Cleared Special

True Tulip, True M.I.S. (K212627) - FDA 510(k) Clearance

Class II Orthopedic device cleared through the Special 510(k) pathway - typically does not require clinical trials.

Download Printable Device Report (PDF)
Optimized for regulatory review, auditing and printing
Feb 2022
Decision
183d
Days
Class 2
Risk

K212627 is an FDA 510(k) clearance for the True Tulip, True M.I.S.. Classified as Thoracolumbosacral Pedicle Screw System within the NKB classification (a category for thoracolumbosacral pedicle screw systems), Class II - Special Controls.

Submitted by Innovative Surgical Designs, Inc. (Bloomington, US). The FDA issued a Cleared decision on February 18, 2022 after a review of 183 days - an extended review cycle.

This device falls under the Orthopedic FDA review panel, regulated under 21 CFR 888.3070 - the FDA orthopedic device regulatory framework. As a Special 510(k), this submission covers a manufacturer modification to an existing cleared device rather than a new device introduction.

Device pattern: Iterative device modification. Standard predicate reliance. This Special 510(k) clearance confirms that the manufacturer's modifications remained within the established regulatory envelope of the original cleared device.

View all Innovative Surgical Designs, Inc. devices

Submission Details

510(k) Number K212627 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received August 19, 2021
Decision Date February 18, 2022
Days to Decision 183 days
Submission Type Special
Review Panel Orthopedic (OR)
Summary Statement
Third-party Review No - reviewed directly by FDA
Combination Product No
PCCP Authorized No
Regulatory Context
Review time vs. panel average
61d slower than avg
Panel avg: 122d · This submission: 183d
Pathway characteristics
Modification to existing cleared device.

Device Classification

Product Code NKB Thoracolumbosacral Pedicle Screw System
Device Class Class 2 - Special Controls
CFR Regulation 21 CFR 888.3070
Definition Intended To Provide Immobilization And Stabilization Of Spinal Segments In Thoracic, Lumbar, And Sacral Spine As An Adjunct To Fusion.
What this classification means

Class II devices require demonstration of substantial equivalence to a legally marketed predicate device. This pathway does not require clinical trials - it relies on engineering equivalence and performance data. Most Orthopedic devices follow this clearance model.

Regulatory Peers - NKB Thoracolumbosacral Pedicle Screw System

All 447
Devices cleared under the same product code (NKB) and FDA review panel - the closest regulatory comparables to K212627.
ARx® Spinal System
K220025 · Life Spine, Inc. · Mar 2022
EXPEDIUM VERSE® Fenestrated Screw System (Sterile Fenestrated Screws)
K220374 · Medos International SARL · Mar 2022
VyLink™ Spinal Screw System
K213750 · Vy Spine, LLC · Feb 2022
PERLA® TL Posterior Osteosynthesis System
K213470 · Spineart · Jan 2022
PASS LP™ Spinal System, CD Horizon™ Spinal System
K213281 · Medicrea International SA · Jan 2022
Invictus Spinal Fixation System
K213460 · Alphatec Spine, Inc. · Dec 2021