510(k) Report

510(k) · Cleared

Cleared

Freedom Posterior Cervical Screws

K242674510(k) TraditionalCleared May 13, 2025249-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

Signature Orthopaedics Pty, Ltd. · NKG Posterior Cervical Screw System

Cleared on May 13, 2025 as substantially equivalent to K182508 (Nexxt Spine, LLC, 2018) after a 249-day review. Its family tree reaches back 17 generations to 1985.

Decided
May 13, 2025
Review
249 days
Class
Class II
Product code
NKG
Recalls
None
Predicates
1

Its longest line of descent runs back 17 generations to K853033 (1985). 204 ancestors in all, the oldest K781443 (1978). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2015: 2 other ancestors2007: 8 other ancestors1999: 8 other ancestors1995: 4 other ancestors2011: 5 other ancestors2009: 12 other ancestors2008: 14 other ancestors2005: 22 other ancestors2001: 18 other ancestors2010: 5 other ancestors2006: 9 other ancestors2004: 27 other ancestors2002: 9 other ancestors2000: 11 other ancestors1997: 5 other ancestors2012: 1 other ancestor2003: 11 other ancestors1998: 7 other ancestors1996: 5 other ancestors1994: 1 other ancestor1993: 1 other ancestor1978: 1 other ancestor1984: 1 other ancestorK853033 · Hartshill Rect & Wires, Spinal Fixation System · A.W. Showell (Surgicraft), Ltd. · 1985K965221 · Ransford Cervical Fixation System · Surgicraft, Ltd. · 1997K982322 · Synthes Spine Occipital-Cervical Plate/Rod and Hook System · Synthes (Usa) · 1998K002733 · Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2000K013222 · Summit Occipito-Cervico- Thoracic (Oct) Spinal System · Depuyacromed · 2001K022190 · Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2002K030103 · Summit Oct Spinal System Minipolyaxial Screws · Depuyacromed · 2003K041203 · Summit Oct Spinal System · Depuy Spine, Inc. · 2004×3: 3 generations cleared close together, K062174 (2006), K063156 (2006), K063741 (2007) K080313 · Modification to Expedium Spine System · Depuy Spine, Inc. · 2008K101070 · Expedium Spine System · Medos International SARL · 2010 · recalled×2: 2 generations cleared close together, K122226 (2012), K123783 (2013) K150552 · ELLIPSE and PROTEX CT OCCIPITO-CERVICO-THORACIC SPINAL SYSTEMS · Globus Medical, Inc. · 2015 · recalledK182508 · Saxxony™ Posterior Cervical Thoracic System · Nexxt Spine, LLC · 201819801990200020102020
Other ancestors, by generation 2 generations back: 4 other ancestors3 generations back: 8 other ancestors4 generations back: 12 other ancestors5 generations back: 23 other ancestors6 generations back: 30 other ancestors7 generations back: 42 other ancestors8 generations back: 31 other ancestors9 generations back: 19 other ancestors10 generations back: 13 other ancestors11 generations back: 5 other ancestors K182508 · Saxxony™ Posterior Cervical Thoracic System · Nexxt Spine, LLC · 2018K150552 · ELLIPSE and PROTEX CT OCCIPITO-CERVICO-THORACIC SPINAL SYSTEMS · Globus Medical, Inc. · 2015 · recalledK123783 · Ellipse Occipito-Cerico-Thoracic Spinal System and Capitol Implants · Globus Medical, Inc. · 2013K122226 · Revere Stabilization System · Globus Medical, Inc. · 2012K101070 · Expedium Spine System · Medos International SARL · 2010 · recalledK080313 · Modification to Expedium Spine System · Depuy Spine, Inc. · 2008K063741 · Expedium Spine System · Depuy Spine, Inc. · 2007K063156 · Modification to Expedium Spine System · Depuy Spine, Inc. · 2006K062174 · Modification to Expedium Spine System · Depuy Spine, Inc. · 2006K041203 · Summit Oct Spinal System · Depuy Spine, Inc. · 2004K030103 · Summit Oct Spinal System Minipolyaxial Screws · Depuyacromed · 2003K022190 · Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2002K013222 · Summit Occipito-Cervico- Thoracic (Oct) Spinal System · Depuyacromed · 2001K002733 · Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2000K982322 · Synthes Spine Occipital-Cervical Plate/Rod and Hook System · Synthes (Usa) · 1998K965221 · Ransford Cervical Fixation System · Surgicraft, Ltd. · 1997K853033 · Hartshill Rect & Wires, Spinal Fixation System · A.W. Showell (Surgicraft), Ltd. · 1985−15−10−50
  1. Root · 17 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 13 generations between
  3. 3 generations backK123783 Ellipse Occipito-Cerico-Thoracic Spinal System and Capitol ImplantsGlobus Medical, Inc. · 2013
  4. 2 generations backK150552 ELLIPSE and PROTEX CT OCCIPITO-CERVICO-THORACIC SPINAL SYSTEMSGlobus Medical, Inc. · 2015 · Recalled
  5. 1 generation backK182508 Saxxony™ Posterior Cervical Thoracic SystemNexxt Spine, LLC · 2018
  6. This deviceK242674 Freedom Posterior Cervical ScrewsSignature Orthopaedics Pty, Ltd. · 2025
Show all 17 generations
  1. Root · 17 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 16 generations backK965221 Ransford Cervical Fixation SystemSurgicraft, Ltd. · 1997
  3. 15 generations backK982322 Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa) · 1998
  4. 14 generations backK002733 Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2000
  5. 13 generations backK013222 Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed · 2001
  6. 12 generations backK022190 Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2002
  7. 11 generations backK030103 Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed · 2003
  8. 10 generations backK041203 Summit Oct Spinal SystemDepuy Spine, Inc. · 2004
  9. 9 generations backK062174 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2006
  10. 8 generations backK063156 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2006
  11. 7 generations backK063741 Expedium Spine SystemDepuy Spine, Inc. · 2007
  12. 6 generations backK080313 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2008
  13. 5 generations backK101070 Expedium Spine SystemMedos International SARL · 2010 · Recalled
  14. 4 generations backK122226 Revere Stabilization SystemGlobus Medical, Inc. · 2012
  15. 3 generations backK123783 Ellipse Occipito-Cerico-Thoracic Spinal System and Capitol ImplantsGlobus Medical, Inc. · 2013
  16. 2 generations backK150552 ELLIPSE and PROTEX CT OCCIPITO-CERVICO-THORACIC SPINAL SYSTEMSGlobus Medical, Inc. · 2015 · Recalled
  17. 1 generation backK182508 Saxxony™ Posterior Cervical Thoracic SystemNexxt Spine, LLC · 2018
  18. This deviceK242674 Freedom Posterior Cervical ScrewsSignature Orthopaedics Pty, Ltd. · 2025
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−17K853033Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd.1985—
−16K965221Ransford Cervical Fixation SystemSurgicraft, Ltd.1997—
−15K982322Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa)1998—
−14K002733Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2000—
−13K013222Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed2001—
−12K022190Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2002—
−11K030103Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed2003—
−10K041203Summit Oct Spinal SystemDepuy Spine, Inc.2004—
−9K062174Modification to Expedium Spine SystemDepuy Spine, Inc.2006—
−8K063156Modification to Expedium Spine SystemDepuy Spine, Inc.2006—
−7K063741Expedium Spine SystemDepuy Spine, Inc.2007—
−6K080313Modification to Expedium Spine SystemDepuy Spine, Inc.2008—
−5K101070Expedium Spine SystemMedos International SARL20101
−4K122226Revere Stabilization SystemGlobus Medical, Inc.2012—
−3K123783Ellipse Occipito-Cerico-Thoracic Spinal System and Capitol ImplantsGlobus Medical, Inc.2013—
−2K150552ELLIPSE and PROTEX CT OCCIPITO-CERVICO-THORACIC SPINAL SYSTEMSGlobus Medical, Inc.20151
−1K182508Saxxony™ Posterior Cervical Thoracic SystemNexxt Spine, LLC2018—
0 (this device)K242674Freedom Posterior Cervical ScrewsSignature Orthopaedics Pty, Ltd.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197810
198410
199310
199410
199540
199650
199750
199870
199980
2000110
2001180
200290
2003110
2004270
2005220
200690
200780
2008140
2009120
201050
201150
201210
201520
FIG. 1 — Lineage of K242674, 1985–2025Source: 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? (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
*K182508Saxxony™ Posterior Cervical Thoracic System
Summary page 5
…tial equivalence to the following devices is claimed: • SaxxonyTM Posterior Cervical Thoracic System (K182508) Device Description: The FreedomTM Posterior Cervical Screw System consists of screws, longitudinal rods and…
Nexxt Spine, LLC2018—

Also cleared against K182508: 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 40 years and passes through 9 companies; a new generation was cleared every 1.3 years on median.
  • 17 of the 204 ancestors have a recall of any class.
  • 1 other device also cites its predicate K182508.

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. 2025, 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 Signature Orthopaedics Freedom Cervical Screw and Rod System is intended to provide immobilization and stabilization of spinal segments in skeletally mature patients (C1 to C7) as an adjunct to fusion in the treatment of the following acute and chronic instabilities and deformities of the cervical spine: * traumatic spinal fractures and/or traumatic dislocations * instability or deformity; failed previous fusions (e.g. pseudarthrosis) » degenerative…

Read the full statement (129 words)

The Signature Orthopaedics Freedom Cervical Screw and Rod System is intended to provide immobilization and stabilization of spinal segments in skeletally mature patients (C1 to C7) as an adjunct to fusion in the treatment of the following acute and chronic instabilities and deformities of the cervical spine:

* traumatic spinal fractures and/or traumatic dislocations

* instability or deformity; failed previous fusions (e.g. pseudarthrosis)

» degenerative disease, including neck and/or arm pain of discogenic origin as confirmed by radiographic studies, and degenerative disease of the facets with instability, and

* short term stabilization 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 expectancy is of insufficient duration to permit achievement of fusion.

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. “K242674: Freedom Posterior Cervical Screws.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K242674

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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