510(k) Report

510(k) · Cleared

Cleared

RESPONSE™ Rib and Pelvic System

K233105510(k) TraditionalCleared Jan 20, 2024115-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

OrthoPediatrics Corp. · MDI Prosthesis, Rib Replacement

Cleared on Jan 20, 2024 as substantially equivalent to K142587 (Depuy Synthes Spine, Inc., 2014) and 1 other predicate after a 115-day review. Its family tree reaches back 7 generations to 2002.

Decided
Jan 20, 2024
Review
115 days
Class
Class II
Product code
MDI
Recalls
None
Predicates
2

Its longest line of descent runs back 7 generations to K013962 (2002). 13 ancestors in all, the oldest K922504 (1993). No later device cites it as a predicate yet.

  1. Root · 7 generations backK013962 Equation Fixation SystemMedtronic Sofamor Danek, Inc. · 2002
  2. 6 generations backK042453 Modification to Equation Fixation SystemMedtronic Sofamor Danek, Inc. · 2004
  3. 5 generations backK042962 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  4. 4 generations backK121764 CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2012
  5. 3 generations backK133904 CD Horizon Spinal System Growth Rod SetMedtronic Sofamor Danek USA · 2014
  6. 2 generations backK141509 Isola and Expedium Growing Spine SystemsMedos Sarl · 2014
  7. 1 generation backK142587 Vertical Expandable Prosthetic Titanium RibDepuy Synthes Spine, Inc. · 2014 · Recalled
  8. This deviceK233105 RESPONSE™ Rib and Pelvic SystemOrthoPediatrics Corp. · 2024
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K013962Equation Fixation SystemMedtronic Sofamor Danek, Inc.2002—
−6K042453Modification to Equation Fixation SystemMedtronic Sofamor Danek, Inc.2004—
−5K042962Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
−4K121764CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.2012—
−3K133904CD Horizon Spinal System Growth Rod SetMedtronic Sofamor Danek USA2014—
−2K141509Isola and Expedium Growing Spine SystemsMedos Sarl2014—
−1K142587Vertical Expandable Prosthetic Titanium RibDepuy Synthes Spine, Inc.20141
0 (this device)K233105RESPONSE™ Rib and Pelvic SystemOrthoPediatrics Corp.2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199310
199610
199810
199910
201210
201810
FIG. 1 — Lineage of K233105, 2002–2024Source: 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 MDI? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin the report
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What was it cleared against? (2)

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
*K142587Vertical Expandable Prosthetic Titanium Rib
Summary page 4
…evice Substantial equivalence is claimed to the following predicate device: Primary Predicate Device: • Vertical Expandable Prosthetic Titanium Rib (K142587*, Depuy Synthes Spine, Inc.) *The HDE H030009 is superseded by the 510(k) K142587 Additional Predicate Device:…
Depuy Synthes Spine, Inc.20141
*K180227Polaris Spinal Growth System
Summary page 4
…uy Synthes Spine, Inc.) *The HDE H030009 is superseded by the 510(k) K142587 Additional Predicate Device: • Polaris Spinal Growth System (K180227, Zimmer Biomet Spine, Inc.) OrthoPediatrics, Corp. K233105…
Zimmer Biomet Spine, Inc.2018—

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 22 years and passes through 6 companies; a new generation was cleared every 1.5 years on median.
  • 2 of the 13 ancestors have a recall of any class.

How does its category compare?

All MDI devices

MDI Prosthesis, Rib Replacement: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, this device’s year, is highlighted.

FDA decisions per year · MDI

1in 2024

2014: 12024: 1
2007high 1 (2014) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MDI

Too few MDI 510(k)s in any year since 2007 to give a median.

Recalls per year · MDI

No recall names MDI since 2007.

Adverse event reports per year · MDI

1in 2025

2007: 22008: 162009: 292010: 142011: 382012: 1572013: 782014: 1092015: 1742016: 312017: 642018: 372019: 1362020: 42021: 942022: 272023: 42024: 202025: 1
2007high 174 (2015) · low 1 (2025)2025

MAUDE reports naming product code MDI, 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—02
20080—016
20090—029
20100—014
20110—038
20120—0157
20130—078
20141—0109
20150—0174
20160—031
20170—064
20180—037
20190—0136
20200—04
20210—094
20220—027
20230—04
20241—020
20250—01
20260—0—

What is it indicated for?

The RESPONSE™ Rib and Pelvic System is indicated for skeletally immature patients with severe, progressive spinal deformities such as congenital scoliosis, neuromuscular scoliosis, idiopathic scoliosis, syndromic scoliosis and/or three-dimensional deformity of the thorax associated with or at risk of Thoracic Insufficiency Syndrome (TIS).

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K233105: RESPONSE™ Rib and Pelvic System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K233105

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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