510(k) Report

510(k) · Cleared

Cleared

Capsure (R) PS System

K120646510(k) TraditionalCleared Jun 7, 201297-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 Jun 7, 2012 as substantially equivalent to K070245 (Spine Wave, Inc., 2007) and 7 other predicates after a 97-day review. Its family tree reaches back 10 generations to 1995. 1 of the 83 devices in its family, counting itself, has a Class I recall.

Decided
Jun 7, 2012
Review
97 days
Class
Class II
Product code
MNI
Recalls
None
Predicates
8

Its longest line of descent runs back 10 generations to K951116 (1995). 82 ancestors in all, the oldest K926453 (1993). No later device cites it as a predicate yet. 1 of the 83 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2011: 2 other ancestors2009: 3 other ancestors2010: 3 other ancestors, 1 with a Class I recall12008: 2 other ancestors2007: 4 other ancestors2006: 5 other ancestors2005: 8 other ancestors2004: 6 other ancestors2003: 7 other ancestors2001: 5 other ancestors2000: 4 other ancestors1995: 3 other ancestors2002: 3 other ancestors1999: 4 other ancestors1998: 4 other ancestors1997: 4 other ancestors1996: 3 other ancestors1994: 1 other ancestor1993: 1 other ancestorK951116 · 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. · 2010K111913 · Capsure (R) PS System · Spine Wave, Inc. · 201119901995200020052010
  1. Root · 10 generations backK951116 Acromed Pedicle ScrewAcromed Corp. · 1995
  2. 6 generations between
  3. 3 generations backK083743 Capsure PS SystemSpine Wave, Inc. · 2009
  4. 2 generations backK100122 Modification to Capsure PS SystemSpine Wave, Inc. · 2010
  5. 1 generation backK111913 Capsure (R) PS SystemSpine Wave, Inc. · 2011
  6. This deviceK120646 Capsure (R) PS SystemSpine Wave, Inc. · 2012
Show all 10 generations
  1. Root · 10 generations backK951116 Acromed Pedicle ScrewAcromed Corp. · 1995
  2. 9 generations backK963639 Acromed Pedicle ScrewAcromed Corp. · 1996
  3. 8 generations backK982511 Depuy Motech Moss Miami Spinal SystemsDepuy, Inc. · 1998
  4. 7 generations backK030383 Modification to Moss Miami Spinal System Polyaxial ScrewsDepuyacromed · 2003
  5. 6 generations backK070245 Capsure Pedicle Screw SystemSpine Wave, Inc. · 2007
  6. 5 generations backK081228 Capsure PS (R) Spine SystemSpine Wave, Inc. · 2008
  7. 4 generations backK083353 Capsure (R) PS SystemSpine Wave, Inc. · 2008
  8. 3 generations backK083743 Capsure PS SystemSpine Wave, Inc. · 2009
  9. 2 generations backK100122 Modification to Capsure PS SystemSpine Wave, Inc. · 2010
  10. 1 generation backK111913 Capsure (R) PS SystemSpine Wave, Inc. · 2011
  11. This deviceK120646 Capsure (R) PS SystemSpine Wave, Inc. · 2012

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K951116Acromed Pedicle ScrewAcromed Corp.1995—
−9K963639Acromed Pedicle ScrewAcromed Corp.1996—
−8K982511Depuy Motech Moss Miami Spinal SystemsDepuy, Inc.1998—
−7K030383Modification to Moss Miami Spinal System Polyaxial ScrewsDepuyacromed2003—
−6K070245Capsure Pedicle Screw SystemSpine Wave, Inc.2007—
−5K081228Capsure PS (R) Spine SystemSpine Wave, Inc.2008—
−4K083353Capsure (R) PS SystemSpine Wave, Inc.2008—
−3K083743Capsure PS SystemSpine Wave, Inc.2009—
−2K100122Modification to Capsure PS SystemSpine Wave, Inc.2010—
−1K111913Capsure (R) PS SystemSpine Wave, Inc.2011—
0 (this device)K120646Capsure (R) PS SystemSpine Wave, Inc.2012—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199310
199410
199530
199630
199740
199840
199940
200040
200150
200230
200370
200460
200580
200650
200740
200820
200930
201031
201120
FIG. 1 — Lineage of K120646, 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.

1 device in this family has a Class I recall. 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
Get a 510(k) Report

What was it cleared against? (8)

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
*K070245Capsure Pedicle Screw System
Summary page 1
…following predicates: Predicate Device Manufacturer 510(k) No. CapSure® PS System Spine Wave, Inc. K070245, K081228, K083353, K083743,…
Spine Wave, Inc.2007—
*K081228Capsure PS (R) Spine System
Summary page 1
…lowing predicates: Predicate Device Manufacturer 510(k) No. CapSure® PS System Spine Wave, Inc. K070245, K081228, K083353, K083743,…
Spine Wave, Inc.2008—
*K083353Capsure (R) PS System
Summary page 1
…510(k) No. CapSure® PS System Spine Wave, Inc. K070245, K081228, K083353, K083743, K100122, and KI 11913 XIA® 3 System…
Spine Wave, Inc.2008—
*K083743Capsure PS System
Summary page 1
…510(k) No. CapSure® PS System Spine Wave, Inc. K070245, K081228, K083353, K083743, K100122, and KI 11913 XIA® 3 System Stryke…
Spine Wave, Inc.2009—
*K100122Modification to Capsure PS System
Summary page 1
…K070245, K081228, K083353, K083743, K100122, and KI 11913 XIA® 3 System Stryker Spine K083393 USS System Synthes…
Spine Wave, Inc.2010—
*K111913Capsure (R) PS SystemSpine Wave, Inc.2011—
*K083393Xia 3 Spinal System
Summary page 1
…K083353, K083743, K100122, and KI 11913 XIA® 3 System Stryker Spine K083393 USS System Synthes K111358 5. Device Description The CapSure®@…
Stryker Spine20091
*K111358Synthes Uss
Summary page 1
…K100122, and KI 11913 XIA® 3 System Stryker Spine K083393 USS System Synthes K111358 5. Device Description The CapSure®@ PS System consists of a selection of non-sterile, single use, titanium al…
Synthes Spine2011—

Also cleared against K070245: 2 other devices →

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (1 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K100952Modification to Synthes Matrix SystemSynthes Spine · 2010 · 2 generations back · ◆ in the 2010 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 17 years and passes through 4 companies; a new generation was cleared every 1.3 years on median.
  • 12 of the 82 ancestors have a recall of any class; 1 has a Class I recall.
  • 2 other devices also cite its predicate K070245.

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. 2012, 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?

The CapSure® PS System is a non-cervical spinal fixation system intended for posterior pedicle screw fixation (T1-S2/ilium) 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…

Read the full statement (114 words)

The CapSure® PS System is a non-cervical spinal fixation system intended for posterior pedicle screw fixation (T1-S2/ilium) 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-S2/ilium), 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. “K120646: 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/K120646

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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