510(k) Report

510(k) · Cleared

Recalled · Class II · 2014

Exactech Gibralt Spinal System

K110197510(k) TraditionalCleared Jul 15, 2011172-day reviewClass II21 CFR 888.3070Recalls 1

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Exactech, Inc. · MNI Orthosis, Spinal Pedicle Fixation

Cleared on Jul 15, 2011 as substantially equivalent to K050979 (Aesculap, Inc., 2005) and 3 other predicates after a 172-day review. Its family tree reaches back 9 generations to 1985. 15 later devices descend from it. It has been recalled once.

Decided
Jul 15, 2011
Review
172 days
Class
Class II
Product code
MNI
Recalls
1
Predicates
4

Its longest line of descent runs back 9 generations to K853033 (1985). 21 ancestors in all. 15 later devices descend from it, 4 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2002: 2 other ancestors2001: 2 other ancestors1999: 4 other ancestors2004: 2 other ancestors2003: 1 other ancestor2000: 1 other ancestor2015: 2 descendants cleared2014: 2 descendants cleared2017: 2 descendants cleared2020: 4 descendants cleared2022: 1 descendant cleared2019: 1 descendant cleared2016: 1 descendant cleared2026: 2 descendants clearedK853033 · Hartshill Rect & Wires, Spinal Fixation System · A.W. Showell (Surgicraft), Ltd. · 1985K965221 · Ransford Cervical Fixation System · Surgicraft, Ltd. · 1997K982322 · Synthes Spine Occipital-Cervical Plate/Rod and Hook System · Synthes (Usa) · 1998K002733 · Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2000K013222 · Summit Occipito-Cervico- Thoracic (Oct) Spinal System · Depuyacromed · 2001K022190 · Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2002K030103 · Summit Oct Spinal System Minipolyaxial Screws · Depuyacromed · 2003K041203 · Summit Oct Spinal System · Depuy Spine, Inc. · 2004K050979 · S4 Spinal System · Aesculap, Inc. · 20051990200020102020
  1. Root · 9 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 5 generations between
  3. 3 generations backK030103 Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed · 2003
  4. 2 generations backK041203 Summit Oct Spinal SystemDepuy Spine, Inc. · 2004
  5. 1 generation backK050979 S4 Spinal SystemAesculap, Inc. · 2005
  6. This deviceK110197 Exactech Gibralt Spinal SystemExactech, Inc. · 2011
  7. Descendant · cites it directly · 8 of its ownK171369 M.U.S.T. MINI Posterior Cervical Screws SystemMedacta International S.A. · 2017
  8. Descendant · 2 generations on · 6 of its ownK200130 M.U.S.T. MINI Posterior Cervical Screws SystemMedacta International S.A. · 2020
  9. Descendant · 3 generations on · 3 of its ownK200936 Invictus™ CT Spinal Fixation SystemAlphatec Spine, Inc. · 2020
  10. Descendant · cites it directly · 3 of its ownK133374 Streamline Oct Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Rti Surgical, I · 2014
  11. Descendant · 2 generations on · 2 of its ownK150254 Streamline OCT Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) · 2015 · Recalled
Show all 9 generations
  1. Root · 9 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 8 generations backK965221 Ransford Cervical Fixation SystemSurgicraft, Ltd. · 1997
  3. 7 generations backK982322 Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa) · 1998
  4. 6 generations backK002733 Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2000
  5. 5 generations backK013222 Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed · 2001
  6. 4 generations backK022190 Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2002
  7. 3 generations backK030103 Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed · 2003
  8. 2 generations backK041203 Summit Oct Spinal SystemDepuy Spine, Inc. · 2004
  9. 1 generation backK050979 S4 Spinal SystemAesculap, Inc. · 2005
  10. This deviceK110197 Exactech Gibralt Spinal SystemExactech, Inc. · 2011

Showing 5 of 15 descendants. See all descendants

Descendants cleared per year

2014: 22015: 22016: 12017: 22019: 12020: 42022: 12026: 2
2014high 4 (2020) · low 0 (2018)2026

Most influential descendants

Showing 5 of 15 · See all
  • K171369M.U.S.T. MINI Posterior Cervical Screws SystemMedacta International S.A. · 2017 · cites it directly8descendants
  • K200130M.U.S.T. MINI Posterior Cervical Screws SystemMedacta International S.A. · 2020 · 2 generations on6descendants
  • K200936Invictus™ CT Spinal Fixation SystemAlphatec Spine, Inc. · 2020 · 3 generations on3descendants
  • K133374Streamline Oct Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Rti Surgical, I · 2014 · cites it directly3descendants
  • K150254Streamline OCT Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) · 2015 · 2 generations on2descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K853033Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd.1985—
−8K965221Ransford Cervical Fixation SystemSurgicraft, Ltd.1997—
−7K982322Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa)1998—
−6K002733Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2000—
−5K013222Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed2001—
−4K022190Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2002—
−3K030103Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed2003—
−2K041203Summit Oct Spinal SystemDepuy Spine, Inc.2004—
−1K050979S4 Spinal SystemAesculap, Inc.2005—
0 (this device)K110197Exactech Gibralt Spinal SystemExactech, Inc.2011—
+1K171369M.U.S.T. MINI Posterior Cervical Screws SystemMedacta International S.A.2017—
+2K200130M.U.S.T. MINI Posterior Cervical Screws SystemMedacta International S.A.2020—
+3K200936Invictus™ CT Spinal Fixation SystemAlphatec Spine, Inc.2020—
+1K133374Streamline Oct Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Rti Surgical, I2014—
+2K150254Streamline OCT Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.)20153

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199940
200010
200120
200220
200310
200420

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201420
201520
201610
201720
201910
202040
202210
202620
FIG. 1 — Lineage of K110197, 1985–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

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
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What was it cleared against? (4)

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.

TypeNumberDeviceApplicantDecidedRecalls
*K050979S4 Spinal System
Summary page 1
…ass 11, Product Code: KWP - appliance, fixation, spinal interlaminal Legally Marketed Devices to Which Substantial Equivalence Is Claimed * S4 Spinal System (K050979) * Vertex Reconstruction System (K003780) * CerviFix - Axon System (K9910891K023675) Device Description This submission pr…
Aesculap, Inc.2005—
*K003780Vertex Reconstruction System
Summary page 1
…e, fixation, spinal interlaminal Legally Marketed Devices to Which Substantial Equivalence Is Claimed * S4 Spinal System (K050979) * Vertex Reconstruction System (K003780) * CerviFix - Axon System (K9910891K023675) Device Description This submission proposes a new spinal fixation system. The pro…
Medtronic Sofamor Danek, Inc.2001—
*K991089Synthes Cervifix System
Summary page 1
…lly Marketed Devices to Which Substantial Equivalence Is Claimed * S4 Spinal System (K050979) * Vertex Reconstruction System (K003780) * CerviFix - Axon System (K9910891K023675) Device Description This submission proposes a new spinal fixation system. The proposed Gibralt Spinal System is a top-l…
Synthes Spine1999—
*K023675Synthes Cervifix/ Axon
Summary page 1
…eted Devices to Which Substantial Equivalence Is Claimed * S4 Spinal System (K050979) * Vertex Reconstruction System (K003780) * CerviFix - Axon System (K9910891K023675) Device Description This submission proposes a new spinal fixation system. The proposed Gibralt Spinal System is a top-loading s…
Synthes (Usa)2002—

Also cleared against K050979: 11 other devices →

What descends from it? (15)

See all 15

4 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K171369M.U.S.T. MINI Posterior Cervical Screws SystemMedacta International S.A.20178
K133374Streamline Oct Occipito-Cervico-Thoracic SystemPioneer Surgical Technology, Inc. (Rti Surgical, I20143
K140645Gibralt Rod-to-Rod Cross ConnectorsExactech Sarasota20141
K152211PCT SystemCentinel Spine, Inc.20150

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Jan 6, 2014Class IIZ-1217-2014Mixed-up of materials/componentsThe products have been identified to contain springs which have been manufactured with type-304 stainless steel rather than the specified titanium alloy.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 26 years and passes through 7 companies; a new generation was cleared every 1.3 years on median.
  • 1 of the 21 ancestors has a recall of any class.
  • Of its descendants, K171369 (Medacta International S.A., 2017) has gone furthest, with 8 descendants of its own.
  • 11 other devices also cite its predicate K050979.

How does its category compare?

All MNI devices

MNI Orthosis, Spinal Pedicle Fixation: FDA decisions, review times, recalls and adverse event reports over 20 years. 2011, this device’s year, is highlighted.

FDA decisions per year · MNI

1in 2017

2007: 202008: 232009: 182010: 162011: 172012: 192013: 142014: 62015: 122016: 72017: 1
2007high 23 (2008) · low 0 (2018)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MNI

168in 2016

2007: 82 days median2008: 64 days median2009: 86 days median2010: 74 days median2011: 111 days median2012: 75 days median2013: 77 days median2014: 104 days median2015: 54 days median2016: 168 days median
2007high 168 (2016) · low 54 (2015)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · MNI

1in 2018

2007: 262008: 82009: 32010: 12012: 12013: 42015: 12018: 1
2007high 26 (2007) · low 0 (2011)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · MNI

80in 2025

2007: 832008: 1082009: 1382010: 1262011: 1462012: 2002013: 8242014: 3012015: 2602016: 1172017: 2472018: 1342019: 1882020: 1152021: 2702022: 2142023: 1222024: 1142025: 80
2007high 824 (2013) · low 80 (2025)2025

MAUDE reports naming product code MNI, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
200720822683
200823648108
200918863138
201016741126
2011171110146
201219751200
201314774824
201461040301
201512541260
201671680117
20171—0247
20180—1134
20190—0188
20200—0115
20210—0270
20220—0214
20230—0122
20240—0114
20250—080
20260—0—

What is it indicated for?

When intended to promote fusion of the cervical spine, and the thoracic spine, (C3-T3), the Gibralt Spinal System is indicated for the following: DDD (neck pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies), spondylolisthesis, spinal stenosis, fracture, dislocation, failed previous fusion and/or tumors. The hooks and rods are also intended to provide stabilization to promote fusion following reduction…

Read the full statement (122 words)

When intended to promote fusion of the cervical spine, and the thoracic spine, (C3-T3), the Gibralt Spinal System is indicated for the following: DDD (neck pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies), spondylolisthesis, spinal stenosis, fracture, dislocation, failed previous fusion and/or tumors. The hooks and rods are also intended to provide stabilization to promote fusion following reduction of fracture/dislocation or trauma in the cervical/upper thoracic (C3-T3) spine.

The use of polyaxial screws is limited to placement in T1-T3 in treating thoracic conditions only. Polyaxial screws are not intended to be placed in the cervical spine.

This system can be used independently or in conjunction with Exactech 5.5mm or 6.0mm rod-based Thoraco-Lumbar Pedicle Screw Systems.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K110197: Exactech Gibralt Spinal System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K110197

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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