510(k) Report

510(k) · Cleared

Cleared

Streamline OCT Occipito-Cervico-Thoracic System

K161498510(k) TraditionalCleared Aug 22, 201682-day reviewClass II21 CFR 888.3075

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.) · NKG Posterior Cervical Screw System

Cleared on Aug 22, 2016 as substantially equivalent to K143471 (Medtronic Sofamor Danek USA, Inc., 2015) and 2 other predicates after an 82-day review. Its family tree reaches back 17 generations to 2001. 1 later device descends from it.

Decided
Aug 22, 2016
Review
82 days
Class
Class II
Product code
NKG
Recalls
None
Predicates
3

Its longest line of descent runs back 17 generations to K003155 (2001). 129 ancestors in all, the oldest K841189 (1984). 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2015: 3 other ancestors2014: 1 other ancestor2013: 3 other ancestors2008: 5 other ancestors2011: 2 other ancestors2010: 4 other ancestors2009: 7 other ancestors2007: 6 other ancestors2004: 22 other ancestors2003: 7 other ancestors2002: 9 other ancestors2001: 7 other ancestors1999: 5 other ancestors1997: 2 other ancestors2012: 1 other ancestor2006: 6 other ancestors2005: 11 other ancestors2000: 7 other ancestors1998: 2 other ancestors1985: 1 other ancestor1984: 1 other ancestor2017: 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 · 2014K150254 · Streamline OCT Occipito-Cervico-Thoracic System · Pioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) · 2015 · recalled19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 4 other ancestors3 generations back: 18 other ancestors4 generations back: 17 other ancestors5 generations back: 28 other ancestors6 generations back: 9 other ancestors7 generations back: 4 other ancestors8 generations back: 11 other ancestors9 generations back: 18 other ancestors10 generations back: 1 other ancestor 1 generation forward: 1 descendant K150254 · Streamline OCT Occipito-Cervico-Thoracic System · Pioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) · 2015 · recalledK133374 · 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 · 17 generations backK003155 Vertebral Body ReplacementOsteotech, Inc. · 2001
  2. 13 generations between
  3. 3 generations backK121725 Pioneer Posterior Occipito-Cervico-Thoracic (Oct) SystemPioneer Surgical Technology, Inc. · 2012
  4. 2 generations backK133374 Streamline Oct Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Rti Surgical, I · 2014
  5. 1 generation backK150254 Streamline OCT Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) · 2015 · Recalled
  6. This deviceK161498 Streamline OCT Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) · 2016
  7. Descendant · cites it directly · 0 of its ownK172139 Streamline OCT Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) · 2017
Show all 17 generations
  1. Root · 17 generations backK003155 Vertebral Body ReplacementOsteotech, Inc. · 2001
  2. 16 generations backK012254 VBROsteotech, Inc. · 2001
  3. 15 generations backK021791 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2002
  4. 14 generations backK023570 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2002
  5. 13 generations backK030601 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2003
  6. 12 generations backK040536 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
  7. 11 generations backK041556 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
  8. 10 generations backK043561 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
  9. 9 generations backK060719 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2006
  10. 8 generations backK061938 Verte-Stack Spinal SystemMedtronic Sofamor Danek, Inc. · 2006
  11. 7 generations backK062427 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2006
  12. 6 generations backK070742 Modification to Vertex Reconstruction SystemMedtronic Sofamor Danek · 2007
  13. 5 generations backK110522 Vertex Reconstruction System, Vertex Select Reconstruction SystemMedtronic Sofamor Danek USA, Inc. · 2011
  14. 4 generations backK113593 Nextgen Altius Oct SystemBiomet Spine (Aka Ebi, LLC) · 2012
  15. 3 generations backK121725 Pioneer Posterior Occipito-Cervico-Thoracic (Oct) SystemPioneer Surgical Technology, Inc. · 2012
  16. 2 generations backK133374 Streamline Oct Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Rti Surgical, I · 2014
  17. 1 generation backK150254 Streamline OCT Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) · 2015 · Recalled
  18. This deviceK161498 Streamline OCT Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) · 2016

Most influential descendants

Showing 1 of 1 · See all
  • K172139Streamline OCT Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) · 2017 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−17K003155Vertebral Body ReplacementOsteotech, Inc.2001—
−16K012254VBROsteotech, Inc.2001—
−15K021791Verte-Stack Spinal SystemMedtronic Sofamor Danek2002—
−14K023570Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2002—
−13K030601Verte-Stack Spinal SystemMedtronic Sofamor Danek2003—
−12K040536Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2004—
−11K041556Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2004—
−10K043561Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2004—
−9K060719Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2006—
−8K061938Verte-Stack Spinal SystemMedtronic Sofamor Danek, Inc.2006—
−7K062427Verte-Stack Spinal SystemMedtronic Sofamor Danek2006—
−6K070742Modification to Vertex Reconstruction SystemMedtronic Sofamor Danek2007—
−5K110522Vertex Reconstruction System, Vertex Select Reconstruction SystemMedtronic Sofamor Danek USA, Inc.2011—
−4K113593Nextgen Altius Oct SystemBiomet Spine (Aka Ebi, LLC)2012—
−3K121725Pioneer Posterior Occipito-Cervico-Thoracic (Oct) SystemPioneer Surgical Technology, Inc.2012—
−2K133374Streamline Oct Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Rti Surgical, I2014—
−1K150254Streamline OCT Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.)20153
0 (this device)K161498Streamline OCT Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.)2016—
+1K172139Streamline 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
199720
199820
199950
200070
200170
200290
200370
2004220
2005110
200660
200760
200850
200970
201040
201120
201210
201330
201410
201530

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201710
FIG. 1 — Lineage of K161498, 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 NKG? 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 NKG device

  1. #1 K252327 CMORE® CT System; CMORE® CT System Navigated…score 19.6 · 22 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? (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
*K143471VERTEX Reconstruction System
Summary page 4
…; Pre-amendment device (Product Code NKG, KWP) Panel: Panel Code 87 Primary Predicate: Medtronic VERTEX Reconstruction System (K143471) Additional Streamline OCT Spinal System (K150254) Predicates: DePuy Mountaineer OCT Spinal System (K15188…
Medtronic Sofamor Danek USA, Inc.2015—
*K150254Streamline OCT Occipito-Cervico-Thoracic System
Summary page 4
…G, KWP) Panel: Panel Code 87 Primary Predicate: Medtronic VERTEX Reconstruction System (K143471) Additional Streamline OCT Spinal System (K150254) Predicates: DePuy Mountaineer OCT Spinal System (K151885) Description: The Streamline OCT System consists o…
Pioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.)20153
*K151885SUMMIT SI OCT Spinal Fixation System, MOUNTAINEER OCT Spinal System
Summary page 4
…edtronic VERTEX Reconstruction System (K143471) Additional Streamline OCT Spinal System (K150254) Predicates: DePuy Mountaineer OCT Spinal System (K151885) Description: The Streamline OCT System consists of a variety of rods, hooks, polyaxial screws,…
Depuy Synthes, Inc.2015—

Also cleared against K143471: 18 other devices →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K172139Streamline OCT Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.)20170

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 15 years and passes through 8 companies; a new generation was cleared every 10 months on median.
  • 13 of the 129 ancestors have a recall of any class.
  • Of its descendants, K172139 (Pioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.), 2017) has gone furthest, with 0 descendants of its own.
  • 18 other devices also cite its predicate K143471.

How does its category compare?

All NKG devices

NKG Posterior Cervical Screw System: FDA decisions, review times, recalls and adverse event reports over 20 years. 2016, this device’s year, is highlighted.

FDA decisions per year · NKG

6in 2025

2015: 172016: 162017: 152018: 122019: 82020: 142021: 72022: 72023: 102024: 32025: 62026 (partial year): 4
2007high 17 (2015) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NKG

58in 2025

2015: 71 days median2016: 87 days median2017: 108 days median2018: 61 days median2019: 50 days median2020: 59 days median2021: 56 days median2022: 108 days median2023: 58 days median2024: 100 days median2025: 58 days median2026 (partial year): 169 days median
2007high 169 (2026) · low 50 (2019)2026

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

Recalls per year · NKG

2in 2020

2018: 12019: 12020: 2
2007high 2 (2020) · low 0 (2007)2026

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

Adverse event reports per year · NKG

153in 2025

2015: 42016: 732017: 992018: 1272019: 2142020: 2362021: 7042022: 1752023: 1312024: 2062025: 153
2007high 704 (2021) · low 0 (2007)2025

MAUDE reports naming product code NKG, 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—00
20120—00
20130—00
20140—00
2015177104
20161687073
201715108099
201812611127
20198501214
202014592236
20217560704
202271080175
202310580131
202431000206
20256580153
202641690—

What is it indicated for?

The Streamline OCT Occipito-Cervico-Thoracic System is intended to provide immobilization and stabilization of spinal segments as an adjunct to fusion when using autograft and/or allograft for the following acute and chronic instabilities of the craniocervical junction, the cervical spine (C1 to C7) and the thoracic spine (T1 to T3): traumatic spinal fractures and/or traumatic dislocations; instability or deformity; failed previous fusions (e.g.…

Read the full statement (179 words)

The Streamline OCT Occipito-Cervico-Thoracic System is intended to provide immobilization and stabilization of spinal segments as an adjunct to fusion when using autograft and/or allograft for the following acute and chronic instabilities of the craniocervical junction, the cervical spine (C1 to C7) and the thoracic spine (T1 to T3): traumatic spinal fractures and/or traumatic dislocations; instability or deformity; failed previous fusions (e.g., pseudarthrosis); tumors involving the cervical/thoracic spine; and degenerative disease, including intractable radiculopathy and/or myelopathy, neck and/or arm pain of discogenic origin as confirmed by radiographic studies, and degenerative disease of the facets with instability.

The system is also intended to restore the integrity of the spinal column even in the absence of fusion for a limited time period in patients with advanced stage tumors involving the cervical spine in whom life expectancy is of insufficient duration to permit achievement of fusion.

In order to achieve additional levels of fixation, the Streamline OCT System may be connected to the Quantum Spinal Fixation System, Streamline MIS Spinal Fixation System or Streamline TL Spinal System using connectors and/or transition rods.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K161498: 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/K161498

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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