510(k) · Cleared
ClearedReliance Spinal Screw System
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Reliance Medical Systems, LLC · MNI Orthosis, Spinal Pedicle Fixation
Cleared on Mar 26, 2009 as substantially equivalent to K880215 (Warsaw Orthopedic, Inc., 1988) and 24 other predicates after a 258-day review. Its family tree reaches back 10 generations to 1985. 8 later devices descend from it.
- Decided
- Mar 26, 2009
- Review
- 258 days
- Class
- Class II
- Product code
- MNI
- Recalls
- None
- Predicates
- 25
Its longest line of descent runs back 10 generations to K853033 (1985). 141 ancestors in all, the oldest K841189 (1984). 8 later devices descend from it, 6 citing it directly.
- Root · 10 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
- 6 generations between
- 3 generations backK041203 Summit Oct Spinal SystemDepuy Spine, Inc. · 2004
- 2 generations backK062174 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2006
- 1 generation backK073562 Modification to Viper Spine SystemDepuy Spine, Inc. · 2008
- This deviceK081978 Reliance Spinal Screw SystemReliance Medical Systems, LLC · 2009
- Descendant · cites it directly · 7 of its ownK101112 Reliance Spinal Screw SystemReliance Medical Systems · 2010
- Descendant · cites it directly · 5 of its ownK123521 Reliance Spinal Screw SystemReliance Medical Systems, LLC · 2013
- Descendant · cites it directly · 5 of its ownK110896 Reliance Spinal Screw SystemReliance Medical Systems, LLC · 2012
- Descendant · cites it directly · 4 of its ownK152131 Reliance Spinal Screw SystemReliance Medical Systems, LLC · 2015
- Descendant · cites it directly · 3 of its ownK162066 Reliance Spinal Screw SystemReliance Medical Systems, LLC · 2016
Show all 10 generations
- Root · 10 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
- 9 generations backK965221 Ransford Cervical Fixation SystemSurgicraft, Ltd. · 1997
- 8 generations backK982322 Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa) · 1998
- 7 generations backK002733 Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2000
- 6 generations backK013222 Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed · 2001
- 5 generations backK022190 Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2002
- 4 generations backK030103 Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed · 2003
- 3 generations backK041203 Summit Oct Spinal SystemDepuy Spine, Inc. · 2004
- 2 generations backK062174 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2006
- 1 generation backK073562 Modification to Viper Spine SystemDepuy Spine, Inc. · 2008
- This deviceK081978 Reliance Spinal Screw SystemReliance Medical Systems, LLC · 2009
Showing 5 of 8 descendants. See all descendants
Descendants cleared per year
Most influential descendants
Showing 5 of 8 · See all- K101112Reliance Spinal Screw SystemReliance Medical Systems · 2010 · cites it directly7descendants
- K123521Reliance Spinal Screw SystemReliance Medical Systems, LLC · 2013 · cites it directly5descendants
- K110896Reliance Spinal Screw SystemReliance Medical Systems, LLC · 2012 · cites it directly5descendants
- K152131Reliance Spinal Screw SystemReliance Medical Systems, LLC · 2015 · cites it directly4descendants
- K162066Reliance Spinal Screw SystemReliance Medical Systems, LLC · 2016 · cites it directly3descendants
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −10 | K853033 | Hartshill Rect & Wires, Spinal Fixation System | A.W. Showell (Surgicraft), Ltd. | 1985 | — |
| −9 | K965221 | Ransford Cervical Fixation System | Surgicraft, Ltd. | 1997 | — |
| −8 | K982322 | Synthes Spine Occipital-Cervical Plate/Rod and Hook System | Synthes (Usa) | 1998 | — |
| −7 | K002733 | Summit Occipito-Cervico-Thoracic (Oct) Spinal System | Depuyacromed | 2000 | — |
| −6 | K013222 | Summit Occipito-Cervico- Thoracic (Oct) Spinal System | Depuyacromed | 2001 | — |
| −5 | K022190 | Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal System | Depuyacromed | 2002 | — |
| −4 | K030103 | Summit Oct Spinal System Minipolyaxial Screws | Depuyacromed | 2003 | — |
| −3 | K041203 | Summit Oct Spinal System | Depuy Spine, Inc. | 2004 | — |
| −2 | K062174 | Modification to Expedium Spine System | Depuy Spine, Inc. | 2006 | — |
| −1 | K073562 | Modification to Viper Spine System | Depuy Spine, Inc. | 2008 | — |
| 0 (this device) | K081978 | Reliance Spinal Screw System | Reliance Medical Systems, LLC | 2009 | — |
| +1 | K101112 | Reliance Spinal Screw System | Reliance Medical Systems | 2010 | — |
| +1 | K123521 | Reliance Spinal Screw System | Reliance Medical Systems, LLC | 2013 | — |
| +1 | K110896 | Reliance Spinal Screw System | Reliance Medical Systems, LLC | 2012 | — |
| +1 | K152131 | Reliance Spinal Screw System | Reliance Medical Systems, LLC | 2015 | — |
| +1 | K162066 | Reliance Spinal Screw System | Reliance Medical Systems, LLC | 2016 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1984 | 1 | 0 |
| 1988 | 1 | 0 |
| 1991 | 1 | 0 |
| 1994 | 1 | 0 |
| 1995 | 6 | 0 |
| 1996 | 6 | 0 |
| 1997 | 2 | 0 |
| 1998 | 8 | 0 |
| 1999 | 9 | 0 |
| 2000 | 11 | 0 |
| 2001 | 11 | 0 |
| 2002 | 11 | 0 |
| 2003 | 8 | 0 |
| 2004 | 17 | 0 |
| 2005 | 16 | 0 |
| 2006 | 7 | 0 |
| 2007 | 10 | 0 |
| 2008 | 5 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2010 | 1 | 0 |
| 2012 | 1 | 0 |
| 2013 | 1 | 0 |
| 2015 | 1 | 0 |
| 2016 | 1 | 0 |
| 2021 | 1 | 0 |
| 2022 | 1 | 0 |
| 2023 | 1 | 0 |
Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.
Planning a device in MNI? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.
- Candidate predicates for a device like this, rankedin the report
- Recall history across each candidate’s familyin the report
What was it cleared against? (25)
Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.
| Type | Number | Device | Decided |
|---|---|---|---|
| * | K880215 | TSRH H/M Hook, Eyebolt/Lock Nut Assem., Spinal RodSummary page 1…, MNI Substantial Equivalence The Reliance Spinal Screw is substantially equivalent to the legally marketed Medtronic TSRHT Spinal System (K8802 15, K072429), Medtronic CD Horizon (K96 1633, K063670), DePuy Expediumn Spine System (KO41 119, K08 1252), DePuy Isola Spi… | 1988 |
| * | K072429 | Modification to TSRH Spinal SystemSummary page 1…Substantial Equivalence The Reliance Spinal Screw is substantially equivalent to the legally marketed Medtronic TSRHT Spinal System (K8802 15, K072429), Medtronic CD Horizon (K96 1633, K063670), DePuy Expediumn Spine System (KO41 119, K08 1252), DePuy Isola Spinal… | 2007 |
| * | K961633 | CD Horizon Spinal SystemSummary page 1…The Reliance Spinal Screw is substantially equivalent to the legally marketed Medtronic TSRHT Spinal System (K8802 15, K072429), Medtronic CD Horizon (K96 1633, K063670), DePuy Expediumn Spine System (KO41 119, K08 1252), DePuy Isola Spinal System (K905 184, K022285),… | 1996 |
| * | K063670 | Modifications to CD Horizon Spinal SystemSummary page 1…e Spinal Screw is substantially equivalent to the legally marketed Medtronic TSRHT Spinal System (K8802 15, K072429), Medtronic CD Horizon (K96 1633, K063670), DePuy Expediumn Spine System (KO41 119, K08 1252), DePuy Isola Spinal System (K905 184, K022285), DePuy Viper Spine S… | 2007 |
| * | K041119 | Expedium Spine System | 2004 |
| * | K081252 | Expedium 4.5MM Spine SystemSummary page 1…legally marketed Medtronic TSRHT Spinal System (K8802 15, K072429), Medtronic CD Horizon (K96 1633, K063670), DePuy Expediumn Spine System (KO41 119, K08 1252), DePuy Isola Spinal System (K905 184, K022285), DePuy Viper Spine System (K061520, K073562), DePuy MOSS Miam… | 2008 |
| * | K905184 | Isola (TM) Spine System Top Entry HookSummary page 1…l System (K8802 15, K072429), Medtronic CD Horizon (K96 1633, K063670), DePuy Expediumn Spine System (KO41 119, K08 1252), DePuy Isola Spinal System (K905 184, K022285), DePuy Viper Spine System (K061520, K073562), DePuy MOSS Miami Spinal System (K933881, K030383), Pioneer Surg… | 1991 |
| * | K022285 | Modification to Isola Spinal SystemSummary page 1…K8802 15, K072429), Medtronic CD Horizon (K96 1633, K063670), DePuy Expediumn Spine System (KO41 119, K08 1252), DePuy Isola Spinal System (K905 184, K022285), DePuy Viper Spine System (K061520, K073562), DePuy MOSS Miami Spinal System (K933881, K030383), Pioneer Surgical Quan… | 2002 |
| * | K061520 | Viper Spine SystemSummary page 1…izon (K96 1633, K063670), DePuy Expediumn Spine System (KO41 119, K08 1252), DePuy Isola Spinal System (K905 184, K022285), DePuy Viper Spine System (K061520, K073562), DePuy MOSS Miami Spinal System (K933881, K030383), Pioneer Surgical Quantum Spinal System (K070973… | 2006 |
| * | K073562 | Modification to Viper Spine SystemSummary page 1…1633, K063670), DePuy Expediumn Spine System (KO41 119, K08 1252), DePuy Isola Spinal System (K905 184, K022285), DePuy Viper Spine System (K061520, K073562), DePuy MOSS Miami Spinal System (K933881, K030383), Pioneer Surgical Quantum Spinal System (K070973, K0805 1… | 2008 |
| * | K933881 | Depuy Motech Moss-Miami Spinal SystemSummary page 1…tem (KO41 119, K08 1252), DePuy Isola Spinal System (K905 184, K022285), DePuy Viper Spine System (K061520, K073562), DePuy MOSS Miami Spinal System (K933881, K030383), Pioneer Surgical Quantum Spinal System (K070973, K0805 18), K2M Range Spinal System (K080792), K2M Denali… | 1994 |
| * | K030383 | Modification to Moss Miami Spinal System Polyaxial ScrewsSummary page 1…119, K08 1252), DePuy Isola Spinal System (K905 184, K022285), DePuy Viper Spine System (K061520, K073562), DePuy MOSS Miami Spinal System (K933881, K030383), Pioneer Surgical Quantum Spinal System (K070973, K0805 18), K2M Range Spinal System (K080792), K2M Denali S… | 2003 |
| * | K070973 | Quantum Spinal SystemSummary page 1…84, K022285), DePuy Viper Spine System (K061520, K073562), DePuy MOSS Miami Spinal System (K933881, K030383), Pioneer Surgical Quantum Spinal System (K070973, K0805 18), K2M Range Spinal System (K080792), K2M Denali Spinal System (K042635, K052404), K2M Mesa Spinal System (K05… | 2007 |
| * | K080518 | Pioneer Surgical Technology Quantum Spinal SystemSummary page 1…85), DePuy Viper Spine System (K061520, K073562), DePuy MOSS Miami Spinal System (K933881, K030383), Pioneer Surgical Quantum Spinal System (K070973, K0805 18), K2M Range Spinal System (K080792), K2M Denali Spinal System (K042635, K052404), K2M Mesa Spinal System (K052398), Int… | 2008 |
| * | K080792 | K2M Cocr RodSummary page 1…20, K073562), DePuy MOSS Miami Spinal System (K933881, K030383), Pioneer Surgical Quantum Spinal System (K070973, K0805 18), K2M Range Spinal System (K080792), K2M Denali Spinal System (K042635, K052404), K2M Mesa Spinal System (K052398), Inter-pore Cross Synergy Spi… | 2008 |
| * | K042635 | Denali Spine SystemSummary page 1…l System (K933881, K030383), Pioneer Surgical Quantum Spinal System (K070973, K0805 18), K2M Range Spinal System (K080792), K2M Denali Spinal System (K042635, K052404), K2M Mesa Spinal System (K052398), Inter-pore Cross Synergy Spinal System (K94063 1, K04 1449), Stryker Xia S… | 2005 |
| * | K052404 | Denali Deformity SystemSummary page 1…(K933881, K030383), Pioneer Surgical Quantum Spinal System (K070973, K0805 18), K2M Range Spinal System (K080792), K2M Denali Spinal System (K042635, K052404), K2M Mesa Spinal System (K052398), Inter-pore Cross Synergy Spinal System (K94063 1, K04 1449), Stryker Xia Spinal Sys… | 2006 |
| * | K052398 | Mesa Spinal SystemSummary page 1…al Quantum Spinal System (K070973, K0805 18), K2M Range Spinal System (K080792), K2M Denali Spinal System (K042635, K052404), K2M Mesa Spinal System (K052398), Inter-pore Cross Synergy Spinal System (K94063 1, K04 1449), Stryker Xia Spinal System (K98425 1, K080928),… | 2005 |
| * | K940631 | Cross Medical - Synergy (TM) Spine SystemSummary page 1…Range Spinal System (K080792), K2M Denali Spinal System (K042635, K052404), K2M Mesa Spinal System (K052398), Inter-pore Cross Synergy Spinal System (K94063 1, K04 1449), Stryker Xia Spinal System (K98425 1, K080928), X-Spine Capless Pedicle Screw System (K052847, K072282),… | 1995 |
| * | K041449 | Synergy Helical Flange Plug, Helical Flange Seat and Helical Flange Reduction SeatSummary page 1…al System (K080792), K2M Denali Spinal System (K042635, K052404), K2M Mesa Spinal System (K052398), Inter-pore Cross Synergy Spinal System (K94063 1, K04 1449), Stryker Xia Spinal System (K98425 1, K080928), X-Spine Capless Pedicle Screw System (K052847, K072282), Syn… | 2004 |
| * | K984251 | Xia Spine SystemSummary page 1…System (K042635, K052404), K2M Mesa Spinal System (K052398), Inter-pore Cross Synergy Spinal System (K94063 1, K04 1449), Stryker Xia Spinal System (K98425 1, K080928), X-Spine Capless Pedicle Screw System (K052847, K072282), Synthes Pangea (K052 123). The Reliance Spinal Scre… | 1999 |
| * | K080928 | Xia Spinal System, Stainless Steel Uni-Planar ScrewsSummary page 1…042635, K052404), K2M Mesa Spinal System (K052398), Inter-pore Cross Synergy Spinal System (K94063 1, K04 1449), Stryker Xia Spinal System (K98425 1, K080928), X-Spine Capless Pedicle Screw System (K052847, K072282), Synthes Pangea (K052 123). The Reliance Spinal Screw is equi… | 2008 |
| * | K052847 | Capless Pedicle Screw SystemSummary page 1…8), Inter-pore Cross Synergy Spinal System (K94063 1, K04 1449), Stryker Xia Spinal System (K98425 1, K080928), X-Spine Capless Pedicle Screw System (K052847, K072282), Synthes Pangea (K052 123). The Reliance Spinal Screw is equivalent to these commercially available… | 2005 |
| * | K072282 | Capless LI Pedicle Screw SystemSummary page 1…-pore Cross Synergy Spinal System (K94063 1, K04 1449), Stryker Xia Spinal System (K98425 1, K080928), X-Spine Capless Pedicle Screw System (K052847, K072282), Synthes Pangea (K052 123). The Reliance Spinal Screw is equivalent to these commercially available devices… | 2007 |
| * | K052123 | Synthes Pangea SystemSummary page 1…System (K94063 1, K04 1449), Stryker Xia Spinal System (K98425 1, K080928), X-Spine Capless Pedicle Screw System (K052847, K072282), Synthes Pangea (K052 123). The Reliance Spinal Screw is equivalent to these commercially available devices in terms of material, intended use, l… | 2005 |
What descends from it? (8)
6 later devices cite it directly; ranked here by how many devices descend from each in turn.
Has anything in its family been recalled? (0 Class I)
No FDA recall names this device.
No ancestor or descendant has a Class I recall.
What does this lineage say?
- The line of descent spans 24 years and passes through 6 companies; a new generation was cleared every 1.3 years on median.
- 11 of the 141 ancestors have a recall of any class.
- Of its descendants, K101112 (Reliance Medical Systems, 2010) has gone furthest, with 7 descendants of its own.
- 2 other devices also cite its predicate K880215.
How does its category compare?
All MNI devicesMNI Orthosis, Spinal Pedicle Fixation: FDA decisions, review times, recalls and adverse event reports over 20 years. 2009, this device’s year, is highlighted.
FDA decisions per year · MNI
1in 2017
2026 to Oct 25, outlined.
Median 510(k) review, days · MNI
168in 2016
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · MNI
1in 2018
Class I (0 since 2007) Class II/III not classified
Adverse event reports per year · MNI
80in 2025
MAUDE reports naming product code MNI, not matched to any one device; reports are not rates.
View these four charts as a table
| Year | Decisions | Median 510(k) review, days | Recalls (Class I) | MAUDE reports |
|---|---|---|---|---|
| 2007 | 20 | 82 | 26 | 83 |
| 2008 | 23 | 64 | 8 | 108 |
| 2009 | 18 | 86 | 3 | 138 |
| 2010 | 16 | 74 | 1 | 126 |
| 2011 | 17 | 111 | 0 | 146 |
| 2012 | 19 | 75 | 1 | 200 |
| 2013 | 14 | 77 | 4 | 824 |
| 2014 | 6 | 104 | 0 | 301 |
| 2015 | 12 | 54 | 1 | 260 |
| 2016 | 7 | 168 | 0 | 117 |
| 2017 | 1 | — | 0 | 247 |
| 2018 | 0 | — | 1 | 134 |
| 2019 | 0 | — | 0 | 188 |
| 2020 | 0 | — | 0 | 115 |
| 2021 | 0 | — | 0 | 270 |
| 2022 | 0 | — | 0 | 214 |
| 2023 | 0 | — | 0 | 122 |
| 2024 | 0 | — | 0 | 114 |
| 2025 | 0 | — | 0 | 80 |
| 2026 | 0 | — | 0 | — |
What is it indicated for?
The Reliance Spinal Screw System is a pedicle screw systems intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of the thoracic, lumbar, and sacral spine: degenerative spondylolisthesis with objective evidence of neurological impairment, fracture, dislocation, scoliosis, kyphosis, spinal tumor, and…
Read the full statement (271 words)
The Reliance Spinal Screw System is a pedicle screw systems intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of the thoracic, lumbar, and sacral spine: degenerative spondylolisthesis with objective evidence of neurological impairment, fracture, dislocation, scoliosis, kyphosis, spinal tumor, and failed previous fusion (pseudarthrosis). The Reliance Spinal Screw System is also indicated for pedicle screw fixation for the treatment of severe spondylolisthesis (Grades 3 and 4) of the L5-S 1 vertebra in skeletally mature patients receiving fusion by autogenous bone graft having implants attached to the lumbar and sacral spine (L3 to sacrum) with removal of the implants after the attainment of a solid fusion.
When used posteriorly, the Reliance Spinal Screw System is also a hook and sacral/iliac screw fixation system of the noncervical spine indicated for spondylolisthesis, trauma (fracture and/or dislocation), spinal stenosis, deformities (scoliosis, lordosis and/or kyphosis), tumor, and previous failed fusion (pseudarthrosis). Levels of fixation are for the thoracic, lumbar and sacral spine.
The Reliance Spinal Screw System when used with staples and two rods as an anterior thoracic/lumbar screw fixation system, is indicated for spondylolisthesis, trauma (fracture and/or dislocation), spinal stenosis, deformities (scoliosis, lordosis and/or kyphosis), tumor, and previous failed fusion (pseudarthrosis).
When used in a percutaneous, posterior approach With MIS Instrumentation, the Reliance Spinal Screw System components are intended for noncervical pedicle fixation and nonpedicle fixation for the following indications:spondylolisthesis; trauma (i.e., fracture or dislocation); spinal stenosis; curvatures (i.e., scoliosis, kyphosis, and/or lordosis); tumor; pseudoarthrosis; and failed previous fusion in skeletally mature patients.
Indications for use as stated in the FDA summary.
https://510kreport.com/device/K081978 · printed Nov 3, 2026
Cite this page
510(k) Report. “K081978: Reliance Spinal Screw System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K081978
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Record history
- FDA decision record loaded May 2, 2026
- Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
- Lineage and recalls computed Nov 3, 2026
- Page last updated Nov 3, 2026