| Device Classification Name |
System, Facet Screw Spinal Device
|
| 510(k) Number |
K253432 |
| Device Name |
DiversiVy™ Facet Screw System |
| Applicant |
| Vy Spine, LLC |
| 545 W 500 S. |
| Suite 100 |
|
Bountiful,
UT
84010
|
|
| Applicant Contact |
Jordan Hendrickson |
| Correspondent |
| Vy Spine, LLC |
| 545 W 500 S. |
| Suite 100 |
|
Bountiful,
UT
84010
|
|
| Correspondent Contact |
Jordan Hendrickson |
| Classification Product Code |
|
| Date Received | 10/01/2025 |
| Decision Date | 03/19/2026 |
| Decision |
Substantially Equivalent
(SESE) |
| 510k Review Panel |
Orthopedic
|
| Type |
Traditional
|
| Reviewed by Third Party |
No
|
| Combination Product |
No
|
Predetermined Change Control Plan Authorized |
No
|
|
|