510(k) Report

510(k) · Cleared

Cleared

Medline UNITE REFLEX Dynamic Discs

K211612510(k) TraditionalCleared Dec 10, 2021198-day reviewClass II21 CFR 888.3030

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

Medline Industries, Inc. · HTN Washer, Bolt Nut

Cleared on Dec 10, 2021 as substantially equivalent to K130319 (Medline Industries, Inc., 2013) after a 198-day review. Its family tree reaches back 2 generations to 2008. 1 later device descends from it.

Decided
Dec 10, 2021
Review
198 days
Class
Class II
Product code
HTN
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to K082320 (2008). 1 later device descends from it, 1 citing it directly.

Descendants, by generation 1 generation forward: 1 descendant K130319 · Medline Cannulated Screw · Medline Industries, Inc. · 2013K082320 · Darco Small Screw · Wrightmedicaltechnologyinc · 20080
  1. Root · 2 generations backK082320 Darco Small ScrewWrightmedicaltechnologyinc · 2008
  2. 1 generation backK130319 Medline Cannulated ScrewMedline Industries, Inc. · 2013
  3. This deviceK211612 Medline UNITE REFLEX Dynamic DiscsMedline Industries, Inc. · 2021
  4. Descendant · cites it directly · 0 of its ownK243888 Medline UNITE® REFLEX® Hybrid Nitinol Implant SystemMedline Industries, LP · 2025

Most influential descendants

Showing 1 of 1 · See all
  • K243888Medline UNITE® REFLEX® Hybrid Nitinol Implant SystemMedline Industries, LP · 2025 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K082320Darco Small ScrewWrightmedicaltechnologyinc2008—
−1K130319Medline Cannulated ScrewMedline Industries, Inc.2013—
0 (this device)K211612Medline UNITE REFLEX Dynamic DiscsMedline Industries, Inc.2021—
+1K243888Medline UNITE® REFLEX® Hybrid Nitinol Implant SystemMedline Industries, LP2025—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202510
FIG. 1 — Lineage of K211612, 2008–2025Source: 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.

Planning a device in HTN? 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 HTN device

  1. #1 K201522 Arthrex Syndesmosis TightRope XP Buttress…score 16.5 · 6 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
*K130319Medline Cannulated Screw
Summary page 4
…Nut Product Code: HTN Classification Panel: Orthopedic Regulatory Class: Class II Regulation Number: 21 CFR 888.3030 Primary Predicate Device Medline Cannulated Screws K130319 Reference Device Medline UNITE® REFLEX™ Nitinol Staple System K210482 K21…
Medline Industries, Inc.2013—
†K210482Medline UNITE REFLEX Nitinol Staple SystemMedline Industries, Inc.2021—

Also cleared against K130319: 8 other devices →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K243888Medline UNITE® REFLEX® Hybrid Nitinol Implant SystemMedline Industries, LP20250

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 13 years and passes through 2 companies; a new generation was cleared every 8.5 years on median.
  • None of the 2 ancestors has a recall.
  • Of its descendants, K243888 (Medline Industries, LP, 2025) has gone furthest, with 0 descendants of its own.
  • 8 other devices also cite its predicate K130319.

How does its category compare?

All HTN devices

HTN Washer, Bolt Nut: FDA decisions, review times, recalls and adverse event reports over 20 years. 2021, this device’s year, is highlighted.

FDA decisions per year · HTN

4in 2025

2007: 12008: 22009: 32011: 42013: 32014: 82015: 22016: 12017: 62018: 22019: 52020: 32021: 22022: 52023: 22024: 62025: 42026 (partial year): 2
2007high 8 (2014) · low 0 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HTN

75in 2025

2009: 86 days median2011: 130 days median2013: 105 days median2014: 98 days median2017: 88 days median2019: 116 days median2020: 87 days median2022: 86 days median2024: 90 days median2025: 75 days median
2007high 130 (2011) · low 75 (2025)2026

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

Recalls per year · HTN

1in 2019

2013: 12019: 1
2007high 1 (2013) · low 0 (2007)2026

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

Adverse event reports per year · HTN

190in 2025

2007: 142008: 112009: 222010: 172011: 122012: 692013: 452014: 332015: 352016: 432017: 302018: 482019: 532020: 812021: 1492022: 852023: 1082024: 2692025: 190
2007high 269 (2024) · low 11 (2008)2025

MAUDE reports naming product code HTN, 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
20071—014
20082—011
2009386022
20100—017
20114130012
20120—069
20133105145
2014898033
20152—035
20161—043
2017688030
20182—048
20195116153
2020387081
20212—0149
2022586085
20232—0108
20246900269
20254750190
20262—0—

What is it indicated for?

The Medline UNITE® REFLEX™ Dynamic Discs are indicated for use in bone reconstruction, osteotomies, arthrodesis, joint fusion, fracture repair, and fracture fixation of bones appropriate for the size of the device. Discs are intended for single use only.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K211612: Medline UNITE REFLEX Dynamic Discs.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K211612

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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