510(k) · Cleared
ClearedLOCK-IN Spinal Fixation System
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Lock-In USA Corp · NKB Thoracolumbosacral Pedicle Screw System
Cleared on Dec 13, 2024 as substantially equivalent to K992333 (Electro-Biology, Inc., 1999) and 5 other predicates after a 57-day review. Its family tree reaches back 15 generations to 1985. 1 of the 320 devices in its family, counting itself, has a Class I recall.
- Decided
- Dec 13, 2024
- Review
- 57 days
- Class
- Class II
- Product code
- NKB
- Recalls
- None
- Predicates
- 6
Its longest line of descent runs back 15 generations to K853033 (1985). 319 ancestors in all, the oldest K781443 (1978). No later device cites it as a predicate yet. 1 of the 320 devices in this family, counting this one, has a Class I recall.
- Root · 15 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
- 11 generations between
- 3 generations backK101070 Expedium Spine SystemMedos International SARL · 2010 · Recalled
- 2 generations backK122226 Revere Stabilization SystemGlobus Medical, Inc. · 2012
- 1 generation backK124058 Creo Stabilization SystemGlobus Medical, Inc. · 2013
- This deviceK243281 LOCK-IN Spinal Fixation SystemLock-In USA Corp · 2024
Show all 15 generations
- Root · 15 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
- 14 generations backK965221 Ransford Cervical Fixation SystemSurgicraft, Ltd. · 1997
- 13 generations backK982322 Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa) · 1998
- 12 generations backK002733 Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2000
- 11 generations backK013222 Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed · 2001
- 10 generations backK022190 Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2002
- 9 generations backK030103 Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed · 2003
- 8 generations backK041203 Summit Oct Spinal SystemDepuy Spine, Inc. · 2004
- 7 generations backK062174 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2006
- 6 generations backK063156 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2006
- 5 generations backK063741 Expedium Spine SystemDepuy Spine, Inc. · 2007
- 4 generations backK080313 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2008
- 3 generations backK101070 Expedium Spine SystemMedos International SARL · 2010 · Recalled
- 2 generations backK122226 Revere Stabilization SystemGlobus Medical, Inc. · 2012
- 1 generation backK124058 Creo Stabilization SystemGlobus Medical, Inc. · 2013
- This deviceK243281 LOCK-IN Spinal Fixation SystemLock-In USA Corp · 2024
Class I recalls in this family
- K100952 Modification to Synthes Matrix System2 generations back · 2010
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −15 | K853033 | Hartshill Rect & Wires, Spinal Fixation System | A.W. Showell (Surgicraft), Ltd. | 1985 | — |
| −14 | K965221 | Ransford Cervical Fixation System | Surgicraft, Ltd. | 1997 | — |
| −13 | K982322 | Synthes Spine Occipital-Cervical Plate/Rod and Hook System | Synthes (Usa) | 1998 | — |
| −12 | K002733 | Summit Occipito-Cervico-Thoracic (Oct) Spinal System | Depuyacromed | 2000 | — |
| −11 | K013222 | Summit Occipito-Cervico- Thoracic (Oct) Spinal System | Depuyacromed | 2001 | — |
| −10 | K022190 | Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal System | Depuyacromed | 2002 | — |
| −9 | K030103 | Summit Oct Spinal System Minipolyaxial Screws | Depuyacromed | 2003 | — |
| −8 | K041203 | Summit Oct Spinal System | Depuy Spine, Inc. | 2004 | — |
| −7 | K062174 | Modification to Expedium Spine System | Depuy Spine, Inc. | 2006 | — |
| −6 | K063156 | Modification to Expedium Spine System | Depuy Spine, Inc. | 2006 | — |
| −5 | K063741 | Expedium Spine System | Depuy Spine, Inc. | 2007 | — |
| −4 | K080313 | Modification to Expedium Spine System | Depuy Spine, Inc. | 2008 | — |
| −3 | K101070 | Expedium Spine System | Medos International SARL | 2010 | 1 |
| −2 | K122226 | Revere Stabilization System | Globus Medical, Inc. | 2012 | — |
| −1 | K124058 | Creo Stabilization System | Globus Medical, Inc. | 2013 | — |
| 0 (this device) | K243281 | LOCK-IN Spinal Fixation System | Lock-In USA Corp | 2024 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1978 | 1 | 0 |
| 1984 | 1 | 0 |
| 1990 | 2 | 0 |
| 1992 | 6 | 0 |
| 1993 | 3 | 0 |
| 1994 | 3 | 0 |
| 1995 | 8 | 0 |
| 1996 | 9 | 0 |
| 1997 | 7 | 0 |
| 1998 | 14 | 0 |
| 1999 | 16 | 0 |
| 2000 | 19 | 0 |
| 2001 | 20 | 0 |
| 2002 | 21 | 0 |
| 2003 | 22 | 0 |
| 2004 | 28 | 0 |
| 2005 | 26 | 0 |
| 2006 | 13 | 0 |
| 2007 | 16 | 0 |
| 2008 | 15 | 0 |
| 2009 | 16 | 0 |
| 2010 | 12 | 1 |
| 2011 | 13 | 0 |
| 2012 | 6 | 0 |
| 2013 | 3 | 0 |
| 2016 | 1 | 0 |
| 2019 | 1 | 0 |
| 2021 | 2 | 0 |
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.
1 device in this family has a Class I recall. 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 K223494 CD Horizon Spinal Systemscore 40.4 · 30 generations · no Class I recall
- #2 Held for the reportin the report
- #3 Held for the reportin the report
What was it cleared against? (6)
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.
| Type | Number | Device | Decided |
|---|---|---|---|
| * | K992333 | Ebi Omega 21 SystemSummary page 5…Thoracolumbosacral Pedicle Screw System Code– NKB – Thoracolumbosacral Pedicle Screw System (21 CFR §888.3070) Classification Primary K992333 Electro-Biology, Inc. EBI Omega 21™ System Predicate K102331 LDR Spine USA SpineTune™ TL Spinal System… | 1999 |
| * | K102331 | LDR Spine Usa Spinetune TL Spinal SystemSummary page 5…lumbosacral Pedicle Screw System (21 CFR §888.3070) Classification Primary K992333 Electro-Biology, Inc. EBI Omega 21™ System Predicate K102331 LDR Spine USA SpineTune™ TL Spinal System K124058 Globus Medical Inc. CREO™ Stabilization System Additional… | 2010 |
| * | K124058 | Creo Stabilization SystemSummary page 5…Primary K992333 Electro-Biology, Inc. EBI Omega 21™ System Predicate K102331 LDR Spine USA SpineTune™ TL Spinal System K124058 Globus Medical Inc. CREO™ Stabilization System Additional K151704 SIGNUS Medizintechnik GmbH DIPLOMAT® Spinal System Predic… | 2013 |
| * | K151704 | Diplomat® Spinal SystemSummary page 5…tem Predicate K102331 LDR Spine USA SpineTune™ TL Spinal System K124058 Globus Medical Inc. CREO™ Stabilization System Additional K151704 SIGNUS Medizintechnik GmbH DIPLOMAT® Spinal System Predicates K201457 Auxein Medical Private Limited Vertaux 5.5 mm Pedicle… | 2016 |
| * | K201457 | Auxein Brand Vertaux 5.5 mm Pedicle Screw SystemSummary page 5…stem K124058 Globus Medical Inc. CREO™ Stabilization System Additional K151704 SIGNUS Medizintechnik GmbH DIPLOMAT® Spinal System Predicates K201457 Auxein Medical Private Limited Vertaux 5.5 mm Pedicle Screw System K203507 Zimmer Biomet Spine,… | 2021 |
| * | K203507 | Vitality® Spinal Fixation SystemSummary page 5…Medizintechnik GmbH DIPLOMAT® Spinal System Predicates K201457 Auxein Medical Private Limited Vertaux 5.5 mm Pedicle Screw System K203507 Zimmer Biomet Spine, Inc. Vitality® Spinal Fixation System The LOCK-IN Spinal Fixation System is a spinal pedicl… | 2021 |
What descends from it?
No later submission names this one as a predicate yet.
Has anything in its family been recalled? (1 Class I)
No FDA recall names this device.
Relatives with a Class I recall
Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.
- K100952Modification to Synthes Matrix SystemSynthes Spine · 2010 · 2 generations back · ◆ in the 2010 ancestors bar of FIG. 11 Class I recall
What does this lineage say?
- The line of descent spans 39 years and passes through 8 companies; a new generation was cleared every 1.3 years on median.
- 44 of the 319 ancestors have a recall of any class; 1 has a Class I recall.
- 4 other devices also cite its predicate K992333.
How does its category compare?
All NKB devicesNKB Thoracolumbosacral Pedicle Screw System: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, this device’s year, is highlighted.
FDA decisions per year · NKB
24in 2025
2026 to Oct 25, outlined.
Median 510(k) review, days · NKB
61in 2025
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · NKB
1in 2025
Class I (1 since 2007) Class II/III not classified
Adverse event reports per year · NKB
1,171in 2025
MAUDE reports naming product code NKB, not matched to any one device; reports are not rates.
View these four charts as a table
| Year | Decisions | Median 510(k) review, days | Recalls (Class I) | MAUDE reports |
|---|---|---|---|---|
| 2007 | 38 | 87 | 4 | 34 |
| 2008 | 36 | 59 | 5 | 82 |
| 2009 | 44 | 71 | 33 | 171 |
| 2010 | 37 | 111 | 4 | 462 |
| 2011 | 48 | 84 | 3 | 577 |
| 2012 | 60 | 79 | 13 | 1,747 |
| 2013 | 35 | 73 | 0 | 1,962 |
| 2014 | 46 | 90 | 3 (1) | 1,671 |
| 2015 | 55 | 90 | 3 | 1,446 |
| 2016 | 50 | 84 | 1 | 1,585 |
| 2017 | 63 | 69 | 1 | 1,618 |
| 2018 | 56 | 61 | 3 | 1,684 |
| 2019 | 39 | 84 | 1 | 1,915 |
| 2020 | 48 | 68 | 1 | 2,076 |
| 2021 | 32 | 61 | 0 | 1,745 |
| 2022 | 34 | 88 | 5 | 1,339 |
| 2023 | 44 | 72 | 2 | 919 |
| 2024 | 39 | 57 | 3 | 1,614 |
| 2025 | 24 | 61 | 1 | 1,171 |
| 2026 | 30 | 91 | 3 | — |
What is it indicated for?
The LOCK-IN Spinal Fixation System is intended for posterior, non-cervical fixation in skeletally mature patients as an adjunct to fusion for the following indications: 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); spinal stenosis; curvatures (i.e., scoliosis, kyphosis and/or lordosis); tumor; pseudarthrosis; and/or failed previous fusion.
The LOCK-IN Spinal Fixation System is intended to be used with autograft and/or allograft.
Indications for use as stated in the FDA summary.
https://510kreport.com/device/K243281 · printed Nov 6, 2026
Cite this page
510(k) Report. “K243281: LOCK-IN 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/K243281
Report an extraction error
Are you the manufacturer?
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