510(k) Report

510(k) · Cleared

Cleared

CD Horizon Spinal System

K032033510(k) TraditionalCleared Sep 12, 200373-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

Medtronic Sofamor Danek · NKB Thoracolumbosacral Pedicle Screw System

Cleared on Sep 12, 2003 after a 73-day review. The FDA summary names its predicate without a number. 1 of the 1,107 devices in its family, counting itself, has a Class I recall. 1,106 later devices descend from it.

Decided
Sep 12, 2003
Review
73 days
Class
Class II
Product code
NKB
Recalls
None
Predicates
0

1,106 later devices descend from it, 7 citing it directly. 1 of the 1,107 devices in this family, counting this one, has a Class I recall.

Descendants, by year cleared 2008: 12 descendants cleared2010: 16 descendants cleared2006: 12 descendants cleared2007: 12 descendants cleared2005: 5 descendants cleared2014: 51 descendants cleared2004: 1 descendant cleared2011: 24 descendants cleared2009: 17 descendants cleared2019: 60 descendants cleared2012: 51 descendants cleared2016: 59 descendants cleared2015: 60 descendants cleared2013: 49 descendants cleared2017: 69 descendants cleared2024: 82 descendants cleared2023: 98 descendants cleared2018: 69 descendants cleared2020: 68 descendants cleared2022: 75 descendants cleared2021: 62 descendants cleared, 1 with a Class I recall12025: 80 descendants cleared2026: 74 descendants cleared200020052010201520202025
  1. This deviceK032033 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2003
  2. Descendant · cites it directly · 870 of its ownK050809 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2005
  3. Descendant · cites it directly · 821 of its ownK063670 Modifications to CD Horizon Spinal SystemMedtronic Sofamor Danek · 2007
  4. Descendant · 2 generations on · 780 of its ownK052187 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  5. Descendant · cites it directly · 779 of its ownK082236 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2008
  6. Descendant · 3 generations on · 778 of its ownK053101 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2006

Showing 5 of 1,106 descendants. See all descendants

Descendants cleared per year

2004: 12005: 52006: 122007: 122008: 122009: 172010: 162011: 242012: 512013: 492014: 512015: 602016: 592017: 692018: 692019: 602020: 682021: 622022: 752023: 982024: 822025: 802026: 74
2004high 98 (2023) · low 1 (2004)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 1,106 · See all
  • K050809CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2005 · cites it directly870descendants
  • K063670Modifications to CD Horizon Spinal SystemMedtronic Sofamor Danek · 2007 · cites it directly821descendants
  • K052187Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005 · 2 generations on780descendants
  • K082236CD Horizon Spinal SystemMedtronic Sofamor Danek · 2008 · cites it directly779descendants
  • K053101CD Horizon Spinal SystemMedtronic Sofamor Danek · 2006 · 3 generations on778descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K032033CD Horizon Spinal SystemMedtronic Sofamor Danek2003—
+1K050809CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2005—
+1K063670Modifications to CD Horizon Spinal SystemMedtronic Sofamor Danek2007—
+2K052187Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
+1K082236CD Horizon Spinal SystemMedtronic Sofamor Danek2008—
+3K053101CD Horizon Spinal SystemMedtronic Sofamor Danek2006—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200410
200550
2006120
2007120
2008120
2009170
2010160
2011240
2012510
2013490
2014510
2015600
2016590
2017690
2018690
2019600
2020680
2021621
2022750
2023980
2024820
2025800
2026740
FIG. 1 — Lineage of K032033, 2003–2026Source: 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.

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.

Top candidate predicates for a new NKB device

  1. #1 K223494 CD Horizon Spinal Systemscore 40.4 · 30 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (3)

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
*—TSRH Spinal System
Named without a submission number
—
*—CD 8 Spinal System
Named without a submission number
—
*—TOWNLEY Plating System
Named without a submission number
—

What descends from it? (1,106)

See all 1,106

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

NumberDeviceApplicantDecidedDescendants
K050809CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2005870
K063670Modifications to CD Horizon Spinal SystemMedtronic Sofamor Danek2007821
K082236CD Horizon Spinal SystemMedtronic Sofamor Danek2008779
K060361Xia Spinal System, Xia 4.5 Spinal SystemStryker Spine2006734
K041801Expedium Mis Spine SystemDepuy Spine, Inc.2004533
K133944Range, Spinal System, Everest Spinal SystemK2m, Inc.201433
K100605Mis SystemSpine Wave, Inc.201033

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?

  • Of its descendants, K050809 (Medtronic Sofamor Danek USA, Inc., 2005) has gone furthest, with 870 descendants of its own.

How does its category compare?

All NKB devices

NKB Thoracolumbosacral Pedicle Screw System: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · NKB

24in 2025

2007: 382008: 362009: 442010: 372011: 482012: 602013: 352014: 462015: 552016: 502017: 632018: 562019: 392020: 482021: 322022: 342023: 442024: 392025: 242026 (partial year): 30
2007high 63 (2017) · low 24 (2025)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NKB

61in 2025

2007: 87 days median2008: 59 days median2009: 71 days median2010: 111 days median2011: 84 days median2012: 79 days median2013: 73 days median2014: 90 days median2015: 90 days median2016: 84 days median2017: 69 days median2018: 61 days median2019: 84 days median2020: 68 days median2021: 61 days median2022: 88 days median2023: 72 days median2024: 57 days median2025: 61 days median2026 (partial year): 91 days median
2007high 111 (2010) · low 57 (2024)2026

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

Recalls per year · NKB

1in 2025

2007: 42008: 52009: 332010: 42011: 32012: 132014: 3, 1 Class I2015: 32016: 12017: 12018: 32019: 12020: 12022: 52023: 22024: 32025: 12026 (partial year): 3
2007high 33 (2009) · low 0 (2013)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · NKB

1,171in 2025

2007: 342008: 822009: 1712010: 4622011: 5772012: 1,7472013: 1,9622014: 1,6712015: 1,4462016: 1,5852017: 1,6182018: 1,6842019: 1,9152020: 2,0762021: 1,7452022: 1,3392023: 9192024: 1,6142025: 1,171
2007high 2,076 (2020) · low 34 (2007)2025

MAUDE reports naming product code NKB, 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
20073887434
20083659582
2009447133171
2010371114462
201148843577
20126079131,747
2013357301,962
201446903 (1)1,671
2015559031,446
2016508411,585
2017636911,618
2018566131,684
2019398411,915
2020486812,076
2021326101,745
2022348851,339
202344722919
2024395731,614
2025246111,171
202630913—

What is it indicated for?

The CD HORIZON@ Spinal System is intended for posterior, non-cervical fixation for the following indications: degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies); spondylolisthesis; trauma (i.e., fracture or dislocation); spinal stenosis; curvatures (i.e., scoliosis, kyphosis and/or lordosis); tumor; pseudarthrosis; and/or failed previous fusion. When used in a…

Read the full statement (236 words)

The CD HORIZON@ Spinal System is intended for posterior, non-cervical fixation for the following indications: degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies); spondylolisthesis; trauma (i.e., fracture or dislocation); spinal stenosis; curvatures (i.e., scoliosis, kyphosis and/or lordosis); tumor; pseudarthrosis; and/or failed previous fusion.

When used in a percutaneous, non-cervical, posterior approach with the SEXTANT instrumentation, the CD IHORIZON@ cannulated screws are intended for the following indications: degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies); spondylolisthesis; trauma (i.e., fracture or dislocation); spinal stenosis; curvatures (i.e., scoliosis, kyphosis and/or lordosis); tumor; pseudaarthrosis; and/or failed previous fusion.

Except for hooks, when used as an anterolateral thoracic/lumbar system, CD HORIZON@ components such as ECLIPSE@ components are intended for the following indications: (1) degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies), (2) spinal stenosis, (3) spondylolisthesis, (4) spinal deformities (i.e., scoliosis, kyphosis, and/or lordosis), (5) fracture, (6) pseudarthrosis, (7) tumor resection, and/or (8) failed previous fusion.

In order to achieve additional levels of fixation, the CD HORIZONB Spinal System rods may be connected to the VERTEXTM Reconstruction System with the VERTEXTM rod connector. Refer to the VERTEXTM Reconstruction System Package Insert for a list of the VERTEXTM indications of use.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K032033: CD Horizon Spinal System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K032033

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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