510(k) Report

510(k) · Cleared

Cleared

ArtFX Spinal Fixation System

K212220510(k) TraditionalCleared Apr 20, 2023643-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

Artfx Medical, LLC · NKB Thoracolumbosacral Pedicle Screw System

Cleared on Apr 20, 2023 after a 643-day review. The FDA summary names its predicate without a number. 5 later devices descend from it.

Decided
Apr 20, 2023
Review
643 days
Class
Class II
Product code
NKB
Recalls
None
Predicates
0

5 later devices descend from it, 2 citing it directly.

Descendants, by year cleared 2024: 1 descendant cleared2026: 2 descendants cleared2025: 2 descendants cleared2020202220242026
  1. This deviceK212220 ArtFX Spinal Fixation SystemArtfx Medical, LLC · 2023
  2. Descendant · cites it directly · 3 of its ownK241657 MSFX Mikron Spinal Fixation SystemMikron Makina Sanayi VE Ticaret Ltd. Sti. · 2024
  3. Descendant · 2 generations on · 1 of its ownK243946 EffortMed Spinal Fixation SystemEffortmed, LLC · 2025
  4. Descendant · cites it directly · 0 of its ownK262091 FRAXION Spinal Fixation SystemOrtler Global Tibbi Gerecler Anonim Sirketi · 2026
  5. Descendant · 3 generations on · 0 of its ownK254247 Osteomni Spinal Fixation SystemOsteomni, Inc. · 2026
  6. Descendant · 2 generations on · 0 of its ownK250092 HC Biologics Osteopoint Spinal Fixation SystemHC Biologics, LLC · 2025

Most influential descendants

Showing 5 of 5 · See all
  • K241657MSFX Mikron Spinal Fixation SystemMikron Makina Sanayi VE Ticaret Ltd. Sti. · 2024 · cites it directly3descendants
  • K243946EffortMed Spinal Fixation SystemEffortmed, LLC · 2025 · 2 generations on1descendant
  • K262091FRAXION Spinal Fixation SystemOrtler Global Tibbi Gerecler Anonim Sirketi · 2026 · cites it directly0descendants
  • K254247Osteomni Spinal Fixation SystemOsteomni, Inc. · 2026 · 3 generations on0descendants
  • K250092HC Biologics Osteopoint Spinal Fixation SystemHC Biologics, LLC · 2025 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K212220ArtFX Spinal Fixation SystemArtfx Medical, LLC2023—
+1K241657MSFX Mikron Spinal Fixation SystemMikron Makina Sanayi VE Ticaret Ltd. Sti.2024—
+2K243946EffortMed Spinal Fixation SystemEffortmed, LLC2025—
+1K262091FRAXION Spinal Fixation SystemOrtler Global Tibbi Gerecler Anonim Sirketi2026—
+3K254247Osteomni Spinal Fixation SystemOsteomni, Inc.2026—
+2K250092HC Biologics Osteopoint Spinal Fixation SystemHC Biologics, LLC2025—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
202520
202620
FIG. 1 — Lineage of K212220, 2023–2026Source: 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? (4)

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
*—Mikron Spinal Fixation System
Named without a submission number
—
*—CD HORIZON Spinal System
Named without a submission number
—
*—USS Small Stature
Named without a submission number
—
*—VIA Spinal System
Named without a submission number
—

What descends from it? (5)

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

NumberDeviceApplicantDecidedDescendants
K241657MSFX Mikron Spinal Fixation SystemMikron Makina Sanayi VE Ticaret Ltd. Sti.20243
K262091FRAXION Spinal Fixation SystemOrtler Global Tibbi Gerecler Anonim Sirketi20260

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?

  • Of its descendants, K241657 (Mikron Makina Sanayi VE Ticaret Ltd. Sti., 2024) has gone furthest, with 3 descendants of its own.

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. 2023, 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?

ARTFX SPINAL FIX/\ TTON SYSTEM is intended for use in the noncervical spine. When used as an anterior/anterolateral and posterior, noncervical pedicle and non-pedicle fixation system, the ARTFX SPINAL FIXATION SYSTEM is intended to provide additional support during fusian using autograft or allograft in skeletally mature patients in the treatment of the following acute and chronic instabilities or deformities: -Degenerative disc disease (DDD) (defined as…

Read the full statement (104 words)

ARTFX SPINAL FIX/\ TTON SYSTEM is intended for use in the noncervical spine. When used as an anterior/anterolateral and posterior, noncervical pedicle and non-pedicle fixation system, the ARTFX SPINAL FIXATION SYSTEM is intended to provide additional support during fusian using autograft or allograft in skeletally mature patients in the treatment of the following acute and chronic instabilities or deformities:

-Degenerative disc disease (DDD) (defined as back pain of discogenie origin with degeneration of the disc confirmed by history and radiographic studies);

-Spondylolisthesis;

- Trauma (i.e. f racture or dislocation);

-Spinal stenosis;

-Curvatures (i.e. scoliosis, kyphosis, and/or lordosis)

- Tumor:

-Pseudoarthrosis; and Failed previous fusion

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K212220: ArtFX Spinal Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K212220

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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