510(k) Report

510(k) · Cleared

Cleared

Inertia Mis Pedicle Screw System

K132412510(k) SpecialCleared Oct 10, 201369-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

Nexxt Spine, LLC · MNI Orthosis, Spinal Pedicle Fixation

Cleared on Oct 10, 2013 as substantially equivalent to K101278 (Nexxt Spine, LLC, 2010) and 1 other predicate after a 69-day review. Its family tree reaches back 5 generations to 1990. 107 later devices descend from it.

Decided
Oct 10, 2013
Review
69 days
Class
Class II
Product code
MNI
Recalls
None
Predicates
2

Its longest line of descent runs back 5 generations to K901587 (1990). 34 ancestors in all. 107 later devices descend from it, 4 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2009: 1 other ancestor2005: 1 other ancestor2004: 1 other ancestor2003: 3 other ancestors2002: 2 other ancestors1999: 1 other ancestor2001: 1 other ancestor2000: 4 other ancestors1998: 1 other ancestor1997: 1 other ancestor1996: 1 other ancestor1995: 2 other ancestors1994: 2 other ancestors1993: 2 other ancestors1992: 5 other ancestors1990: 1 other ancestor2022: 13 descendants cleared2023: 14 descendants cleared2014: 1 descendant cleared2019: 4 descendants cleared2016: 1 descendant cleared2018: 1 descendant cleared2024: 17 descendants cleared2021: 6 descendants cleared2025: 21 descendants cleared2020: 9 descendants cleared2026: 20 descendants clearedK901587 · TSRH Sacral L-Connector · Danek Medical, Inc. · 1990K950099 · Synergy (TM) TI Posterior Spinal System · Buckman Co., Inc. · 1997×2: 2 generations cleared close together, K973836 (1998), K974749 (1998) K101278 · Inertia Pedicle Screw System · Nexxt Spine, LLC · 20101990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 7 other ancestors3 generations back: 20 other ancestors4 generations back: 1 other ancestor 1 generation forward: 4 descendants2 generations forward: 3 descendants3 generations forward: 7 descendants4 generations forward: 22 descendants5 generations forward: 28 descendants6 generations forward: 24 descendants7 generations forward: 14 descendants8 generations forward: 4 descendants9 generations forward: 1 descendant K101278 · Inertia Pedicle Screw System · Nexxt Spine, LLC · 2010K974749 · Synergy Closed Variable Locking Screw (VLS), Part of the Cross Medical-Synergy Anterior and Posterior Spinal Systems · Cross Medical Products, Inc. · 1998K973836 · Synergy 6.35MM SS Rod with Screws for Anterior Use, Part of the Cross Medical-Synergy Anterior Spinal System · Cross Medical Products, Inc. · 1998K950099 · Synergy (TM) TI Posterior Spinal System · Buckman Co., Inc. · 1997K901587 · TSRH Sacral L-Connector · Danek Medical, Inc. · 1990−50+5
  1. Root · 5 generations backK901587 TSRH Sacral L-ConnectorDanek Medical, Inc. · 1990
  2. 4 generations backK950099 Synergy (TM) TI Posterior Spinal SystemBuckman Co., Inc. · 1997
  3. 3 generations backK973836 Synergy 6.35MM SS Rod with Screws for Anterior Use, Part of the…Cross Medical Products, Inc. · 1998
  4. 2 generations backK974749 Synergy Closed Variable Locking Screw (VLS), Part of the Cross…Cross Medical Products, Inc. · 1998
  5. 1 generation backK101278 Inertia Pedicle Screw SystemNexxt Spine, LLC · 2010
  6. This deviceK132412 Inertia Mis Pedicle Screw SystemNexxt Spine, LLC · 2013
  7. Descendant · cites it directly · 106 of its ownK141376 Inertia Pedicle Screw System, Honour Spacer System, Facet Fixx…Nexxt Spine, LLC · 2014
  8. Descendant · 2 generations on · 100 of its ownK181435 ATEC Cervical Spacer SystemAlphatec Spine, Inc. · 2018
  9. Descendant · 3 generations on · 99 of its ownK183705 IdentiTi Porous Ti Interbody SystemAlphatec Spine, Inc. · 2019
  10. Descendant · 4 generations on · 78 of its ownK191311 ATEC Lateral Interbody SystemAlphatec Spine, Inc. · 2019
  11. Descendant · 5 generations on · 69 of its ownK192938 Invictus™ Spinal Fixation SystemAlphatec Spine, Inc. · 2019

Showing 5 of 107 descendants. See all descendants

Descendants cleared per year

2014: 12016: 12018: 12019: 42020: 92021: 62022: 132023: 142024: 172025: 212026: 20
2014high 21 (2025) · low 0 (2015)2026

Most influential descendants

Showing 5 of 107 · See all
  • K141376Inertia Pedicle Screw System, Honour Spacer System, Facet Fixx, Struxxure Anterior…Nexxt Spine, LLC · 2014 · cites it directly106descendants
  • K181435ATEC Cervical Spacer SystemAlphatec Spine, Inc. · 2018 · 2 generations on100descendants
  • K183705IdentiTi Porous Ti Interbody SystemAlphatec Spine, Inc. · 2019 · 3 generations on99descendants
  • K191311ATEC Lateral Interbody SystemAlphatec Spine, Inc. · 2019 · 4 generations on78descendants
  • K192938Invictus™ Spinal Fixation SystemAlphatec Spine, Inc. · 2019 · 5 generations on69descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K901587TSRH Sacral L-ConnectorDanek Medical, Inc.1990—
−4K950099Synergy (TM) TI Posterior Spinal SystemBuckman Co., Inc.1997—
−3K973836Synergy 6.35MM SS Rod with Screws for Anterior Use, Part of the Cross…Cross Medical Products, Inc.1998—
−2K974749Synergy Closed Variable Locking Screw (VLS), Part of the Cross Medical-Synergy…Cross Medical Products, Inc.1998—
−1K101278Inertia Pedicle Screw SystemNexxt Spine, LLC2010—
0 (this device)K132412Inertia Mis Pedicle Screw SystemNexxt Spine, LLC2013—
+1K141376Inertia Pedicle Screw System, Honour Spacer System, Facet Fixx, Struxxure…Nexxt Spine, LLC2014—
+2K181435ATEC Cervical Spacer SystemAlphatec Spine, Inc.2018—
+3K183705IdentiTi Porous Ti Interbody SystemAlphatec Spine, Inc.2019—
+4K191311ATEC Lateral Interbody SystemAlphatec Spine, Inc.2019—
+5K192938Invictus™ Spinal Fixation SystemAlphatec Spine, Inc.2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199010
199250
199320
199420
199520
199610
199710
199810
199910
200040
200110
200220
200330
200410
200510
200910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201410
201610
201810
201940
202090
202160
2022130
2023140
2024170
2025210
2026200
FIG. 1 — Lineage of K132412, 1990–2026Source: 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 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? (2)

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
*K101278Inertia Pedicle Screw System
Summary page 1
…iaTM MIS Pedicle Screw System. Predicate Device: The subject lnertiaTM MIS Pedicle Screw System is substantially equivalent to predicate lnertiaTM Pedicle Screw System (K101278, K090984) with respect to indications, design, function, and materials.…
Nexxt Spine, LLC2010—
*K090984Inertia Pedicle Screw System
Summary page 1
…Pedicle Screw System. Predicate Device: The subject lnertiaTM MIS Pedicle Screw System is substantially equivalent to predicate lnertiaTM Pedicle Screw System (K101278, K090984) with respect to indications, design, function, and materials.…
Nexxt Spine, LLC2009—

Also cleared against K101278: 6 other devices →

What descends from it? (107)

See all 107

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

NumberDeviceApplicantDecidedDescendants
K141376Inertia Pedicle Screw System, Honour Spacer System, Facet Fixx, Struxxure Anterior…Nexxt Spine, LLC2014106
K192121Black Diamond Pedicle Screw SystemOsseus Fusion Systems201913
K221905INERTIA CONNEXX Modular Pedicle Screw SystemNexxt Spine, LLC20221
K231799INERTIA® CONNEXX™ Modular Pedicle Screw SystemNexxt Spine, LLC20230

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 23 years and passes through 4 companies; a new generation was cleared every 2.8 years on median.
  • 4 of the 34 ancestors have a recall of any class.
  • Of its descendants, K141376 (Nexxt Spine, LLC, 2014) has gone furthest, with 106 descendants of its own.
  • 6 other devices also cite its predicate K101278.

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. 2013, 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 lnertiaTM MIS 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 the thoracic, lumbar, and sacral spine (Ti to S2): severe spondylolisthesis (grades 3 and 4) of the L-5-Sl vertebra; degenerative spondylolisthesis with objective evidence of neurologic impairment; fracture: dislocation; spinal stenosis; scoliosis; kyphosis; spinal rumor, and failed previous fusion (pseudartbrosis).

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K132412: Inertia Mis 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/K132412

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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