510(k) Report

510(k) · Cleared

Cleared

Calvary Spine Pedicle Screw System

K201568510(k) TraditionalCleared Nov 12, 2020154-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

Calvary Spine, LLC · NKB Thoracolumbosacral Pedicle Screw System

Cleared on Nov 12, 2020 as substantially equivalent to K101682 (Renovis Surgical Technologies, LLC, 2010) after a 154-day review. Its family tree reaches back 2 generations to 1988.

Decided
Nov 12, 2020
Review
154 days
Class
Class II
Product code
NKB
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to K884263 (1988). 6 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by generation 2 generations back: 4 other ancestors K101682 · S 100 Pedicle Screw System · Renovis Surgical Technologies, LLC · 2010K884263 · Rogozinski Spinal System · Richards Medical Co., Inc. · 19880
  1. Root · 2 generations backK884263 Rogozinski Spinal SystemRichards Medical Co., Inc. · 1988
  2. 1 generation backK101682 S 100 Pedicle Screw SystemRenovis Surgical Technologies, LLC · 2010
  3. This deviceK201568 Calvary Spine Pedicle Screw SystemCalvary Spine, LLC · 2020
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K884263Rogozinski Spinal SystemRichards Medical Co., Inc.1988—
−1K101682S 100 Pedicle Screw SystemRenovis Surgical Technologies, LLC2010—
0 (this device)K201568Calvary Spine Pedicle Screw SystemCalvary Spine, LLC2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200020
200410
200810
FIG. 1 — Lineage of K201568, 1988–2020Source: 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 NKB? 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
Get a 510(k) Report

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
*K101682S 100 Pedicle Screw System
Summary page 4
…21 CFR section 888.3070 Device Panel Orthopedic Primary Predicate S100 Pedicle Screw System, Renovis Surgical Technologies (K101682) Device EXPEDIUM®/Viper Spine System, Medos International SARL (K111136 / K131802 /…
Renovis Surgical Technologies, LLC2010—
†K111136Expedium Spine System, Viper System, Viper 2 SystemDepuy Spine, Inc.20121
†K131802Expedium, Viper. Viper 2 Spine SystemDepuy Spine, A Johnson & Johnson Company2013—
†K200245EXPEDIUM® Spine System; EXPEDIUM VERSE® Spine SystemMedos International Sàrl2020—
†K940631Cross Medical - Synergy (TM) Spine SystemCross Medical Products, Inc.1995—
†K950099Synergy (TM) TI Posterior Spinal SystemBuckman Co., Inc.1997—
†K920116PWB Lumbosacral Spine SystemCross Medical Products, Inc.1992—
†K000536Synthes Anterior CSLP SystemSynthes Spine20001
†K955348Titanium Moss Miami Spinal SystemDepuy, Inc.1996—

Also cleared against K101682: 1 other device →

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 32 years and passes through 3 companies; a new generation was cleared every 21.9 years on median.
  • 3 of the 6 ancestors have a recall of any class.
  • 1 other device also cites its predicate K101682.

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. 2020, 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 Calvary 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 (T1 to S1/ilium): degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies), degenerative…

Read the full statement (187 words)

The Calvary 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 (T1 to S1/ilium): degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies), degenerative spondylolisthesis with objective evidence of neurological impairment, fracture, dislocation, deformities or curvatures (i.e. scoliosis, kyphosis, and/or lordosis), spinal stenosis, spinal tumor, pseudarthrosis and failed previous fusion.

When used for posterior, non-cervical (T1 to S1/ilium), pedicle screw fixation in pediatric patients, the Calvary Spine Pedicle Screw System implants are indicated as an adjunct to fusion to treat progressive spinal deformities (i.e., scoliosis, kyphosis, or lordosis) including idiopathic scoliosis, neuromuscular scoliosis, and congenital scoliosis. Additionally, the Calvary Spine Pedicle Screw System is intended to treat pediatric patients diagnosed with spondylolisthesis/spondylolysis, fracture caused by tumor and/or trauma, pseudarthrosis, and/or failed previous fusion.

This system is intended to be used with autograft and/or allograft. Pediatric pedicle screw fixation is limited to a posterior approach.

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. “K201568: Calvary Spine 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/K201568

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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