510(k) Report

510(k) · Cleared

Cleared

Percusys® Plus Pedicle Screw System

K192680510(k) TraditionalCleared Dec 18, 201983-day reviewClass II21 CFR 888.3070

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

Joimax GmbH · NKB Thoracolumbosacral Pedicle Screw System

Cleared on Dec 18, 2019 as substantially equivalent to K143200 (Z-Medical GmbH & Co. KG, 2015) after an 83-day review. Its family tree reaches back 15 generations to 1985.

Decided
Dec 18, 2019
Review
83 days
Class
Class II
Product code
NKB
Recalls
None
Predicates
1

Its longest line of descent runs back 15 generations to K853033 (1985). 77 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 2009: 1 other ancestor2003: 5 other ancestors2012: 1 other ancestor2008: 3 other ancestors2007: 3 other ancestors2006: 4 other ancestors2004: 7 other ancestors1998: 5 other ancestors1997: 1 other ancestor1994: 1 other ancestor2005: 6 other ancestors2001: 7 other ancestors2002: 3 other ancestors2000: 3 other ancestors1999: 6 other ancestors1996: 3 other ancestors1995: 3 other ancestorsReference device: K180210 · CREO® Stabilization System · Globus Medical, Inc. · 2018K853033 · 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. · 2004×3: 3 generations cleared close together, K062174 (2006), K063156 (2006), K063741 (2007) K080313 · Modification to Expedium Spine System · Depuy Spine, Inc. · 2008K101993 · Viper System, Expedium System · Depuy Spine, Inc. · 2010 · recalledK131802 · Expedium, Viper. Viper 2 Spine System · Depuy Spine, A Johnson & Johnson Company · 2013K143200 · MIS Z-Pedicle Screw System · Z-Medical GmbH & Co. KG · 201519851990199520002005201020152020
Other ancestors, by generation 2 generations back: 2 other ancestors3 generations back: 12 other ancestors4 generations back: 10 other ancestors5 generations back: 11 other ancestors6 generations back: 6 other ancestors7 generations back: 9 other ancestors8 generations back: 10 other ancestors9 generations back: 2 other ancestors K143200 · MIS Z-Pedicle Screw System · Z-Medical GmbH & Co. KG · 2015K131802 · Expedium, Viper. Viper 2 Spine System · Depuy Spine, A Johnson & Johnson Company · 2013K101993 · Viper System, Expedium System · Depuy Spine, Inc. · 2010 · recalledK080313 · Modification to Expedium Spine System · Depuy Spine, Inc. · 2008K063741 · Expedium Spine System · Depuy Spine, Inc. · 2007K063156 · Modification to Expedium Spine System · Depuy Spine, Inc. · 2006K062174 · Modification to Expedium Spine System · Depuy Spine, Inc. · 2006K041203 · 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 backK101993 Viper System, Expedium SystemDepuy Spine, Inc. · 2010 · Recalled
  4. 2 generations backK131802 Expedium, Viper. Viper 2 Spine SystemDepuy Spine, A Johnson & Johnson Company · 2013
  5. 1 generation backK143200 MIS Z-Pedicle Screw SystemZ-Medical GmbH & Co. KG · 2015
  6. This deviceK192680 Percusys® Plus Pedicle Screw SystemJoimax GmbH · 2019
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 backK062174 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2006
  10. 6 generations backK063156 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2006
  11. 5 generations backK063741 Expedium Spine SystemDepuy Spine, Inc. · 2007
  12. 4 generations backK080313 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2008
  13. 3 generations backK101993 Viper System, Expedium SystemDepuy Spine, Inc. · 2010 · Recalled
  14. 2 generations backK131802 Expedium, Viper. Viper 2 Spine SystemDepuy Spine, A Johnson & Johnson Company · 2013
  15. 1 generation backK143200 MIS Z-Pedicle Screw SystemZ-Medical GmbH & Co. KG · 2015
  16. This deviceK192680 Percusys® Plus Pedicle Screw SystemJoimax GmbH · 2019
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—
−7K062174Modification to Expedium Spine SystemDepuy Spine, Inc.2006—
−6K063156Modification to Expedium Spine SystemDepuy Spine, Inc.2006—
−5K063741Expedium Spine SystemDepuy Spine, Inc.2007—
−4K080313Modification to Expedium Spine SystemDepuy Spine, Inc.2008—
−3K101993Viper System, Expedium SystemDepuy Spine, Inc.20108
−2K131802Expedium, Viper. Viper 2 Spine SystemDepuy Spine, A Johnson & Johnson Company2013—
−1K143200MIS Z-Pedicle Screw SystemZ-Medical GmbH & Co. KG2015—
0 (this device)K192680Percusys® Plus Pedicle Screw SystemJoimax GmbH2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199410
199530
199630
199710
199850
199960
200030
200170
200230
200350
200470
200560
200640
200730
200830
200910
201210
FIG. 1 — Lineage of K192680, 1985–2019Source: 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 NKB? 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 NKB device

  1. #1 K223494 CD Horizon Spinal Systemscore 40.4 · 30 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? (1)

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
*K143200MIS Z-Pedicle Screw System
Summary page 4
…n name: Thoracolumbosacral Pedicle Screw System Regulatory Class: 2 Regulation Number: 21 CFR 888.3070 Product Code: NKB PREDICATE DEVICE MIS Z-Pedicle Screw System (K143200)- primary predicate This predicate has not been subject to a design-related recall CREO Stabilization System (K180210)- referen…
Z-Medical GmbH & Co. KG2015—
†K180210CREO® Stabilization SystemGlobus Medical, Inc.2018—

Also cleared against K143200: 2 other devices →

What descends from it?

No later submission names this one as a predicate yet.

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 34 years and passes through 8 companies; a new generation was cleared every 1.3 years on median.
  • 4 of the 77 ancestors have a recall of any class.
  • 2 other devices also cite its predicate K143200.

How does its category compare?

All NKB devices

NKB Thoracolumbosacral Pedicle Screw System: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · NKB

24in 2025

2007: 382008: 362009: 442010: 372011: 482012: 602013: 352014: 462015: 552016: 502017: 632018: 562019: 392020: 482021: 322022: 342023: 442024: 392025: 242026 (partial year): 30
2007high 63 (2017) · low 24 (2025)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NKB

61in 2025

2007: 87 days median2008: 59 days median2009: 71 days median2010: 111 days median2011: 84 days median2012: 79 days median2013: 73 days median2014: 90 days median2015: 90 days median2016: 84 days median2017: 69 days median2018: 61 days median2019: 84 days median2020: 68 days median2021: 61 days median2022: 88 days median2023: 72 days median2024: 57 days median2025: 61 days median2026 (partial year): 91 days median
2007high 111 (2010) · low 57 (2024)2026

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

Recalls per year · NKB

1in 2025

2007: 42008: 52009: 332010: 42011: 32012: 132014: 3, 1 Class I2015: 32016: 12017: 12018: 32019: 12020: 12022: 52023: 22024: 32025: 12026 (partial year): 3
2007high 33 (2009) · low 0 (2013)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · NKB

1,171in 2025

2007: 342008: 822009: 1712010: 4622011: 5772012: 1,7472013: 1,9622014: 1,6712015: 1,4462016: 1,5852017: 1,6182018: 1,6842019: 1,9152020: 2,0762021: 1,7452022: 1,3392023: 9192024: 1,6142025: 1,171
2007high 2,076 (2020) · low 34 (2007)2025

MAUDE reports naming product code NKB, 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
20073887434
20083659582
2009447133171
2010371114462
201148843577
20126079131,747
2013357301,962
201446903 (1)1,671
2015559031,446
2016508411,585
2017636911,618
2018566131,684
2019398411,915
2020486812,076
2021326101,745
2022348851,339
202344722919
2024395731,614
2025246111,171
202630913—

What is it indicated for?

The Percusys® Plus Pedicle Screw System is intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of thoracic, lumbar, and sacral spine: degenerative disc disease (DDD) (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies); spondylolisthesis; trauma (i.e., fracture or dislocation); spinal stenosis; curvatures (1.e., scoliosis, kyphosis, and/or lordosis); fumor; pseudoarthrosis; and

failed previous fusion

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K192680: Percusys® Plus Pedicle Screw System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K192680

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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