Devices descending from K974749
311 later devices reach Synergy Closed Variable Locking Screw (VLS), Part of the Cross Medical-Synergy… through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +1 | K241663 | Eminent Spine 3D Titanium Pedicle Screw System | Eminent Spine | 2025 | 0 | — |
| +1 | K182544 | AccelFix Spinal Fixation System | L&K BIOMED Co., Ltd. | 2019 | 10 | — |
| +1 | K133690 | True Spinal Fussion System | Innovative Surgical Designs | 2014 | 0 | — |
| +1 | K133746 | Polaris Spinal System | Biomet Spine (Aka Ebi, LLC) | 2014 | 67 | 1 |
| +1 | K133103 | Aversion Pedicle Screw System | K7, LLC | 2014 | 0 | — |
| +1 | K130958 | True Spinal Fixation System | Innovative Surgical Designs | 2013 | 1 | — |
| +1 | K132644 | Lospa IS Pedicle Screw (Monoaxial & Polyaxial), Lospa IS Rod- Straight (Standard), Lospa… | Corentec Co., Ltd. | 2013 | 0 | — |
| +1 | K120074 | Foundation Spinal System | The Skeletal Design Partnership, Ltd. | 2012 | 2 | — |
| +1 | K113173 | Nanovis Spinal System | Nanovis, LLC | 2012 | 2 | — |
| +1 | K110046 | Athena Pedicle Screw System | Royal Oak Medical Devices | 2011 | 0 | — |
| +1 | K111883 | Smartloc Spinal Fixation System | A-Spine Asia, Co., Ltd. | 2011 | 2 | — |
| +1 | K102853 | Flamenco Spinal Fixation System | Ulrich GmbH & Co. KG | 2011 | 22 | 1 |
| +1 | K101278 | Inertia Pedicle Screw System | Nexxt Spine, LLC | 2010 | 111 | — |
| +1 | K093833 | Kapss Spinal System | Robert Reid, Inc. | 2010 | 0 | — |
| +1 | K100377 | Diamondback Spinal System | Eminent Spine | 2010 | 29 | — |
| +1 | K081108 | Monopoly Pedicle Screw System | Signus Medical, LLC | 2008 | 0 | — |
| +1 | K071921 | Innovasis Excella Spinal System, Excella-M (Monoaxial Screws), Excella-P (Polyaxial… | Innovasis, Inc. | 2007 | 5 | — |
| +1 | K051704 | Mykres Spinal System | Showa Ika Kohgyo Co., Ltd. | 2006 | 6 | — |
| +1 | K993503 | Haider-Ucr Spinal System | International Advanced Medical Enterprises, Inc. | 2000 | 176 | — |
| +1 | K983353 | SCS Spinal System | Orthotec, Inc. | 1998 | 2 | — |
| +2 | K261130 | AccelFix Spinal Fixation System | L&K BIOMED Co., Ltd. | 2026 | 0 | — |
| +2 | K252730 | Fule Spinal Fixation System | Beijing Fule Science & Technology Development Co., Ltd. | 2025 | 0 | — |
| +2 | K242069 | Eminent Spine Scoliosis Deformity Pedicle Screw System | Eminent Spine | 2024 | 0 | — |
| +2 | K232311 | LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System, AccelFix Spinal Fixation… | L&K BIOMED Co., Ltd. | 2023 | 1 | — |
| +2 | K231799 | INERTIA® CONNEXX™ Modular Pedicle Screw System | Nexxt Spine, LLC | 2023 | 0 | — |
| +2 | K231636 | LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System, AccelFix Spinal Fixation… | L&K BIOMED Co., Ltd. | 2023 | 2 | — |
| +2 | K230245 | LnK Spinal Fixation System/OpenLoc-L Spinal Fixation System; AccelFix Spinal Fixation… | L&K BIOMED Co., Ltd. | 2023 | 3 | — |
| +2 | K223565 | LnK Spinal Fixation System /OpenLoc-L Spinal Fixation System, AccelFix Spinal Fixation… | L&K BIOMED Co., Ltd. | 2022 | 4 | — |
| +2 | K221905 | INERTIA CONNEXX Modular Pedicle Screw System | Nexxt Spine, LLC | 2022 | 1 | — |
| +2 | K203452 | Nano FortiFix® System | Nanovis, LLC | 2020 | 0 | — |
| +2 | K200789 | LnK MIS Spinal System, PathLoc-L MIS Spinal System, AccelFix-MIS Spinal System | L&K BIOMED Co., Ltd. | 2020 | 0 | — |
| +2 | K200794 | AccelFix Spinal Fixation System | L&K BIOMED Co., Ltd. | 2020 | 8 | — |
| +2 | K193211 | Nano FortiFix® System | Nanovis Spine, LLC | 2020 | 1 | — |
| +2 | K192121 | Black Diamond Pedicle Screw System | Osseus Fusion Systems | 2019 | 13 | — |
| +2 | K191932 | Momentum™ Posterior Spinal Fixation System | Ulrich Medical USA | 2019 | 2 | — |
| +2 | K180226 | TREND II Spinal Fixation System- STEP Series | Paonan Biotech Co., Ltd. | 2018 | 1 | — |
| +2 | K180458 | FOCUS Pedicle Screw System | Nvision Biomedical Technologies, LLC | 2018 | 1 | — |
| +2 | K180324 | Patriot Spinal Fixation System | Valorus Spine | 2018 | 0 | — |
| +2 | K173126 | Arisstos™ Spinal System | Ingenium Spine | 2017 | 1 | — |
| +2 | K161225 | Paonan Armstrong Posterior Spinal Fixation System | Paonan Biotech Co., Ltd. | 2017 | 2 | — |
| +2 | K162134 | ENNOVATE Spinal System | Aesculap Implant Systems, LLC | 2016 | 2 | — |
| +2 | K151770 | Libra Pedicle Screw System | Spinal Balance, Inc. | 2015 | 1 | — |
| +2 | K151974 | Polaris Spinal System | Biomet Spine | 2015 | 16 | — |
| +2 | K150896 | Vitality Spinal Fixation System | Zimmer Spine, Inc. | 2015 | 19 | 3 |
| +2 | K151422 | Reform Pedicle Screw System | Precision Spine, Inc. | 2015 | 19 | — |
| +2 | K142655 | CB PROT II Posterior Spinal System | Chin Bone Technique Corp | 2015 | 0 | — |
| +2 | K143248 | Reform Pedicle Screw System | Precision Spine, Inc. | 2014 | 30 | — |
| +2 | K141376 | Inertia Pedicle Screw System, Honour Spacer System, Facet Fixx, Struxxure Anterior… | Nexxt Spine, LLC | 2014 | 106 | — |
| +2 | K140238 | Excella Iii-D Spinal Deformity System | Innovasis, Inc. | 2014 | 3 | 2 |
| +2 | K132412 | Inertia Mis Pedicle Screw System | Nexxt Spine, LLC | 2013 | 107 | — |
| +2 | K123717 | Ucentum | Ulrich GmbH & Co. KG | 2013 | 17 | 1 |
| +2 | K120891 | Tangors Multifunctional Posterior System | Ulrich GmbH & Co. KG | 2012 | 18 | — |
| +2 | K111301 | Instinct Java System | Zimmer Spine | 2011 | 3 | 1 |
| +2 | K102248 | Excella II Spinal System Model EC2-00 | Innovasis, Inc. | 2010 | 4 | 3 |
| +2 | K071074 | Mykres Spinal System | Showa Ika Kohgyo Co., Ltd. | 2008 | 0 | — |
| +2 | K061342 | Malibu Spinal System | Seaspine, Inc. | 2006 | 80 | 1 |
| +2 | K051942 | Malibu Spinal System | Seaspine, Inc. | 2005 | 81 | 11 |
| +2 | K051663 | Malibu Spinal System | Seaspine, Inc. | 2005 | 81 | — |
| +2 | K043232 | Ucr Spinal System | Seaspine | 2004 | 97 | 1 |
| +2 | K032739 | Ucr Spinal System | Seaspine | 2003 | 174 | — |
| +2 | K021623 | Ucr Spinal System, 5.5MM, 8.0MM Screws & Instruments | Iame, Inc. | 2002 | 175 | — |
| +2 | K994288 | 5.0MM Spinal Screws | Ortho Tec, LLC | 2000 | 0 | — |
| +2 | K993926 | Omniaxial Connector | Ortho Tec, LLC | 1999 | 0 | — |
| +3 | K251073 | Innovasis Navigation Instruments (Vector G-E Navigation Instruments and the Excella G-E… | Innovasis, Inc. | 2025 | 0 | 1 |
| +3 | K251719 | Momentum® Posterior Spinal Fixation System | Ulrich Medical USA, Inc. | 2025 | 0 | — |
| +3 | K230325 | GREENS BRAND Posterior, Non-cervical Pedicle Screw Spinal System | Greens Surgicals Pvt., Ltd. | 2024 | 0 | — |
| +3 | K240233 | Pitkar Spinal Pedicle Screw System | S.H.Pitkar Orthotools Pvt., Ltd. | 2024 | 0 | — |
| +3 | K241258 | Ingenix Spinal System | Ingenium Spine | 2024 | 0 | — |
| +3 | K241276 | Vector™ Pedicle Screw System | Innovasis, Inc. | 2024 | 1 | 1 |
| +3 | K231809 | Momentum® Posterior Spinal Fixation System with G21 V-STEADY Bone Cement; Momentum® MIS… | Ulrich Medical USA | 2023 | 1 | — |
| +3 | K231839 | CastleLoc-P Anterior Cervical Plate System, AccelFix Lumbar Plate System | L&K BIOMED Co., Ltd. | 2023 | 2 | — |
| +3 | K213935 | PISCES-SA Standalone ALIF Interbody System | Osseus Fusion Systems | 2022 | 12 | — |
| +3 | K210963 | ENNOVATE Spinal System | Aesculap Implant Systems, LLC | 2021 | 0 | — |
| +3 | K210275 | Polaris Spinal System | Zimmer Biomet Spine, Inc. | 2021 | 0 | — |
| +3 | K200937 | ACURA Stabilization System | Indius Medical Technologies Pvt., Ltd. | 2020 | 0 | — |
| +3 | K200303 | Reform Pedicle Screw System | Precision Spine | 2020 | 10 | — |
| +3 | K193396 | PERLA® TL posterior osteosynthesis system | Spineart | 2020 | 7 | 2 |
| +3 | K182974 | NuVasive Reline System | Nu Vasive, Incorporated | 2019 | 11 | — |
| +3 | K181435 | ATEC Cervical Spacer System | Alphatec Spine, Inc. | 2018 | 100 | — |
| +3 | K180686 | SeaSpine Daytona Small Stature Spinal System | SeaSpine Orthopedics Corporation | 2018 | 12 | — |
| +3 | K180433 | Ennovate® | Aesculap Implant Systems, LLC | 2018 | 1 | 1 |
| +3 | K180176 | SeaSpine NewPort Spinal System | SeaSpine Orthopedics Corporation | 2018 | 0 | — |
| +3 | K173882 | SeaSpine Mariner Pedicle Screw System | SeaSpine Orthopedics Corporation | 2018 | 56 | 1 |
| +3 | K172101 | ROMEO® 2 Posterior Osteosynthesis System | Spineart | 2017 | 9 | — |
| +3 | K170861 | Premier | Shandong Weigao Orthopaedic Device Co., Ltd. | 2017 | 0 | — |
| +3 | K171907 | Vitality® Spinal Fixation System | Zimmer Biomet Spine, Inc. | 2017 | 16 | 2 |
| +3 | K163604 | SeaSpine® Daytona® Small Stature Spinal System | SeaSpine Orthopedics Corporation | 2017 | 12 | — |
| +3 | K162750 | Libra Pedicle Screw System | Spinal Balance, Inc. | 2016 | 0 | — |
| +3 | K162143 | FixxSure® X-Link | Innovasis, Inc. | 2016 | 0 | — |
| +3 | K161535 | SeaSpine® NewPort™ Spinal System | SeaSpine Orthopedics Corporation | 2016 | 14 | — |
| +3 | K160902 | Mariner Pedicle Screw System | SeaSpine Orthopedics Corporation | 2016 | 60 | — |
| +3 | K153453 | Inertia Pedicle Screw and Deformity Correxxion System | Nexxt Spine, LLC | 2016 | 17 | — |
| +3 | K151704 | Diplomat® Spinal System | Signus Medizintechnik GmbH | 2016 | 4 | — |
| +3 | K151727 | Everest Spinal System | K2m, Inc. | 2015 | 11 | — |
| +3 | K150856 | Reform Pedicle Screw System | Precision Spine, Inc. | 2015 | 26 | — |
| +3 | K123552 | Instinct Java System | Zimmer Spine | 2013 | 0 | 1 |
| +3 | K122592 | Instinct Java System | Zimmer Spine | 2013 | 0 | 1 |
| +3 | K122571 | Malibu Spinal System with the Daytona Deformity System | Seaspine, Inc. | 2012 | 62 | — |
| +3 | K120047 | Coral Spinal System | Theken Spine, LLC | 2012 | 14 | — |
| +3 | K113270 | Instinct Java System | Zimmer Spine | 2011 | 2 | 1 |