510(k) Report

PMA · Approved

Recalled · Class II · 2025

TOPS™ System

P220002PMAApproved Jun 15, 2023484-day reviewClass IIIRecalls 1

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Premia Spine, Ltd. · QWK Prosthesis, Posterior Spinal Elements

Approved on Jun 15, 2023 through premarket approval, which rests on the device’s own clinical evidence after a 484-day review. It has been recalled once.

Decided
Jun 15, 2023
Review
484 days
Class
Class III
Product code
QWK
Recalls
1

PMA approvals rest on their own clinical evidence and do not claim a predicate, so this family tree starts here.

P220002 has 11 supplements since 2023: changes to the approved device, its labelling or its manufacturing, each approved separately.

PMA supplements approved per year

2023: 32024: 12025: 52026: 2
2023high 5 (2025) · low 1 (2024)2026
View FIG. 1 as a table
YearSupplements approved
20233
20241
20255
20262
FIG. 1 — Supplements to P220002, 2023–2026Source: FDA PMA database

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA PMA database (decision fields and supplements), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in QWK? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin the report
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Does it have a predicate?

PMA decisions do not claim a predicate 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)

Recalls of this device

DateClassRecallRoot causeReason
Jul 16, 2025Class IIZ-2516-2025Process change controlPotential for missing pins at tip of inserter.

No ancestor or descendant has a Class I recall.

How does its category compare?

All QWK devices

QWK Prosthesis, Posterior Spinal Elements: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · QWK

5in 2025

2023: 42024: 12025: 52026 (partial year): 2
2007high 5 (2025) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QWK

Too few QWK 510(k)s in any year since 2007 to give a median.

Recalls per year · QWK

No recall names QWK since 2007.

Adverse event reports per year · QWK

12in 2025

2023: 32024: 282025: 12
2007high 28 (2024) · low 0 (2007)2025

MAUDE reports naming product code QWK, 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
20150—00
20160—00
20170—00
20180—00
20190—00
20200—00
20210—00
20220—00
20234—03
20241—028
20255—012
20262—0—
Cite this page

510(k) Report. “P220002: TOPS™ System.” Lineage record from FDA PMA data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/P220002

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Record history
  • FDA decision record loaded May 2, 2026
  • Page last updated Nov 3, 2026