510(k) Report

510(k) · Cleared

Cleared

Reliance Cervical IBF System

K202266510(k) TraditionalCleared Mar 29, 2022595-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, LLC · ODP Intervertebral Fusion Device With Bone Graft, Cervical

Cleared on Mar 29, 2022 as substantially equivalent to K120396 (Reliance Medical Systems, LLC, 2012) and 5 other predicates after a 595-day review. Its family tree reaches back 21 generations to 1984. 1 of the 278 devices in its family, counting itself, has a Class I recall. 3 later devices descend from it.

Decided
Mar 29, 2022
Review
595 days
Class
Class II
Product code
ODP
Recalls
None
Predicates
6

Its longest line of descent runs back 21 generations to K841189 (1984). 274 ancestors in all, the oldest K792352 (1979). 3 later devices descend from it, 1 citing it directly. 1 of the 278 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2017: 2 other ancestors2015: 3 other ancestors2013: 7 other ancestors2012: 13 other ancestors2014: 9 other ancestors2011: 19 other ancestors2008: 38 other ancestors, 1 with a Class I recall12001: 12 other ancestors1999: 2 other ancestors2010: 14 other ancestors2009: 23 other ancestors2007: 14 other ancestors2006: 10 other ancestors2005: 17 other ancestors2004: 26 other ancestors2003: 17 other ancestors2002: 10 other ancestors1996: 6 other ancestors1997: 1 other ancestor2000: 2 other ancestors1995: 1 other ancestor1993: 1 other ancestor1990: 1 other ancestor1992: 2 other ancestors1998: 1 other ancestor1980: 1 other ancestor1979: 1 other ancestor2022: 1 descendant cleared2023: 1 descendant cleared2025: 1 descendant clearedK841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 1984K990148 · Stackable Cage System · Depuy Motech Acromed · 1999K003043 · Surgical Titanium Mesh System · Depuyacromed · 2001×2: 2 generations cleared close together, K022793 (2003), K031757 (2003) ×2: 2 generations cleared close together, K041888 (2004), K042930 (2004) K062759 · Paramount VBR System · Innovative Spinal Technologies, Inc. · 2007K072120 · Paramount Intervertebral Body Fusion Device · Innovative Spinal Technologies, Inc. · 2007K073291 · Capstone Spinal System · Medtronic Sofamor Danek USA, Inc. · 2008K094025 · Crescent Spinal System · Medtronic Sofamor Danek · 2010K110543 · Crescent (R) Spinal System Titanium · Medtronic Sofamor Danek USA, Inc. · 2011×2: 2 generations cleared close together, K121683 (2012), K123752 (2013) K132505 · Acculif TL and PL Cage · Coalign Innovations, Inc. · 2013 · recalled×3: 3 generations cleared close together, K141217 (2014), K143163 (2015), K143616 (2015) ×2: 2 generations cleared close together, K152304 (2015), K160125 (2016) K171140 · Matrixx System · Nexxt Spine, LLC · 201719801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 5 other ancestors2 generations back: 10 other ancestors3 generations back: 38 other ancestors4 generations back: 60 other ancestors5 generations back: 63 other ancestors, 1 with a Class I recall16 generations back: 38 other ancestors7 generations back: 21 other ancestors8 generations back: 14 other ancestors9 generations back: 4 other ancestors 1 generation forward: 1 descendant2 generations forward: 1 descendant3 generations forward: 1 descendant K171140 · Matrixx System · Nexxt Spine, LLC · 2017K160125 · Cascadia Interbody System · K2m · 2016K152304 · Tritanium PL Cage · Stryker · 2015 · recalledK143616 · AccuLIF TL and PL Cage · Stryker Corporation · 2015 · recalledK143163 · AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK Spacer, AVS® Navigator PEEK Spacer, AVS® ARIA PEEK Spacer, AccuLIF TL and PL Cage, AVS® Anchor-L Spacer, Aero-AL Lumbar Cage System · Stryker Corporation · 2015K141217 · Acculif TL and PL Cage · Stryker Corporation · 2014 · recalledK132505 · Acculif TL and PL Cage · Coalign Innovations, Inc. · 2013 · recalledK123752 · Acculif TL and PL Cage · Coalign Innovations, Inc. · 2013K121683 · Acculif TL Cage · Coalign Innovations, Inc. · 2012K110543 · Crescent (R) Spinal System Titanium · Medtronic Sofamor Danek USA, Inc. · 2011K094025 · Crescent Spinal System · Medtronic Sofamor Danek · 2010K073291 · 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. · 1984−20−15−10−50
  1. Root · 21 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 17 generations between
  3. 3 generations backK152304 Tritanium PL CageStryker · 2015 · Recalled
  4. 2 generations backK160125 Cascadia Interbody SystemK2m · 2016
  5. 1 generation backK171140 Matrixx SystemNexxt Spine, LLC · 2017
  6. This deviceK202266 Reliance Cervical IBF SystemReliance Medical Systems, LLC · 2022
  7. Descendant · cites it directly · 2 of its ownK221162 UniVy OsteoVy Cervical IBF SystemVy Spine, LLC · 2022
  8. Descendant · 2 generations on · 1 of its ownK223513 UniVy™ OsteoVy™-Ti Cervical IBF SystemVy Spine, LLC · 2023
  9. Descendant · 3 generations on · 0 of its ownK241783 FortiVy™ OsteoVy™ Lumbar IBFVy Spine, LLC · 2025
Show all 21 generations
  1. Root · 21 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 20 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 19 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 18 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 17 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 16 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 15 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 14 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 13 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 12 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 11 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 10 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 9 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 8 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 7 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 6 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 5 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 4 generations backK143616 AccuLIF TL and PL CageStryker Corporation · 2015 · Recalled
  19. 3 generations backK152304 Tritanium PL CageStryker · 2015 · Recalled
  20. 2 generations backK160125 Cascadia Interbody SystemK2m · 2016
  21. 1 generation backK171140 Matrixx SystemNexxt Spine, LLC · 2017
  22. This deviceK202266 Reliance Cervical IBF SystemReliance Medical Systems, LLC · 2022

Class I recalls in this family

Most influential descendants

Showing 3 of 3 · See all
  • K221162UniVy OsteoVy Cervical IBF SystemVy Spine, LLC · 2022 · cites it directly2descendants
  • K223513UniVy™ OsteoVy™-Ti Cervical IBF SystemVy Spine, LLC · 2023 · 2 generations on1descendant
  • K241783FortiVy™ OsteoVy™ Lumbar IBFVy Spine, LLC · 2025 · 3 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−21K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−20K990148Stackable Cage SystemDepuy Motech Acromed1999—
−19K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−18K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−17K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−16K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−15K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−14K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−13K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−12K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−11K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−10K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−9K121683Acculif TL CageCoalign Innovations, Inc.2012—
−8K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−7K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−6K141217Acculif TL and PL CageStryker Corporation20143
−5K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−4K143616AccuLIF TL and PL CageStryker Corporation20154
−3K152304Tritanium PL CageStryker20151
−2K160125Cascadia Interbody SystemK2m2016—
−1K171140Matrixx SystemNexxt Spine, LLC2017—
0 (this device)K202266Reliance Cervical IBF SystemReliance Medical Systems, LLC2022—
+1K221162UniVy OsteoVy Cervical IBF SystemVy Spine, LLC2022—
+2K223513UniVy™ OsteoVy™-Ti Cervical IBF SystemVy Spine, LLC2023—
+3K241783FortiVy™ OsteoVy™ Lumbar IBFVy Spine, LLC2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
199010
199220
199310
199510
199660
199710
199810
199920
200020
2001120
2002100
2003170
2004260
2005170
2006100
2007140
2008381
2009230
2010140
2011190
2012130
201370
201490
201530
201720

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202210
202310
202510
FIG. 1 — Lineage of K202266, 1984–2025Source: 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 ODP device

  1. #1 K222276 CONDUIT Cages; FIBERGRAFT BG Puttyscore 53.4 · 25 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? (6)

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
*K120396Reliance Cervical Ibf System
Summary page 4
…ubstantial Equivalence: The subject Reliance Cervical IBF System is substantially equivalent to the legally marketed predicate devices, the Reliance Cervical IBF System (K120396/K131429/K142269/K172489/ K173102, with K173102 as the primary predicate) and the Nexxt Spine Matrixx System (K171140). The subjec…
Reliance Medical Systems, LLC2012—
*K131429Reliance Cervical Ibf System
Summary page 4
…al Equivalence: The subject Reliance Cervical IBF System is substantially equivalent to the legally marketed predicate devices, the Reliance Cervical IBF System (K120396/K131429/K142269/K172489/ K173102, with K173102 as the primary predicate) and the Nexxt Spine Matrixx System (K171140). The subject Relian…
Reliance Medical Systems, LLC2013—
*K142269Reliance Cervical IBF System
Summary page 4
…alence: The subject Reliance Cervical IBF System is substantially equivalent to the legally marketed predicate devices, the Reliance Cervical IBF System (K120396/K131429/K142269/K172489/ K173102, with K173102 as the primary predicate) and the Nexxt Spine Matrixx System (K171140). The subject Reliance Cervi…
Reliance Medical Systems, LLC2015—
*K172489Reliance Cervical IBF System
Summary page 4
…The subject Reliance Cervical IBF System is substantially equivalent to the legally marketed predicate devices, the Reliance Cervical IBF System (K120396/K131429/K142269/K172489/ K173102, with K173102 as the primary predicate) and the Nexxt Spine Matrixx System (K171140). The subject Reliance Cervical IBF…
Reliance Medical Systems, LLC2017—
*K173102Reliance Cervical IBF System
Summary page 4
…ct Reliance Cervical IBF System is substantially equivalent to the legally marketed predicate devices, the Reliance Cervical IBF System (K120396/K131429/K142269/K172489/ K173102, with K173102 as the primary predicate) and the Nexxt Spine Matrixx System (K171140). The subject Reliance Cervical IBF System is…
Reliance Medical Systems, LLC2017—
*K171140Matrixx System
Summary page 4
…predicate devices, the Reliance Cervical IBF System (K120396/K131429/K142269/K172489/ K173102, with K173102 as the primary predicate) and the Nexxt Spine Matrixx System (K171140). The subject Reliance Cervical IBF System is equivalent to its commercially available predicates in terms of intended use, indic…
Nexxt Spine, LLC2017—

Also cleared against K120396: 4 other devices →

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K221162UniVy OsteoVy Cervical IBF SystemVy Spine, LLC20222

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.

  • K073202Ardis SpacerAbbott Spine, Inc. · 2008 · 5 generations back · ◆ in the 2008 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 38 years and passes through 15 companies; a new generation was cleared every 10 months on median.
  • 39 of the 274 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K221162 (Vy Spine, LLC, 2022) has gone furthest, with 2 descendants of its own.
  • 4 other devices also cite its predicate K120396.

How does its category compare?

All ODP devices

ODP Intervertebral Fusion Device With Bone Graft, Cervical: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · ODP

11in 2025

2008: 82009: 122010: 92011: 252012: 172013: 182014: 262015: 242016: 172017: 332018: 252019: 222020: 142021: 182022: 122023: 342024: 102025: 112026 (partial year): 19
2007high 34 (2023) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · ODP

87in 2025

2008: 89 days median2009: 127 days median2010: 151 days median2011: 113 days median2012: 93 days median2013: 187 days median2014: 118 days median2015: 180 days median2016: 112 days median2017: 104 days median2018: 133 days median2019: 92 days median2020: 89 days median2021: 121 days median2022: 92 days median2023: 165 days median2024: 76 days median2025: 87 days median2026 (partial year): 117 days median
2007high 187 (2013) · low 76 (2024)2026

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

Recalls per year · ODP

2in 2025

2009: 12011: 12013: 12020: 12025: 2
2007high 2 (2025) · low 0 (2007)2026

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

Adverse event reports per year · ODP

57in 2025

2008: 22009: 212010: 542011: 382012: 922013: 782014: 432015: 512016: 372017: 392018: 512019: 1412020: 862021: 1612022: 502023: 362024: 552025: 57
2007high 161 (2021) · low 0 (2007)2025

MAUDE reports naming product code ODP, 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
20070—00
200888902
200912127121
20109151054
201125113138
20121793092
201318187178
201426118043
201524180051
201617112037
201733104039
201825133051
201922920141
20201489186
2021181210161
20221292050
202334165036
20241076055
20251187257
2026191170—

What is it indicated for?

The Reliance Cervical IBF System is indicated for intervertebral body fusion of the spine in skeletally mature patients. The system devices 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. The Reliance Cervical IBF System is intended for use at one level in the…

Read the full statement (123 words)

The Reliance Cervical IBF System is indicated for intervertebral body fusion of the spine in skeletally mature patients.

The system devices 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.

The Reliance Cervical IBF System is intended for use at one level in the cervical spine, from C3 to T1, for treatment of cervical degenerative disc disease (DDD is defined as neck pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies). The Reliance Cervical IBF System is to be used in patients who have six weeks of non-operative treatment.

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. “K202266: Reliance Cervical 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/K202266

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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