510(k) Report

510(k) · Cleared

Cleared

Capsure (R) PS System

K111913510(k) SpecialCleared Aug 31, 201156-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

Spine Wave, Inc. · MNI Orthosis, Spinal Pedicle Fixation

Cleared on Aug 31, 2011 as substantially equivalent to K081228 (Spine Wave, Inc., 2008) and 4 other predicates after a 56-day review. Its family tree reaches back 9 generations to 1995. 1 later device descends from it.

Decided
Aug 31, 2011
Review
56 days
Class
Class II
Product code
MNI
Recalls
None
Predicates
5

Its longest line of descent runs back 9 generations to K951116 (1995). 36 ancestors in all, the oldest K933881 (1994). 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2010: 1 other ancestor2007: 2 other ancestors2006: 2 other ancestors2005: 2 other ancestors2003: 2 other ancestors2004: 3 other ancestors1994: 1 other ancestor2002: 1 other ancestor2001: 1 other ancestor1999: 2 other ancestors1998: 4 other ancestors1996: 3 other ancestors1997: 1 other ancestor1995: 2 other ancestors2012: 1 descendant clearedK951116 · Acromed Pedicle Screw · Acromed Corp. · 1995K963639 · Acromed Pedicle Screw · Acromed Corp. · 1996K982511 · Depuy Motech Moss Miami Spinal Systems · Depuy, Inc. · 1998K030383 · Modification to Moss Miami Spinal System Polyaxial Screws · Depuyacromed · 2003K070245 · Capsure Pedicle Screw System · Spine Wave, Inc. · 2007K081228 · Capsure PS (R) Spine System · Spine Wave, Inc. · 2008×2: 2 generations cleared close together, K083353 (2008), K083743 (2009) K100122 · Modification to Capsure PS System · Spine Wave, Inc. · 20101990200020102020
  1. Root · 9 generations backK951116 Acromed Pedicle ScrewAcromed Corp. · 1995
  2. 5 generations between
  3. 3 generations backK083353 Capsure (R) PS SystemSpine Wave, Inc. · 2008
  4. 2 generations backK083743 Capsure PS SystemSpine Wave, Inc. · 2009
  5. 1 generation backK100122 Modification to Capsure PS SystemSpine Wave, Inc. · 2010
  6. This deviceK111913 Capsure (R) PS SystemSpine Wave, Inc. · 2011
  7. Descendant · cites it directly · 0 of its ownK120646 Capsure (R) PS SystemSpine Wave, Inc. · 2012
Show all 9 generations
  1. Root · 9 generations backK951116 Acromed Pedicle ScrewAcromed Corp. · 1995
  2. 8 generations backK963639 Acromed Pedicle ScrewAcromed Corp. · 1996
  3. 7 generations backK982511 Depuy Motech Moss Miami Spinal SystemsDepuy, Inc. · 1998
  4. 6 generations backK030383 Modification to Moss Miami Spinal System Polyaxial ScrewsDepuyacromed · 2003
  5. 5 generations backK070245 Capsure Pedicle Screw SystemSpine Wave, Inc. · 2007
  6. 4 generations backK081228 Capsure PS (R) Spine SystemSpine Wave, Inc. · 2008
  7. 3 generations backK083353 Capsure (R) PS SystemSpine Wave, Inc. · 2008
  8. 2 generations backK083743 Capsure PS SystemSpine Wave, Inc. · 2009
  9. 1 generation backK100122 Modification to Capsure PS SystemSpine Wave, Inc. · 2010
  10. This deviceK111913 Capsure (R) PS SystemSpine Wave, Inc. · 2011

Most influential descendants

Showing 1 of 1 · See all
  • K120646Capsure (R) PS SystemSpine Wave, Inc. · 2012 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K951116Acromed Pedicle ScrewAcromed Corp.1995—
−8K963639Acromed Pedicle ScrewAcromed Corp.1996—
−7K982511Depuy Motech Moss Miami Spinal SystemsDepuy, Inc.1998—
−6K030383Modification to Moss Miami Spinal System Polyaxial ScrewsDepuyacromed2003—
−5K070245Capsure Pedicle Screw SystemSpine Wave, Inc.2007—
−4K081228Capsure PS (R) Spine SystemSpine Wave, Inc.2008—
−3K083353Capsure (R) PS SystemSpine Wave, Inc.2008—
−2K083743Capsure PS SystemSpine Wave, Inc.2009—
−1K100122Modification to Capsure PS SystemSpine Wave, Inc.2010—
0 (this device)K111913Capsure (R) PS SystemSpine Wave, Inc.2011—
+1K120646Capsure (R) PS SystemSpine Wave, Inc.2012—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199410
199520
199630
199710
199840
199920
200110
200210
200320
200430
200520
200620
200720
201010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201210
FIG. 1 — Lineage of K111913, 1995–2012Source: 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? (5)

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
*K081228Capsure PS (R) Spine System
Summary page 1
…edicate Device Manufacturer 510(k) No. K08 1228, K083353, CapSure® PS System…
Spine Wave, Inc.2008—
*K083353Capsure (R) PS System
Summary page 1
…K08 1228, K083353, CapSure® PS System Spine Wave, Inc. K083743, ____________…
Spine Wave, Inc.2008—
*K083743Capsure PS System
Summary page 1
…K083353, CapSure® PS System Spine Wave, Inc. K083743, ______________________________ ___________________ K 100122 Sniper" Spine System…
Spine Wave, Inc.2009—
*K100122Modification to Capsure PS System
Summary page 1
…apSure® PS System Spine Wave, Inc. K083743, ______________________________ ___________________ K 100122 Sniper" Spine System Spine Wave, Inc. K100605 5. Device Description The CapSur…
Spine Wave, Inc.2010—
*K100605Mis System
Summary page 1
…______________________________ ___________________ K 100122 Sniper" Spine System Spine Wave, Inc. K100605 5. Device Description The CapSure®D PS System consists of a selection of non-sterile, single use titanium alloy rod, scre…
Spine Wave, Inc.2010—

Also cleared against K081228: 4 other devices →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K120646Capsure (R) PS SystemSpine Wave, Inc.20120

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 16 years and passes through 4 companies; a new generation was cleared every 1.3 years on median.
  • 3 of the 36 ancestors have a recall of any class.
  • Of its descendants, K120646 (Spine Wave, Inc., 2012) has gone furthest, with 0 descendants of its own.
  • 4 other devices also cite its predicate K081228.

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 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 (110 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 LS-SI 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-S 1), and for whom the device is intended to be removed after solid fusion is attained.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K111913: Capsure (R) PS System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K111913

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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