510(k) Report

510(k) · Cleared

Cleared

CastleLoc-S Posterior Cervical Fixation System; LnK Posterior Cervical Fixation System

K162136510(k) TraditionalCleared Nov 3, 201694-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

L&K BIOMED Co., Ltd. · NKG Posterior Cervical Screw System

Cleared on Nov 3, 2016 as substantially equivalent to K151755 (Stryker Corporation, 2015) and 1 other predicate after a 94-day review. Its family tree reaches back 15 generations to 1985. 1 of the 53 devices in its family, counting itself, has a Class I recall. 12 later devices descend from it.

Decided
Nov 3, 2016
Review
94 days
Class
Class II
Product code
NKG
Recalls
None
Predicates
2

Its longest line of descent runs back 15 generations to K853033 (1985). 40 ancestors in all. 12 later devices descend from it, 2 citing it directly. 1 of the 53 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2015: 4 other ancestors2012: 1 other ancestor2011: 1 other ancestor2006: 2 other ancestors2005: 2 other ancestors2003: 1 other ancestor2001: 2 other ancestors2008: 1 other ancestor2004: 3 other ancestors2002: 2 other ancestors2000: 1 other ancestor1997: 1 other ancestor1999: 4 other ancestors2023: 6 descendants cleared2020: 1 descendant cleared2021: 1 descendant cleared2022: 1 descendant cleared2026: 2 descendants cleared2024: 1 descendant clearedK853033 · Hartshill Rect & Wires, Spinal Fixation System · A.W. Showell (Surgicraft), Ltd. · 1985K965221 · Ransford Cervical Fixation System · Surgicraft, Ltd. · 1997K982322 · Synthes Spine Occipital-Cervical Plate/Rod and Hook System · Synthes (Usa) · 1998K002733 · Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2000K013222 · Summit Occipito-Cervico- Thoracic (Oct) Spinal System · Depuyacromed · 2001K022190 · Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2002K030103 · Summit Oct Spinal System Minipolyaxial Screws · Depuyacromed · 2003K041203 · Summit Oct Spinal System · Depuy Spine, Inc. · 2004×2: 2 generations cleared close together, K072568 (2007), K080143 (2008) K093670 · Modification to: Oasys System · Stryker Spine · 2010 · Class I recallK111719 · Oasys Spinal System · Stryker Spine · 2012×3: 3 generations cleared close together, K142741 (2015), K150753 (2015), K151755 (2015) 1990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 2 other ancestors3 generations back: 7 other ancestors4 generations back: 3 other ancestors5 generations back: 8 other ancestors6 generations back: 4 other ancestors 1 generation forward: 2 descendants2 generations forward: 2 descendants3 generations forward: 5 descendants4 generations forward: 3 descendants K151755 · OASYS (r) System · Stryker Corporation · 2015K150753 · OASYS System · Stryker Corporation · 2015K142741 · OASYS System · Stryker Corporation · 2015K111719 · Oasys Spinal System · Stryker Spine · 2012K093670 · Modification to: Oasys System · Stryker Spine · 2010 · Class I recallK080143 · Modification to Stryker Spine Oasys System · Stryker Spine · 2008K072568 · Modification to Oasys System · Stryker Spine · 2007K041203 · Summit Oct Spinal System · Depuy Spine, Inc. · 2004K030103 · Summit Oct Spinal System Minipolyaxial Screws · Depuyacromed · 2003K022190 · Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2002K013222 · Summit Occipito-Cervico- Thoracic (Oct) Spinal System · Depuyacromed · 2001K002733 · Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2000K982322 · Synthes Spine Occipital-Cervical Plate/Rod and Hook System · Synthes (Usa) · 1998K965221 · Ransford Cervical Fixation System · Surgicraft, Ltd. · 1997K853033 · Hartshill Rect & Wires, Spinal Fixation System · A.W. Showell (Surgicraft), Ltd. · 1985−15−10−50
  1. Root · 15 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 11 generations between
  3. 3 generations backK142741 OASYS SystemStryker Corporation · 2015
  4. 2 generations backK150753 OASYS SystemStryker Corporation · 2015
  5. 1 generation backK151755 OASYS (r) SystemStryker Corporation · 2015
  6. This deviceK162136 CastleLoc-S Posterior Cervical Fixation System; LnK Posterior…L&K BIOMED Co., Ltd. · 2016
  7. Descendant · cites it directly · 11 of its ownK200793 LnK Posterior Cervical Fixation System and CastleLoc-S Posterior…L&K BIOMED Co., Ltd. · 2020
  8. Descendant · 2 generations on · 10 of its ownK210035 ZESPIN SI Joint Fusion System, MegaCerfix Posterior Cervical…Aegis Spine · 2021
  9. Descendant · 2 generations on · 6 of its ownK221050 ZESPIN SI Joint Fusion System, Paeon Posterior Cervical Fixation…Aegis Spine, Inc. · 2022
  10. Descendant · 3 generations on · 3 of its ownK223719 Paeon Anterior Cervical Plate System, Elatus Lumbar Plate SystemAegis Spine, Inc. · 2023
  11. Descendant · 3 generations on · 2 of its ownK231839 CastleLoc-P Anterior Cervical Plate System, AccelFix Lumbar Plate…L&K BIOMED Co., Ltd. · 2023
Show all 15 generations
  1. Root · 15 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 14 generations backK965221 Ransford Cervical Fixation SystemSurgicraft, Ltd. · 1997
  3. 13 generations backK982322 Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa) · 1998
  4. 12 generations backK002733 Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2000
  5. 11 generations backK013222 Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed · 2001
  6. 10 generations backK022190 Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2002
  7. 9 generations backK030103 Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed · 2003
  8. 8 generations backK041203 Summit Oct Spinal SystemDepuy Spine, Inc. · 2004
  9. 7 generations backK072568 Modification to Oasys SystemStryker Spine · 2007
  10. 6 generations backK080143 Modification to Stryker Spine Oasys SystemStryker Spine · 2008
  11. 5 generations backK093670 Modification to: Oasys SystemStryker Spine · 2010 · Recalled (Class I)
  12. 4 generations backK111719 Oasys Spinal SystemStryker Spine · 2012
  13. 3 generations backK142741 OASYS SystemStryker Corporation · 2015
  14. 2 generations backK150753 OASYS SystemStryker Corporation · 2015
  15. 1 generation backK151755 OASYS (r) SystemStryker Corporation · 2015
  16. This deviceK162136 CastleLoc-S Posterior Cervical Fixation System; LnK Posterior…L&K BIOMED Co., Ltd. · 2016

Showing 5 of 12 descendants. See all descendants

Descendants cleared per year

2020: 12021: 12022: 12023: 62024: 12026: 2
2020high 6 (2023) · low 0 (2025)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 12 · See all
  • K200793LnK Posterior Cervical Fixation System and CastleLoc-S Posterior Cervical Fixation SystemL&K BIOMED Co., Ltd. · 2020 · cites it directly11descendants
  • K210035ZESPIN SI Joint Fusion System, MegaCerfix Posterior Cervical Fixation System, MegaCerfix…Aegis Spine · 2021 · 2 generations on10descendants
  • K221050ZESPIN SI Joint Fusion System, Paeon Posterior Cervical Fixation System, Paeon Anterior…Aegis Spine, Inc. · 2022 · 2 generations on6descendants
  • K223719Paeon Anterior Cervical Plate System, Elatus Lumbar Plate SystemAegis Spine, Inc. · 2023 · 3 generations on3descendants
  • K231839CastleLoc-P Anterior Cervical Plate System, AccelFix Lumbar Plate SystemL&K BIOMED Co., Ltd. · 2023 · 3 generations on2descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−15K853033Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd.1985—
−14K965221Ransford Cervical Fixation SystemSurgicraft, Ltd.1997—
−13K982322Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa)1998—
−12K002733Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2000—
−11K013222Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed2001—
−10K022190Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2002—
−9K030103Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed2003—
−8K041203Summit Oct Spinal SystemDepuy Spine, Inc.2004—
−7K072568Modification to Oasys SystemStryker Spine2007—
−6K080143Modification to Stryker Spine Oasys SystemStryker Spine2008—
−5K093670Modification to: Oasys SystemStryker Spine2010Class I
−4K111719Oasys Spinal SystemStryker Spine2012—
−3K142741OASYS SystemStryker Corporation2015—
−2K150753OASYS SystemStryker Corporation2015—
−1K151755OASYS (r) SystemStryker Corporation2015—
0 (this device)K162136CastleLoc-S Posterior Cervical Fixation System; LnK Posterior Cervical…L&K BIOMED Co., Ltd.2016—
+1K200793LnK Posterior Cervical Fixation System and CastleLoc-S Posterior Cervical…L&K BIOMED Co., Ltd.2020—
+2K210035ZESPIN SI Joint Fusion System, MegaCerfix Posterior Cervical Fixation System…Aegis Spine2021—
+2K221050ZESPIN SI Joint Fusion System, Paeon Posterior Cervical Fixation System, Paeon…Aegis Spine, Inc.2022—
+3K223719Paeon Anterior Cervical Plate System, Elatus Lumbar Plate SystemAegis Spine, Inc.2023—
+3K231839CastleLoc-P Anterior Cervical Plate System, AccelFix Lumbar Plate SystemL&K BIOMED Co., Ltd.2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199710
199940
200010
200120
200220
200310
200430
200520
200620
200810
201110
201210
201540

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202010
202110
202210
202360
202410
202620
FIG. 1 — Lineage of K162136, 1985–2026Source: 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.

1 device in this family has a Class I recall. 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? (2)

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
*K151755OASYS (r) System
Summary page 4
…oc-S Posterior Cervical Fixation System. 4. Predicate or legally marketed devices which are substantially equivalent Primary Predicate: OASYS® System (K151755) Additional Device: LnK Posterior Cervical Fixation System (K143278)…
Stryker Corporation2015—
*K143278LnK Posterior Cervical Fixation System
Summary page 4
…ices which are substantially equivalent Primary Predicate: OASYS® System (K151755) Additional Device: LnK Posterior Cervical Fixation System (K143278) K162136…
L&K BIOMED Co., Ltd.2015—

Also cleared against K151755: 4 other devices →

What descends from it? (12)

See all 12

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K200793LnK Posterior Cervical Fixation System and CastleLoc-S Posterior Cervical Fixation SystemL&K BIOMED Co., Ltd.202011
K231840CastleLoc-S Posterior Cervical Fixation SystemL&K BIOMED Co., Ltd.20230

Has anything in its family been recalled? (1 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K093670Modification to: Oasys SystemStryker Spine · 2010 · 5 generations back · ◆ on the line of descent in FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 31 years and passes through 8 companies; a new generation was cleared every 1.3 years on median.
  • 3 of the 40 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K200793 (L&K BIOMED Co., Ltd., 2020) has gone furthest, with 11 descendants of its own.
  • 4 other devices also cite its predicate K151755.

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?

CastleLoc-S Posterior Cervical Fixation System: The CastleLoc-S Posterior Cervical Fixation System is intended to provide immobilization and stabilization of spinal segments as an adjunct to fusion for the following acute and chronic instabilities of the cervical spine (C1 to C7) and the thoracic spine (T1-T3): traumatic spinal fractures and/or traumatic dislocations; instability or deformity; failed previous fusions (e.g., pseudoarthrosis); tumors…

Read the full statement (344 words)

CastleLoc-S Posterior Cervical Fixation System:

The CastleLoc-S Posterior Cervical Fixation System is intended to provide immobilization and stabilization of spinal segments as an adjunct to fusion for the following acute and chronic instabilities of the cervical spine (C1 to C7) and the thoracic spine (T1-T3): traumatic spinal fractures and/or traumatic dislocations; instability or deformity; failed previous fusions (e.g., pseudoarthrosis); tumors involving the cervical 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 CasteLoc-S Posterior Cervical Fixation 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.

The CastleLoc-S Posterior Cervical Fixation System can be linked to the LnK Spinal Fixation System and PathLoc-C Posterior Cervical Fixation System via rod to rod connector and transitional rod.

LnK Posterior Cervical Fixation System:

The LnK Posterior Cervical Fixation System is intended to provide immobilization and stabilization of spinal segments as an adjunct to fusion for the following acute and chronic instabilities of the cervical spine (C1 to C7) and the thoracic spine (T1-T3): traumatic spinal fractures and/or traumatic dislocations; instability or deformity; failed previous fusions (e.g., pseudoarthrosis); tumors involving the cervical 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 LnK Posterior Cervical Fixation 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

The LnK Posterior Cervical Fixation System can be linked to the LnK Spinal Fixation System and PathLoc-C Posterior Cervical Fixation System via rod to rod connector and transitional rod.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K162136: CastleLoc-S Posterior Cervical Fixation System; LnK Posterior Cervical Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K162136

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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