Devices descending from K160904
74 later devices reach Expedium Spine System, VIPER and VIPER 2 Systems through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +1 | K231479 | TriALTIS Spine System | Medos International SARL | 2023 | 8 | — |
| +1 | K211323 | ASTRA Spine System | Spinecraft, LLC | 2021 | 12 | — |
| +1 | K200245 | EXPEDIUM® Spine System; EXPEDIUM VERSE® Spine System | Medos International Sàrl | 2020 | 12 | — |
| +1 | K191212 | CrossOver Cross Connectors, DePuy PULSE Thoracolumbar Screw System, EXPEDIUM Fenestrated… | Medos International SARL | 2019 | 0 | — |
| +1 | K162912 | VIPER PRIME™ additions to the VIPER® System | Medos International SARL | 2016 | 49 | — |
| +2 | K262828 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2026 | 0 | — |
| +2 | K253990 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2026 | 2 | — |
| +2 | K253249 | TriALTIS™ Spine System | Medos International SARL | 2025 | 1 | — |
| +2 | K243249 | TriALTIS™ Spine System | Medos International SARL | 2025 | 0 | — |
| +2 | K233684 | TriALTIS™ Spine System | Medos International SARL | 2023 | 4 | — |
| +2 | K231280 | CarboClear® X Pedicle Screw System; CarboClear® X Navigated Instruments; CarboClear® X… | CarboFix Orthopedics, Ltd. | 2023 | 4 | — |
| +2 | K223273 | ASTRA Spine System | Spinecraft, LLC | 2022 | 8 | — |
| +2 | K222473 | EXPEDIUM® Spine System, EXPEDIUM VERSE® Spine System: ALTALYNE™ Ultra Rods | Medos-International Sarl | 2022 | 1 | — |
| +2 | K221776 | NextGen Pedicle Screw System | Corelink, LLC | 2022 | 2 | — |
| +2 | K220374 | EXPEDIUM VERSE® Fenestrated Screw System (Sterile Fenestrated Screws) | Medos International SARL | 2022 | 9 | — |
| +2 | K173095 | VIPER PRIME™ Screws, VIPER PRIME™ Screws with Fenestrations, EXPEDIUM® Verse Screws with… | Medos International SARL | 2017 | 19 | — |
| +2 | K171570 | Additional VIPER PRIME™ screws with fenestrations | Medos International SARL | 2017 | 20 | — |
| +2 | K170543 | VIPER PRIME™ Screws with Fenestrations | Medos International SARL | 2017 | 48 | — |
| +3 | K253943 | Tiger 2 System | Zavation Medical Products, LLC | 2026 | 0 | — |
| +3 | K260786 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2026 | 1 | — |
| +3 | K252729 | Universal Spinal System | Double Medical Technology, Inc. | 2025 | 0 | — |
| +3 | K251719 | Momentum® Posterior Spinal Fixation System | Ulrich Medical USA, Inc. | 2025 | 0 | — |
| +3 | K242042 | TriALTIS™ Spine System | Medos International SARL | 2024 | 1 | — |
| +3 | K233793 | CarboClear® X Pedicle Screw System | CarboFix Orthopedics, Ltd. | 2024 | 1 | — |
| +3 | K240846 | CarboClear® Hybrid Pedicle Screw System; CarboClear® Hybrid Navigated Instruments… | CarboFix Orthopedics, Ltd. | 2024 | 2 | — |
| +3 | K233508 | iFuse Bedrock Granite® Implant System | SI-BONE, Inc. | 2024 | 5 | — |
| +3 | K233944 | CarboClear® X Pedicle Screw System; CarboClear® X Navigated Instruments | CarboFix Orthopedics, Ltd. | 2024 | 3 | — |
| +3 | K231494 | CoreLink Robotic Navigation Instruments | Corelink, LLC | 2023 | 0 | — |
| +3 | K231799 | INERTIA® CONNEXX™ Modular Pedicle Screw System | Nexxt Spine, LLC | 2023 | 0 | — |
| +3 | K230880 | CoreLink Navigation Instruments | Corelink, LLC | 2023 | 0 | — |
| +3 | K221926 | Invictus® Bone Cement, Invictus Spinal Fixation System | Alphatec Spine, Inc. | 2022 | 14 | — |
| +3 | K213460 | Invictus Spinal Fixation System | Alphatec Spine, Inc. | 2021 | 17 | — |
| +3 | K173487 | CarboClear® Pedicle Screw System | CarboFix Orthopedics, Ltd. | 2018 | 41 | — |
| +4 | K262067 | iFuse Granite Onyx™ Implant System | SI-BONE, Inc. | 2026 | 0 | — |
| +4 | K254274 | ARx® SAI Implant System | Life Spine, Inc. | 2026 | 0 | — |
| +4 | K252322 | SIros-X System | Genesys Spine | 2025 | 0 | — |
| +4 | K253094 | iFuse Bedrock Granite Implant System | SI-BONE, Inc. | 2025 | 0 | — |
| +4 | K243106 | CarboClear® Hybrid Pedicle Screw System | CarboFix Orthopedics, Ltd. | 2024 | 0 | — |
| +4 | K241464 | ARx® SAI Implant System | Life Spine, Inc. | 2024 | 1 | — |
| +4 | K232341 | CarboClear® Pedicle Screw System | CarboFix Orthopedics, Ltd. | 2023 | 4 | — |
| +4 | K232044 | Invictus Robotic Navigation Instruments | Alphatec Spine, Inc. | 2023 | 3 | — |
| +4 | K232275 | Invictus® Spinal Fixation System | Alphatec Spine, Inc. | 2023 | 11 | — |
| +4 | K230721 | ATEC Lateral Plate System | Alphatec Spine, Inc. | 2023 | 0 | — |
| +4 | K214006 | Invictus® Spinal Fixation System | Alphatec Spine, Inc. | 2022 | 16 | — |
| +4 | K210716 | CarboClear X Pedicle Screw System, CarboClear X Navigated Instruments | CarboFix Orthopedics, Ltd. | 2021 | 8 | — |
| +4 | K203317 | CarboClear X Pedicle Screw System | CarboFix Orthopedics, Ltd. | 2020 | 9 | — |
| +4 | K201926 | CarboClear® Pedicle Screw System, CarboClear® II Pedicle Screw System | CarboFix Orthopedics, Ltd. | 2020 | 10 | — |
| +4 | K201251 | CarboClear Navigated Instruments | CarboFix Orthopedics, Ltd. | 2020 | 9 | — |
| +4 | K200519 | CarboClear® II Pedicle Screw System | CarboFix Orthopedics, Ltd. | 2020 | 11 | — |
| +4 | K190526 | High V+ Bone Cement, CarboClear® Fenestrated Pedicle Screws | CarboFix Orthopedics, Ltd. | 2019 | 28 | — |
| +4 | K182377 | CarboClear® Pedicle Screw System | CarboFix Orthopedics, Ltd. | 2018 | 39 | — |
| +5 | K261284 | Invictus® Small Stature Spinal Fixation System; Invictus® 2.0 Spinal Fixation System | Alphatec Spine, Inc. | 2026 | 0 | — |
| +5 | K253216 | IntraOp Alignment System; CONTOUR3D Bending System | Alphatec Spine, Inc. | 2026 | 0 | — |
| +5 | K253615 | Invictus Bands System | Alphatec Spine, Inc. | 2026 | 0 | — |
| +5 | K252597 | Valence Robotic Navigation System; Valence Robotic Navigation Instruments (For Use with… | Alphatec Spine, Inc. | 2026 | 1 | — |
| +5 | K242364 | IdentiTi™ II Interbody System | Alphatec Spine, Inc. | 2024 | 4 | — |
| +5 | K241519 | Invictus® Small Stature Spinal Fixation System | Alphatec Spine, Inc. | 2024 | 2 | — |
| +5 | K240951 | Invictus Robotic Navigation Instruments | Alphatec Spine | 2024 | 2 | — |
| +5 | K233989 | CarboClear® Posterior Cervical Screw System | CarboFix Orthopedics, Ltd. | 2024 | 2 | — |
| +5 | K200596 | G21 Cement, VADER® Pedicle System | Icotec AG | 2020 | 27 | 1 |
| +5 | K193423 | VADER®one Pedicle System MIS and LightMore® Pedicle System 6.0 | Icotec AG | 2020 | 6 | 1 |
| +5 | K190545 | VADER® one Pedicle System MIS and LightMore® Pedicle System 6.0 | Icotec AG | 2019 | 29 | 1 |
| +6 | K261020 | Symmetrix™ L Spinal System | Medtronic Sofamor Danek USA, Inc. | 2026 | 0 | — |
| +6 | K254045 | CarboClear® Posterior Cervical Screw System; CarboClear® Hybrid Posterior Cervical Screw… | CarboFix Orthopedics, Ltd. | 2026 | 0 | — |
| +6 | K252327 | CMORE® CT System; CMORE® CT System Navigated Instruments | Icotec AG | 2025 | 1 | — |
| +6 | K251575 | IdentiTi™ II ALIF Standalone Interbody System; Transcend™ ALIF Standalone Interbody System | Alphatec Spine | 2025 | 0 | — |
| +6 | K251080 | IdentiTi II Cervical Interbody System | Alphatec Spine, Inc. | 2025 | 0 | — |
| +6 | K251617 | X-PAC® TLIF Expandable Posterior Cage System; X-PAC® LLIF Expandable Lateral Cage System | Expanding Innovations, Inc. | 2025 | 0 | — |
| +6 | K242900 | VADER® Pedicle System and VADER®one Pedicle System | Icotec AG | 2025 | 0 | — |
| +6 | K242297 | Reform Pedicle Screw System | Precision Spine, Inc. | 2024 | 0 | — |
| +6 | K231809 | Momentum® Posterior Spinal Fixation System with G21 V-STEADY Bone Cement; Momentum® MIS… | Ulrich Medical USA | 2023 | 1 | — |
| +6 | K230774 | PERLA® TL System; TEKTONA® HV US Bone Cement | Spineart | 2023 | 0 | — |
| +6 | K222789 | VADER® Pedicle System, G21 Cement | Icotec AG | 2023 | 5 | 2 |
| +7 | K232628 | VADER® Pedicle System | Icotec AG | 2024 | 1 | — |