek, Inc.2006—
−6K062427Verte-Stack Spinal SystemMedtronic Sofamor Danek2006—
−5K070742Modification to Vertex Reconstruction SystemMedtronic Sofamor Danek2007—
−4K110522Vertex Reconstruction System, Vertex Select Reconstruction SystemMedtronic Sofamor Danek USA, Inc.2011—
−3K113593Nextgen Altius Oct SystemBiomet Spine (Aka Ebi, LLC)2012—
−2K121725Pioneer Posterior Occipito-Cervico-Thoracic (Oct) SystemPioneer Surgical Technology, Inc.2012—
−1K133374Streamline Oct Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Rti Surgical, I2014—
0 (this device)K150254Streamline OCT Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.)2015—
+1K161498Streamline OCT Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.)2016—
+2K172139Streamline OCT Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.)2017—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198410
198510
199710
199820
199950
200070
200170
200280
200370
2004220
2005110
200660
200760
200840
200970
201040
201120
201210
201330
201410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201610
201710
FIG. 1 — Lineage of K150254, 2001–2017Source: 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 KWP? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin the report
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What was it cleared against? (3)

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
*K133374Streamline Oct Occipito-Cervico-Thoracic System
Summary page 4
…acic System Classification: Class II per §888.3050 Spinal Interlaminal Fixation Orthosis Product Codes/ KWP Panel: Panel Code 87 Predicates: K133374 Pioneer Streamline OCT Occipito-Cervico-Thoracic System K132332 DePuy Mountaineer OCT Spinal System…
Pioneer Surgical Technology, Inc. (Rti Surgical, I2014—
*K132332Mountaineer Oct Spinal System
Summary page 4
…Orthosis Product Codes/ KWP Panel: Panel Code 87 Predicates: K133374 Pioneer Streamline OCT Occipito-Cervico-Thoracic System K132332 DePuy Mountaineer OCT Spinal System K133556 Zimmer Virage OCT Spinal System Description: The Streamline…
Medos International SARL2013—
*K133556Virage Oct Spinal Fixation System
Summary page 4
…87 Predicates: K133374 Pioneer Streamline OCT Occipito-Cervico-Thoracic System K132332 DePuy Mountaineer OCT Spinal System K133556 Zimmer Virage OCT Spinal System Description: The Streamline OCT System consists of a variety of rods, hooks, polyaxial…
Zimmer Spine, Inc.20142

What descends from it? (2)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K161498Streamline OCT Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.)20161

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Sep 16, 2016Class IIZ-0290-2017Process controlRTI Surgical Inc. (RTI) is conducting a voluntary recall on two specific lots of the Streamline OCT Straight Rod, CoCr. 3.2mm (D) x 240mm (L) due to the potential for small cracks to be present on the rods. The small cracks on the rods…
Apr 22, 2016Class IIZ-1829-2016Process designPotential for a product defect where the cannula may be obstructed. This obstruction could prevent a driver from going through, which increases the potential for the driver to slip, resulting in possible patient injury.
Mar 18, 2016Class IIZ-1393-2016Process designMultiple lots of the 26-FNLDRIVER, may have reduced mechanical strength, resulting in driver tip fracturing during use.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 14 years and passes through 8 companies; a new generation was cleared every 10 months on median.
  • 11 of the 122 ancestors have a recall of any class.
  • Of its descendants, K161498 (Pioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.), 2016) has gone furthest, with 1 descendant of its own.

How does its category compare?

All KWP devices

KWP Appliance, Fixation, Spinal Interlaminal: FDA decisions, review times, recalls and adverse event reports over 20 years. 2015, this device’s year, is highlighted.

FDA decisions per year · KWP

9in 2015

2007: 142008: 132009: 122010: 142011: 122012: 182013: 122014: 132015: 9
2007high 18 (2012) · low 0 (2016)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KWP

113in 2015

2007: 96 days median2008: 50 days median2009: 89 days median2010: 186 days median2011: 67 days median2012: 112 days median2013: 99 days median2014: 138 days median2015: 113 days median
2007high 186 (2010) · low 50 (2008)2026

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

Recalls per year · KWP

2in 2022

2007: 22008: 12009: 232010: 22011: 62012: 12013: 32015: 12016: 32018: 12019: 22022: 2
2007high 23 (2009) · low 0 (2014)2026

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

Adverse event reports per year · KWP

494in 2025

2007: 2102008: 5942009: 6822010: 4742011: 7922012: 9182013: 1,0902014: 1,0222015: 1,3482016: 1,3792017: 8642018: 6572019: 5182020: 7962021: 5252022: 3352023: 3322024: 4362025: 494
2007high 1,379 (2016) · low 210 (2007)2025

MAUDE reports naming product code KWP, 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
200714962210
200813501594
2009128923682
2010141862474
201112676792
2012181121918
2013129931,090
20141313801,022
2015911311,348
20160—31,379
20170—0864
20180—1657
20190—2518
20200—0796
20210—0525
20220—2335
20230—0332
20240—0436
20250—0494
20260—0—

What is it indicated for?

When intended to promote fusion of the cervical spine and occipito-cervico-thoracic junction (occiput-T3), the Streamline OCT Occipito-Cervico-Thoracic System is intended for: degenerative disc disease (as defined by neck or back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies), spondylolisthesis, spinal stenosis, fracture/ dislocation, atlanto/axial fracture with instability, occipito-cervical…

Read the full statement (177 words)

When intended to promote fusion of the cervical spine and occipito-cervico-thoracic junction (occiput-T3), the Streamline OCT Occipito-Cervico-Thoracic System is intended for: degenerative disc disease (as defined by neck or back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies), spondylolisthesis, spinal stenosis, fracture/ dislocation, atlanto/axial fracture with instability, occipito-cervical dislocation, deformities or curvature, tumors, pseudoarthrosis, and revision of previous cervical and upper thoracic spine surgery.

The occipital bone screws are limited to occipital fixation only. The use of the pedicle screws (standard and high angle) is limited to placement in the upper thoracic spine (T1-T3) in treating thoracic conditions only. The pedicle screws are not intended for use in the cervical spine.

The hooks, connectors, and rods are also intended to provide stabilization to promote fusion following reduction of fracture/ dislocation or trauma in the cervical/ upper thoracic (C1-T3) spine.

The Streamline OCT System can also be linked to FDA cleared pedicle screw systems (e.g., Quantum Spinal Fixation System, Streamline MIS Spinal Fixation System or Streamline TL Spinal System) using connectors.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K150254: Streamline OCT Occipito-Cervico-Thoracic System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K150254

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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