510(k) Report

510(k) · Cleared

Recalled · Class II · 2017

Simplex X

K032945510(k) TraditionalCleared May 25, 2004246-day reviewClass II21 CFR 888.3027Recalls 2

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

Stryker Corp. · LOD Bone Cement

Cleared on May 25, 2004 after a 246-day review. The FDA summary names its predicate without a number. 248 later devices descend from it. It has been recalled 2 times.

Decided
May 25, 2004
Review
246 days
Class
Class II
Product code
LOD
Recalls
2
Predicates
0

248 later devices descend from it, 15 citing it directly.

Descendants, by year cleared 2017: 8 descendants cleared2004: 2 descendants cleared2005: 6 descendants cleared2009: 4 descendants cleared2007: 12 descendants cleared2006: 9 descendants cleared2022: 16 descendants cleared2011: 8 descendants cleared2019: 10 descendants cleared2014: 5 descendants cleared2010: 3 descendants cleared2018: 10 descendants cleared2013: 5 descendants cleared2024: 25 descendants cleared2015: 6 descendants cleared2020: 18 descendants cleared2021: 15 descendants cleared2008: 1 descendant cleared2012: 2 descendants cleared2023: 27 descendants cleared2016: 5 descendants cleared2026: 29 descendants cleared2025: 22 descendants cleared200020052010201520202025
  1. This deviceK032945 Simplex XStryker Corp. · 2004
  2. Descendant · cites it directly · 209 of its ownK041584 Kyphx HV-R Bone Cement, Model C01AKyphon, Inc. · 2004 · Recalled
  3. Descendant · cites it directly · 189 of its ownK042691 Vertefix Vertebroplasty Procedure SetCook, Inc. · 2005
  4. Descendant · cites it directly · 176 of its ownK060300 Confidence High Viscosity Bone CementDisc-O-Tech Medical Technologies, Ltd. · 2006 · Recalled
  5. Descendant · 2 generations on · 167 of its ownK093828 Kyph X HV-R Bone CementMedtronic, Inc. · 2010
  6. Descendant · 2 generations on · 165 of its ownK102397 Kyphon Xpede Bone CementMedtronic · 2011

Showing 5 of 248 descendants. See all descendants

Descendants cleared per year

2004: 22005: 62006: 92007: 122008: 12009: 42010: 32011: 82012: 22013: 52014: 52015: 62016: 52017: 82018: 102019: 102020: 182021: 152022: 162023: 272024: 252025: 222026: 29
2004high 29 (2026) · low 1 (2008)2026

Most influential descendants

Showing 5 of 248 · See all
  • K041584Kyphx HV-R Bone Cement, Model C01AKyphon, Inc. · 2004 · cites it directly209descendants
  • K042691Vertefix Vertebroplasty Procedure SetCook, Inc. · 2005 · cites it directly189descendants
  • K060300Confidence High Viscosity Bone CementDisc-O-Tech Medical Technologies, Ltd. · 2006 · cites it directly176descendants
  • K093828Kyph X HV-R Bone CementMedtronic, Inc. · 2010 · 2 generations on167descendants
  • K102397Kyphon Xpede Bone CementMedtronic · 2011 · 2 generations on165descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K032945Simplex XStryker Corp.2004—
+1K041584Kyphx HV-R Bone Cement, Model C01AKyphon, Inc.20042
+1K042691Vertefix Vertebroplasty Procedure SetCook, Inc.2005—
+1K060300Confidence High Viscosity Bone CementDisc-O-Tech Medical Technologies, Ltd.20068
+2K093828Kyph X HV-R Bone CementMedtronic, Inc.2010—
+2K102397Kyphon Xpede Bone CementMedtronic2011—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200420
200560
200690
2007120
200810
200940
201030
201180
201220
201350
201450
201560
201650
201780
2018100
2019100
2020180
2021150
2022160
2023270
2024250
2025220
2026290
FIG. 1 — Lineage of K032945, 2004–2026Source: 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 LOD? 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 LOD device

  1. #1 K254107 Refobacin Bone Cement R (110034355)score 11.8 · 3 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

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
*—Stryker Simplex® P
Named without a submission number
—

What descends from it? (248)

See all 248

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

NumberDeviceApplicantDecidedDescendants
K041584Kyphx HV-R Bone Cement, Model C01AKyphon, Inc.2004209
K042691Vertefix Vertebroplasty Procedure SetCook, Inc.2005189
K060300Confidence High Viscosity Bone CementDisc-O-Tech Medical Technologies, Ltd.2006176
K072118Stryker Vertaplex Radiopaque Bone CementStryker Corp.200763
K161114HIGH V+Teknimed Sas201742
K042415Mendec SpineTecres S.P.A.200528
K043518Radiopaque Bone CementCardinalhealth200527
K053336Staxx FX SystemSpine Wave, Inc.200612
K042168CONCORD Radiopaque Bone CementGlobus Medical, Inc.20056
K043406Vertebroplastic Radiopaque Bone CementDepuy Spine, Inc.20053

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Nov 9, 2017Class IIZ-1250-2018Environmental controlLack of sterility assurance as bioburden levels were found to be higher than internal acceptable rates.
Nov 30, 2011Not classifiedZ-0862-2012Component change controlProduct was packaged with a four inch needle in stead of the correct five inch needle. There is a potential that the needle may not be able to reach the fracture site, which may require additional medical intervention. In addition, if the…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Of its descendants, K041584 (Kyphon, Inc., 2004) has gone furthest, with 209 descendants of its own.

How does its category compare?

All LOD devices

LOD Bone Cement: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · LOD

1in 2025

2007: 22008: 12009: 32013: 22014: 12015: 42016: 12017: 32018: 22019: 42020: 32021: 42022: 32023: 22024: 12025: 12026 (partial year): 1
2007high 4 (2015) · low 0 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LOD

277in 2022

2009: 103 days median2015: 138 days median2017: 96 days median2019: 90 days median2020: 139 days median2021: 95 days median2022: 277 days median
2007high 277 (2022) · low 90 (2019)2026

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

Recalls per year · LOD

2in 2022

2014: 12017: 42020: 12022: 22026 (partial year): 2
2007high 4 (2017) · low 0 (2007)2026

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

Adverse event reports per year · LOD

355in 2025

2007: 782008: 1342009: 1702010: 2912011: 4282012: 4122013: 5012014: 4652015: 5292016: 6152017: 8172018: 1,2952019: 2,3072020: 1,2942021: 7822022: 4722023: 4752024: 4922025: 355
2007high 2,307 (2019) · low 78 (2007)2025

MAUDE reports naming product code LOD, 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
20072—078
20081—0134
200931030170
20100—0291
20110—0428
20120—0412
20132—0501
20141—1465
201541380529
20161—0615
20173964817
20182—01,295
201949002,307
2020313911,294
20214950782
202232772472
20232—0475
20241—0492
20251—0355
20261—2—

What is it indicated for?

SpineplexTM Radiopaque Bone cement is indicated for the fixation of pathological fractures of the vertebral body using vertebroplasty or kyphoplasty procedures. Painful vertebral compression fractures may result from osteoporosis, benign lesions (hemangioma), and malignant lesions (metastatic cancers, myeloma).

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K032945: Simplex X.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K032945

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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