510(k) Report

510(k) · Cleared

Cleared

Rexious Spinal Fixation System

K111362510(k) SpecialCleared Jul 21, 201166-day reviewClass II21 CFR 888.3070

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

Dio Medical Co., Ltd. · MNH Orthosis, Spondylolisthesis Spinal Fixation

Cleared on Jul 21, 2011 as substantially equivalent to K100765 (Dio Medical Co., Ltd., 2010) after a 66-day review. Its family tree reaches back 5 generations to 2000. 11 later devices descend from it.

Decided
Jul 21, 2011
Review
66 days
Class
Class II
Product code
MNH
Recalls
None
Predicates
1

Its longest line of descent runs back 5 generations to K000319 (2000). 10 ancestors in all. 11 later devices descend from it, 7 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2006: 1 other ancestor2000: 4 other ancestors2017: 1 descendant cleared2020: 1 descendant cleared2022: 2 descendants cleared2013: 2 descendants cleared2021: 1 descendant cleared2014: 1 descendant cleared2018: 1 descendant cleared2026: 1 descendant cleared2023: 1 descendant clearedK000319 · Ebi Xfix DFS System · Ebi, L.P. · 2000K020279 · Forex Corporation, Optima, Spinal System · Forex Corp. · 2002 · recalledK031585 · U&I, Optima, Spinal System · U&I Corp., America · 2003 · recalledK053573 · GSS Pedicle Screw System · GS Medical Co., Ltd. · 2006K100765 · Fixpine II System · Dio Medical Co., Ltd. · 2010200020052010201520202025
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor3 generations back: 1 other ancestor4 generations back: 3 other ancestors 1 generation forward: 7 descendants2 generations forward: 4 descendants K100765 · Fixpine II System · Dio Medical Co., Ltd. · 2010K053573 · GSS Pedicle Screw System · GS Medical Co., Ltd. · 2006K031585 · U&I, Optima, Spinal System · U&I Corp., America · 2003 · recalledK020279 · Forex Corporation, Optima, Spinal System · Forex Corp. · 2002 · recalledK000319 · Ebi Xfix DFS System · Ebi, L.P. · 2000−50
  1. Root · 5 generations backK000319 Ebi Xfix DFS SystemEbi, L.P. · 2000
  2. 4 generations backK020279 Forex Corporation, Optima, Spinal SystemForex Corp. · 2002 · Recalled
  3. 3 generations backK031585 U&I, Optima, Spinal SystemU&I Corp., America · 2003 · Recalled
  4. 2 generations backK053573 GSS Pedicle Screw SystemGS Medical Co., Ltd. · 2006
  5. 1 generation backK100765 Fixpine II SystemDio Medical Co., Ltd. · 2010
  6. This deviceK111362 Rexious Spinal Fixation SystemDio Medical Co., Ltd. · 2011
  7. Descendant · cites it directly · 5 of its ownK173131 Rexious Spinal Fixation SystemHuvexel Co., Ltd. · 2017
  8. Descendant · cites it directly · 2 of its ownK132365 Spondylolisthesis Spinal Fixation, Spinal Pedicle FixationAccel Spine · 2013 · Recalled
  9. Descendant · cites it directly · 1 of its ownK222415 Rexious Spinal Fixation SystemDio Medical Corporation · 2022
  10. Descendant · cites it directly · 1 of its ownK210420 Goblin and Goblin LS Pedicle Screw SystemsMedynus, Inc. · 2021
  11. Descendant · 2 generations on · 1 of its ownK140219 Picasso II Mis Spinal SystemAccel Spine · 2014

Showing 5 of 11 descendants. See all descendants

Descendants cleared per year

2013: 22014: 12017: 12018: 12020: 12021: 12022: 22023: 12026: 1
2013high 2 (2013) · low 0 (2015)2026

Most influential descendants

Showing 5 of 11 · See all
  • K173131Rexious Spinal Fixation SystemHuvexel Co., Ltd. · 2017 · cites it directly5descendants
  • K132365Spondylolisthesis Spinal Fixation, Spinal Pedicle FixationAccel Spine · 2013 · cites it directly2descendants
  • K222415Rexious Spinal Fixation SystemDio Medical Corporation · 2022 · cites it directly1descendant
  • K210420Goblin and Goblin LS Pedicle Screw SystemsMedynus, Inc. · 2021 · cites it directly1descendant
  • K140219Picasso II Mis Spinal SystemAccel Spine · 2014 · 2 generations on1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K000319Ebi Xfix DFS SystemEbi, L.P.2000—
−4K020279Forex Corporation, Optima, Spinal SystemForex Corp.20024
−3K031585U&I, Optima, Spinal SystemU&I Corp., America20035
−2K053573GSS Pedicle Screw SystemGS Medical Co., Ltd.2006—
−1K100765Fixpine II SystemDio Medical Co., Ltd.2010—
0 (this device)K111362Rexious Spinal Fixation SystemDio Medical Co., Ltd.2011—
+1K173131Rexious Spinal Fixation SystemHuvexel Co., Ltd.2017—
+1K132365Spondylolisthesis Spinal Fixation, Spinal Pedicle FixationAccel Spine20132
+1K222415Rexious Spinal Fixation SystemDio Medical Corporation2022—
+1K210420Goblin and Goblin LS Pedicle Screw SystemsMedynus, Inc.2021—
+2K140219Picasso II Mis Spinal SystemAccel Spine2014—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200040
200610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201320
201410
201710
201810
202010
202110
202220
202310
202610
FIG. 1 — Lineage of K111362, 2000–2026Source: 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.

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  • 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? (1)

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
*K100765Fixpine II System
Summary page 2
…fore no additional testing was performed. Predicate Devices: The subject device is substantially equivalent to the following predicate devices: * Fixpine 11 System (K 100765) Comparison to Predicate Devices: The comparisons have established that the subject of Rexious Spinal Fixation System is substa…
Dio Medical Co., Ltd.2010—

Also cleared against K100765: 6 other devices →

What descends from it? (11)

See all 11

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

NumberDeviceApplicantDecidedDescendants
K173131Rexious Spinal Fixation SystemHuvexel Co., Ltd.20175
K132365Spondylolisthesis Spinal Fixation, Spinal Pedicle FixationAccel Spine20132
K222415Rexious Spinal Fixation SystemDio Medical Corporation20221
K210420Goblin and Goblin LS Pedicle Screw SystemsMedynus, Inc.20211
K220285PINE Pedicle Screw SystemTdm Co., Ltd.20220
K191655MEGAFIX® Pedicle Screw Spinal SystemSeohancare Co., Ltd.20200
K131522Core Pedicle Screw SystemCore-Nexus20130

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 11 years and passes through 5 companies; a new generation was cleared every 2.3 years on median.
  • 2 of the 10 ancestors have a recall of any class.
  • Of its descendants, K173131 (Huvexel Co., Ltd., 2017) has gone furthest, with 5 descendants of its own.
  • 6 other devices also cite its predicate K100765.

How does its category compare?

All MNH devices

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

FDA decisions per year · MNH

8in 2016

2007: 52008: 132009: 132010: 102011: 172012: 72013: 102014: 122015: 102016: 8
2007high 17 (2011) · low 0 (2017)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MNH

93in 2016

2007: 123 days median2008: 65 days median2009: 151 days median2010: 106 days median2011: 171 days median2012: 93 days median2013: 124 days median2014: 140 days median2015: 99 days median2016: 93 days median
2007high 171 (2011) · low 65 (2008)2026

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

Recalls per year · MNH

1in 2016

2009: 72012: 12013: 12016: 1
2007high 7 (2009) · low 0 (2007)2026

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

Adverse event reports per year · MNH

89in 2025

2007: 182008: 302009: 452010: 592011: 1072012: 4332013: 4642014: 2862015: 1522016: 2162017: 1742018: 1292019: 4032020: 4322021: 5312022: 2652023: 1212024: 3022025: 89
2007high 531 (2021) · low 18 (2007)2025

MAUDE reports naming product code MNH, 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
20075123018
20081365030
200913151745
201010106059
2011171710107
20127931433
2013101241464
2014121400286
201510990152
20168931216
20170—0174
20180—0129
20190—0403
20200—0432
20210—0531
20220—0265
20230—0121
20240—0302
20250—089
20260—0—

What is it indicated for?

The Rexious Spinal Fixation System is a posterior pedicle screw system indicated for the treatment of severe Spondylolisthesis (Grade 3 and 4) of the L5-S I 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 afttainment of a solid fusion. In addition, the Rexious Spinal Fixation System is intended to provide…

Read the full statement (125 words)

The Rexious Spinal Fixation System is a posterior pedicle screw system indicated for the treatment of severe Spondylolisthesis (Grade 3 and 4) of the L5-S I 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 afttainment of a solid fusion.

In addition, the Rexious Spinal Fixation System is 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).

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K111362: Rexious Spinal Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K111362

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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