510(k) Report

510(k) · Cleared

Cleared

Inspan ScrewLES Fusion System

K213266510(k) TraditionalCleared Dec 3, 202164-day reviewClass II21 CFR 888.3050

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

Lespine Innovations, LLC · PEK Spinous Process Plate

Cleared on Dec 3, 2021 as substantially equivalent to K102020 (Spinefrontier, Inc., 2010) after a 64-day review. Its family tree reaches back 4 generations to 2003. 3 later devices descend from it.

Decided
Dec 3, 2021
Review
64 days
Class
Class II
Product code
PEK
Recalls
None
Predicates
1

Its longest line of descent runs back 4 generations to K032037 (2003). 9 ancestors in all. 3 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2008: 1 other ancestor2005: 2 other ancestors2004: 2 other ancestors2022: 1 descendant cleared2023: 2 descendants clearedK032037 · CD Horizon (Addition of Spinous Process Plate) · Medtronic Sofamor Danek · 2003K043053 · Modification to CD Horizon Spinal System · Medtronic Sofamor Danek · 2005K071877 · Lanx Spinal Fixation System · Lanx, LLC · 2007K102020 · Vega Span Spinous Process Plate System · Spinefrontier, Inc. · 2010200020052010201520202025
Other ancestors, by generationDescendants, by generation 2 generations back: 2 other ancestors3 generations back: 2 other ancestors4 generations back: 1 other ancestor 1 generation forward: 3 descendants K102020 · Vega Span Spinous Process Plate System · Spinefrontier, Inc. · 2010K071877 · Lanx Spinal Fixation System · Lanx, LLC · 2007K043053 · Modification to CD Horizon Spinal System · Medtronic Sofamor Danek · 2005K032037 · CD Horizon (Addition of Spinous Process Plate) · Medtronic Sofamor Danek · 20030
  1. Root · 4 generations backK032037 CD Horizon (Addition of Spinous Process Plate)Medtronic Sofamor Danek · 2003
  2. 3 generations backK043053 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  3. 2 generations backK071877 Lanx Spinal Fixation SystemLanx, LLC · 2007
  4. 1 generation backK102020 Vega Span Spinous Process Plate SystemSpinefrontier, Inc. · 2010
  5. This deviceK213266 Inspan ScrewLES Fusion SystemLespine Innovations, LLC · 2021
  6. Descendant · cites it directly · 0 of its ownK232605 Sacrix® Sacroiliac Joint Fusion Device System, Inspan® ScrewLES…Lesspine Innovations · 2023
  7. Descendant · cites it directly · 0 of its ownK231807 primaLOK™ SP Interspinous Fusion SystemWenzel Spine, Inc. · 2023
  8. Descendant · cites it directly · 0 of its ownK221399 ZIP™ MIS Interspinous Fusion SystemAurora Spine, Inc. · 2022

Most influential descendants

Showing 3 of 3 · See all
  • K232605Sacrix® Sacroiliac Joint Fusion Device System, Inspan® ScrewLES Fusion System, Invue®…Lesspine Innovations · 2023 · cites it directly0descendants
  • K231807primaLOK™ SP Interspinous Fusion SystemWenzel Spine, Inc. · 2023 · cites it directly0descendants
  • K221399ZIP™ MIS Interspinous Fusion SystemAurora Spine, Inc. · 2022 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K032037CD Horizon (Addition of Spinous Process Plate)Medtronic Sofamor Danek2003—
−3K043053Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
−2K071877Lanx Spinal Fixation SystemLanx, LLC2007—
−1K102020Vega Span Spinous Process Plate SystemSpinefrontier, Inc.2010—
0 (this device)K213266Inspan ScrewLES Fusion SystemLespine Innovations, LLC2021—
+1K232605Sacrix® Sacroiliac Joint Fusion Device System, Inspan® ScrewLES Fusion System…Lesspine Innovations2023—
+1K231807primaLOK™ SP Interspinous Fusion SystemWenzel Spine, Inc.2023—
+1K221399ZIP™ MIS Interspinous Fusion SystemAurora Spine, Inc.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200420
200520
200810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202210
202320
FIG. 1 — Lineage of K213266, 2003–2023Source: 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 PEK? 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 PEK device

  1. #1 K253250 Minuteman® G6 MIS Fusion Platescore 15.2 · 17 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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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
*K102020Vega Span Spinous Process Plate System
Summary page 4
…e is intended for use with bone graft material and is not intended for stand-alone use. Device Description: The Inspan ScrewLES Fusion System, previously cleared (under K102020) and marketed as, “VegaTM SPANTM Spinous Process Plate System”, consists of plates of varying length and hub diameters, set screw…
Spinefrontier, Inc.2010—

Also cleared against K102020: 1 other device →

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K232605Sacrix® Sacroiliac Joint Fusion Device System, Inspan® ScrewLES Fusion System, Invue®…Lesspine Innovations20230
K231807primaLOK™ SP Interspinous Fusion SystemWenzel Spine, Inc.20230
K221399ZIP™ MIS Interspinous Fusion SystemAurora Spine, Inc.20220

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 18 years and passes through 4 companies; a new generation was cleared every 3.0 years on median.
  • 1 of the 9 ancestors has a recall of any class.
  • Of its descendants, K232605 (Lesspine Innovations, 2023) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K102020.

How does its category compare?

All PEK devices

PEK Spinous Process Plate: FDA decisions, review times, recalls and adverse event reports over 20 years. 2021, this device’s year, is highlighted.

FDA decisions per year · PEK

1in 2025

2013: 102014: 82015: 62016: 42017: 32018: 42020: 22021: 22022: 32023: 42024: 12025: 12026 (partial year): 1
2007high 10 (2013) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PEK

60in 2023

2013: 118 days median2014: 120 days median2015: 166 days median2016: 176 days median2017: 94 days median2018: 69 days median2022: 135 days median2023: 60 days median
2007high 176 (2016) · low 60 (2023)2026

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

Recalls per year · PEK

1in 2021

2021: 1
2007high 1 (2021) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · PEK

3in 2025

2011: 22014: 22015: 32018: 22019: 42020: 22021: 172022: 112023: 82024: 52025: 3
2007high 17 (2021) · low 0 (2007)2025

MAUDE reports naming product code PEK, 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—02
20120—00
20131011800
2014812002
2015616603
2016417600
201739400
201846902
20190—04
20202—02
20212—117
20223135011
202346008
20241—05
20251—03
20261—0—

What is it indicated for?

The Inspan ScrewLES Fusion System is a posterior non-pedicle supplemental fixation system intended for use in the non-cervical spine (T1-S1). It is intended for plate fixation/attachment to the spinous process for the purpose of achieving supplemental fusion for the following indications: spondylolisthesis, trauma (fracture or dislocation), tumor, degenerative disc disease (defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies), or lumbar spinal stenosis. The device is intended for use with bone graft material and is not intended for stand-alone use.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K213266: Inspan ScrewLES Fusion System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K213266

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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