510(k) Report

510(k) · Cleared

Cleared

Erisma® Lp Spinal Fixation System; Erisma® LP MIS

K241863510(k) SpecialCleared Jul 24, 202427-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

Clariance · NKB Thoracolumbosacral Pedicle Screw System

Cleared on Jul 24, 2024 as substantially equivalent to K240872 (Clariance, 2024) and 1 other predicate after a 27-day review. Its family tree reaches back 26 generations to 1985. 2 of the 610 devices in its family, counting itself, have a Class I recall.

Decided
Jul 24, 2024
Review
27 days
Class
Class II
Product code
NKB
Recalls
None
Predicates
2

Its longest line of descent runs back 26 generations to K853033 (1985). 609 ancestors in all, the oldest K761228 (1976). No later device cites it as a predicate yet. 2 of the 610 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year cleared 2016: 5 other ancestors2017: 7 other ancestors2012: 25 other ancestors2020: 1 other ancestor2015: 17 other ancestors2014: 11 other ancestors2013: 17 other ancestors2010: 26 other ancestors, 1 with a Class I recall12009: 34 other ancestors2006: 33 other ancestors2011: 32 other ancestors2008: 43 other ancestors, 1 with a Class I recall12007: 31 other ancestors2005: 45 other ancestors2004: 58 other ancestors2003: 33 other ancestors2002: 26 other ancestors2001: 35 other ancestors2000: 20 other ancestors1998: 14 other ancestors1995: 9 other ancestors1999: 15 other ancestors1997: 8 other ancestors1996: 11 other ancestors1994: 4 other ancestors1985: 1 other ancestor1993: 6 other ancestors1992: 6 other ancestors1991: 1 other ancestor1988: 1 other ancestor1986: 2 other ancestors1978: 1 other ancestor1976: 1 other ancestor1990: 3 other ancestors1984: 1 other ancestorK853033 · 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 · 2001K022190 · Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2002K030103 · Summit Oct Spinal System Minipolyaxial Screws · Depuyacromed · 2003K041203 · 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. · 2008K111571 · Viper Systems · Johnson & Johnson · 2011K121016 · Range Spinal System (Mesa and Denali) · K2m, Inc. · 2012×2: 2 generations cleared close together, K130330 (2013), K131784 (2013) ×5: 5 generations cleared close together, K133944 (2014), K141873 (2014), K143334 (2015), K150325 (2015), K151727 (2015) K161369 · EVEREST Spinal System · K2m, Incorporated · 2016×2: 2 generations cleared close together, K181188 (2018), K181603 (2018) K222684 · XIA® 4.5 Spinal System, XIA® 4.5 Cortical Trajectory, XIA® 3 Spinal System, Serrato® Spinal System, XIA® Growth Rod Conversion Set, XIA® II Spinal System, XIA® Precision System, XIA® Anterior, Diapason® Spinal System, Opus™ Spinal System, Radius® Spinal System, Mantis® Spinal System, Mantis® Redux, Trio® & Trio+ Spinal Fixation System, ES2™ Spinal System, ES2™ Augmentable Spinal System, Oasys® Occipito-Cervico-Thoracic System, Nile® Proximal Fixation Spinal System, Nile® Alternative Fi · Stryker Spine · 2023K240872 · Erisma® Deformity Spinal System; Erisma® Lp Spinal Fixation System · Clariance · 202419801990200020102020
Other ancestors, by generation 1 generation back: 1 other ancestor2 generations back: 3 other ancestors3 generations back: 14 other ancestors4 generations back: 56 other ancestors5 generations back: 90 other ancestors6 generations back: 122 other ancestors, 1 with a Class I recall17 generations back: 123 other ancestors, 1 with a Class I recall18 generations back: 89 other ancestors9 generations back: 40 other ancestors10 generations back: 26 other ancestors11 generations back: 12 other ancestors12 generations back: 6 other ancestors13 generations back: 1 other ancestor K240872 · Erisma® Deformity Spinal System; Erisma® Lp Spinal Fixation System · Clariance · 2024K222684 · XIA® 4.5 Spinal System, XIA® 4.5 Cortical Trajectory, XIA® 3 Spinal System, Serrato® Spinal System, XIA® Growth Rod Conversion Set, XIA® II Spinal System, XIA® Precision System, XIA® Anterior, Diapason® Spinal System, Opus™ Spinal System, Radius® Spinal System, Mantis® Spinal System, Mantis® Redux, Trio® & Trio+ Spinal Fixation System, ES2™ Spinal System, ES2™ Augmentable Spinal System, Oasys® Occipito-Cervico-Thoracic System, Nile® Proximal Fixation Spinal System, Nile® Alternative Fi · Stryker Spine · 2023K181603 · EVEREST Spinal System, RANGE (MESA and DENALI) Spinal System, CASPIAN OCT (MESA Mini and DENALI Mini) Spinal System, YUKON OCT Spinal System · K2m, Inc. · 2018K181188 · EVEREST Spinal System · K2m, Inc. · 2018K161369 · EVEREST Spinal System · K2m, Incorporated · 2016K151727 · Everest Spinal System · K2m, Inc. · 2015K150325 · Range/Denali/Mesa Spinal System · K2m, Inc. · 2015K143334 · Range/Denali/Mesa Spinal System · K2m, Inc. · 2015K141873 · Range/Mesa/Denali Spinal System · K2m, Inc. · 2014K133944 · Range, Spinal System, Everest Spinal System · K2m, Inc. · 2014K131784 · Range Spinal System · K2m, Inc. · 2013K130330 · Range Spinal System · K2m, Inc. · 2013K121016 · Range Spinal System (Mesa and Denali) · K2m, Inc. · 2012K111571 · Viper Systems · Johnson & Johnson · 2011K080313 · 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. · 1985−25−20−15−10−50
  1. Root · 26 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 22 generations between
  3. 3 generations backK181603 EVEREST Spinal System, RANGE (MESA and DENALI) Spinal System…K2m, Inc. · 2018
  4. 2 generations backK222684 XIA® 4.5 Spinal System, XIA® 4.5 Cortical Trajectory, XIA® 3 Spinal…Stryker Spine · 2023
  5. 1 generation backK240872 Erisma® Deformity Spinal System; Erisma® Lp Spinal Fixation SystemClariance · 2024
  6. This deviceK241863 Erisma® Lp Spinal Fixation System; Erisma® LP MISClariance · 2024
Show all 26 generations
  1. Root · 26 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 25 generations backK965221 Ransford Cervical Fixation SystemSurgicraft, Ltd. · 1997
  3. 24 generations backK982322 Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa) · 1998
  4. 23 generations backK002733 Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2000
  5. 22 generations backK013222 Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed · 2001
  6. 21 generations backK022190 Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2002
  7. 20 generations backK030103 Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed · 2003
  8. 19 generations backK041203 Summit Oct Spinal SystemDepuy Spine, Inc. · 2004
  9. 18 generations backK062174 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2006
  10. 17 generations backK063156 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2006
  11. 16 generations backK063741 Expedium Spine SystemDepuy Spine, Inc. · 2007
  12. 15 generations backK080313 Modification to Expedium Spine SystemDepuy Spine, Inc. · 2008
  13. 14 generations backK111571 Viper SystemsJohnson & Johnson · 2011
  14. 13 generations backK121016 Range Spinal System (Mesa and Denali)K2m, Inc. · 2012
  15. 12 generations backK130330 Range Spinal SystemK2m, Inc. · 2013
  16. 11 generations backK131784 Range Spinal SystemK2m, Inc. · 2013
  17. 10 generations backK133944 Range, Spinal System, Everest Spinal SystemK2m, Inc. · 2014
  18. 9 generations backK141873 Range/Mesa/Denali Spinal SystemK2m, Inc. · 2014
  19. 8 generations backK143334 Range/Denali/Mesa Spinal SystemK2m, Inc. · 2015
  20. 7 generations backK150325 Range/Denali/Mesa Spinal SystemK2m, Inc. · 2015
  21. 6 generations backK151727 Everest Spinal SystemK2m, Inc. · 2015
  22. 5 generations backK161369 EVEREST Spinal SystemK2m, Incorporated · 2016
  23. 4 generations backK181188 EVEREST Spinal SystemK2m, Inc. · 2018
  24. 3 generations backK181603 EVEREST Spinal System, RANGE (MESA and DENALI) Spinal System…K2m, Inc. · 2018
  25. 2 generations backK222684 XIA® 4.5 Spinal System, XIA® 4.5 Cortical Trajectory, XIA® 3 Spinal…Stryker Spine · 2023
  26. 1 generation backK240872 Erisma® Deformity Spinal System; Erisma® Lp Spinal Fixation SystemClariance · 2024
  27. This deviceK241863 Erisma® Lp Spinal Fixation System; Erisma® LP MISClariance · 2024

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−26K853033Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd.1985—
−25K965221Ransford Cervical Fixation SystemSurgicraft, Ltd.1997—
−24K982322Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa)1998—
−23K002733Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2000—
−22K013222Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed2001—
−21K022190Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2002—
−20K030103Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed2003—
−19K041203Summit Oct Spinal SystemDepuy Spine, Inc.2004—
−18K062174Modification to Expedium Spine SystemDepuy Spine, Inc.2006—
−17K063156Modification to Expedium Spine SystemDepuy Spine, Inc.2006—
−16K063741Expedium Spine SystemDepuy Spine, Inc.2007—
−15K080313Modification to Expedium Spine SystemDepuy Spine, Inc.2008—
−14K111571Viper SystemsJohnson & Johnson2011—
−13K121016Range Spinal System (Mesa and Denali)K2m, Inc.2012—
−12K130330Range Spinal SystemK2m, Inc.2013—
−11K131784Range Spinal SystemK2m, Inc.2013—
−10K133944Range, Spinal System, Everest Spinal SystemK2m, Inc.2014—
−9K141873Range/Mesa/Denali Spinal SystemK2m, Inc.2014—
−8K143334Range/Denali/Mesa Spinal SystemK2m, Inc.2015—
−7K150325Range/Denali/Mesa Spinal SystemK2m, Inc.2015—
−6K151727Everest Spinal SystemK2m, Inc.2015—
−5K161369EVEREST Spinal SystemK2m, Incorporated2016—
−4K181188EVEREST Spinal SystemK2m, Inc.2018—
−3K181603EVEREST Spinal System, RANGE (MESA and DENALI) Spinal System, CASPIAN OCT…K2m, Inc.2018—
−2K222684XIA® 4.5 Spinal System, XIA® 4.5 Cortical Trajectory, XIA® 3 Spinal System…Stryker Spine2023—
−1K240872Erisma® Deformity Spinal System; Erisma® Lp Spinal Fixation SystemClariance2024—
0 (this device)K241863Erisma® Lp Spinal Fixation System; Erisma® LP MISClariance2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197610
197810
198410
198510
198620
198810
199030
199110
199260
199360
199440
199590
1996110
199780
1998140
1999150
2000200
2001350
2002260
2003330
2004580
2005450
2006330
2007310
2008431
2009340
2010261
2011320
2012250
2013170
2014110
2015170
201650
201770
202010
FIG. 1 — Lineage of K241863, 1985–2024Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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.

2 devices in this family have 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
Get a 510(k) Report

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
*K240872Erisma® Deformity Spinal System; Erisma® Lp Spinal Fixation System
Summary page 4
…dicle screw system Classification Name: Class II, 21 CFR 888.3070 – NKB Predicate Devices Erisma® Deformity Spinal System; Erisma® Lp Spinal Fixation System (K240872) Primary predicate. Erisma® LP MIS (K162367) Additional predicate Device Description The modified Erisma® Lp Spinal Fix…
Clariance2024—
*K162367Erisma® LP MIS
Summary page 4
…II, 21 CFR 888.3070 – NKB Predicate Devices Erisma® Deformity Spinal System; Erisma® Lp Spinal Fixation System (K240872) Primary predicate. Erisma® LP MIS (K162367) Additional predicate Device Description The modified Erisma® Lp Spinal Fixation System device is designed for use in the surgi…
Clariance, Sas2016—

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (2 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 · 6 generations back · ◆ in the 2008 ancestors bar of FIG. 11 Class I recall
  • K093670Modification to: Oasys SystemStryker Spine · 2010 · 7 generations back · ◆ in the 2010 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 39 years and passes through 10 companies; a new generation was cleared every 10 months on median.
  • 69 of the 609 ancestors have a recall of any class; 2 have a Class I recall.

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. 2024, 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?

When used as a pedicle screw fixation system of the non- cervical posterior spine in skeletally mature patients using allograft and/or autograft, the Erisma® LP Spinal System is indicated as an adjunct to fusion for the following indications: Degenerative Disc Disease (Define as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies); degenerative spondylolisthesis with objective evidence of neurologic…

Read the full statement (190 words)

When used as a pedicle screw fixation system of the non- cervical posterior spine in skeletally mature patients using allograft and/or autograft, the Erisma® LP Spinal System is indicated as an adjunct to fusion for the following indications: Degenerative Disc Disease (Define as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies); degenerative spondylolisthesis with objective evidence of neurologic impairment; severe spondylolisthesis (grades 3 and 4) of the fifth lumbar-first sacral (L5-S1) vertebral joint; fracture; dislocation; scoliosis; kyphosis; spinal tumor; failed previous fusion (pseudarthrosis)

The Erisma® LP MIS components are intended for percutaneous, posterior, non-cervical pedicle fixation of the spine to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion for the following indications:

• Degenerative disc disease (Define as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies),

• Degenerative spondylolisthesis with objective evidence of neurologic impairment,

• Severe spondylolisthesis (Grades 3 and 4) of the fifth lumbar-first sacral (L5-S1) vertebral joint,

• Fracture,

• Dislocation,

• Scoliosis,

• Kyphosis,

• Spinal tumor,

• Failed previous fusion (pseudarthrosis).

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K241863: Erisma® Lp Spinal Fixation System; Erisma® LP MIS.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K241863

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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