510(k) Report

510(k) · Cleared

Cleared

Ruthless Spine RJB

K243375510(k) SpecialCleared Nov 29, 202430-day reviewClass II21 CFR 888.4560

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

Ruthless, LLC Dba Ruthless Spine · QWL Intraoperative Surgical Angle Measurement Tool

Cleared on Nov 29, 2024 as substantially equivalent to DEN230012 (Ruthless, LLC Dba Ruthless Spine, 2023) after a 30-day review. Its family tree reaches back 1 generation to 2023. 2 later devices descend from it.

Decided
Nov 29, 2024
Review
30 days
Class
Class II
Product code
QWL
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to DEN230012 (2023). 2 later devices descend from it, 1 citing it directly.

Descendants, by year cleared 2025: 1 descendant cleared2026: 1 descendant clearedDEN230012 · Ruthless Spine RJB · Ruthless, LLC Dba Ruthless Spine · 20232020202220242026
Descendants, by generation 1 generation forward: 1 descendant2 generations forward: 1 descendant DEN230012 · Ruthless Spine RJB · Ruthless, LLC Dba Ruthless Spine · 20230
  1. Root · 1 generation backDEN230012 Ruthless Spine RJBRuthless, LLC Dba Ruthless Spine · 2023
  2. This deviceK243375 Ruthless Spine RJBRuthless, LLC Dba Ruthless Spine · 2024
  3. Descendant · cites it directly · 1 of its ownK252615 Ruthless Spine RJBRuthless, LLC Dba Ruthless Spine · 2025
  4. Descendant · 2 generations on · 0 of its ownK252880 Pytheas Your Guided TrajectoryPytheas Navigation Sas · 2026

Most influential descendants

Showing 2 of 2 · See all
  • K252615Ruthless Spine RJBRuthless, LLC Dba Ruthless Spine · 2025 · cites it directly1descendant
  • K252880Pytheas Your Guided TrajectoryPytheas Navigation Sas · 2026 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1DEN230012Ruthless Spine RJBRuthless, LLC Dba Ruthless Spine2023—
0 (this device)K243375Ruthless Spine RJBRuthless, LLC Dba Ruthless Spine2024—
+1K252615Ruthless Spine RJBRuthless, LLC Dba Ruthless Spine2025—
+2K252880Pytheas Your Guided TrajectoryPytheas Navigation Sas2026—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202510
202610
FIG. 1 — Lineage of K243375, 2023–2026Source: 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 QWL? 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 QWL device

  1. #1 K252615 Ruthless Spine RJBscore 13.3 · 2 generations · no Class I recall
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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
*DEN230012Ruthless Spine RJB
Summary page 5
…lass: II Reviewing Panel: Orthopedic Product Code: QWL Primary Predicate Device: DEN230012 – Ruthless Spine RJB Device Description: The Ruthless Spine RJB device is an intraoperative surgical angle measurement guide tha…
Ruthless, LLC Dba Ruthless Spine2023—

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K252615Ruthless Spine RJBRuthless, LLC Dba Ruthless Spine20251

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?

  • Its one ancestor has no recall.
  • Of its descendants, K252615 (Ruthless, LLC Dba Ruthless Spine, 2025) has gone furthest, with 1 descendant of its own.

How does its category compare?

All QWL devices

QWL Intraoperative Surgical Angle Measurement Tool: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, this device’s year, is highlighted.

FDA decisions per year · QWL

1in 2025

2023: 12024: 12025: 1
2007high 1 (2023) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QWL

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

Recalls per year · QWL

No recall names QWL since 2007.

Adverse event reports per year · QWL

No MAUDE report names QWL since 2007.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20160—00
20170—00
20180—00
20190—00
20200—00
20210—00
20220—00
20231—00
20241—00
20251—00
20260—0—

What is it indicated for?

The Ruthless Spine RJB device is intended to measure the angle of surgical instruments in two planes relative to a vertical plumb line in line with gravity. It is indicated for use during lumbosacral pedicle screw implantation in conjunction with applicable spinal instrumentation and as an adjunct to fluoroscopy or intraoperative x-ray. The RJB device is not intended to replace a surgeon's judgment and has not undergone clinical evaluation. No clinical benefit has been demonstrated or is claimed.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K243375: Ruthless Spine RJB.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K243375

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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