510(k) Report

510(k) · Cleared

Cleared

Synergy 6.35MM SS Rod with Screws for Anterior Use, Part of the Cross Medical-Synergy Anterior Spinal System

K973836510(k) TraditionalCleared Mar 5, 1998148-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

Cross Medical Products, Inc. · MNH Orthosis, Spondylolisthesis Spinal Fixation

Cleared on Mar 5, 1998 as substantially equivalent to K934429 (Buckman Co., Inc., 1994) and 3 other predicates after a 148-day review. Its family tree reaches back 2 generations to 1990. 529 later devices descend from it.

Decided
Mar 5, 1998
Review
148 days
Class
Class II
Product code
MNH
Recalls
None
Predicates
4

Its longest line of descent runs back 2 generations to K901587 (1990). 13 ancestors in all. 529 later devices descend from it, 8 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1995: 2 other ancestors1994: 1 other ancestor1993: 2 other ancestors1992: 5 other ancestors1990: 1 other ancestor2012: 17 descendants cleared2008: 8 descendants cleared1998: 4 descendants cleared2007: 6 descendants cleared2018: 28 descendants cleared2017: 29 descendants cleared2021: 30 descendants cleared2014: 20 descendants cleared2013: 17 descendants cleared2016: 25 descendants cleared2009: 4 descendants cleared2010: 7 descendants cleared2015: 21 descendants cleared2025: 48 descendants cleared2011: 12 descendants cleared2006: 5 descendants cleared2019: 24 descendants cleared2000: 3 descendants cleared1999: 3 descendants cleared2024: 45 descendants cleared2022: 34 descendants cleared2023: 44 descendants cleared2020: 38 descendants cleared2026: 44 descendants cleared2005: 3 descendants cleared2004: 6 descendants cleared2002: 2 descendants cleared2001: 1 descendant cleared2003: 1 descendant clearedK901587 · TSRH Sacral L-Connector · Danek Medical, Inc. · 1990K950099 · Synergy (TM) TI Posterior Spinal System · Buckman Co., Inc. · 19971990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors2 generations back: 8 other ancestors 1 generation forward: 8 descendants2 generations forward: 35 descendants3 generations forward: 76 descendants4 generations forward: 89 descendants5 generations forward: 81 descendants6 generations forward: 77 descendants7 generations forward: 69 descendants8 generations forward: 43 descendants9 generations forward: 28 descendants10 generations forward: 18 descendants11 generations forward: 4 descendants12 generations forward: 1 descendant K950099 · Synergy (TM) TI Posterior Spinal System · Buckman Co., Inc. · 1997K901587 · TSRH Sacral L-Connector · Danek Medical, Inc. · 19900+5+10
  1. Root · 2 generations backK901587 TSRH Sacral L-ConnectorDanek Medical, Inc. · 1990
  2. 1 generation backK950099 Synergy (TM) TI Posterior Spinal SystemBuckman Co., Inc. · 1997
  3. This deviceK973836 Synergy 6.35MM SS Rod with Screws for Anterior Use, Part of the…Cross Medical Products, Inc. · 1998
  4. Descendant · cites it directly · 311 of its ownK974749 Synergy Closed Variable Locking Screw (VLS), Part of the Cross…Cross Medical Products, Inc. · 1998
  5. Descendant · cites it directly · 251 of its ownK982914 Aesculap Spine System Evolution: Additional ComponentsAesculap, Inc. · 1998
  6. Descendant · cites it directly · 251 of its ownK980484 Aesculap Spine System EvolutionAesculap, Inc. · 1998
  7. Descendant · 2 generations on · 250 of its ownK990118 Isobar Spinal SystemScien'Tx USA, Inc. · 1999
  8. Descendant · 2 generations on · 176 of its ownK993503 Haider-Ucr Spinal SystemInternational Advanced Medical Enterprises, Inc. · 2000

Showing 5 of 529 descendants. See all descendants

Descendants cleared per year

1998: 41999: 32000: 32001: 12002: 22003: 12004: 62005: 32006: 52007: 62008: 82009: 42010: 72011: 122012: 172013: 172014: 202015: 212016: 252017: 292018: 282019: 242020: 382021: 302022: 342023: 442024: 452025: 482026: 44
1998high 48 (2025) · low 1 (2001)2026

Most influential descendants

Showing 5 of 529 · See all
  • K974749Synergy Closed Variable Locking Screw (VLS), Part of the Cross Medical-Synergy Anterior…Cross Medical Products, Inc. · 1998 · cites it directly311descendants
  • K982914Aesculap Spine System Evolution: Additional ComponentsAesculap, Inc. · 1998 · cites it directly251descendants
  • K980484Aesculap Spine System EvolutionAesculap, Inc. · 1998 · cites it directly251descendants
  • K990118Isobar Spinal SystemScien'Tx USA, Inc. · 1999 · 2 generations on250descendants
  • K993503Haider-Ucr Spinal SystemInternational Advanced Medical Enterprises, Inc. · 2000 · 2 generations on176descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K901587TSRH Sacral L-ConnectorDanek Medical, Inc.1990—
−1K950099Synergy (TM) TI Posterior Spinal SystemBuckman Co., Inc.1997—
0 (this device)K973836Synergy 6.35MM SS Rod with Screws for Anterior Use, Part of the Cross…Cross Medical Products, Inc.1998—
+1K974749Synergy Closed Variable Locking Screw (VLS), Part of the Cross Medical-Synergy…Cross Medical Products, Inc.1998—
+1K982914Aesculap Spine System Evolution: Additional ComponentsAesculap, Inc.1998—
+1K980484Aesculap Spine System EvolutionAesculap, Inc.1998—
+2K990118Isobar Spinal SystemScien'Tx USA, Inc.1999—
+2K993503Haider-Ucr Spinal SystemInternational Advanced Medical Enterprises, Inc.2000—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199010
199250
199320
199410
199520

Descendants by year cleared

Year clearedDevicesWith a Class I recall
199840
199930
200030
200110
200220
200310
200460
200530
200650
200760
200880
200940
201070
2011120
2012170
2013170
2014200
2015210
2016250
2017290
2018280
2019240
2020380
2021300
2022340
2023440
2024450
2025480
2026440
FIG. 1 — Lineage of K973836, 1990–2026Source: 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 MNH? 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? (4)

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
*K934429Anterior Spine System
Summary page 2
…-house SOP’s and/or ASTM Standards are utilized as appropriate. K173936 (p 245 Substantially Equivalent Device(s): 1. SYNERGY™ Anterior Spinal System: K934429, K950709 2. SYNERGY™ Posterior Spinal System: K940631, K950099 Device Description: Background: This document summarizes safety…
Buckman Co., Inc.1994—
*K950709Synergy TI Anterior Spinal System
Summary page 2
…P’s and/or ASTM Standards are utilized as appropriate. K173936 (p 245 Substantially Equivalent Device(s): 1. SYNERGY™ Anterior Spinal System: K934429, K950709 2. SYNERGY™ Posterior Spinal System: K940631, K950099 Device Description: Background: This document summarizes safety and effe…
Cross Medical Products, Inc.1995—
*K940631Cross Medical - Synergy (TM) Spine System
Summary page 2
…ropriate. K173936 (p 245 Substantially Equivalent Device(s): 1. SYNERGY™ Anterior Spinal System: K934429, K950709 2. SYNERGY™ Posterior Spinal System: K940631, K950099 Device Description: Background: This document summarizes safety and effectiveness information for the SYNERGY™ Spinal…
Cross Medical Products, Inc.1995—
*K950099Synergy (TM) TI Posterior Spinal System
Summary page 2
…K173936 (p 245 Substantially Equivalent Device(s): 1. SYNERGY™ Anterior Spinal System: K934429, K950709 2. SYNERGY™ Posterior Spinal System: K940631, K950099 Device Description: Background: This document summarizes safety and effectiveness information for the SYNERGY™ Spinal System-Ad…
Buckman Co., Inc.1997—

Also cleared against K934429: 3 other devices →

What descends from it? (529)

See all 529

8 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K974749Synergy Closed Variable Locking Screw (VLS), Part of the Cross Medical-Synergy Anterior…Cross Medical Products, Inc.1998311
K982914Aesculap Spine System Evolution: Additional ComponentsAesculap, Inc.1998251
K980484Aesculap Spine System EvolutionAesculap, Inc.1998251
K072022Valeo Pedicle Screw Spinal SystemAmedica Corp.2007100
K112684Mont Blanc Pedicle Screw SystemsQualgenix20125
K080241DDS Stabilization SystemParadigm Spine, LLC20085
K161225Paonan Armstrong Posterior Spinal Fixation SystemPaonan Biotech Co., Ltd.20172
K181995Chiral Surgical Pedicle Screw SystemChiral Surgical20180

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 8 years and passes through 3 companies; a new generation was cleared every 6.2 years on median.
  • None of the 13 ancestors has a recall.
  • Of its descendants, K974749 (Cross Medical Products, Inc., 1998) has gone furthest, with 311 descendants of its own.
  • 3 other devices also cite its predicate K934429.

How does its category compare?

All MNH devices

MNH Orthosis, Spondylolisthesis Spinal Fixation: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · MNH

8in 2016

2007: 52008: 132009: 132010: 102011: 172012: 72013: 102014: 122015: 102016: 8
2007high 17 (2011) · low 0 (2017)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MNH

93in 2016

2007: 123 days median2008: 65 days median2009: 151 days median2010: 106 days median2011: 171 days median2012: 93 days median2013: 124 days median2014: 140 days median2015: 99 days median2016: 93 days median
2007high 171 (2011) · low 65 (2008)2026

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

Recalls per year · MNH

1in 2016

2009: 72012: 12013: 12016: 1
2007high 7 (2009) · low 0 (2007)2026

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

Adverse event reports per year · MNH

89in 2025

2007: 182008: 302009: 452010: 592011: 1072012: 4332013: 4642014: 2862015: 1522016: 2162017: 1742018: 1292019: 4032020: 4322021: 5312022: 2652023: 1212024: 3022025: 89
2007high 531 (2021) · low 18 (2007)2025

MAUDE reports naming product code MNH, 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
20075123018
20081365030
200913151745
201010106059
2011171710107
20127931433
2013101241464
2014121400286
201510990152
20168931216
20170—0174
20180—0129
20190—0403
20200—0432
20210—0531
20220—0265
20230—0121
20240—0302
20250—089
20260—0—

What is it indicated for?

As a pedicle screw system, it is intended only for patients: (a) having severe spondylolisthesis (Grades 3 and 4) of the fifth lumbar-first sacral (L5-S1) vertebral joint; (b) who are receiving fusions using autogenous bone graft only; (c) who are having the screws fixed or attached to the lumbar and sacral spine; and (d) who are having the device removed after the development of a solid fusion mass. The levels of screw fixation are L3 to S1/Ilium. As a…

Read the full statement (207 words)

As a pedicle screw system, it is intended only for patients: (a) having severe spondylolisthesis (Grades 3 and 4) of the fifth lumbar-first sacral (L5-S1) vertebral joint; (b) who are receiving fusions using autogenous bone graft only; (c) who are having the screws fixed or attached to the lumbar and sacral spine; and (d) who are having the device removed after the development of a solid fusion mass. The levels of screw fixation are L3 to S1/Ilium.

As a posterior, non-pedicle screw and hook system, and an anterolateral, intervertebral body screw system, the specific indications are:

1. Degenerative Disc Disease (as defined by chronic back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies).

2. Idiopathic scoliosis.

3. Kyphotic deformities of the spine.

4. Paralytic scoliosis and/or pelvic obliquity.

5. Lordotic deformities of the spine.

6. Neuromuscular scoliosis associated with pelvic obliquity.

7. Vertebral fracture or dislocation.

8. Tumors.

9. Spondylolisthesis.

10. Stenosis.

11. Pseudarthrosis.

12. Unsuccessful previous attempts at spinal fusion.

For posterior, non-pedicle screw use, the levels of use are T1 to the Sacrum/Ilium. For anterior use, the levels of use are T10 to L3 for the double rod constructs, and T5 to L5 for the single rod constructs.

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. “K973836: Synergy 6.35MM SS Rod with Screws for Anterior Use, Part of the Cross Medical-Synergy Anterior Spinal System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K973836

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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