510(k) Report

510(k) · Cleared

Cleared

Modification to Silhouette Spinal Fixation System

K992276510(k) TraditionalCleared Oct 1, 199986-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

Sulzer Spine-Tech · MNI Orthosis, Spinal Pedicle Fixation

Cleared on Oct 1, 1999 as substantially equivalent to K980288 (Spine-Tech, Inc., 1998) after an 86-day review. Its family tree reaches back 1 generation to 1998. 171 later devices descend from it.

Decided
Oct 1, 1999
Review
86 days
Class
Class II
Product code
MNI
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to K980288 (1998). 171 later devices descend from it, 4 citing it directly.

Descendants, by year cleared 2001: 1 descendant cleared1999: 1 descendant cleared2002: 2 descendants cleared2007: 4 descendants cleared2004: 1 descendant cleared2013: 6 descendants cleared2012: 8 descendants cleared2008: 7 descendants cleared2021: 8 descendants cleared2014: 9 descendants cleared2016: 12 descendants cleared2009: 4 descendants cleared2010: 3 descendants cleared2015: 10 descendants cleared2011: 3 descendants cleared2017: 6 descendants cleared2024: 15 descendants cleared2020: 16 descendants cleared2026: 12 descendants cleared2019: 7 descendants cleared2023: 16 descendants cleared2022: 6 descendants cleared2025: 7 descendants cleared2018: 7 descendants clearedK980288 · Spine-Tech Silhouette Spinal Fixation System · Spine-Tech, Inc. · 19981995200020052010201520202025
Descendants, by generation 1 generation forward: 4 descendants2 generations forward: 6 descendants3 generations forward: 15 descendants4 generations forward: 25 descendants5 generations forward: 39 descendants6 generations forward: 32 descendants7 generations forward: 21 descendants8 generations forward: 11 descendants9 generations forward: 10 descendants10 generations forward: 5 descendants11 generations forward: 2 descendants12 generations forward: 1 descendant K980288 · Spine-Tech Silhouette Spinal Fixation System · Spine-Tech, Inc. · 19980+5+10
  1. Root · 1 generation backK980288 Spine-Tech Silhouette Spinal Fixation SystemSpine-Tech, Inc. · 1998
  2. This deviceK992276 Modification to Silhouette Spinal Fixation SystemSulzer Spine-Tech · 1999
  3. Descendant · cites it directly · 111 of its ownK993067 Silhouette Spinal Fixation SystemSulzer Spine-Tech · 1999
  4. Descendant · 2 generations on · 100 of its ownK072022 Valeo Pedicle Screw Spinal SystemAmedica Corp. · 2007
  5. Descendant · cites it directly · 84 of its ownK022374 Cadence Spinal Fixation SystemSulzer Spine-Tech · 2002 · Recalled
  6. Descendant · 2 generations on · 83 of its ownK041925 ST360 Spinal Fixation SystemZimmer Spine, Inc. · 2004 · Recalled
  7. Descendant · 3 generations on · 43 of its ownK121115 M.U.S.T Pedicle Screw SystemMedacta International · 2012 · Recalled

Showing 5 of 171 descendants. See all descendants

Descendants cleared per year

1999: 12001: 12002: 22004: 12007: 42008: 72009: 42010: 32011: 32012: 82013: 62014: 92015: 102016: 122017: 62018: 72019: 72020: 162021: 82022: 62023: 162024: 152025: 72026: 12
1999high 16 (2020) · low 0 (2000)2026

Most influential descendants

Showing 5 of 171 · See all
  • K993067Silhouette Spinal Fixation SystemSulzer Spine-Tech · 1999 · cites it directly111descendants
  • K072022Valeo Pedicle Screw Spinal SystemAmedica Corp. · 2007 · 2 generations on100descendants
  • K022374Cadence Spinal Fixation SystemSulzer Spine-Tech · 2002 · cites it directly84descendants
  • K041925ST360 Spinal Fixation SystemZimmer Spine, Inc. · 2004 · 2 generations on83descendants
  • K121115M.U.S.T Pedicle Screw SystemMedacta International · 2012 · 3 generations on43descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K980288Spine-Tech Silhouette Spinal Fixation SystemSpine-Tech, Inc.1998—
0 (this device)K992276Modification to Silhouette Spinal Fixation SystemSulzer Spine-Tech1999—
+1K993067Silhouette Spinal Fixation SystemSulzer Spine-Tech1999—
+2K072022Valeo Pedicle Screw Spinal SystemAmedica Corp.2007—
+1K022374Cadence Spinal Fixation SystemSulzer Spine-Tech20021
+2K041925ST360 Spinal Fixation SystemZimmer Spine, Inc.20041
+3K121115M.U.S.T Pedicle Screw SystemMedacta International20121

Descendants by year cleared

Year clearedDevicesWith a Class I recall
199910
200110
200220
200410
200740
200870
200940
201030
201130
201280
201360
201490
2015100
2016120
201760
201870
201970
2020160
202180
202260
2023160
2024150
202570
2026120
FIG. 1 — Lineage of K992276, 1998–2026Source: 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 MNI? 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? (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
*K980288Spine-Tech Silhouette Spinal Fixation System
Summary page 1
…lolisthesis Spinal Fixation Device System Spinal Intervertebral Body Fixation Orthosis Spinal Interlaminal Fixation Orthosis Class I Silhouette™ Spinal Fixation System K 980288, concurrence date July 29, 1998 The Silhouette™ Spinal Fixation System is a temporary implant system used to correct spinal defo…
Spine-Tech, Inc.1998—

Also cleared against K980288: 6 other devices →

What descends from it? (171)

See all 171

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

NumberDeviceApplicantDecidedDescendants
K993067Silhouette Spinal Fixation SystemSulzer Spine-Tech1999111
K022374Cadence Spinal Fixation SystemSulzer Spine-Tech200284
K020196Modification to Silhouette Spinal Fixation SystemSulzer Spine-Tech20020
K012173Device Modification of Silhouette Spindal Fixation SystemSulzer Spine-Tech20010

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, K993067 (Sulzer Spine-Tech, 1999) has gone furthest, with 111 descendants of its own.
  • 6 other devices also cite its predicate K980288.

How does its category compare?

All MNI devices

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

FDA decisions per year · MNI

1in 2017

2007: 202008: 232009: 182010: 162011: 172012: 192013: 142014: 62015: 122016: 72017: 1
2007high 23 (2008) · low 0 (2018)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MNI

168in 2016

2007: 82 days median2008: 64 days median2009: 86 days median2010: 74 days median2011: 111 days median2012: 75 days median2013: 77 days median2014: 104 days median2015: 54 days median2016: 168 days median
2007high 168 (2016) · low 54 (2015)2026

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

Recalls per year · MNI

1in 2018

2007: 262008: 82009: 32010: 12012: 12013: 42015: 12018: 1
2007high 26 (2007) · low 0 (2011)2026

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

Adverse event reports per year · MNI

80in 2025

2007: 832008: 1082009: 1382010: 1262011: 1462012: 2002013: 8242014: 3012015: 2602016: 1172017: 2472018: 1342019: 1882020: 1152021: 2702022: 2142023: 1222024: 1142025: 80
2007high 824 (2013) · low 80 (2025)2025

MAUDE reports naming product code MNI, 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
200720822683
200823648108
200918863138
201016741126
2011171110146
201219751200
201314774824
201461040301
201512541260
201671680117
20171—0247
20180—1134
20190—0188
20200—0115
20210—0270
20220—0214
20230—0122
20240—0114
20250—080
20260—0—

What is it indicated for?

When used as a pedicle screw fixation system in skeletally mature patients, the Silhouette™ Spinal Fixation System is intended to provide immobilization and stabilization of spinal segments as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of the thoracic, lumbar, and sacral spine: degenerative spondylolisthesis with objective evidence of neurologic impairment, fracture, dislocation, scoliosis…

Read the full statement (271 words)

When used as a pedicle screw fixation system in skeletally mature patients, the Silhouette™ Spinal Fixation System is intended to provide immobilization and stabilization of spinal segments as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of the thoracic, lumbar, and sacral spine: degenerative spondylolisthesis with objective evidence of neurologic impairment, fracture, dislocation, scoliosis, kyphosis, spinal tumor, and failed previous fusion (pseudarthrosis).

In addition, when used as a pedicle screw fixation system, the Silhouette™ Spinal Fixation System is indicated for use in patients:

a) having severe spondylolisthesis (Grade 3 and 4) at the L5-S1 joint

b) who are receiving fusions with autogenous graft only

c) who are having the device fixed or attached to the lumbar or sacral spine

d) who are having the device removed after the development of a solid fusion mass

When used as a hook and sacral screw system, the Silhouette™ Spinal Fixation System is intended for use in the treatment of degenerative disc disease (as defined by chronic back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies), idiopathic scoliosis, spondylolisthesis, kyphotic or lordotic deformity of the spine, loss of stability due to tumors, spinal stenosis, vertebral fracture or dislocation, pseudoarthrosis, and previous failed spinal fusion. When used for this indication, screws of the Silhouette™ Spinal Fixation System are intended for sacral iliac attachment only. Hook and transverse connectors of the system are intended for posterior thoracic and/or lumbar use only. As a whole, the levels of use for hook and sacral screw fixation of this system are T1 to the sacrum.

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. “K992276: Modification to Silhouette Spinal Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K992276

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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