
Spider Cervical Plating System ↗
Titanium alloy anterior cervical plates and bone screws with integrated locking arms for temporary stabilization during cervical fusion. [149]
FDA-clearedListed in the manufacturer's current U.S. portfolio.

Montana-based medical technology company developing and commercializing spinal implants, orthobiologics and bone graft products.
Xtant Medical is headquartered in Belgrade, Montana. Its portfolio spans spinal fixation and interbody implants, demineralized bone matrix, synthetic bone grafts and human tissue products for spinal and orthopedic procedures.
Its spinal implant portfolio includes Spider cervical plating, Cortera posterior fixation, CervAlign, Fortilink interbodies and Silex sacroiliac fixation. Products acquired from X-Spine, Pioneer/RTI and Surgalign can appear in FDA records under their original applicants. Houston-based distributor Republic Medical promotes the Spider Cervical Plating System on its website; current supply and manufacturer authorization have not been confirmed.
Xtant completed the sale of Coflex/CoFix assets and its international hardware businesses to Companion Spine in December 2025. It also distributes selected third-party products, including Dilon HEMOBLAST Bellows under a 2026 U.S. agreement.
FDA records document Class II 510(k) clearances for the selected spinal fixation, interbody and DBM families. Spider is linked to X-Spine Systems clearances K052292 (2005) and K170224 (2017). Acquired families retain predecessor applicants, including Pioneer/RTI and Surgalign; these names do not represent separate current companies on this profile. [7][17][24][20][21]
FDA lists open Class II recalls affecting specified Cortera screws, CervAlign plates, Irix-A implants and Xpress screws. A separate 2026 nanOss 3D / 3D Plus shelf-life labeling recall is retained in the safety review without assigning it to the current Strata formulation. These are product- and lot-specific records; they do not establish a recall of the entire portfolio or any Republic Medical inventory. [130][46][132][134][136]
The regulatory snapshot covers selected current families and is a documented minimum. The exact clearance for current nanOss Strata remains unresolved. Tissue products and third-party products distributed by Xtant have distinct regulatory pathways and are not assigned blanket device clearance; divested Coflex/CoFix and international hardware assets are excluded. [1][139][146]
Latest recorded source review: 2026-10-22.
Includes open events outside the mapped current portfolio; those events are excluded from the snapshot count.
| Recalled product / record | Initiated | Source |
|---|---|---|
| March 9, 2026 | [136][137] |
| February 18, 2026 | [134][135] |
| January 3, 2025 | [132][133] |
| August 21, 2024 | [130][131] |
| November 28, 2023 | [128][129] |
| January 15, 2021 | [46][47][48][49][50][51][52][53][54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69][70][71][72][73][74][75][76][77][78][79][80][81][82][83][84][85][86][87][88][89][90][91][92][93][94][95][96][97][98][99][100][101][102][103][104][105][106][107][108][109][110][111][112][113][114][115][116][117][118][119][120][121][122][123][124][125][126][127] |
Documented commercial product families.

Titanium alloy anterior cervical plates and bone screws with integrated locking arms for temporary stabilization during cervical fusion. [149]
FDA-clearedListed in the manufacturer's current U.S. portfolio.

Posterior thoracolumbar fixation system with pedicle screws, rods and associated instrumentation. [143]
FDA-clearedListed in the manufacturer's current U.S. portfolio.

Anterior cervical plates and screws for stabilization in cervical fusion procedures. [142]
FDA-clearedListed in the manufacturer's current U.S. portfolio.

Interbody fusion implant made with a 3D-printed polymer material. This profile covers the TS lumbar design. [144]
FDA-clearedListed in the manufacturer's current U.S. portfolio.

Implants and instrumentation for sacroiliac joint fusion. [148]
FDA-clearedListed in the manufacturer's current U.S. portfolio.

PEEK lumbar interbody spacers for TLIF and PLIF procedures, including coated and non-coated configurations. [141]
FDA-clearedListed in the manufacturer's current U.S. portfolio.

Anterior lumbar interbody spacer with integrated fixation for lumbar fusion procedures. [145]
FDA-clearedListed in the manufacturer's current U.S. portfolio.

Pedicle screws and associated components for minimally invasive spinal fixation. [150]
FDA-clearedListed in the manufacturer's current U.S. portfolio.

Demineralized bone matrix putty used as a bone void filler; indications and compositions vary by cleared configuration. [147]
FDA-clearedListed in the manufacturer's current U.S. portfolio.

Synthetic bone graft marketed in strip and moldable forms; the pictured strip is the manufacturer's current Strata product. [146]
Marketed · regulatory scope variesListed in the manufacturer's current U.S. portfolio.
Xtant reported a U.S. distribution agreement for Dilon HEMOBLAST Bellows and launch of Trivium Shaped in its August 11, 2026 results. HEMOBLAST is a third-party product; this does not establish a Republic Medical relationship for that product. [3]
Publicly documented relationships; coverage may be incomplete.
| Partner | Territory / scope | Products |
|---|---|---|
| Republic Medical (product promotion documented) [5][149][154] | Not publicly specified; distributor based in Houston, Texas | Spider Cervical Plating System (advertised; current supply unconfirmed) |
Sources checked October 22, 2026.
Accessed 10/31/2026
Last substantive review: 10/22/2026