510(k) Report

510(k) · Cleared

Cleared

Reform Pedicle Screw System

K121172510(k) SpecialCleared Aug 8, 2012113-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

Spinal USA · MNI Orthosis, Spinal Pedicle Fixation

Cleared on Aug 8, 2012 as substantially equivalent to K071438 (Spinal USA, 2007) and 5 other predicates after a 113-day review. Its family tree reaches back 13 generations to 1985. 33 later devices descend from it.

Decided
Aug 8, 2012
Review
113 days
Class
Class II
Product code
MNI
Recalls
None
Predicates
7

Its longest line of descent runs back 13 generations to K853033 (1985). 96 ancestors in all, the oldest K841189 (1984). 33 later devices descend from it, 5 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2009: 2 other ancestors2008: 2 other ancestors2007: 4 other ancestors2006: 2 other ancestors2010: 1 other ancestor2004: 13 other ancestors2003: 6 other ancestors2001: 10 other ancestors1999: 8 other ancestors1998: 7 other ancestors2005: 7 other ancestors2002: 6 other ancestors2000: 9 other ancestors1995: 2 other ancestors1996: 2 other ancestors1993: 1 other ancestor1984: 1 other ancestor2013: 2 descendants cleared2015: 2 descendants cleared2014: 1 descendant cleared2017: 2 descendants cleared2020: 3 descendants cleared2024: 4 descendants cleared2018: 1 descendant cleared2022: 3 descendants cleared2023: 5 descendants cleared2021: 2 descendants cleared2026: 5 descendants cleared2025: 3 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. · 2004×3: 3 generations cleared close together, K062174 (2006), K063156 (2006), K063741 (2007) K080313 · Modification to Expedium Spine System · Depuy Spine, Inc. · 2008K111571 · Viper Systems · Johnson & Johnson · 201119801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 5 other ancestors2 generations back: 8 other ancestors3 generations back: 13 other ancestors4 generations back: 19 other ancestors5 generations back: 26 other ancestors6 generations back: 10 other ancestors7 generations back: 2 other ancestors 1 generation forward: 5 descendants2 generations forward: 5 descendants3 generations forward: 10 descendants4 generations forward: 9 descendants5 generations forward: 2 descendants6 generations forward: 1 descendant7 generations forward: 1 descendant K111571 · Viper Systems · Johnson & Johnson · 2011K080313 · Modification to Expedium Spine System · Depuy Spine, Inc. · 2008K063741 · Expedium Spine System · Depuy Spine, Inc. · 2007K063156 · Modification to Expedium Spine System · Depuy Spine, Inc. · 2006K062174 · Modification to Expedium Spine System · Depuy Spine, Inc. · 2006K041203 · Summit Oct Spinal System · Depuy Spine, Inc. · 2004K030103 · Summit Oct Spinal System Minipolyaxial Screws · Depuyacromed · 2003K022190 · Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2002K013222 · Summit Occipito-Cervico- Thoracic (Oct) Spinal System · Depuyacromed · 2001K002733 · Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2000K982322 · Synthes Spine Occipital-Cervical Plate/Rod and Hook System · Synthes (Usa) · 1998K965221 · Ransford Cervical Fixation System · Surgicraft, Ltd. · 1997K853033 · Hartshill Rect & Wires, Spinal Fixation System · A.W. Showell (Surgicraft), Ltd. · 1985−10−50+5
  1. Root · 13 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 9 generations between
  3. 3 generations backK063741 Expedium Spine SystemDepuy Spine, Inc. · 2007
  4. 2 generations backK080313 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2008
  5. 1 generation backK111571 Viper SystemsJohnson & Johnson · 2011
  6. This deviceK121172 Reform Pedicle Screw SystemSpinal USA · 2012
  7. Descendant · cites it directly · 31 of its ownK131343 Reform Pedicle Screw SystemSpinal USA · 2013
  8. Descendant · cites it directly · 31 of its ownK130279 Reform Pedicle Screw SystemSpinal USA · 2013
  9. Descendant · cites it directly · 30 of its ownK143248 Reform Pedicle Screw SystemPrecision Spine, Inc. · 2014
  10. Descendant · cites it directly · 26 of its ownK150856 Reform Pedicle Screw SystemPrecision Spine, Inc. · 2015
  11. Descendant · 2 generations on · 21 of its ownK173130 Reform® Midline Cortical Screw SystemPrecision Spine, Inc. · 2017
Show all 13 generations
  1. Root · 13 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 12 generations backK965221 Ransford Cervical Fixation SystemSurgicraft, Ltd. · 1997
  3. 11 generations backK982322 Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa) · 1998
  4. 10 generations backK002733 Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2000
  5. 9 generations backK013222 Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed · 2001
  6. 8 generations backK022190 Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2002
  7. 7 generations backK030103 Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed · 2003
  8. 6 generations backK041203 Summit Oct Spinal SystemDepuy Spine, Inc. · 2004
  9. 5 generations backK062174 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2006
  10. 4 generations backK063156 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2006
  11. 3 generations backK063741 Expedium Spine SystemDepuy Spine, Inc. · 2007
  12. 2 generations backK080313 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2008
  13. 1 generation backK111571 Viper SystemsJohnson & Johnson · 2011
  14. This deviceK121172 Reform Pedicle Screw SystemSpinal USA · 2012

Showing 5 of 33 descendants. See all descendants

Descendants cleared per year

2013: 22014: 12015: 22017: 22018: 12020: 32021: 22022: 32023: 52024: 42025: 32026: 5
2013high 5 (2023) · low 0 (2016)2026

Most influential descendants

Showing 5 of 33 · See all
  • K131343Reform Pedicle Screw SystemSpinal USA · 2013 · cites it directly31descendants
  • K130279Reform Pedicle Screw SystemSpinal USA · 2013 · cites it directly31descendants
  • K143248Reform Pedicle Screw SystemPrecision Spine, Inc. · 2014 · cites it directly30descendants
  • K150856Reform Pedicle Screw SystemPrecision Spine, Inc. · 2015 · cites it directly26descendants
  • K173130Reform® Midline Cortical Screw SystemPrecision Spine, Inc. · 2017 · 2 generations on21descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K853033Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd.1985—
−12K965221Ransford Cervical Fixation SystemSurgicraft, Ltd.1997—
−11K982322Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa)1998—
−10K002733Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2000—
−9K013222Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed2001—
−8K022190Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2002—
−7K030103Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed2003—
−6K041203Summit Oct Spinal SystemDepuy Spine, Inc.2004—
−5K062174Modification to Expedium Spine SystemDepuy Spine, Inc.2006—
−4K063156Modification to Expedium Spine SystemDepuy Spine, Inc.2006—
−3K063741Expedium Spine SystemDepuy Spine, Inc.2007—
−2K080313Modification to Expedium Spine SystemDepuy Spine, Inc.2008—
−1K111571Viper SystemsJohnson & Johnson2011—
0 (this device)K121172Reform Pedicle Screw SystemSpinal USA2012—
+1K131343Reform Pedicle Screw SystemSpinal USA2013—
+1K130279Reform Pedicle Screw SystemSpinal USA2013—
+1K143248Reform Pedicle Screw SystemPrecision Spine, Inc.2014—
+1K150856Reform Pedicle Screw SystemPrecision Spine, Inc.2015—
+2K173130Reform® Midline Cortical Screw SystemPrecision Spine, Inc.2017—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198410
199310
199520
199620
199870
199980
200090
2001100
200260
200360
2004130
200570
200620
200740
200820
200920
201010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201320
201410
201520
201720
201810
202030
202120
202230
202350
202440
202530
202650
FIG. 1 — Lineage of K121172, 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.

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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? (7)

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; numbers the summary cites that cannot be its predicate are marked – and kept off the family tree.

TypeNumberDeviceApplicantDecidedRecalls
*K071438PSS System
Summary page 1
…MNH CFR section: 21 CFR section 888.3070 Device panel: Orthopedic PSS System (K071438 / K073240 / K0900331K092 128) Legally Marketed Viper Spine System (K061520 / K1 11571) Predicate De…
Spinal USA2007—
*K073240PSS System
Summary page 1
…MNH CFR section: 21 CFR section 888.3070 Device panel: Orthopedic PSS System (K071438 / K073240 / K0900331K092 128) Legally Marketed Viper Spine System (K061520 / K1 11571) Predicate Device: S-LO…
Spinal USA2008—
*K090033Modification to: PSS System
Summary page 1
…CFR section: 21 CFR section 888.3070 Device panel: Orthopedic PSS System (K071438 / K073240 / K0900331K092 128) Legally Marketed Viper Spine System (K061520 / K1 11571) Predicate Device: S-LOK (K09~2,2…
Spinal USA2009—
*K092128Modification to: PSS System
Summary page 1
…CFR section: 21 CFR section 888.3070 Device panel: Orthopedic PSS System (K071438 / K073240 / K0900331K092 128) Legally Marketed Viper Spine System (K061520 / K1 11571) Predicate Device: S-LOK (K09~2,28)…
Spinal USA2009—
*K061520Viper Spine System
Summary page 1
…Device panel: Orthopedic PSS System (K071438 / K073240 / K0900331K092 128) Legally Marketed Viper Spine System (K061520 / K1 11571) Predicate Device: S-LOK (K09~2,28) Submitter: Spinal USA…
Depuy Spine, Inc.2006—
*K111571Viper Systems
Summary page 1
…Device panel: Orthopedic PSS System (K071438 / K073240 / K0900331K092 128) Legally Marketed Viper Spine System (K061520 / K1 11571) Predicate Device: S-LOK (K09~2,28) Submitter: Spinal USA…
Johnson & Johnson2011—
Kept off the family treeK090228FDA’s K090228 is Roc Lumbar Plating System
Not matched in our reading of the summary (scans can blur digits), so it is kept off the family tree
Alphatec Spine, Inc.2009—

Also cleared against K071438: 9 other devices →

What descends from it? (33)

See all 33

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

NumberDeviceApplicantDecidedDescendants
K131343Reform Pedicle Screw SystemSpinal USA201331
K130279Reform Pedicle Screw SystemSpinal USA201331
K143248Reform Pedicle Screw SystemPrecision Spine, Inc.201430
K150856Reform Pedicle Screw SystemPrecision Spine, Inc.201526
K151422Reform Pedicle Screw SystemPrecision Spine, Inc.201519

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 27 years and passes through 7 companies; a new generation was cleared every 1.3 years on median.
  • 7 of the 96 ancestors have a recall of any class.
  • Of its descendants, K131343 (Spinal USA, 2013) has gone furthest, with 31 descendants of its own.
  • 9 other devices also cite its predicate K071438.

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 ReForm Pedicle Screw 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 thoracic, lumbar, and sacral spine: degenerative spondylolisthesis with objective evidence of neurological impairment, fracture, dislocation, scoliosis, kyphosis, spinal tumor, and failed previous fusion…

Read the full statement (150 words)

The ReForm Pedicle Screw 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 thoracic, lumbar, and sacral spine: degenerative spondylolisthesis with objective evidence of neurological impairment, fracture, dislocation, scoliosis, kyphosis, spinal tumor, and failed previous fusion (pseudarthrosis).

The ReForm Pedicle Screw System is also intended for non-cervical pedicle screw fixation for the following indications: severe spondylolisthesis (grades 3 and 4 of the L5-S1 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 attainment of a solid fusion. It is also intended for the following indications: trauma (i.e. fracture or dislocation); spinal stenosis; curvatures (i.e. scoliosis, kyphosis; and/or lordosis) spinal tumor; pseudoarthrosis; and failed previous fusion.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K121172: Reform Pedicle Screw System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K121172

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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