Devices descending from K193153

2 later devices reach SPIRA-C Integrated Fixation System through their predicates, nearest generation first.

Generation	Number	Device	Applicant	Decided	Own descendants	Recalls
+1	K253894	BMD Titanium Spinal Fusion System	Global Biomedica s.r.o.	2026	0	—
+1	K223837	SPIRA®-C Integrated Fixation System	Camber Spine Technologies	2023	0	—