510(k) Report

510(k) · Cleared

Cleared

Butterfly Plate Fixation System

K014267510(k) SpecialCleared Jan 25, 200229-day reviewClass II21 CFR 888.3050

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

Medtronic Sofamor Danek, Inc. · KWP Appliance, Fixation, Spinal Interlaminal

Cleared on Jan 25, 2002 as substantially equivalent to K010632 (Medtronic Sofamor Danek USA, Inc., 2001) and 1 other predicate after a 29-day review. Its family tree reaches back 1 generation to 1993. 1 of the 281 devices in its family, counting itself, has a Class I recall. 278 later devices descend from it.

Decided
Jan 25, 2002
Review
29 days
Class
Class II
Product code
KWP
Recalls
None
Predicates
2

Its longest line of descent runs back 1 generation to K922543 (1993). 2 ancestors in all. 278 later devices descend from it, 1 citing it directly. 1 of the 281 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2001: 1 other ancestor2002: 1 descendant cleared2007: 1 descendant cleared2015: 3 descendants cleared2008: 1 descendant cleared2021: 23 descendants cleared, 1 with a Class I recall12012: 1 descendant cleared2020: 16 descendants cleared2014: 1 descendant cleared2016: 3 descendants cleared2017: 7 descendants cleared2026: 42 descendants cleared2024: 53 descendants cleared2019: 15 descendants cleared2023: 35 descendants cleared2018: 5 descendants cleared2025: 41 descendants cleared2022: 30 descendants clearedK922543 · Z-Plate Anterior Fixation System · Sofamor Danek Mfg., Inc. · 19931990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 1 descendant2 generations forward: 1 descendant3 generations forward: 3 descendants4 generations forward: 17 descendants5 generations forward: 42 descendants6 generations forward: 65 descendants, 1 with a Class I recall17 generations forward: 70 descendants8 generations forward: 58 descendants9 generations forward: 17 descendants10 generations forward: 3 descendants11 generations forward: 1 descendant K922543 · Z-Plate Anterior Fixation System · Sofamor Danek Mfg., Inc. · 19930+5+10
  1. Root · 1 generation backK922543 Z-Plate Anterior Fixation SystemSofamor Danek Mfg., Inc. · 1993
  2. This deviceK014267 Butterfly Plate Fixation SystemMedtronic Sofamor Danek, Inc. · 2002
  3. Descendant · cites it directly · 277 of its ownK022070 Xantus Anterior Lateral Supplemental Fixation SystemMedtronic Sofamor Danek, Inc. · 2002
  4. Descendant · 2 generations on · 276 of its ownK071416 Pyramid +4 Anterior Lumbar Spine Plate SystemMedtronic Sofamor Danek USA, Inc. · 2007
  5. Descendant · 3 generations on · 228 of its ownK150135 DIVERGENCE-L Anterior/Oblique Lumbar Fusion SystemMedtronic Sofamor Danek USA, Inc. · 2015
  6. Descendant · 3 generations on · 190 of its ownK152277 PIVOX (tm) Oblique Lateral Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2015
  7. Descendant · 4 generations on · 155 of its ownK161379 ELSA SpacersGlobus Medical, Inc. · 2016

Showing 5 of 278 descendants. See all descendants

Descendants cleared per year

2002: 12007: 12008: 12012: 12014: 12015: 32016: 32017: 72018: 52019: 152020: 162021: 232022: 302023: 352024: 532025: 412026: 42
2002high 53 (2024) · low 0 (2003)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 278 · See all
  • K022070Xantus Anterior Lateral Supplemental Fixation SystemMedtronic Sofamor Danek, Inc. · 2002 · cites it directly277descendants
  • K071416Pyramid +4 Anterior Lumbar Spine Plate SystemMedtronic Sofamor Danek USA, Inc. · 2007 · 2 generations on276descendants
  • K150135DIVERGENCE-L Anterior/Oblique Lumbar Fusion SystemMedtronic Sofamor Danek USA, Inc. · 2015 · 3 generations on228descendants
  • K152277PIVOX (tm) Oblique Lateral Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2015 · 3 generations on190descendants
  • K161379ELSA SpacersGlobus Medical, Inc. · 2016 · 4 generations on155descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K922543Z-Plate Anterior Fixation SystemSofamor Danek Mfg., Inc.1993—
0 (this device)K014267Butterfly Plate Fixation SystemMedtronic Sofamor Danek, Inc.2002—
+1K022070Xantus Anterior Lateral Supplemental Fixation SystemMedtronic Sofamor Danek, Inc.2002—
+2K071416Pyramid +4 Anterior Lumbar Spine Plate SystemMedtronic Sofamor Danek USA, Inc.2007—
+3K150135DIVERGENCE-L Anterior/Oblique Lumbar Fusion SystemMedtronic Sofamor Danek USA, Inc.2015—
+3K152277PIVOX (tm) Oblique Lateral Spinal SystemMedtronic Sofamor Danek USA, Inc.2015—
+4K161379ELSA SpacersGlobus Medical, Inc.2016—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200210
200710
200810
201210
201410
201530
201630
201770
201850
2019150
2020160
2021231
2022300
2023350
2024530
2025410
2026420
FIG. 1 — Lineage of K014267, 1993–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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.

1 device in this family has a Class I recall. 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
Get a 510(k) Report

What was it cleared against? (2)

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
*K010632Butterfly Plate Function System
Summary page 1
…al Body Fixation Orthosis, Class II The BUTTERFLY PLATE Fixation System is substantially equivalent to itself, the BUTTERFLY PLATE Fixation System, which was cleared in K010632 on May 31, 2001 and the Sofamor Danek Z-Plate Anterior Fixation System, which was cleared on May 19, 1993. The BUTTERFLY PLATE F…
Medtronic Sofamor Danek USA, Inc.2001—
*K922543Z-Plate Anterior Fixation System
Summary page 2
…ned in this submission are substantially equivalent to the original BUTTERFLY PLATE Fixation System (K010632) and to the Sofamor Danek Z-Plate Anterior Fixation System (K922543). paqe SPRT=N T T Uou ol e"'mq"’*- @ DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service &, nuur,,‘…
Sofamor Danek Mfg., Inc.1993—

Also cleared against K010632: 1 other device →

What descends from it? (278)

See all 278

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

NumberDeviceApplicantDecidedDescendants
K022070Xantus Anterior Lateral Supplemental Fixation SystemMedtronic Sofamor Danek, Inc.2002277

Has anything in its family been recalled? (1 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K211616ExcelsiusHubGlobus Medical, Inc. · 2021 · 6 generations on · ◆ in the 2021 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • None of the 2 ancestors has a recall.
  • Of its descendants, K022070 (Medtronic Sofamor Danek, Inc., 2002) has gone furthest, with 277 descendants of its own.
  • 1 other device also cites its predicate K010632.

How does its category compare?

All KWP devices

KWP Appliance, Fixation, Spinal Interlaminal: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · KWP

9in 2015

2007: 142008: 132009: 122010: 142011: 122012: 182013: 122014: 132015: 9
2007high 18 (2012) · low 0 (2016)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KWP

113in 2015

2007: 96 days median2008: 50 days median2009: 89 days median2010: 186 days median2011: 67 days median2012: 112 days median2013: 99 days median2014: 138 days median2015: 113 days median
2007high 186 (2010) · low 50 (2008)2026

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

Recalls per year · KWP

2in 2022

2007: 22008: 12009: 232010: 22011: 62012: 12013: 32015: 12016: 32018: 12019: 22022: 2
2007high 23 (2009) · low 0 (2014)2026

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

Adverse event reports per year · KWP

494in 2025

2007: 2102008: 5942009: 6822010: 4742011: 7922012: 9182013: 1,0902014: 1,0222015: 1,3482016: 1,3792017: 8642018: 6572019: 5182020: 7962021: 5252022: 3352023: 3322024: 4362025: 494
2007high 1,379 (2016) · low 210 (2007)2025

MAUDE reports naming product code KWP, 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
200714962210
200813501594
2009128923682
2010141862474
201112676792
2012181121918
2013129931,090
20141313801,022
2015911311,348
20160—31,379
20170—0864
20180—1657
20190—2518
20200—0796
20210—0525
20220—2335
20230—0332
20240—0436
20250—0494
20260—0—

What is it indicated for?

The BUTTERFLY™ PLATE Fixation System is intended for screw/bolt fixation/attachment to the anterolateral intervertebral bodies from T1 to L5 only. This system is to be used only on one side and placed in such a manner as to be as far away from blood vessels such as the aorta and nerve roots as possible. When properly used, this system will provide temporary stabilization until a solid spinal fusion develops. Specific indications include: 1. Degenerative…

Read the full statement (179 words)

The BUTTERFLY™ PLATE Fixation System is intended for screw/bolt fixation/attachment to the anterolateral intervertebral bodies from T1 to L5 only. This system is to be used only on one side and placed in such a manner as to be as far away from blood vessels such as the aorta and nerve roots as possible. When properly used, this system will provide temporary stabilization until a solid spinal fusion develops. Specific indications include:

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

2. Pseudoarthrosis.

3. Spondylolysis.

4. Spondylolisthesis.

5. Fracture.

6. Neoplastic disease.

7. Unsuccessful previous fusion surgery.

8. Lordotic deformities of the spine.

9. Idiopathic thoracolumbar or lumbar scoliosis.

10. Deformity (i.e., scoliosis, lordosis, and/or kyphosis) associated with deficient posterior elements such as that resulting from laminectomy, spina bifida, or myelomenigocele.

11. Neuromuscular deformity (i.e., scoliosis, lordosis, and/or kyphosis) associated with pelvic obliquity.

Warning: This device is not approved for screw attachment to the posterior elements (pedicle) of the cervical, thoracic or lumbar spine.

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. “K014267: Butterfly Plate Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K014267

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 30, 2026 (extraction version 2d9447fa9ea4)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026