510(k) Report

510(k) · Cleared

Cleared

NorthStar OCT System

K231654510(k) TraditionalCleared Aug 3, 202358-day reviewClass II21 CFR 888.3075

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

Seaspine, Inc. · NKG Posterior Cervical Screw System

Cleared on Aug 3, 2023 as substantially equivalent to K193615 (SeaSpine Orthopedics Corporation, 2020) and 1 other predicate after a 58-day review. Its family tree reaches back 12 generations to 1985.

Decided
Aug 3, 2023
Review
58 days
Class
Class II
Product code
NKG
Recalls
None
Predicates
2

Its longest line of descent runs back 12 generations to K853033 (1985). 44 ancestors in all. No later device cites it as a predicate yet.

  1. Root · 12 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 8 generations between
  3. 3 generations backK062934 SierraSeaspine, Inc. · 2006
  4. 2 generations backK080526 Sierra SystemSeaspine, Inc. · 2008
  5. 1 generation backK193615 NorthStar™ OCT Spinal SystemSeaSpine Orthopedics Corporation · 2020
  6. This deviceK231654 NorthStar OCT SystemSeaspine, Inc. · 2023
Show all 12 generations
  1. Root · 12 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 11 generations backK965221 Ransford Cervical Fixation SystemSurgicraft, Ltd. · 1997
  3. 10 generations backK982322 Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa) · 1998
  4. 9 generations backK002733 Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2000
  5. 8 generations backK013222 Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed · 2001
  6. 7 generations backK022190 Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2002
  7. 6 generations backK030103 Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed · 2003
  8. 5 generations backK041203 Summit Oct Spinal SystemDepuy Spine, Inc. · 2004
  9. 4 generations backK042508 Sumit Oct Spinal System and Mountaineer Oct Spinal SystemDepuy Spine, Inc. · 2004
  10. 3 generations backK062934 SierraSeaspine, Inc. · 2006
  11. 2 generations backK080526 Sierra SystemSeaspine, Inc. · 2008
  12. 1 generation backK193615 NorthStar™ OCT Spinal SystemSeaSpine Orthopedics Corporation · 2020
  13. This deviceK231654 NorthStar OCT SystemSeaspine, Inc. · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K853033Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd.1985—
−11K965221Ransford Cervical Fixation SystemSurgicraft, Ltd.1997—
−10K982322Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa)1998—
−9K002733Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2000—
−8K013222Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed2001—
−7K022190Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2002—
−6K030103Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed2003—
−5K041203Summit Oct Spinal SystemDepuy Spine, Inc.2004—
−4K042508Sumit Oct Spinal System and Mountaineer Oct Spinal SystemDepuy Spine, Inc.2004—
−3K062934SierraSeaspine, Inc.2006—
−2K080526Sierra SystemSeaspine, Inc.2008—
−1K193615NorthStar™ OCT Spinal SystemSeaSpine Orthopedics Corporation2020—
0 (this device)K231654NorthStar OCT SystemSeaspine, Inc.2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199940
200010
200130
200250
200470
200550
200620
200710
200820
200920
FIG. 1 — Lineage of K231654, 1985–2023Source: 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 NKG? 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 NKG device

  1. #1 K252327 CMORE® CT System; CMORE® CT System Navigated…score 19.6 · 22 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? (2)

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
*K193615NorthStar™ OCT Spinal System
Summary page 4
…Trade Name(s) Manufacturer Primary Predicate Device SeaSpine K193615 NKG; KWP NorthStar OCT System Orthopedics…
SeaSpine Orthopedics Corporation2020—
*K080526Sierra System
Summary page 4
…Corporation Additional Predicate Device(s) SeaSpine K080526 KWP Sierra OCT System Orthopedics…
Seaspine, Inc.2008—

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 38 years and passes through 7 companies; a new generation was cleared every 1.4 years on median.
  • 1 of the 44 ancestors has a recall of any class.

How does its category compare?

All NKG devices

NKG Posterior Cervical 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 · NKG

6in 2025

2015: 172016: 162017: 152018: 122019: 82020: 142021: 72022: 72023: 102024: 32025: 62026 (partial year): 4
2007high 17 (2015) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NKG

58in 2025

2015: 71 days median2016: 87 days median2017: 108 days median2018: 61 days median2019: 50 days median2020: 59 days median2021: 56 days median2022: 108 days median2023: 58 days median2024: 100 days median2025: 58 days median2026 (partial year): 169 days median
2007high 169 (2026) · low 50 (2019)2026

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

Recalls per year · NKG

2in 2020

2018: 12019: 12020: 2
2007high 2 (2020) · low 0 (2007)2026

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

Adverse event reports per year · NKG

153in 2025

2015: 42016: 732017: 992018: 1272019: 2142020: 2362021: 7042022: 1752023: 1312024: 2062025: 153
2007high 704 (2021) · low 0 (2007)2025

MAUDE reports naming product code NKG, 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—00
20120—00
20130—00
20140—00
2015177104
20161687073
201715108099
201812611127
20198501214
202014592236
20217560704
202271080175
202310580131
202431000206
20256580153
202641690—

What is it indicated for?

The Northstar OCT System is intended to provide immobilization and stabilization of spinal segments as an adjunct to fusion for the following acute and chronic instabilities of the craniocervical junction, cervical spine (C1-C?), and upper thoracic spine (T1-T3): • Traumatic spinal fractures and/or traumatic dislocations, • Instability or deformity, • Failed previous fusion (e.g., pseudoarthrosis), • Tumors involving the cervical/thoracic spine, •…

Read the full statement (164 words)

The Northstar OCT System is intended to provide immobilization and stabilization of spinal

segments as an adjunct to fusion for the following acute and chronic instabilities of the craniocervical

junction, cervical spine (C1-C?), and upper thoracic spine (T1-T3):

• Traumatic spinal fractures and/or traumatic dislocations,

• Instability or deformity,

• Failed previous fusion (e.g., pseudoarthrosis),

• Tumors involving the cervical/thoracic spine,

• Degenerative disease, including intractable radiculopathy and/or myelopathy and neck and/or arm

pain of discogenic origin as confirmed by radiographic studies, and

• Degenerative disease of the facets with instability.

The Northstar OCT System is also intended to restore the integrity of the spinal column even in the

absence of fusion for a limited time period in patients with advanced stage tumors involving the

cervical spine in whom life expectancy is of insufficient duration to permit achievement of fusion.

The Northstar OCT System can also be linked to other FDA-cleared SeaSpine/Orthofix screw

systems with the use of transitional rods and/or transitional rod connectors.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K231654: NorthStar OCT System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K231654

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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