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 ?
510(k)
Number ?
K905685 ↗
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.
FDA-Cleared Indications
- Support for chiropractic spinal adjustment and manipulation procedures.
- Controlled flexion and lateral movement of the spine during manual treatment.
Clinical Applications
- Positioning patients for spinal manipulation in a chiropractic practice.
- Supporting flexion-distraction chiropractic techniques.
- Providing controlled spinal flexion during manual adjustment procedures.
- Providing controlled lateral spinal movement during chiropractic treatment.
Practical Considerations
- The chiropractor should select the table position and movement settings based on the patient's size, condition, treatment plan and tolerance.
- Proper patient positioning and secure handling are important during adjustment and manipulation procedures.
- The table is a mechanical treatment platform, not an implant or imaging device; it does not itself diagnose or treat a spinal disorder.
- MRI compatibility is generally not established for a mechanical chiropractic table unless the manufacturer specifically identifies the model as suitable for use in or near an MRI environment.
- Contraindications and precautions for spinal manipulation should be assessed separately, including suspected fracture, instability, infection, malignancy or serious neurologic compromise.
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.