đź“‹ FDA Reference

zenith cox flexion chiropractic table

Williams Manufacturing

Summary: The Zenith Cox Flexion Chiropractic Table is a specialized chiropractic table used for spinal adjustments and manipulations. It is primarily used by chiropractors to treat patients with spinal disorders and pain.

FDA Clearance Information

Pathway 510K
Decision Date January 18, 1991
Product Code INQ
Device Class Class 1
Evidence 35 studies

The Zenith Cox Flexion Chiropractic Table was cleared through the FDA 510(k) pathway on January 18, 1991. It is manufactured by Williams Manufacturing and classified as a Class 1 device under product code INQ.

What It Is

The Zenith Cox Flexion Chiropractic Table is a mechanical table designed to assist chiropractors in performing spinal adjustments. It allows for controlled flexion and lateral movements of the patient's spine, facilitating specific chiropractic techniques. The table's design helps in targeting spinal segments for therapeutic interventions, aiding in the treatment of back pain and spinal disorders.

Clinical Applications

This table is commonly used in chiropractic settings for the treatment of patients with lower back pain, herniated discs, and other spinal conditions. Chiropractors utilize it to perform flexion-distraction techniques, which are beneficial in decompressing spinal discs and alleviating nerve root pressure. It is particularly useful in outpatient chiropractic clinics and rehabilitation centers.

Indications for Use

The FDA indications suggest that this device is intended for use in patients requiring spinal manipulation and adjustment. It is suitable for individuals with conditions such as lumbar disc herniation, sciatica, and general lower back pain.

Practical Considerations

The table typically offers adjustable settings to accommodate different patient sizes and therapeutic needs. Chiropractors should ensure proper technique and patient positioning to maximize therapeutic outcomes. Compatibility with other chiropractic tools and patient comfort are also important considerations.

Related Literature

The linked study investigated the effects of mechanical stimulation of the lumbar spine on the tibial nerve H-reflex in healthy volunteers. Using the Zenith Cox Flexion Table, researchers found that passive trunk movements could modulate neural responses, suggesting potential benefits in neuromuscular rehabilitation. However, the study was limited by its small sample size and focus on healthy individuals, which may not directly translate to clinical populations.

Linked Studies (20)

PubMed • 2025

Outcomes of patients with acute complicated type B aortic dissections repaired with the Zenith dissection endovascular system compared to aortic stent graft.

Vascular

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Gingival zenith level, position, and symmetry: A systematic review and meta-analysis.

The Journal of prosthetic dentistry

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2024

Expert-Based Narrative Review on Contemporary Use of an Off-The-Shelf Multibranched Endograft for Endovascular Treatment of Thoracoabdominal Aortic Aneurysms: Device Design, Anatomical Suitability, Technical Tips, Perioperative Care, Clinical Applications, and Real-World Experience.

Annals of vascular surgery

View Source →
PubMed • 2024

Exploring atmospheric optical turbulence: observations across zenith angles.

Applied optics

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2024

Cook Zenith Alpha Endograft: A Protocol to Minimise Limb Graft Occlusion.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2024

Gingival Zenith Correction by Laser Gingivectomy.

Cureus

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2023

A Retrospective Evaluation of Intra-Prosthetic Thrombus Formation After Endovascular Aortic Repair in Cook Zenith Alpha and Medtronic Endurant II Patients.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

Retrospective View Source →
PubMed • 2023

Emergent endovascular treatment options for thoracoabdominal aortic aneurysm.

Seminars in vascular surgery

View Source →
PubMed • 2023

Commentary: Data zenith.

The Journal of thoracic and cardiovascular surgery

View Source →
PubMed • 2022

Placement of a Zenith® Dissection Endovascular System in the Descending Thoracic Aorta Can Hamper Further Surgical Aortic Operations.

EJVES vascular forum

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2022

Midterm outcomes of aneurysm repair with the Cook Zenith Alpha abdominal endovascular graft.

Journal of vascular surgery

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2021

Comparison of anatomic feasibility of three different multibranched off-the-shelf stent-grafts designed for thoracoabdominal aortic aneurysms.

Journal of vascular surgery

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2021

New Technical Approach to Overcome Anatomical Challenges During Branched Endovascular Aortic Repair with off-the-Shelf Multibranched Stent-Grafts: Are We Sequentially and Progressively Scraping the Sky? : Commentary on "Sequential catheterization and progressive deployment of the Zenith tBranchTM device for branched endovascular aortic aneurysm repair".

Cardiovascular and interventional radiology

View Source →
PubMed • 2021

Kinematic Zenith Tropospheric Delay Estimation with GNSS PPP in Mountainous Areas.

Sensors (Basel, Switzerland)

View Source →
PubMed • 2020

Five-year results from the Study of Thoracic Aortic Type B Dissection Using Endoluminal Repair (STABLE I) study of endovascular treatment of complicated type B aortic dissection using a composite device design.

Journal of vascular surgery

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2020

Physician-Modified Endograft With Double Inner Branches for Urgent Repair of Supraceliac Para-Anastomotic Pseudoaneurysm.

Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2019

Device profile of the Zenith Dissection Endovascular System for aortic dissection.

Expert review of medical devices

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2016

Thoracic endovascular aortic repair for complicated chronic type B aortic dissection in a patient on hemodialysis with recurrent ischemic colitis.

Surgical case reports

Case Series View Source →
PubMed • 2015

Surgeon custom-made iliac branch device to salvage hypogastric artery during endovascular aneurysm repair.

Journal of Korean medical science

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2014

Experience of the Zenith Dissection Endovascular System in the emergency setting of malperfusion in acute type B dissections.

Journal of vascular surgery

RCT|prospective|retrospective|case Series|other View Source →

Frequently Asked Questions

What is the Zenith Cox Flexion Chiropractic Table used for?

It is used for spinal adjustments and manipulations, particularly in treating lower back pain and spinal disorders.

What specialties typically use this device?

Chiropractors primarily use this device in clinical settings to perform spinal manipulations.

What are the FDA-cleared indications?

The table is indicated for use in patients requiring spinal manipulation and adjustment, such as those with lumbar disc herniation and lower back pain.

Disclaimer: This page compiles publicly available regulatory and published clinical evidence for educational reference. It does not constitute medical advice, product endorsement, or a recommendation for clinical use. Always consult manufacturer documentation and clinical judgment for patient care decisions.

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