510(k) Report

510(k) · Cleared

Cleared

Nuvasive NVM5 System

K112718510(k) TraditionalCleared Mar 16, 2012179-day reviewClass II21 CFR 874.1820

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

Nuvasive, Inc. · ETN Stimulator, Nerve

Cleared on Mar 16, 2012 as substantially equivalent to K962455 (Cadwell Laboratories, Inc., 1997) and 5 other predicates after a 179-day review. Its family tree reaches back 6 generations to 1984. 35 later devices descend from it.

Decided
Mar 16, 2012
Review
179 days
Class
Class II
Product code
ETN
Recalls
None
Predicates
6

Its longest line of descent runs back 6 generations to K842956 (1984). 44 ancestors in all. 35 later devices descend from it, 4 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2006: 1 other ancestor2005: 3 other ancestors2002: 3 other ancestors1997: 3 other ancestors2001: 1 other ancestor1999: 2 other ancestors1995: 4 other ancestors1993: 2 other ancestors2003: 1 other ancestor1998: 1 other ancestor1996: 3 other ancestors1994: 4 other ancestors1992: 3 other ancestors1990: 3 other ancestors1985: 1 other ancestor2000: 2 other ancestors1987: 1 other ancestor2017: 4 descendants cleared2014: 3 descendants cleared2012: 1 descendant cleared2013: 1 descendant cleared2015: 2 descendants cleared2023: 4 descendants cleared2018: 3 descendants cleared2022: 2 descendants cleared2026: 3 descendants cleared2019: 4 descendants cleared2024: 2 descendants cleared2025: 3 descendants cleared2016: 1 descendant cleared2021: 2 descendants clearedK842956 · Nicolet Viking · Nicolet Biomedical Instruments · 1984K971819 · Epoch 2000 Neurological Workstation · Axon Systems, Inc. · 1997K022785 · Epoch XP Neurological Workstation; Epoch XP Lite Neurological Workstation · Axon Systems, Inc. · 2002K032741 · Epochxp Neurological Workstation,Epochxp Lite Neurological Workstation · Axon Systems, Inc. · 2003K050798 · Eclipse Neurological Workstation · Axon Systems, Inc. · 2005K061113 · Orthomon · Axon Systems, Inc. · 200619801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 5 other ancestors2 generations back: 9 other ancestors3 generations back: 16 other ancestors4 generations back: 5 other ancestors6 generations back: 3 other ancestors 1 generation forward: 4 descendants2 generations forward: 7 descendants3 generations forward: 5 descendants4 generations forward: 5 descendants5 generations forward: 1 descendant6 generations forward: 2 descendants7 generations forward: 4 descendants8 generations forward: 3 descendants9 generations forward: 4 descendants K061113 · Orthomon · Axon Systems, Inc. · 2006K050798 · Eclipse Neurological Workstation · Axon Systems, Inc. · 2005K032741 · Epochxp Neurological Workstation,Epochxp Lite Neurological Workstation · Axon Systems, Inc. · 2003K022785 · Epoch XP Neurological Workstation; Epoch XP Lite Neurological Workstation · Axon Systems, Inc. · 2002K971819 · Epoch 2000 Neurological Workstation · Axon Systems, Inc. · 1997K842956 · Nicolet Viking · Nicolet Biomedical Instruments · 1984−50+5
  1. Root · 6 generations backK842956 Nicolet VikingNicolet Biomedical Instruments · 1984
  2. 5 generations backK971819 Epoch 2000 Neurological WorkstationAxon Systems, Inc. · 1997
  3. 4 generations backK022785 Epoch XP Neurological Workstation; Epoch XP Lite Neurological…Axon Systems, Inc. · 2002
  4. 3 generations backK032741 Epochxp Neurological Workstation,Epochxp Lite Neurological WorkstationAxon Systems, Inc. · 2003
  5. 2 generations backK050798 Eclipse Neurological WorkstationAxon Systems, Inc. · 2005
  6. 1 generation backK061113 OrthomonAxon Systems, Inc. · 2006
  7. This deviceK112718 Nuvasive NVM5 SystemNuvasive, Inc. · 2012
  8. Descendant · cites it directly · 33 of its ownK123307 Nuvasive NVM5 SystemNuvasive, Inc. · 2013
  9. Descendant · 2 generations on · 24 of its ownK132694 Nuvasive NVM5 SystemNu Vasive, Incorporated · 2014
  10. Descendant · 3 generations on · 23 of its ownK141968 Nuvasive NVM5 SystemNuvasive, Inc. · 2014
  11. Descendant · 4 generations on · 22 of its ownK143641 NuVasive NVM5 SystemNu Vasive, Incorporated · 2015 · Recalled
  12. Descendant · 5 generations on · 13 of its ownK152942 NuVasiveNVM5 SystemNu Vasive, Incorporated · 2016

Showing 5 of 35 descendants. See all descendants

Descendants cleared per year

2012: 12013: 12014: 32015: 22016: 12017: 42018: 32019: 42021: 22022: 22023: 42024: 22025: 32026: 3
2012high 4 (2017) · low 0 (2020)2026

Most influential descendants

Showing 5 of 35 · See all
  • K123307Nuvasive NVM5 SystemNuvasive, Inc. · 2013 · cites it directly33descendants
  • K132694Nuvasive NVM5 SystemNu Vasive, Incorporated · 2014 · 2 generations on24descendants
  • K141968Nuvasive NVM5 SystemNuvasive, Inc. · 2014 · 3 generations on23descendants
  • K143641NuVasive NVM5 SystemNu Vasive, Incorporated · 2015 · 4 generations on22descendants
  • K152942NuVasiveNVM5 SystemNu Vasive, Incorporated · 2016 · 5 generations on13descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K842956Nicolet VikingNicolet Biomedical Instruments1984—
−5K971819Epoch 2000 Neurological WorkstationAxon Systems, Inc.1997—
−4K022785Epoch XP Neurological Workstation; Epoch XP Lite Neurological WorkstationAxon Systems, Inc.2002—
−3K032741Epochxp Neurological Workstation,Epochxp Lite Neurological WorkstationAxon Systems, Inc.2003—
−2K050798Eclipse Neurological WorkstationAxon Systems, Inc.2005—
−1K061113OrthomonAxon Systems, Inc.2006—
0 (this device)K112718Nuvasive NVM5 SystemNuvasive, Inc.2012—
+1K123307Nuvasive NVM5 SystemNuvasive, Inc.2013—
+2K132694Nuvasive NVM5 SystemNu Vasive, Incorporated2014—
+3K141968Nuvasive NVM5 SystemNuvasive, Inc.2014—
+4K143641NuVasive NVM5 SystemNu Vasive, Incorporated20151
+5K152942NuVasiveNVM5 SystemNu Vasive, Incorporated2016—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198510
198710
199030
199230
199320
199440
199540
199630
199730
199810
199920
200020
200110
200230
200310
200530
200610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201210
201310
201430
201520
201610
201740
201830
201940
202120
202220
202340
202420
202530
202630
FIG. 1 — Lineage of K112718, 1984–2026Source: 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 ETN? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new ETN device

  1. #1 K251672 NIM Essence™ EMG Endotracheal Tube…score 12.3 · 6 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (6)

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
*K962455Four-Channel Preamplifier
Summary page 1
…one or more of the following predicate devices listed in Table 1 below. 510(k) . -Trade or proprietaryor~ model name Manufacturer K962455 Cadwell Cascade Cadwell Laboratories, Inc. K05 1357 DS7A Constant Cur…
Cadwell Laboratories, Inc.1997—
*K051357DS7A Constant Current High Voltage Stimulator, Model DS7A; DS7AH Constant Current High…
Summary page 1
…rade or proprietaryor~ model name Manufacturer K962455 Cadwell Cascade Cadwell Laboratories, Inc. K05 1357 DS7A Constant Current High Voltage Stimulator Digitimer LTD K06 1113 NIM Eclipse and probes (formerl…
Digitimer, Ltd.2005—
*K061113Orthomon
Summary page 1
…well Cascade Cadwell Laboratories, Inc. K05 1357 DS7A Constant Current High Voltage Stimulator Digitimer LTD K06 1113 NIM Eclipse and probes (formerly Axon Systems Medtronic Xomed, Inc. OrthoMon System) K…
Axon Systems, Inc.2006—
*K050438Stealthstation System Update
Summary page 1
…mulator Digitimer LTD K06 1113 NIM Eclipse and probes (formerly Axon Systems Medtronic Xomed, Inc. OrthoMon System) K050438 StealthStation® System Medtronic Inc. K061 148 Disc Electrodes…
Medtronic Surgical Navigation Technologies200511
*K061148Rhythmlink Disc Electrodes
Summary page 1
…ystems Medtronic Xomed, Inc. OrthoMon System) K050438 StealthStation® System Medtronic Inc. K061 148 Disc Electrodes R-hythmlink International, LLC K022914 Subdermal Need…
Rhythmlink International, LLC2006—
*K022914Rhythmlink International Subdermal Needle Electrodes
Summary page 1
…tation® System Medtronic Inc. K061 148 Disc Electrodes R-hythmlink International, LLC K022914 Subdermal Needle Electrodes Rhythmlink International, LLC D. Device Description N VM5®…
Rhythmlink International, LLC2002—

Also cleared against K962455: 1 other device →

What descends from it? (35)

See all 35

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

NumberDeviceApplicantDecidedDescendants
K123307Nuvasive NVM5 SystemNuvasive, Inc.201333
K140400ES2 Neuromonitoring Accessory InstrumentsStryker Corporation20149
K162199Cascade IOMAX Intraoperative MonitorCadwell Industries, Inc.20177
K112717Nuvasive Nvjjb SystemNuvasive, 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 28 years and passes through 3 companies; a new generation was cleared every 4.9 years on median.
  • 5 of the 44 ancestors have a recall of any class.
  • Of its descendants, K123307 (Nuvasive, Inc., 2013) has gone furthest, with 33 descendants of its own.
  • 1 other device also cites its predicate K962455.

How does its category compare?

All ETN devices

ETN Stimulator, Nerve: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · ETN

1in 2025

2007: 22008: 22009: 52010: 32011: 92012: 72013: 12014: 22015: 12016: 22020: 12021: 12022: 22023: 52024: 22025: 12026 (partial year): 2
2007high 9 (2011) · low 0 (2017)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · ETN

98in 2023

2009: 115 days median2010: 168 days median2011: 115 days median2012: 179 days median2023: 98 days median
2007high 179 (2012) · low 98 (2023)2026

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

Recalls per year · ETN

1in 2023

2008: 12010: 12016: 12019: 22020: 12021: 12023: 1
2007high 2 (2019) · low 0 (2007)2026

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

Adverse event reports per year · ETN

1,145in 2025

2007: 52008: 52009: 222010: 262011: 552012: 1872013: 2702014: 1372015: 2022016: 1452017: 1172018: 2502019: 3142020: 2382021: 1972022: 2472023: 3902024: 7482025: 1,145
2007high 1,145 (2025) · low 5 (2007)2025

MAUDE reports naming product code ETN, 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
20072—05
20082—15
20095115022
20103168126
20119115055
201271790187
20131—0270
20142—0137
20151—0202
20162—1145
20170—0117
20180—0250
20190—2314
20201—1238
20211—1197
20222—0247
20235981390
20242—0748
20251—01,145
20262—0—

What is it indicated for?

The NVM5® System is a medical device that is intended for intraoperative neurophysiologic monitoring during spinal surgery. The device provides information directly to the surgeon, to help assess a patient's neurophysiologic status. NVM5® provides this information by electrically stimulating nerves via electrodes located on surgical accessories and monitoring electromyography (EMG), transcranial motor evoked potential (TcMEP) or somatosensory evoked…

Read the full statement (353 words)

The NVM5® System is a medical device that is intended for intraoperative neurophysiologic monitoring during spinal surgery. The device provides information directly to the surgeon, to help assess a patient's neurophysiologic status. NVM5® provides this information by electrically stimulating nerves via electrodes located on surgical accessories and monitoring electromyography (EMG), transcranial motor evoked potential (TcMEP) or somatosensory evoked potential (SSEP) responses of nerves.

* XLIF (Detection) - The XLIF (Detection) function allows the surgeon to locate and evaluate spinal nerves, and is used as a nerve avoidance tool.

* Basic & Dynamic Screw Test - The Screw Test functions allow the surgeon to locate and evaluate spinal nerves by providing proximity information before, during or after bone preparation and placement of bone screws.

* Free Run EMG - The Free Run EMG function identifies spontaneous EMG activity of spinal nerves by continually displaying a live stream waveform of any mechanically induced myotome contractions.

* Twitch Test (Train of Four) - The Twitch Test Function allows the surgeon to assess moderate degrees of neuromuscular block in effect by evaluating muscle contraction following a train of four stimulation pulses.

* TcMEP - Transcranial stimulation techniques for motor evoked potentials are used to assess for acute dysfunction in axonal conduction of the corticospinal tract. The TcMEP function provides an adjunctive method to allow the surgeon to monitor spinal cord motor pathway integrity during procedures with a risk of surgically induced motor injury.

* SSEP - The SSEP function allows the surgeon to assess sensory spinal cord function in surgical procedures during which the spinal cord is at risk.

* Remote Reader - The Remote Reader function provides real time remote access to the NVM5 System for a monitoring physician outside of the operating room.

* The Guidance function is intended as an aid for use in either open or percutaneous pedicle cannulation procedures in the lumbar spine of adult patients, and when used in conjunction with radiographic imaging and EMG, allows the surgeon to assess the angulation of system accessories relative to patient spinal anatomy for the creation of a cannulation trajectory for bone screw placement.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K112718: Nuvasive NVM5 System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K112718

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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