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 |
|---|---|---|---|---|---|---|
| +3 | K081331 | Fixxsure Cross Link | Spineworks, LLC | 2008 | 91 | — |
| +3 | K072605 | Malibu Spinal System | Seaspine, Inc. | 2007 | 67 | — |
| +3 | K062670 | Vertiflex Spinal Screw System | Vertiflex (Tm), Incorporated | 2007 | 12 | — |
| +3 | K061321 | Zodiac Adjustable Bridges, Models 11-20XX,11-25XX,11-30XX,11-35XX | Alphatec Spine, Inc. | 2006 | 0 | — |
| +4 | K261112 | CastleLoc-P Anterior Cervical Plate System | L&K BIOMED Co., Ltd. | 2026 | 0 | — |
| +4 | K253966 | PERLA® TL Posterior Thoraco-lumbar Fixation System | Spineart SA | 2026 | 0 | — |
| +4 | K251940 | PathLoc Lumbar Plate System | L&K BIOMED Co., Ltd. | 2026 | 0 | — |
| +4 | K242827 | A8 INTEGR8™ Porous Pedicle Screws | Allumin8, Inc. | 2025 | 1 | — |
| +4 | K250845 | Curiteva Porous PEEK Standalone ALIF System | Curiteva, Inc. | 2025 | 1 | — |
| +4 | K242297 | Reform Pedicle Screw System | Precision Spine, Inc. | 2024 | 0 | — |
| +4 | K243281 | LOCK-IN Spinal Fixation System | Lock-In USA Corp | 2024 | 0 | — |
| +4 | K242764 | MediRod Pedicle Screw System | Cmf Medicon Surgical, Inc. | 2024 | 0 | — |
| +4 | K242361 | OZARK Cervical Plate System; PYRENEES® Cervical Plate System; EVEREST® Spinal System… | Stryker Spine | 2024 | 1 | — |
| +4 | K240326 | Solar™ Lumbar Interbody Fusion System | Degen Medical, Inc. | 2024 | 4 | — |
| +4 | K231069 | PERLA® TL Posterior Thoraco-lumbar Fixation System | Spineart SA | 2023 | 1 | — |
| +4 | K231199 | Solar Lumbar Interbody Fusion System | Degen Medical | 2023 | 5 | — |
| +4 | K223413 | Pisces™-SA STANDALONE ALIF Interbody System | Osseus Fusion Systems | 2023 | 3 | — |
| +4 | K222110 | Mariner RDX System | SeaSpine Orthopedics Corporation | 2022 | 8 | 2 |
| +4 | K220862 | E-GPS Navigated Instruments | Precision Spine, Inc. | 2022 | 7 | — |
| +4 | K220025 | ARx® Spinal System | Life Spine, Inc. | 2022 | 0 | — |
| +4 | K213470 | PERLA® TL Posterior Osteosynthesis System | Spineart | 2022 | 2 | — |
| +4 | K211805 | IdentiTi Porous Ti Interbody System, Transcend PEEK Interbody System, IdentiTi NanoTec… | Alphatec Spine, Inc. | 2021 | 38 | — |
| +4 | K212692 | Mariner Pedicle Screw System | SeaSpine Orthopedics Corporation | 2021 | 46 | — |
| +4 | K211606 | Mariner Deformity System | SeaSpine Orthopedics Corporation | 2021 | 47 | 1 |
| +4 | K203506 | PERLA® TL posterior osteosynthesis system | Spineart | 2021 | 3 | 2 |
| +4 | K203222 | PERLA TL Posterior Osteosynthesis System | Spineart | 2020 | 4 | — |
| +4 | K200381 | Daytona® Small Stature Spinal System | SeaSpine Orthopedics Corporation | 2020 | 2 | — |
| +4 | K191575 | ARx Spinal System | Life Spine, Inc. | 2019 | 10 | — |
| +4 | K191648 | Mariner MIS Pedicle Screw System; SeaSpine Navigation System | SeaSpine Orthopedics Corporation | 2019 | 49 | — |
| +4 | K183639 | Mariner Outrigger Revision System | SeaSpine Orthopedics Corporation | 2019 | 8 | — |
| +4 | K183705 | IdentiTi Porous Ti Interbody System | Alphatec Spine, Inc. | 2019 | 99 | — |
| +4 | K173814 | DeGen Medical E3 MIS Pedicle Screw System | Degen Medical | 2018 | 0 | — |
| +4 | K173130 | Reform® Midline Cortical Screw System | Precision Spine, Inc. | 2017 | 21 | — |
| +4 | K172275 | Vitality® Spinal Fixation System, Vitality®+ Power Instrument System | Zimmer Biomet Spine, Inc. | 2017 | 0 | — |
| +4 | K161369 | EVEREST Spinal System | K2m, Incorporated | 2016 | 9 | — |
| +4 | K141222 | Nautilus Spinal System and Solstice Oct System | Life Spine, Inc. | 2015 | 13 | — |
| +4 | K110692 | Streamline TL Spinal System | Pioneer Surgical Technology, Inc. | 2011 | 89 | — |
| +4 | K102870 | Exactech Proliant Polyaxial Pedicle Screw System | Exactech, Inc. | 2011 | 9 | — |
| +4 | K073143 | Modified Vertiflex Spinal Screw System | Vertiflex, Inc. | 2008 | 0 | — |
| +4 | K073245 | Extended Vertiflex Spinal Screw System | Vertiflex, Inc. | 2008 | 10 | — |
| +5 | K262067 | iFuse Granite Onyx™ Implant System | SI-BONE, Inc. | 2026 | 0 | — |
| +5 | K262828 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2026 | 0 | — |
| +5 | K252432 | Flex-Z™ Cervical Cage | Spinepoint, LLC | 2026 | 0 | — |
| +5 | K253545 | Vulcan Spinal System | K2m, Inc. | 2026 | 0 | — |
| +5 | K260038 | E3D™-C Interbody System | Evolution Spine | 2026 | 1 | — |
| +5 | K252205 | Curiteva Porous PEEK Cervical Interbody System; Curiteva Porous PEEK Lumbar Interbody… | Curiteva, Inc. | 2026 | 0 | — |
| +5 | K252737 | DeGen Medical Latitude-C AM Cervical Interbody Fusion System | Degen Medical | 2025 | 0 | — |
| +5 | K253094 | iFuse Bedrock Granite Implant System | SI-BONE, Inc. | 2025 | 0 | — |
| +5 | K251780 | iGPS Navigation Instruments | SI-BONE, Inc. | 2025 | 0 | — |
| +5 | K251804 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2025 | 4 | — |
| +5 | K250908 | Virata Spinal Fixation System | SeaSpine Orthopedics Corporation | 2025 | 2 | 1 |
| +5 | K251154 | RIVA Posterior Fixation System; RIVA Posterior Fixation System Navigation Instruments | Ht Medical D.B.A. Xenix Medical | 2025 | 1 | — |
| +5 | K243514 | Salvo® Robotic Navigation Instruments | Spine Wave, Inc. | 2025 | 0 | — |
| +5 | K241077 | DeGen Medical Patient Specific Implant (PSI) System | Degen Medical | 2024 | 2 | — |
| +5 | K242147 | Calibrate LTX Interbody System; Calibrate NanoTec LTX Interbody System | Alphatec Spine, Inc. | 2024 | 1 | — |
| +5 | K233256 | Robotic Integration Instruments | DePuy Synthes | 2024 | 0 | — |
| +5 | K240126 | ProAM ALIF System | Pro Surgical, Inc. | 2024 | 2 | — |
| +5 | K232566 | NewPort Spinal System; Daytona Small Stature Spinal System; Malibu Spinal System… | SeaSpine Orthopedics Corporation | 2024 | 1 | 2 |
| +5 | K233455 | ARx MIS Spinal Screw System | Life Spine, Inc. | 2023 | 0 | — |
| +5 | K230639 | Align Cervical Interbody Fusion System | Acuity Surgical Devices, LLC | 2023 | 2 | — |
| +5 | K232044 | Invictus Robotic Navigation Instruments | Alphatec Spine, Inc. | 2023 | 3 | — |
| +5 | K230774 | PERLA® TL System; TEKTONA® HV US Bone Cement | Spineart | 2023 | 0 | — |
| +5 | K221926 | Invictus® Bone Cement, Invictus Spinal Fixation System | Alphatec Spine, Inc. | 2022 | 14 | — |
| +5 | K222455 | Calibrate LTX Interbody System | Alphatec Spine, Inc. | 2022 | 8 | — |
| +5 | K222973 | IdentiTi and Transcend Interbody Systems: IndentiTi Cervical Porous Ti Interbody System… | Alphatec Spine, Inc. | 2022 | 13 | — |
| +5 | K222028 | IdentiTi™ Porous Ti Interbody System, IdentiTi™ NanoTec™ Interbody System, Transcend™… | Alphatec Spine | 2022 | 28 | — |
| +5 | K220782 | IdentiTi™ Porous Ti Interbody System, IdentiTi™ NanoTec™ Interbody System, Transcend™… | Alphatec Spine, Inc. | 2022 | 36 | — |
| +5 | K220195 | iFuse Bedrock Granite™ Implant System | SI-BONE, Inc. | 2022 | 32 | — |
| +5 | K212980 | Tesera-k ALIF System | Kyocera Medical Technologies, Inc. | 2022 | 2 | — |
| +5 | K210090 | Impulse AM Interbody Fusion System | Degen Medical | 2021 | 7 | — |
| +5 | K202836 | GX Navigation Instrument System | Life Spine, Inc. | 2021 | 1 | — |
| +5 | K211873 | PSX Interbody System | Alphatec Spine, Inc. | 2021 | 11 | — |
| +5 | K210539 | CoreLink Midline Fixation System | Corelink, LLC | 2021 | 4 | — |
| +5 | K203742 | IdentiTi ALIF Standalone Interbody System | Alphatec Spine, Inc. | 2021 | 59 | — |
| +5 | K210155 | Duo Expandable Interbody Fusion System | Spineology, Inc. | 2021 | 0 | — |
| +5 | K201287 | Impulse Interbody Fusion System | Degen Medical | 2020 | 8 | — |
| +5 | K202820 | Australis Anterior Lumbar Cage System | Prism Surgical Designs Pty, Ltd. | 2020 | 0 | — |
| +5 | K202812 | IdentiTi Cervical Standalone Interbody System | Alphatec Spine, Inc. | 2020 | 67 | — |
| +5 | K201500 | Life Spine Plateau-A Ti Anterior Lumbar Spacer & Plateau-X Ti Lateral Lumbar Spacer | Life Spine, Inc. | 2020 | 3 | — |
| +5 | K200070 | ARx Spinal System | Life Spine, Inc. | 2020 | 9 | — |
| +5 | K191311 | ATEC Lateral Interbody System | Alphatec Spine, Inc. | 2019 | 78 | — |
| +5 | K181188 | EVEREST Spinal System | K2m, Inc. | 2018 | 6 | — |
| +5 | K171321 | K2M Navigation Instruments | K2m | 2017 | 1 | 1 |
| +5 | K170821 | ChoiceSpine™ Proliant® Posterior Pedicle Screw and Hook Fixation System | Choicespine, LP | 2017 | 0 | — |
| +5 | K151196 | Nautilus Spinal System | Life Spine, Inc. | 2015 | 12 | — |
| +5 | K143230 | Palladian Lumbar Pedicle Screw System | Neurostructures, Inc. | 2015 | 0 | — |
| +5 | K141282 | PGS 5.5 MM Cannulated Pedicle Screw | Pinnacle Spine Group | 2014 | 1 | — |
| +5 | K111502 | Streamline TL Spinal System | Pioneer Surgical Technology, Inc. | 2011 | 88 | — |
| +6 | K262193 | RIVA® Posterior Fixation System with NanoACTIV Surface Technology; RIVA® Anchor… | Xenix Medical | 2026 | 0 | — |
| +6 | K262094 | E3D™-C Interbody System | Evolution Spine | 2026 | 0 | — |
| +6 | K261353 | Tesera-K Anterior Lumbar Interbody Fusion (ALIF) System; Tesera-K XL System; Lumbar… | Kyocera Medical Technologies, Inc. | 2026 | 0 | — |
| +6 | K253420 | Admiral ACP System; Explorer TO System; Laminoplasty System; Manta Ray TDF Spacer… | SeaSpine Orthopedics Corporation | 2026 | 0 | — |
| +6 | K260571 | SIMPACT Sacroiliac Joint Fixation System GX Navigation Instruments | Life Spine, Inc. | 2026 | 0 | — |
| +6 | K260989 | Varion Thoracolumbar Fixation System | Kyocera Medical Technologies Inc. (KMTI) | 2026 | 0 | — |
| +6 | K260786 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2026 | 1 | — |
| +6 | K252834 | Sacroiliac Joint Truss System (SJTS) | 4Web Medical | 2026 | 0 | — |
| +6 | K253990 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2026 | 2 | — |
| +6 | K253721 | KHEIRON® Spinal Fixation System, including patient specific K-ROD | S.M.A.I.O | 2025 | 2 | — |
| +6 | K251575 | IdentiTi™ II ALIF Standalone Interbody System; Transcend™ ALIF Standalone Interbody System | Alphatec Spine | 2025 | 0 | — |
| +6 | K251735 | Stabilis SA Cervical Stand-Alone System (Various PNs) | Acuity Surgical Devices, LLC | 2025 | 1 | — |