510(k) Report

510(k) · Cleared

Cleared

Proficient® Posterior Cervical Spine System

K172594510(k) TraditionalCleared Dec 15, 2017108-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

Spine Wave, Inc. · NKG Posterior Cervical Screw System

Cleared on Dec 15, 2017 as substantially equivalent to K162639 (Spine Wave, Inc., 2017) and 2 other predicates after a 108-day review. Its family tree reaches back 4 generations to 1997. 12 later devices descend from it.

Decided
Dec 15, 2017
Review
108 days
Class
Class II
Product code
NKG
Recalls
None
Predicates
3

Its longest line of descent runs back 4 generations to K953076 (1997). 6 ancestors in all. 12 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2017: 1 other ancestor2002: 1 other ancestor2018: 2 descendants cleared2020: 3 descendants cleared2019: 1 descendant cleared2026: 3 descendants cleared2022: 1 descendant cleared2024: 1 descendant cleared2025: 1 descendant clearedK953076 · Townley Facet/Pedicular Screw Plating System · Sofamor Danek USA,Inc. · 1997K062254 · Axis Fixation System · Medtronic Sofamor Danek, Inc. · 2008K142838 · Synapse Occipital-Cervical-Thoracic (OCT) System · Synthes USA Products, LLC · 2015 · recalledK151224 · Lineum OCT Spine System · Biomet Spine · 2015 · recalled1995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor3 generations back: 1 other ancestor 1 generation forward: 2 descendants2 generations forward: 2 descendants3 generations forward: 3 descendants4 generations forward: 2 descendants5 generations forward: 1 descendant6 generations forward: 2 descendants K151224 · Lineum OCT Spine System · Biomet Spine · 2015 · recalledK142838 · Synapse Occipital-Cervical-Thoracic (OCT) System · Synthes USA Products, LLC · 2015 · recalledK062254 · Axis Fixation System · Medtronic Sofamor Danek, Inc. · 2008K953076 · Townley Facet/Pedicular Screw Plating System · Sofamor Danek USA,Inc. · 19970+5
  1. Root · 4 generations backK953076 Townley Facet/Pedicular Screw Plating SystemSofamor Danek USA,Inc. · 1997
  2. 3 generations backK062254 Axis Fixation SystemMedtronic Sofamor Danek, Inc. · 2008
  3. 2 generations backK142838 Synapse Occipital-Cervical-Thoracic (OCT) SystemSynthes USA Products, LLC · 2015 · Recalled
  4. 1 generation backK151224 Lineum OCT Spine SystemBiomet Spine · 2015 · Recalled
  5. This deviceK172594 Proficient® Posterior Cervical Spine SystemSpine Wave, Inc. · 2017
  6. Descendant · cites it directly · 6 of its ownK182954 Salvo™ Spine SystemSpine Wave, Inc. · 2018
  7. Descendant · 2 generations on · 5 of its ownK191045 Salvo™ Spine SystemSpine Wave, Inc. · 2019
  8. Descendant · 3 generations on · 4 of its ownK202476 Salvo® Spine SystemSpine Wave, Inc. · 2020
  9. Descendant · cites it directly · 4 of its ownK181440 Proficient® Posterior Cervical Spine SystemSpine Wave, Inc. · 2018
  10. Descendant · 4 generations on · 3 of its ownK222362 Salvo® Spine SystemSpine Wave, Inc. · 2022

Showing 5 of 12 descendants. See all descendants

Descendants cleared per year

2018: 22019: 12020: 32022: 12024: 12025: 12026: 3
2018high 3 (2020) · low 0 (2021)2026

Most influential descendants

Showing 5 of 12 · See all
  • K182954Salvo™ Spine SystemSpine Wave, Inc. · 2018 · cites it directly6descendants
  • K191045Salvo™ Spine SystemSpine Wave, Inc. · 2019 · 2 generations on5descendants
  • K202476Salvo® Spine SystemSpine Wave, Inc. · 2020 · 3 generations on4descendants
  • K181440Proficient® Posterior Cervical Spine SystemSpine Wave, Inc. · 2018 · cites it directly4descendants
  • K222362Salvo® Spine SystemSpine Wave, Inc. · 2022 · 4 generations on3descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K953076Townley Facet/Pedicular Screw Plating SystemSofamor Danek USA,Inc.1997—
−3K062254Axis Fixation SystemMedtronic Sofamor Danek, Inc.2008—
−2K142838Synapse Occipital-Cervical-Thoracic (OCT) SystemSynthes USA Products, LLC20151
−1K151224Lineum OCT Spine SystemBiomet Spine20151
0 (this device)K172594Proficient® Posterior Cervical Spine SystemSpine Wave, Inc.2017—
+1K182954Salvo™ Spine SystemSpine Wave, Inc.2018—
+2K191045Salvo™ Spine SystemSpine Wave, Inc.2019—
+3K202476Salvo® Spine SystemSpine Wave, Inc.2020—
+1K181440Proficient® Posterior Cervical Spine SystemSpine Wave, Inc.2018—
+4K222362Salvo® Spine SystemSpine Wave, Inc.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200210
201710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201820
201910
202030
202210
202410
202510
202630
FIG. 1 — Lineage of K172594, 1997–2026Source: 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.

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
*K162639Proficient™ Posterior Cervical Spine System
Summary page 4
…Primary Predicate Device Manufacturer 510(k) No. Proficient® Posterior Cervical Spine System Spine Wave, Inc. K162639 Additional Predicate Devices Manufacturer 510(k) No. Lineum OCT Spine System…
Spine Wave, Inc.2017—
*K151224Lineum OCT Spine System
Summary page 4
…Additional Predicate Devices Manufacturer 510(k) No. Lineum OCT Spine System Biomet K151224 Synapse OCT System Synthes K142838…
Biomet Spine20151
*K142838Synapse Occipital-Cervical-Thoracic (OCT) System
Summary page 4
…Lineum OCT Spine System Biomet K151224 Synapse OCT System Synthes K142838 K172594…
Synthes USA Products, LLC20151

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
K182954Salvo™ Spine SystemSpine Wave, Inc.20186
K181440Proficient® Posterior Cervical Spine SystemSpine Wave, Inc.20184

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 20 years and passes through 5 companies; a new generation was cleared every 6.6 years on median.
  • 2 of the 6 ancestors have a recall of any class.
  • Of its descendants, K182954 (Spine Wave, Inc., 2018) has gone furthest, with 6 descendants of its own.

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. 2017, 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 Proficient® Posterior Cervical Spine System is intended to immobilize and stabilize the spine as an adjunct to fusion for cervical (C1-C7) and thoracic (T1- T3) spinal segments that have been affected by the following acute or chronic instabilities: traumatic spinal fractures and/or traumatic dislocations; instability or deformity; failed previous fusions (e.g. pseudoarthrosis); tumors involving the cervical/thoracic spine; and degenerative diseases…

Read the full statement (165 words)

The Proficient® Posterior Cervical Spine System is intended to immobilize and stabilize the spine as an adjunct to fusion for cervical (C1-C7) and thoracic (T1- T3) spinal segments that have been affected by the following acute or chronic instabilities: traumatic spinal fractures and/or traumatic dislocations; instability or deformity; failed previous fusions (e.g. pseudoarthrosis); tumors involving the cervical/thoracic spine; and degenerative diseases, 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 Proficient® Posterior Cervical Spine System is also intended to restore the integrity of the spinal column even in the absence of fusion for a limited time in patients with advanced stage tumors involving the cervical spine whose life expectancy is insufficient to permit achievement of fusion. In order to achieve additional levels of fixation, the Proficient® Posterior Cervical Spine System may be connected to the CapSure® Spine System or the Sniper® Spine System using the Proficient® transition rods.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K172594: Proficient® Posterior Cervical 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/K172594

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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