Summary
Eleven relevant 510(k) decisions map to the displayed spinal implant families and associated navigation instruments. Successive decisions are retained without treating each clearance as a separate product. Unrelated ARIES diagnostic systems, Medtronic Pisces leads, other Pisces brands and the separate Osseus, LLC OSSE-LIGN applicant are excluded. [2][35][44][42][38][37][43][45][36][41][39][40]
FDA cleared Pisces-SC under K261882 on August 21, 2026. Its cervical indications and standalone use depend on configuration: the two-screw configuration can be standalone, while anchor configurations or use without integrated fixation require supplemental fixation. The manufacturer’s standalone trade name does not override those conditions. [45][31]
Pisces-SA has two reviewed decisions, K213935 and K223413. Other current families include Aries, Gemini-C, White Pearl, Blue Topaz and Black Diamond. These are 510(k) clearances rather than PMA approvals; product marketing does not extend the authorized anatomy, indication or compatibility. [42][44][38][37][36][41][39][43]
Published FDA searches under the company and selected product names found no relevant original PMA approvals, De Novo grants or recall events. Unrelated name matches are excluded. [34][32][33][46]