510(k) Report

510(k) · Cleared

Cleared

Reliance Lumbar IBF System

K181118510(k) TraditionalCleared Jan 9, 2019257-day reviewClass II21 CFR 888.3080

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

Reliance Medical Systems · OVD Intervertebral Fusion Device With Integrated Fixation, Lumbar

Cleared on Jan 9, 2019 as substantially equivalent to K113540 (Reliance Medical Systems, LLC, 2012) and 6 other predicates after a 257-day review. Its family tree reaches back 15 generations to 1984.

Decided
Jan 9, 2019
Review
257 days
Class
Class II
Product code
OVD
Recalls
None
Predicates
7

Its longest line of descent runs back 15 generations to K841189 (1984). 121 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by generation 1 generation back: 6 other ancestors2 generations back: 17 other ancestors3 generations back: 26 other ancestors4 generations back: 16 other ancestors5 generations back: 20 other ancestors6 generations back: 12 other ancestors7 generations back: 7 other ancestors8 generations back: 2 other ancestors K131276 · Lateral Synfix · Synthes (USA) Products, LLC · 2014K121982 · Sovereign Spinal System · Medtronic Sofamor Danek · 2012K113642 · Perimeter Interbody Fusion Device · Medtronic Sofamor Danek USA · 2012K111525 · Perimeter Interbody Fusion Device · Medtronic Sofamor Danek · 2011K090353 · Perimeter Interbody Fusion Device · Medtronic Sofamor Danek · 2009K073291 · Capstone Spinal System · Medtronic Sofamor Danek USA, Inc. · 2008K072120 · Paramount Intervertebral Body Fusion Device · Innovative Spinal Technologies, Inc. · 2007K062759 · Paramount VBR System · Innovative Spinal Technologies, Inc. · 2007K042930 · Spacevision Cage System · Spine Vision, Inc. · 2004K041888 · Curved Peek Tetris Spinal Implant · Signus Medizintechnik GmbH · 2004K031757 · Peek Tetris Spinal Implant · Signus Medical, LLC · 2003K022793 · Tetris Spinal Implant · Signus Medical, LLC · 2003K003043 · Surgical Titanium Mesh System · Depuyacromed · 2001K990148 · Stackable Cage System · Depuy Motech Acromed · 1999K841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 1984−15−10−50
  1. Root · 15 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 11 generations between
  3. 3 generations backK113642 Perimeter Interbody Fusion DeviceMedtronic Sofamor Danek USA · 2012
  4. 2 generations backK121982 Sovereign Spinal SystemMedtronic Sofamor Danek · 2012
  5. 1 generation backK131276 Lateral SynfixSynthes (USA) Products, LLC · 2014
  6. This deviceK181118 Reliance Lumbar IBF SystemReliance Medical Systems · 2019
Show all 15 generations
  1. Root · 15 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 14 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 13 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 12 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 11 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 10 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 9 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 8 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 7 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 6 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 5 generations backK090353 Perimeter Interbody Fusion DeviceMedtronic Sofamor Danek · 2009
  12. 4 generations backK111525 Perimeter Interbody Fusion DeviceMedtronic Sofamor Danek · 2011
  13. 3 generations backK113642 Perimeter Interbody Fusion DeviceMedtronic Sofamor Danek USA · 2012
  14. 2 generations backK121982 Sovereign Spinal SystemMedtronic Sofamor Danek · 2012
  15. 1 generation backK131276 Lateral SynfixSynthes (USA) Products, LLC · 2014
  16. This deviceK181118 Reliance Lumbar IBF SystemReliance Medical Systems · 2019
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−15K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−14K990148Stackable Cage SystemDepuy Motech Acromed1999—
−13K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−12K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−11K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−10K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−9K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−8K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−7K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−6K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−5K090353Perimeter Interbody Fusion DeviceMedtronic Sofamor Danek2009—
−4K111525Perimeter Interbody Fusion DeviceMedtronic Sofamor Danek2011—
−3K113642Perimeter Interbody Fusion DeviceMedtronic Sofamor Danek USA2012—
−2K121982Sovereign Spinal SystemMedtronic Sofamor Danek2012—
−1K131276Lateral SynfixSynthes (USA) Products, LLC2014—
0 (this device)K181118Reliance Lumbar IBF SystemReliance Medical Systems2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199620
199920
200010
2001100
200280
2003120
2004130
200580
200610
200780
2008160
200980
201030
201160
201240
201330
201610
FIG. 1 — Lineage of K181118, 1984–2019Source: 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 OVD? 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 OVD device

  1. #1 K222009 aprevo® anterior lumbar interbody fusion…score 26.0 · 23 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin 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.

TypeNumberDeviceApplicantDecidedRecalls
*K113540Reliance Lumbar Ibf System
Summary page 4
…OVD, MAX Substantial Equivalence The Reliance Lumbar IBF is substantially equivalent to the legally marketed primary predicate Reliance Lumbar IBF (K113540, K160463) and to the secondary predicate devices Globus Intercontinental Plate-Spacer (K103382), Globus Independence Spacer (K120…
Reliance Medical Systems, LLC2012—
*K160463Reliance Lumbar IBF System
Summary page 4
…OVD, MAX Substantial Equivalence The Reliance Lumbar IBF is substantially equivalent to the legally marketed primary predicate Reliance Lumbar IBF (K113540, K160463) and to the secondary predicate devices Globus Intercontinental Plate-Spacer (K103382), Globus Independence Spacer (K120101), K2M…
Reliance Medical Systems, LLC2016—
*K103382Intercontinental Plate-Spacer
Summary page 4
…equivalent to the legally marketed primary predicate Reliance Lumbar IBF (K113540, K160463) and to the secondary predicate devices Globus Intercontinental Plate-Spacer (K103382), Globus Independence Spacer (K120101), K2M Chesapeake System (120031), Lanx Fusion System (K131547) and Synthes SynFix (K131276)…
Globus Medical, Inc.2011—
*K120101Independence Spacer
Summary page 4
…imary predicate Reliance Lumbar IBF (K113540, K160463) and to the secondary predicate devices Globus Intercontinental Plate-Spacer (K103382), Globus Independence Spacer (K120101), K2M Chesapeake System (120031), Lanx Fusion System (K131547) and Synthes SynFix (K131276). The Reliance Lumbar IBF is equivalen…
Globus Medical, Inc.2012—
*K120031Chesapeake Spinal System
Summary page 4
…BF (K113540, K160463) and to the secondary predicate devices Globus Intercontinental Plate-Spacer (K103382), Globus Independence Spacer (K120101), K2M Chesapeake System (120031), Lanx Fusion System (K131547) and Synthes SynFix (K131276). The Reliance Lumbar IBF is equivalent to these commercially availabl…
K2m, Inc.2012—
*K131547Lanx Fusion System
Summary page 4
…the secondary predicate devices Globus Intercontinental Plate-Spacer (K103382), Globus Independence Spacer (K120101), K2M Chesapeake System (120031), Lanx Fusion System (K131547) and Synthes SynFix (K131276). The Reliance Lumbar IBF is equivalent to these commercially available devices in terms of material…
Lanx, Inc.20131
*K131276Lateral Synfix
Summary page 4
…es Globus Intercontinental Plate-Spacer (K103382), Globus Independence Spacer (K120101), K2M Chesapeake System (120031), Lanx Fusion System (K131547) and Synthes SynFix (K131276). The Reliance Lumbar IBF is equivalent to these commercially available devices in terms of material, intended use, levels of att…
Synthes (USA) Products, LLC2014—

Also cleared against K113540: 3 other devices →

What descends from it?

No later submission names this one as a predicate yet.

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 35 years and passes through 12 companies; a new generation was cleared every 1.4 years on median.
  • 15 of the 121 ancestors have a recall of any class.
  • 3 other devices also cite its predicate K113540.

How does its category compare?

All OVD devices

OVD Intervertebral Fusion Device With Integrated Fixation, Lumbar: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · OVD

10in 2025

2007: 22008: 82009: 32010: 82011: 92012: 102013: 112014: 142015: 122016: 132017: 122018: 142019: 122020: 142021: 72022: 142023: 122024: 122025: 102026 (partial year): 8
2007high 14 (2014) · low 2 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OVD

100in 2025

2008: 84 days median2009: 152 days median2010: 117 days median2011: 167 days median2012: 78 days median2013: 137 days median2014: 139 days median2015: 166 days median2016: 127 days median2017: 127 days median2018: 126 days median2019: 91 days median2020: 91 days median2021: 108 days median2022: 133 days median2023: 92 days median2024: 110 days median2025: 100 days median2026 (partial year): 93 days median
2007high 167 (2011) · low 78 (2012)2026

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

Recalls per year · OVD

1in 2025

2013: 42016: 12021: 12022: 12025: 12026 (partial year): 1
2007high 4 (2013) · low 0 (2007)2026

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

Adverse event reports per year · OVD

50in 2025

2009: 22010: 22011: 62012: 162013: 172014: 352015: 432016: 552017: 722018: 1122019: 1712020: 2032021: 2212022: 742023: 672024: 922025: 50
2007high 221 (2021) · low 0 (2007)2025

MAUDE reports naming product code OVD, 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—00
200888400
2009315202
2010811702
2011916706
20121078016
201311137417
201414139035
201512166043
201613127155
201712127072
2018141260112
201912910171
202014910203
202171081221
202214133174
20231292067
202412110092
202510100150
20268931—

What is it indicated for?

The Reliance LXPEDU IBF System is indicated for intervertebral body fusion of the spine in skeletally mature patients. The device systems are designed for use with autogenous bone graft to facilitate fusion. One device may be used per intervertebral space. The implants are intended to be used with legally cleared supplemental spinal fixation cleared for the implanted level. Additional supplemental fixation is not necessary for the Lumbar IBF-S if the…

Read the full statement (159 words)

The Reliance LXPEDU IBF System is indicated for intervertebral body fusion of the spine in skeletally mature patients. The device systems are designed for use with autogenous bone graft to facilitate fusion. One device may be used per intervertebral space. The implants are intended to be used with legally cleared supplemental spinal fixation cleared for the implanted level. Additional supplemental fixation is not necessary for the Lumbar IBF-S if the integrated screws are implanted.

The Reliance LXPEDU IBF System, when used as an Intervertebral Body Fusion device is also intended for use at either one level or two contiguous levels in the lumbar spine, from L2 to S1, for the treatment of degenerative disc disease (DDD) with up to Grade 1 spondylolisthesis. DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. The lumbar device is to be used in patients who have had six months of non-operative treatment.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K181118: Reliance Lumbar IBF System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K181118

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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