510(k) Report

510(k) · Cleared

Cleared

Salvo™ Spine System

K191045510(k) TraditionalCleared Jul 10, 201982-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. · NKB Thoracolumbosacral Pedicle Screw System

Cleared on Jul 10, 2019 as substantially equivalent to K182954 (Spine Wave, Inc., 2018) after an 82-day review. Its family tree reaches back 18 generations to 1985. 1 of the 225 devices in its family, counting itself, has a Class I recall. 5 later devices descend from it.

Decided
Jul 10, 2019
Review
82 days
Class
Class II
Product code
NKB
Recalls
None
Predicates
1

Its longest line of descent runs back 18 generations to K853033 (1985). 219 ancestors in all, the oldest K781443 (1978). 5 later devices descend from it, 1 citing it directly. 1 of the 225 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2017: 3 other ancestors2016: 1 other ancestor2015: 4 other ancestors2013: 1 other ancestor2012: 3 other ancestors2009: 11 other ancestors2006: 10 other ancestors2011: 4 other ancestors2010: 7 other ancestors, 1 with a Class I recall12008: 12 other ancestors2005: 22 other ancestors2004: 23 other ancestors2003: 12 other ancestors2001: 17 other ancestors2000: 11 other ancestors2007: 10 other ancestors2002: 9 other ancestors1999: 10 other ancestors1998: 10 other ancestors1997: 5 other ancestors1996: 6 other ancestors1995: 6 other ancestors1994: 1 other ancestor1993: 1 other ancestor1978: 1 other ancestor1984: 1 other ancestor2020: 1 descendant cleared2022: 1 descendant cleared2024: 1 descendant cleared2025: 1 descendant cleared2026: 1 descendant 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 · 2001×2: 2 generations cleared close together, K022190 (2002), K030103 (2003) K041203 · 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. · 2008K101070 · Expedium Spine System · Medos International SARL · 2010 · recalledK122226 · Revere Stabilization System · Globus Medical, Inc. · 2012K124058 · Creo Stabilization System · Globus Medical, Inc. · 2013K143633 · CREO Stabilization System · Globus Medical, Inc. · 2015K180210 · CREO® Stabilization System · Globus Medical, Inc. · 2018K182954 · Salvo™ Spine System · Spine Wave, Inc. · 201819801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 2 other ancestors3 generations back: 9 other ancestors4 generations back: 20 other ancestors, 1 with a Class I recall15 generations back: 39 other ancestors6 generations back: 56 other ancestors7 generations back: 38 other ancestors8 generations back: 22 other ancestors9 generations back: 9 other ancestors10 generations back: 6 other ancestors 1 generation forward: 1 descendant2 generations forward: 1 descendant3 generations forward: 1 descendant4 generations forward: 2 descendants K182954 · Salvo™ Spine System · Spine Wave, Inc. · 2018K180210 · CREO® Stabilization System · Globus Medical, Inc. · 2018K143633 · CREO Stabilization System · Globus Medical, Inc. · 2015K124058 · Creo Stabilization System · Globus Medical, Inc. · 2013K122226 · Revere Stabilization System · Globus Medical, Inc. · 2012K101070 · Expedium Spine System · Medos International SARL · 2010 · recalledK080313 · 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. · 1985−15−10−50
  1. Root · 18 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 14 generations between
  3. 3 generations backK143633 CREO Stabilization SystemGlobus Medical, Inc. · 2015
  4. 2 generations backK180210 CREO® Stabilization SystemGlobus Medical, Inc. · 2018
  5. 1 generation backK182954 Salvo™ Spine SystemSpine Wave, Inc. · 2018
  6. This deviceK191045 Salvo™ Spine SystemSpine Wave, Inc. · 2019
  7. Descendant · cites it directly · 4 of its ownK202476 Salvo® Spine SystemSpine Wave, Inc. · 2020
  8. Descendant · 2 generations on · 3 of its ownK222362 Salvo® Spine SystemSpine Wave, Inc. · 2022
  9. Descendant · 3 generations on · 2 of its ownK240685 Salvo® Spine SystemSpine Wave, Inc. · 2024
  10. Descendant · 4 generations on · 0 of its ownK260286 Dynamo™ Spinal Cement; Salvo® Spine SystemSpine Wave, Inc. · 2026
  11. Descendant · 4 generations on · 0 of its ownK251131 Annex® 2 Adjacent Level SystemSpine Wave, Inc. · 2025
Show all 18 generations
  1. Root · 18 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 17 generations backK965221 Ransford Cervical Fixation SystemSurgicraft, Ltd. · 1997
  3. 16 generations backK982322 Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa) · 1998
  4. 15 generations backK002733 Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2000
  5. 14 generations backK013222 Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed · 2001
  6. 13 generations backK022190 Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2002
  7. 12 generations backK030103 Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed · 2003
  8. 11 generations backK041203 Summit Oct Spinal SystemDepuy Spine, Inc. · 2004
  9. 10 generations backK062174 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2006
  10. 9 generations backK063156 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2006
  11. 8 generations backK063741 Expedium Spine SystemDepuy Spine, Inc. · 2007
  12. 7 generations backK080313 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2008
  13. 6 generations backK101070 Expedium Spine SystemMedos International SARL · 2010 · Recalled
  14. 5 generations backK122226 Revere Stabilization SystemGlobus Medical, Inc. · 2012
  15. 4 generations backK124058 Creo Stabilization SystemGlobus Medical, Inc. · 2013
  16. 3 generations backK143633 CREO Stabilization SystemGlobus Medical, Inc. · 2015
  17. 2 generations backK180210 CREO® Stabilization SystemGlobus Medical, Inc. · 2018
  18. 1 generation backK182954 Salvo™ Spine SystemSpine Wave, Inc. · 2018
  19. This deviceK191045 Salvo™ Spine SystemSpine Wave, Inc. · 2019

Class I recalls in this family

Most influential descendants

Showing 5 of 5 · See all
  • K202476Salvo® Spine SystemSpine Wave, Inc. · 2020 · cites it directly4descendants
  • K222362Salvo® Spine SystemSpine Wave, Inc. · 2022 · 2 generations on3descendants
  • K240685Salvo® Spine SystemSpine Wave, Inc. · 2024 · 3 generations on2descendants
  • K260286Dynamo™ Spinal Cement; Salvo® Spine SystemSpine Wave, Inc. · 2026 · 4 generations on0descendants
  • K251131Annex® 2 Adjacent Level SystemSpine Wave, Inc. · 2025 · 4 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−18K853033Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd.1985—
−17K965221Ransford Cervical Fixation SystemSurgicraft, Ltd.1997—
−16K982322Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa)1998—
−15K002733Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2000—
−14K013222Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed2001—
−13K022190Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2002—
−12K030103Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed2003—
−11K041203Summit Oct Spinal SystemDepuy Spine, Inc.2004—
−10K062174Modification to Expedium Spine SystemDepuy Spine, Inc.2006—
−9K063156Modification to Expedium Spine SystemDepuy Spine, Inc.2006—
−8K063741Expedium Spine SystemDepuy Spine, Inc.2007—
−7K080313Modification to Expedium Spine SystemDepuy Spine, Inc.2008—
−6K101070Expedium Spine SystemMedos International SARL20101
−5K122226Revere Stabilization SystemGlobus Medical, Inc.2012—
−4K124058Creo Stabilization SystemGlobus Medical, Inc.2013—
−3K143633CREO Stabilization SystemGlobus Medical, Inc.2015—
−2K180210CREO® Stabilization SystemGlobus Medical, Inc.2018—
−1K182954Salvo™ Spine SystemSpine Wave, Inc.2018—
0 (this device)K191045Salvo™ Spine SystemSpine Wave, Inc.2019—
+1K202476Salvo® Spine SystemSpine Wave, Inc.2020—
+2K222362Salvo® Spine SystemSpine Wave, Inc.2022—
+3K240685Salvo® Spine SystemSpine Wave, Inc.2024—
+4K260286Dynamo™ Spinal Cement; Salvo® Spine SystemSpine Wave, Inc.2026—
+4K251131Annex® 2 Adjacent Level SystemSpine Wave, Inc.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197810
198410
199310
199410
199560
199660
199750
1998100
1999100
2000110
2001170
200290
2003120
2004230
2005220
2006100
2007100
2008120
2009110
201071
201140
201230
201310
201540
201610
201730

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202010
202210
202410
202510
202610
FIG. 1 — Lineage of K191045, 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.

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.

Top candidate predicates for a new NKB device

  1. #1 K223494 CD Horizon Spinal Systemscore 40.4 · 30 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? (1)

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
*K182954Salvo™ Spine System
Summary page 4
…cate: Primary Predicate Device Manufacturer 510(k) No. Salvo™ Spine System Spine Wave, Inc. K182954 5. Device Description The modified Salvo™ Spine System is a thoracolumbosacral pedicle screw system designed to be…
Spine Wave, Inc.2018—

What descends from it? (5)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K202476Salvo® Spine SystemSpine Wave, Inc.20204

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 · 4 generations back · ◆ in the 2010 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 34 years and passes through 8 companies; a new generation was cleared every 1.3 years on median.
  • 20 of the 219 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K202476 (Spine Wave, Inc., 2020) has gone furthest, with 4 descendants of its own.

How does its category compare?

All NKB devices

NKB Thoracolumbosacral Pedicle Screw System: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · NKB

24in 2025

2007: 382008: 362009: 442010: 372011: 482012: 602013: 352014: 462015: 552016: 502017: 632018: 562019: 392020: 482021: 322022: 342023: 442024: 392025: 242026 (partial year): 30
2007high 63 (2017) · low 24 (2025)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NKB

61in 2025

2007: 87 days median2008: 59 days median2009: 71 days median2010: 111 days median2011: 84 days median2012: 79 days median2013: 73 days median2014: 90 days median2015: 90 days median2016: 84 days median2017: 69 days median2018: 61 days median2019: 84 days median2020: 68 days median2021: 61 days median2022: 88 days median2023: 72 days median2024: 57 days median2025: 61 days median2026 (partial year): 91 days median
2007high 111 (2010) · low 57 (2024)2026

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

Recalls per year · NKB

1in 2025

2007: 42008: 52009: 332010: 42011: 32012: 132014: 3, 1 Class I2015: 32016: 12017: 12018: 32019: 12020: 12022: 52023: 22024: 32025: 12026 (partial year): 3
2007high 33 (2009) · low 0 (2013)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · NKB

1,171in 2025

2007: 342008: 822009: 1712010: 4622011: 5772012: 1,7472013: 1,9622014: 1,6712015: 1,4462016: 1,5852017: 1,6182018: 1,6842019: 1,9152020: 2,0762021: 1,7452022: 1,3392023: 9192024: 1,6142025: 1,171
2007high 2,076 (2020) · low 34 (2007)2025

MAUDE reports naming product code NKB, 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
20073887434
20083659582
2009447133171
2010371114462
201148843577
20126079131,747
2013357301,962
201446903 (1)1,671
2015559031,446
2016508411,585
2017636911,618
2018566131,684
2019398411,915
2020486812,076
2021326101,745
2022348851,339
202344722919
2024395731,614
2025246111,171
202630913—

What is it indicated for?

The Salvo™ Spine 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: degenerative disc disease; spondylolisthesis; fracture; dislocation; scoliosis; kyphosis; spinal tumor; and failed previous fusion (pseudarthrosis).

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. “K191045: Salvo™ Spine System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K191045

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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