[[SEXTANT]]® system was succeeded by the second-generation 


[[PathFinder]]® ([[Abbott]] Spine, Austin, TX, USA), [[VIPER]]® ([[DePuy Synthes]] Spine, Raynham, MA, USA), [[MANTIS]]® ([[Stryker]] Kalamazoo, MI, USA) [[SpiRIT]]® (Synthes, Solothum, Switzerland), and [[Ballista]]® ([[Biomet Spine]], Broomfield, CO, USA) in 2009; and [[ILLICO]] SE® ([[Alphatec Spine]], Carlsbad, CA, USA) in 2011

Typical third-generation systems include [[ES2]]® (Stryker)

[[VIPER 2]] X-tab® (DePuy Synthes Spine)

CD Horizon Solera Voyager spinal system® (Medtronic) 

[[PRECEPT]]® (NuVasive, San Diego, CA, USA) 

[[RELINE]]® (NuVasive) 

Associa Harp®/Associa Zique® (KYOCERA, Kyoto, Japan) 

[[CREO]]® ([[Globus Medical]], Audubon, PA, USA) 

Saccura® (Teijin Nakashima Medical, Tokyo, Japan) 

IBIS®/Pisces® (Japan Medical Dynamic Marketing, Tokyo, Japan)

Furthermore, fourth-generation PPS systems that do not require the use of conventional guidewires were introduced from 2019 onwards, including [[VIPER PRIME]]TM System® (DePuy Synthes Spine) 

Voyager ATMAS® (Medtronic). To date, approximately 30 types of systems have been made available since 2022 when including product revisions