510(k) Report

510(k) · Cleared

Cleared

Ruthless Spine RJB

K252615510(k) SpecialCleared Sep 17, 202529-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 Sep 17, 2025 as substantially equivalent to K243375 (Ruthless, LLC Dba Ruthless Spine, 2024) after a 29-day review. Its family tree reaches back 2 generations to 2023. 1 later device descends from it.

Decided
Sep 17, 2025
Review
29 days
Class
Class II
Product code
QWL
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to DEN230012 (2023). 1 later device descends from it, 1 citing it directly.

Descendants, by year cleared 2026: 1 descendant clearedDEN230012 · Ruthless Spine RJB · Ruthless, LLC Dba Ruthless Spine · 2023K243375 · Ruthless Spine RJB · Ruthless, LLC Dba Ruthless Spine · 20242020202220242026
Descendants, by generation 1 generation forward: 1 descendant K243375 · Ruthless Spine RJB · Ruthless, LLC Dba Ruthless Spine · 2024DEN230012 · Ruthless Spine RJB · Ruthless, LLC Dba Ruthless Spine · 20230
  1. Root · 2 generations backDEN230012 Ruthless Spine RJBRuthless, LLC Dba Ruthless Spine · 2023
  2. 1 generation backK243375 Ruthless Spine RJBRuthless, LLC Dba Ruthless Spine · 2024
  3. This deviceK252615 Ruthless Spine RJBRuthless, LLC Dba Ruthless Spine · 2025
  4. Descendant · cites it directly · 0 of its ownK252880 Pytheas Your Guided TrajectoryPytheas Navigation Sas · 2026

Most influential descendants

Showing 1 of 1 · See all
  • K252880Pytheas Your Guided TrajectoryPytheas Navigation Sas · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

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

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K252615, 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 K243375 Ruthless Spine RJBscore 11.4 · 1 generation · 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
*K243375Ruthless Spine RJB
Summary page 5
…lass: II Reviewing Panel: Orthopedic Product Code: QWL Primary Predicate Device: K243375 – Ruthless Spine RJB Device Description: The Ruthless Spine RJB device is an intraoperative surgical angle measurement guide tha…
Ruthless, LLC Dba Ruthless Spine2024—

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K252880Pytheas Your Guided TrajectoryPytheas Navigation Sas20260

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 2 years and passes through 1 company; a new generation was cleared every 1.4 years on median.
  • None of the 2 ancestors has a recall.
  • Of its descendants, K252880 (Pytheas Navigation Sas, 2026) has gone furthest, with 0 descendants 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. 2025, 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 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. “K252615: Ruthless Spine RJB.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K252615

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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