510(k) · Cleared
ClearedModification to Capsure PS System
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Spine Wave, Inc. · MNH Orthosis, Spondylolisthesis Spinal Fixation
Cleared on Feb 12, 2010 as substantially equivalent to K083743 (Spine Wave, Inc., 2009) and 1 other predicate after a 28-day review. Its family tree reaches back 8 generations to 1995. 2 later devices descend from it.
- Decided
- Feb 12, 2010
- Review
- 28 days
- Class
- Class II
- Product code
- MNH
- Recalls
- None
- Predicates
- 2
Its longest line of descent runs back 8 generations to K951116 (1995). 28 ancestors in all, the oldest K933881 (1994). 2 later devices descend from it, 2 citing it directly.
- Root · 8 generations backK951116 Acromed Pedicle ScrewAcromed Corp. · 1995
- 7 generations backK963639 Acromed Pedicle ScrewAcromed Corp. · 1996
- 6 generations backK982511 Depuy Motech Moss Miami Spinal SystemsDepuy, Inc. · 1998
- 5 generations backK030383 Modification to Moss Miami Spinal System Polyaxial ScrewsDepuyacromed · 2003
- 4 generations backK070245 Capsure Pedicle Screw SystemSpine Wave, Inc. · 2007
- 3 generations backK081228 Capsure PS (R) Spine SystemSpine Wave, Inc. · 2008
- 2 generations backK083353 Capsure (R) PS SystemSpine Wave, Inc. · 2008
- 1 generation backK083743 Capsure PS SystemSpine Wave, Inc. · 2009
- This deviceK100122 Modification to Capsure PS SystemSpine Wave, Inc. · 2010
- Descendant · cites it directly · 1 of its ownK111913 Capsure (R) PS SystemSpine Wave, Inc. · 2011
- Descendant · cites it directly · 0 of its ownK120646 Capsure (R) PS SystemSpine Wave, Inc. · 2012
Most influential descendants
Showing 2 of 2 · See allView FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −8 | K951116 | Acromed Pedicle Screw | Acromed Corp. | 1995 | — |
| −7 | K963639 | Acromed Pedicle Screw | Acromed Corp. | 1996 | — |
| −6 | K982511 | Depuy Motech Moss Miami Spinal Systems | Depuy, Inc. | 1998 | — |
| −5 | K030383 | Modification to Moss Miami Spinal System Polyaxial Screws | Depuyacromed | 2003 | — |
| −4 | K070245 | Capsure Pedicle Screw System | Spine Wave, Inc. | 2007 | — |
| −3 | K081228 | Capsure PS (R) Spine System | Spine Wave, Inc. | 2008 | — |
| −2 | K083353 | Capsure (R) PS System | Spine Wave, Inc. | 2008 | — |
| −1 | K083743 | Capsure PS System | Spine Wave, Inc. | 2009 | — |
| 0 (this device) | K100122 | Modification to Capsure PS System | Spine Wave, Inc. | 2010 | — |
| +1 | K111913 | Capsure (R) PS System | Spine Wave, Inc. | 2011 | — |
| +1 | K120646 | Capsure (R) PS System | Spine Wave, Inc. | 2012 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1994 | 1 | 0 |
| 1995 | 2 | 0 |
| 1996 | 3 | 0 |
| 1997 | 1 | 0 |
| 1998 | 4 | 0 |
| 1999 | 2 | 0 |
| 2001 | 1 | 0 |
| 2002 | 1 | 0 |
| 2004 | 1 | 0 |
| 2005 | 2 | 0 |
| 2006 | 1 | 0 |
| 2007 | 1 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2011 | 1 | 0 |
| 2012 | 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 MNH? 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? (2)
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 |
|---|---|---|---|
| * | K083743 | Capsure PS SystemSummary page 2…vices: Predicate Device Manufacturer 510(kNo Cap~~urco PS System Spine Wave, Inc. K083 743, Cap~ure® PS Syste Spine Wave, Inc.K083353 In addition, mechanical testing demonstrated that t… | 2009 |
| * | K083353 | Capsure (R) PS SystemSummary page 2…510(kNo Cap~~urco PS System Spine Wave, Inc. K083 743, Cap~ure® PS Syste Spine Wave, Inc.K083353 In addition, mechanical testing demonstrated that the CapSure® PS System is equivalent to the predicate CapSure® PS S… | 2008 |
What descends from it? (2)
2 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 15 years and passes through 4 companies; a new generation was cleared every 1.3 years on median.
- 3 of the 28 ancestors have a recall of any class.
- Of its descendants, K111913 (Spine Wave, Inc., 2011) has gone furthest, with 1 descendant of its own.
- 2 other devices also cite its predicate K083743.
How does its category compare?
All MNH devicesMNH Orthosis, Spondylolisthesis Spinal Fixation: FDA decisions, review times, recalls and adverse event reports over 20 years. 2010, this device’s year, is highlighted.
FDA decisions per year · MNH
8in 2016
2026 to Oct 25, outlined.
Median 510(k) review, days · MNH
93in 2016
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · MNH
1in 2016
Class I (0 since 2007) Class II/III not classified
Adverse event reports per year · MNH
89in 2025
MAUDE reports naming product code MNH, 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 | 5 | 123 | 0 | 18 |
| 2008 | 13 | 65 | 0 | 30 |
| 2009 | 13 | 151 | 7 | 45 |
| 2010 | 10 | 106 | 0 | 59 |
| 2011 | 17 | 171 | 0 | 107 |
| 2012 | 7 | 93 | 1 | 433 |
| 2013 | 10 | 124 | 1 | 464 |
| 2014 | 12 | 140 | 0 | 286 |
| 2015 | 10 | 99 | 0 | 152 |
| 2016 | 8 | 93 | 1 | 216 |
| 2017 | 0 | — | 0 | 174 |
| 2018 | 0 | — | 0 | 129 |
| 2019 | 0 | — | 0 | 403 |
| 2020 | 0 | — | 0 | 432 |
| 2021 | 0 | — | 0 | 531 |
| 2022 | 0 | — | 0 | 265 |
| 2023 | 0 | — | 0 | 121 |
| 2024 | 0 | — | 0 | 302 |
| 2025 | 0 | — | 0 | 89 |
| 2026 | 0 | — | 0 | — |
What is it indicated for?
When used as a pedicle screw fixation system of the noncervical spine in skeletally mature patients, the CapSure® PS System is indicated for degenerative spondylolisthesis with objective evidence of neurologic impairment, fracture, dislocation, scoliosis, kyphosis, spinal tumor, and failed previous fusion (pseudoarthrosis). The CapSure® PS System is also indicated for pedicle screw fixation in skeletally mature patients with severe spondylolisthesis…
Read the full statement (109 words)
When used as a pedicle screw fixation system of the noncervical spine in skeletally mature patients, the CapSure® PS System is indicated for degenerative spondylolisthesis with objective evidence of neurologic impairment, fracture, dislocation, scoliosis, kyphosis, spinal tumor, and failed previous fusion (pseudoarthrosis).
The CapSure® PS System is also indicated for pedicle screw fixation in skeletally mature patients with severe spondylolisthesis (Grades 3 and 4) at the L5-S1 vertebral joint, having fusions with autogenous bone graft, with the device fixed or attached to the lumbar and sacral spine (levels of pedicle screw fixation are L3-S1), and for whom the device is intended to be removed after solid fusion is attained.
Indications for use as stated in the FDA summary.
https://510kreport.com/device/K100122 · printed Nov 4, 2026
Cite this page
510(k) Report. “K100122: Modification to Capsure PS System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K100122
Report an extraction error
Are you the manufacturer?
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