510(k) Report

510(k) · Cleared

Cleared

AccelFix Spinal Fixation System

K200794510(k) SpecialCleared Oct 20, 2020208-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

L&K BIOMED Co., Ltd. · NKB Thoracolumbosacral Pedicle Screw System

Cleared on Oct 20, 2020 as substantially equivalent to K182544 (L&K BIOMED Co., Ltd., 2019) after a 208-day review. Its family tree reaches back 14 generations to 1999. 8 later devices descend from it.

Decided
Oct 20, 2020
Review
208 days
Class
Class II
Product code
NKB
Recalls
None
Predicates
1

Its longest line of descent runs back 14 generations to K990745 (1999). 152 ancestors in all, the oldest K901587 (1990). 8 later devices descend from it, 5 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2017: 1 other ancestor2016: 1 other ancestor2009: 6 other ancestors2006: 11 other ancestors2003: 10 other ancestors2001: 11 other ancestors2000: 15 other ancestors1998: 8 other ancestors2012: 2 other ancestors2010: 3 other ancestors2002: 5 other ancestors1997: 4 other ancestors1995: 5 other ancestors1994: 2 other ancestors2007: 6 other ancestors2005: 13 other ancestors1993: 2 other ancestors1992: 5 other ancestors1990: 2 other ancestors2011: 1 other ancestor2008: 9 other ancestors2004: 10 other ancestors1999: 4 other ancestors1996: 2 other ancestors2023: 4 descendants cleared2022: 1 descendant cleared2026: 3 descendants clearedK990745 · Modification to Synthes Universal Spinal System · Synthes Spine · 1999K992739 · Click'x · Synthes Spine · 2000 · recalledK040442 · Protex Stabilization System · Globus Medical, Inc. · 2004K052069 · Protex Stabilization System with Additional Componentes · Globus Medical, Inc. · 2005K061202 · Revere Stabilization System · Globus Medical, Inc. · 2006K081195 · Revere Uniplanar Screws · Globus Medical, Inc. · 2008K091782 · Revere 6.35 Stabilization System · Globus Medical, Inc. · 2009×2: 2 generations cleared close together, K093294 (2010), K100788 (2010) K102488 · Apex Spine System W/ Cocr Rods · Spinecraft, LLC · 2010K120270 · Venus Spinal Fixation System · L&K BIOMED Co., Ltd. · 2012K143363 · VENUS Spinal Fixation System · L&K BIOMED Co., Ltd. · 2015K171813 · OpenLoc-L Spinal Fixation System, LnK Spinal Fixation System · L&K BIOMED Co., Ltd. · 2017K182544 · AccelFix Spinal Fixation System · L&K BIOMED Co., Ltd. · 20191990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 8 other ancestors3 generations back: 12 other ancestors4 generations back: 18 other ancestors5 generations back: 18 other ancestors6 generations back: 42 other ancestors7 generations back: 21 other ancestors8 generations back: 8 other ancestors9 generations back: 7 other ancestors10 generations back: 4 other ancestors 1 generation forward: 5 descendants2 generations forward: 3 descendants K182544 · AccelFix Spinal Fixation System · L&K BIOMED Co., Ltd. · 2019K171813 · OpenLoc-L Spinal Fixation System, LnK Spinal Fixation System · L&K BIOMED Co., Ltd. · 2017K143363 · VENUS Spinal Fixation System · L&K BIOMED Co., Ltd. · 2015K120270 · Venus Spinal Fixation System · L&K BIOMED Co., Ltd. · 2012K102488 · Apex Spine System W/ Cocr Rods · Spinecraft, LLC · 2010K100788 · Cocr Rods · Globus Medical, Inc. · 2010K093294 · Revere Stabilization System · Globus Medical, Inc. · 2010K091782 · Revere 6.35 Stabilization System · Globus Medical, Inc. · 2009K081195 · Revere Uniplanar Screws · Globus Medical, Inc. · 2008K061202 · Revere Stabilization System · Globus Medical, Inc. · 2006K052069 · Protex Stabilization System with Additional Componentes · Globus Medical, Inc. · 2005K040442 · Protex Stabilization System · Globus Medical, Inc. · 2004K992739 · Click'x · Synthes Spine · 2000 · recalledK990745 · Modification to Synthes Universal Spinal System · Synthes Spine · 1999−10−50
  1. Root · 14 generations backK990745 Modification to Synthes Universal Spinal SystemSynthes Spine · 1999
  2. 10 generations between
  3. 3 generations backK143363 VENUS Spinal Fixation SystemL&K BIOMED Co., Ltd. · 2015
  4. 2 generations backK171813 OpenLoc-L Spinal Fixation System, LnK Spinal Fixation SystemL&K BIOMED Co., Ltd. · 2017
  5. 1 generation backK182544 AccelFix Spinal Fixation SystemL&K BIOMED Co., Ltd. · 2019
  6. This deviceK200794 AccelFix Spinal Fixation SystemL&K BIOMED Co., Ltd. · 2020
  7. Descendant · cites it directly · 4 of its ownK223565 LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System…L&K BIOMED Co., Ltd. · 2022
  8. Descendant · cites it directly · 3 of its ownK230245 LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System…L&K BIOMED Co., Ltd. · 2023
  9. Descendant · cites it directly · 2 of its ownK231839 CastleLoc-P Anterior Cervical Plate System, AccelFix Lumbar Plate…L&K BIOMED Co., Ltd. · 2023
  10. Descendant · cites it directly · 2 of its ownK231636 LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System…L&K BIOMED Co., Ltd. · 2023
  11. Descendant · cites it directly · 1 of its ownK232311 LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System…L&K BIOMED Co., Ltd. · 2023
Show all 14 generations
  1. Root · 14 generations backK990745 Modification to Synthes Universal Spinal SystemSynthes Spine · 1999
  2. 13 generations backK992739 Click'xSynthes Spine · 2000 · Recalled
  3. 12 generations backK040442 Protex Stabilization SystemGlobus Medical, Inc. · 2004
  4. 11 generations backK052069 Protex Stabilization System with Additional ComponentesGlobus Medical, Inc. · 2005
  5. 10 generations backK061202 Revere Stabilization SystemGlobus Medical, Inc. · 2006
  6. 9 generations backK081195 Revere Uniplanar ScrewsGlobus Medical, Inc. · 2008
  7. 8 generations backK091782 Revere 6.35 Stabilization SystemGlobus Medical, Inc. · 2009
  8. 7 generations backK093294 Revere Stabilization SystemGlobus Medical, Inc. · 2010
  9. 6 generations backK100788 Cocr RodsGlobus Medical, Inc. · 2010
  10. 5 generations backK102488 Apex Spine System W/ Cocr RodsSpinecraft, LLC · 2010
  11. 4 generations backK120270 Venus Spinal Fixation SystemL&K BIOMED Co., Ltd. · 2012
  12. 3 generations backK143363 VENUS Spinal Fixation SystemL&K BIOMED Co., Ltd. · 2015
  13. 2 generations backK171813 OpenLoc-L Spinal Fixation System, LnK Spinal Fixation SystemL&K BIOMED Co., Ltd. · 2017
  14. 1 generation backK182544 AccelFix Spinal Fixation SystemL&K BIOMED Co., Ltd. · 2019
  15. This deviceK200794 AccelFix Spinal Fixation SystemL&K BIOMED Co., Ltd. · 2020

Showing 5 of 8 descendants. See all descendants

Descendants cleared per year

2022: 12023: 42026: 3
2022high 4 (2023) · low 0 (2024)2026

Most influential descendants

Showing 5 of 8 · See all
  • K223565LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System, AccelFix Spinal Fixation…L&K BIOMED Co., Ltd. · 2022 · cites it directly4descendants
  • K230245LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System; AccelFix Spinal Fixation…L&K BIOMED Co., Ltd. · 2023 · cites it directly3descendants
  • K231839CastleLoc-P Anterior Cervical Plate System, AccelFix Lumbar Plate SystemL&K BIOMED Co., Ltd. · 2023 · cites it directly2descendants
  • K231636LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System, AccelFix Spinal Fixation…L&K BIOMED Co., Ltd. · 2023 · cites it directly2descendants
  • K232311LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System, AccelFix Spinal Fixation…L&K BIOMED Co., Ltd. · 2023 · cites it directly1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−14K990745Modification to Synthes Universal Spinal SystemSynthes Spine1999—
−13K992739Click'xSynthes Spine20001
−12K040442Protex Stabilization SystemGlobus Medical, Inc.2004—
−11K052069Protex Stabilization System with Additional ComponentesGlobus Medical, Inc.2005—
−10K061202Revere Stabilization SystemGlobus Medical, Inc.2006—
−9K081195Revere Uniplanar ScrewsGlobus Medical, Inc.2008—
−8K091782Revere 6.35 Stabilization SystemGlobus Medical, Inc.2009—
−7K093294Revere Stabilization SystemGlobus Medical, Inc.2010—
−6K100788Cocr RodsGlobus Medical, Inc.2010—
−5K102488Apex Spine System W/ Cocr RodsSpinecraft, LLC2010—
−4K120270Venus Spinal Fixation SystemL&K BIOMED Co., Ltd.2012—
−3K143363VENUS Spinal Fixation SystemL&K BIOMED Co., Ltd.2015—
−2K171813OpenLoc-L Spinal Fixation System, LnK Spinal Fixation SystemL&K BIOMED Co., Ltd.2017—
−1K182544AccelFix Spinal Fixation SystemL&K BIOMED Co., Ltd.2019—
0 (this device)K200794AccelFix Spinal Fixation SystemL&K BIOMED Co., Ltd.2020—
+1K223565LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System, AccelFix Spinal…L&K BIOMED Co., Ltd.2022—
+1K230245LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System; AccelFix Spinal…L&K BIOMED Co., Ltd.2023—
+1K231839CastleLoc-P Anterior Cervical Plate System, AccelFix Lumbar Plate SystemL&K BIOMED Co., Ltd.2023—
+1K231636LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System, AccelFix Spinal…L&K BIOMED Co., Ltd.2023—
+1K232311LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System, AccelFix Spinal…L&K BIOMED Co., Ltd.2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199020
199250
199320
199420
199550
199620
199740
199880
199940
2000150
2001110
200250
2003100
2004100
2005130
2006110
200760
200890
200960
201030
201110
201220
201610
201710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202210
202340
202630
FIG. 1 — Lineage of K200794, 1999–2026Source: 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 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
*K182544AccelFix Spinal Fixation System
Summary page 4
…icate devices. The systems have same design, materials, scientific technology, and indications for use. Primary Predicate: AccelFix Spinal Fixation System (K182544)  K200794 - Page 2 of 3 4. De…
L&K BIOMED Co., Ltd.2019—

Also cleared against K182544: 6 other devices →

What descends from it? (8)

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

NumberDeviceApplicantDecidedDescendants
K223565LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System, AccelFix Spinal Fixation…L&K BIOMED Co., Ltd.20224
K230245LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System; AccelFix Spinal Fixation…L&K BIOMED Co., Ltd.20233
K231839CastleLoc-P Anterior Cervical Plate System, AccelFix Lumbar Plate SystemL&K BIOMED Co., Ltd.20232
K231636LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System, AccelFix Spinal Fixation…L&K BIOMED Co., Ltd.20232
K232311LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System, AccelFix Spinal Fixation…L&K BIOMED Co., Ltd.20231

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 21 years and passes through 4 companies; a new generation was cleared every 1.3 years on median.
  • 13 of the 152 ancestors have a recall of any class.
  • Of its descendants, K223565 (L&K BIOMED Co., Ltd., 2022) has gone furthest, with 4 descendants of its own.
  • 6 other devices also cite its predicate K182544.

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. 2020, 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 AccelFix Spinal Fixation System is non-cervical spinal fixation devices intended for use as posterior pedicle screw fixation systems (T1-S2/ilium), or as an anterolateral fixation system (T8-L5). All components in the system are limited to skeletally mature patients. These devices are intended as an adjunct to fusion for all of the following indications: degenerative disc disease (defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies); spondylolisthesis; trauma (i.e., fracture or dislocation); deformities or curvatures (i.e., scoliosis, kyphosis, and/or lordosis); tumor; stenosis, and failed previous fusion (pseudoarthrosis)

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K200794: AccelFix Spinal Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K200794

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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