510(k) Report

510(k) · Cleared

Cleared

KeyLift™ Expandable Interlaminar Stabilization System

K232484510(k) TraditionalCleared Oct 19, 202364-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

Flospine · PEK Spinous Process Plate

Cleared on Oct 19, 2023 as substantially equivalent to K153302 (Paradigm Spine, LLC, 2016) and 1 other predicate after a 64-day review. Its family tree reaches back 7 generations to 1999.

Decided
Oct 19, 2023
Review
64 days
Class
Class II
Product code
PEK
Recalls
None
Predicates
2

Its longest line of descent runs back 7 generations to K990745 (1999). 31 ancestors in all, the oldest K781443 (1978). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2016: 1 other ancestor2012: 1 other ancestor2011: 1 other ancestor2010: 1 other ancestor2008: 2 other ancestors2007: 1 other ancestor2005: 2 other ancestors2003: 3 other ancestors2000: 3 other ancestors2004: 1 other ancestor2001: 3 other ancestors1998: 1 other ancestor1997: 1 other ancestor1996: 2 other ancestors1978: 1 other ancestorK990745 · Modification to Synthes Universal Spinal System · Synthes Spine · 1999K992739 · Click'x · Synthes Spine · 2000 · recalledK052123 · Synthes Pangea System · Synthes (Usa) · 2005K082572 · Uss Iliosacral, Uss Polyaxial · Synthes Spine · 2008×2: 2 generations cleared close together, K091445 (2010), K101471 (2010) K130438 · Axle Interspinous Fusion System · X-Spine Systems, Inc. · 2013 · recalled19801990200020102020
  1. Root · 7 generations backK990745 Modification to Synthes Universal Spinal SystemSynthes Spine · 1999
  2. 6 generations backK992739 Click'xSynthes Spine · 2000 · Recalled
  3. 5 generations backK052123 Synthes Pangea SystemSynthes (Usa) · 2005
  4. 4 generations backK082572 Uss Iliosacral, Uss PolyaxialSynthes Spine · 2008
  5. 3 generations backK091445 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2010
  6. 2 generations backK101471 Axle Interspinous Fusion SystemX-Spine Systems, Inc. · 2010 · Recalled
  7. 1 generation backK130438 Axle Interspinous Fusion SystemX-Spine Systems, Inc. · 2013 · Recalled
  8. This deviceK232484 KeyLift™ Expandable Interlaminar Stabilization SystemFlospine · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K990745Modification to Synthes Universal Spinal SystemSynthes Spine1999—
−6K992739Click'xSynthes Spine20001
−5K052123Synthes Pangea SystemSynthes (Usa)2005—
−4K082572Uss Iliosacral, Uss PolyaxialSynthes Spine2008—
−3K091445CD Horizon Spinal SystemMedtronic Sofamor Danek2010—
−2K101471Axle Interspinous Fusion SystemX-Spine Systems, Inc.20101
−1K130438Axle Interspinous Fusion SystemX-Spine Systems, Inc.20131
0 (this device)K232484KeyLift™ Expandable Interlaminar Stabilization SystemFlospine2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197810
199620
199710
199810
200030
200130
200330
200410
200520
200710
200820
201010
201110
201210
201610
FIG. 1 — Lineage of K232484, 1999–2023Source: 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? (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
*K153302coflex-IF
Summary page 4
…erlaminal fixation orthosis Classification Code: PEK Classification Panel: Orthopedic Regulation Number: 21 CFR sections 888.3050 PRIMARY PREDICATE DEVICE K153302 Paradigm Spine Coflex-IF ADDITIONAL PREDICATE DEVICE K130438 X-spine Axle lnterspinous Fusion…
Paradigm Spine, LLC2016—
*K130438Axle Interspinous Fusion System
Summary page 4
…Orthopedic Regulation Number: 21 CFR sections 888.3050 PRIMARY PREDICATE DEVICE K153302 Paradigm Spine Coflex-IF ADDITIONAL PREDICATE DEVICE K130438 X-spine Axle lnterspinous Fusion System…
X-Spine Systems, Inc.20131

Also cleared against K153302: 1 other device →

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 24 years and passes through 5 companies; a new generation was cleared every 2.6 years on median.
  • 5 of the 31 ancestors have a recall of any class.
  • 1 other device also cites its predicate K153302.

How does its category compare?

All PEK devices

PEK Spinous Process Plate: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, 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 FloSpine KeyLift™ Expandable Interlaminar Stabilization System is a posterior non-pedicle supplemental fixation device, intended for use at a single level in the non-cervical spine (T1-S1). It is intended for plate fixation/attachment to the spinous processes/lamina for the purpose of achieving supplemental fusion in the following conditions: Lumbar spinal stenosis, degenerative disc disease (defined as back pain of discogenic origin with…

Read the full statement (101 words)

The FloSpine KeyLift™ Expandable Interlaminar Stabilization System is a posterior non-pedicle supplemental fixation device, intended for use at a single level in the non-cervical spine (T1-S1). It is intended for plate fixation/attachment to the spinous processes/lamina for the purpose of achieving supplemental fusion in the following conditions: Lumbar spinal stenosis, degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies), spondylolisthesis, trauma (i.e., fracture or dislocation), and/or tumor. The KeyLift™ Expandable Interlaminar Stabilization System is intended for use with allograft or autograft bone and is not intended for stand-alone use.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K232484: KeyLift™ Expandable Interlaminar Stabilization System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K232484

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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