S4 Element

S4 Element MIS Polyaxial Screw 5.5X30MM

Registry build 21.09.26
15manufacturers in China registered for this device type
54catalogue numbers in this listing
3510(k) clearances naming this product code
8recalls on this code

Who Else Makes It

Concentrated in Jiangsu (6), Shanghai (3), Shandong (3). 6 of them are registered as contract manufacturers, able to build to a buyer’s own specification.

Chinese manufacturers registered for FDA product code NKB
Manufacturer City Province Registered as Device types
Apex (Guangzhou) Tools & Orthopedics Company Guangzhou Guangdong Contract manufacturer 62
Changzhou Biomet Medical Devices Co., Ltd. Changzhou Jiangsu Contract manufacturer 54
Paragon Medical Device (Changzhou) Co., Ltd. Changzhou Jiangsu Contract manufacturer 53
Shandong Weigao Orthopaedic Device Co., Ltd. Weihai Shandong Contract manufacturer 42
APS Materials Suzhou Suzhou Jiangsu Contract manufacturer 18
Zibo Dante Co., Ltd. Zibo Shandong Contract manufacturer 17
Shanghai JPY ION-Tech Co., Ltd. Shanghai Shanghai Contract manufacturer 70
Medtronic (Changzhou) Medical Devices Technology Co., Ltd. Changzhou Jiangsu Manufacturer 53
Johnson & Johnson Medical (Depuy – Suzhou) Ltd. Suzhou Jiangsu Manufacturer 34
Shanghai Reach Medical Instrument Co., Ltd. Shanghai Shanghai Manufacturer 30
Changzhou Geasure Medical Apparatus AND Instruments Co., Ltd. Changzhou Jiangsu Contract manufacturer 25
Double Medical Technology Inc. Xiamen Fujian Contract manufacturer 14

Showing 12 of 15. All 15 manufacturers in China registered for Thoracolumbosacral Pedicle Screw System

Record

Regulatory record for S4 Element
Listed by Aesculap AG, Germany
FDA product code NKB
Device type Thoracolumbosacral Pedicle Screw System
Device class Class 2
Regulation 21 CFR 888.3070
Establishment Contract manufacturer, Specification developer, Repacker / relabeller, Complaint-file establishment, Manufacturer, Exporter
Record published 2015-09-11
Record revised 2025-11-13 (version 8)

Specifications

Specifications
MRI safety Labeling does not contain MRI Safety Information
Sterilisation Moist Heat or Steam Sterilization
Single use Yes
Prescription Prescription only
Label carries lot or batch number
Distribution end date 2020-06-01

Catalogue Numbers

Catalogue numbers for S4 Element
Catalogue number Size Status
ST172T Diameter (mm) : 7.500 MM In distribution
ST174T Length : 45.000 MM In distribution
ST165T Length : 50.000 MM In distribution
ST155T Length : 50.000 MM In distribution
ST182T Length : 35.000 MM In distribution
ST150T Diameter (mm) : 5.500 MM In distribution
ST142T Diameter (mm) : 4.500 MM In distribution
ST153T Diameter (mm) : 5.500 MM In distribution
ST166T Diameter (mm) : 6.500 MM In distribution
ST163T Diameter (mm) : 6.500 MM In distribution
ST177T Diameter (mm) : 7.500 MM In distribution
ST154T Diameter (mm) : 5.500 MM In distribution
ST152T Diameter (mm) : 5.500 MM In distribution
ST186T Length : 55.000 MM In distribution
ST164T Diameter (mm) : 6.500 MM In distribution
ST167T Length : 60.000 MM In distribution
ST145T Length : 50.000 MM In distribution
ST173T Length : 40.000 MM In distribution
ST161T Diameter (mm) : 6.500 MM In distribution
ST141T Length : 30.000 MM In distribution
ST183T Length : 40.000 MM In distribution
ST185T Length : 50.000 MM In distribution
ST144T Diameter (mm) : 4.500 MM In distribution
ST181T Length : 30.000 MM In distribution
ST151T Length : 30.000 MM In distribution
ST176T Diameter (mm) : 7.500 MM In distribution
ST171T Length : 30.000 MM In distribution
ST170T Length : 25.000 MM In distribution
ST187T Diameter (mm) : 8.500 MM In distribution
ST140T Diameter (mm) : 4.500 MM In distribution
ST175T Diameter (mm) : 7.500 MM In distribution
ST143T Length : 40.000 MM In distribution
ST160T Length : 25.000 MM In distribution
ST184T Diameter (mm) : 8.500 MM In distribution
ST162T Diameter (mm) : 6.500 MM In distribution
ST191T Withdrawn
ST133T Withdrawn
ST193T Withdrawn
ST139T Withdrawn
ST194T Withdrawn
ST051T Diameter (mm) : 5.500 MM Withdrawn
ST130T Withdrawn
ST195T Withdrawn
ST192T Withdrawn
ST196T Withdrawn
ST137T Withdrawn
ST131T Withdrawn
ST134T Withdrawn
ST197T Withdrawn
ST294T Length : 45.000 MM Withdrawn
ST132T Withdrawn
ST135T Withdrawn
ST138T Withdrawn
ST136T Withdrawn

Same Product Code

Other products under the same FDA product code
Product Sold by Catalogue numbers
The Jasper Spinal Fixation System Gbs Commonwealth Co., Ltd. 32,491
Invictus Alphatec Spine, Inc. 4,722
Vital Spinal Fixation System Highridge Medical, LLC 4,422
Innoverse Spinal System CG MedTech Co., Ltd. 4,240
4CIS® Chiron Spinal Fixation System Alpha AI Co., Ltd. 3,787
LnK Spinal Fixation System L&K Biomed Co., Ltd. 3,522
Hedjet System Medyssey Co., Ltd. 3,438
Anax™ 5.5 Spinal System CG MedTech Co., Ltd. 3,424
Mega Plus MIS Spine System BK Meditech Co., Ltd. 3,396
ReLine Nuvasive, Inc. 2,882
Nex-D2 Next Orthosurgical 2,765
AnyPlus Spinal Fixation System GS Medical Co., Ltd. 2,386

Showing 12 of 1,490. All products under Thoracolumbosacral Pedicle Screw System

510(K) Clearances

FDA 510(k) clearances naming this product code
Clearance Decision date
K062327 2007-03-14
K062085 2007-03-02
K062012 2007-02-09

Recalls

8 of these are Class II. Class II means a temporary or reversible health consequence. Volume alone is not a quality signal: a manufacturer that ships more recalls more.

Recalls referencing this product code
Initiated FDA class Root cause Reason Quantity Closed
2022-07-15 Class II Under Investigation by firm Potential for the incorrect screw to be included in the package. 6 units
2020-09-08 Class II Device Design Insufficient clamping force of the cross connectors in the spinal surgical system which may lead to movement of the connectors on the rods and/or microparticle abrasion. 20 2024-04-10
2020-09-08 Class II Device Design Insufficient clamping force of the cross connectors in the spinal surgical system which may lead to movement of the connectors on the rods and/or microparticle abrasion. 24 2024-04-10
2020-09-08 Class II Device Design Insufficient clamping force of the cross connectors in the spinal surgical system which may lead to movement of the connectors on the rods and/or microparticle abrasion. 24 2024-04-10
2020-09-08 Class II Device Design Insufficient clamping force of the cross connectors in the spinal surgical system which may lead to movement of the connectors on the rods and/or microparticle abrasion. 23 2024-04-10
2020-09-08 Class II Device Design Insufficient clamping force of the cross connectors in the spinal surgical system which may lead to movement of the connectors on the rods and/or microparticle abrasion. 24 2024-04-10
2020-09-08 Class II Device Design Insufficient clamping force of the cross connectors in the spinal surgical system which may lead to movement of the connectors on the rods and/or microparticle abrasion. 27 2024-04-10
2012-07-25 Class II Nonconforming Material/Component There is a possibility that the screw channel that holds the rod in place may be out of tolerance. When the depth of the channel is not deep enough, the rod may not be able to provide ample compression on the insert preventing the screw he 5 2014-03-18

Source: U.S. FDA establishment registration and device listing records, public domain. Restructured for clarity and searchability. Not affiliated with or endorsed by the FDA. Records are records: nothing here is an offer of sale.

Where China Actually Supplies

Every device page names the company that lists it and the factories registered to make the same thing. These are the sections with the most of them.

5,100manufacturers registered in China
2,581device types they are registered for
340,248device records, each naming its maker
31provinces with a registered manufacturer