510(k) Report

510(k) · Cleared

Recalled · Class II · 2010

Icon Polyaxial Pedicle Screw System

K033090510(k) TraditionalCleared Mar 26, 2004179-day reviewClass II21 CFR 888.3050Recalls 1

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

Alphatec Mfg., Inc. · KWP Appliance, Fixation, Spinal Interlaminal

Cleared on Mar 26, 2004 as substantially equivalent to K031585 (U&I Corp., America, 2003) and 3 other predicates after a 179-day review. Its family tree reaches back 3 generations to 2000. 180 later devices descend from it. It has been recalled once.

Decided
Mar 26, 2004
Review
179 days
Class
Class II
Product code
KWP
Recalls
1
Predicates
4

Its longest line of descent runs back 3 generations to K000319 (2000). 9 ancestors in all, the oldest K982320 (1998). 180 later devices descend from it, 10 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2003: 1 other ancestor2000: 4 other ancestors1998: 1 other ancestor2008: 1 descendant cleared2009: 3 descendants cleared2014: 4 descendants cleared2016: 5 descendants cleared2005: 1 descendant cleared2013: 1 descendant cleared2010: 2 descendants cleared2015: 3 descendants cleared2012: 1 descendant cleared2017: 14 descendants cleared2018: 10 descendants cleared2023: 25 descendants cleared2019: 9 descendants cleared2024: 26 descendants cleared2020: 9 descendants cleared2021: 9 descendants cleared2022: 12 descendants cleared2025: 23 descendants cleared2026: 22 descendants clearedK000319 · Ebi Xfix DFS System · Ebi, L.P. · 2000K020279 · Forex Corporation, Optima, Spinal System · Forex Corp. · 2002 · recalledK031585 · U&I, Optima, Spinal System · U&I Corp., America · 2003 · recalled1995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors2 generations back: 3 other ancestors 1 generation forward: 10 descendants2 generations forward: 15 descendants3 generations forward: 21 descendants4 generations forward: 16 descendants5 generations forward: 18 descendants6 generations forward: 29 descendants7 generations forward: 26 descendants8 generations forward: 14 descendants9 generations forward: 17 descendants10 generations forward: 12 descendants11 generations forward: 2 descendants K031585 · U&I, Optima, Spinal System · U&I Corp., America · 2003 · recalledK020279 · Forex Corporation, Optima, Spinal System · Forex Corp. · 2002 · recalledK000319 · Ebi Xfix DFS System · Ebi, L.P. · 20000+5+10
  1. Root · 3 generations backK000319 Ebi Xfix DFS SystemEbi, L.P. · 2000
  2. 2 generations backK020279 Forex Corporation, Optima, Spinal SystemForex Corp. · 2002 · Recalled
  3. 1 generation backK031585 U&I, Optima, Spinal SystemU&I Corp., America · 2003 · Recalled
  4. This deviceK033090 Icon Polyaxial Pedicle Screw SystemAlphatec Mfg., Inc. · 2004
  5. Descendant · cites it directly · 176 of its ownK051286 Zodiac Spinal Fixation SystemAlphatec/Nexmed · 2005
  6. Descendant · cites it directly · 170 of its ownK093077 Zodiac Polyaxial Spinal Fixation SystemAlphatec Spine, Inc. · 2009
  7. Descendant · cites it directly · 168 of its ownK100685 Zodiac Polyaxial Spinal Fixation SystemAlphatec Spine, Inc. · 2010
  8. Descendant · 2 generations on · 150 of its ownK133221 Arsenal Spinal Fixation SystemAlphatec Spine, Inc. · 2014 · Recalled
  9. Descendant · 2 generations on · 84 of its ownK143149 Arsenal Spinal Fixation SystemAlphatec Spine, Inc. · 2015

Showing 5 of 180 descendants. See all descendants

Descendants cleared per year

2005: 12008: 12009: 32010: 22012: 12013: 12014: 42015: 32016: 52017: 142018: 102019: 92020: 92021: 92022: 122023: 252024: 262025: 232026: 22
2005high 26 (2024) · low 0 (2006)2026

Most influential descendants

Showing 5 of 180 · See all
  • K051286Zodiac Spinal Fixation SystemAlphatec/Nexmed · 2005 · cites it directly176descendants
  • K093077Zodiac Polyaxial Spinal Fixation SystemAlphatec Spine, Inc. · 2009 · cites it directly170descendants
  • K100685Zodiac Polyaxial Spinal Fixation SystemAlphatec Spine, Inc. · 2010 · cites it directly168descendants
  • K133221Arsenal Spinal Fixation SystemAlphatec Spine, Inc. · 2014 · 2 generations on150descendants
  • K143149Arsenal Spinal Fixation SystemAlphatec Spine, Inc. · 2015 · 2 generations on84descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K000319Ebi Xfix DFS SystemEbi, L.P.2000—
−2K020279Forex Corporation, Optima, Spinal SystemForex Corp.20024
−1K031585U&I, Optima, Spinal SystemU&I Corp., America20035
0 (this device)K033090Icon Polyaxial Pedicle Screw SystemAlphatec Mfg., Inc.2004—
+1K051286Zodiac Spinal Fixation SystemAlphatec/Nexmed2005—
+1K093077Zodiac Polyaxial Spinal Fixation SystemAlphatec Spine, Inc.2009—
+1K100685Zodiac Polyaxial Spinal Fixation SystemAlphatec Spine, Inc.2010—
+2K133221Arsenal Spinal Fixation SystemAlphatec Spine, Inc.20142
+2K143149Arsenal Spinal Fixation SystemAlphatec Spine, Inc.2015—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199810
200040
200310

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200510
200810
200930
201020
201210
201310
201440
201530
201650
2017140
2018100
201990
202090
202190
2022120
2023250
2024260
2025230
2026220
FIG. 1 — Lineage of K033090, 2000–2026Source: 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 KWP? 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? (4)

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
*K031585U&I, Optima, Spinal System
Summary page 2
…ing predicate devices: Trade/Proprietary Name Manufacturer Clearance Optima Spinal System U&I America K031585 Global Spinal Fixation System U&I America K001668 Moss-Miami Spinal System Depuy Inc.…
U&I Corp., America20035
*K001668Global Spinal Fixation System
Summary page 2
…Clearance Optima Spinal System U&I America K031585 Global Spinal Fixation System U&I America K001668 Moss-Miami Spinal System Depuy Inc. K982320 Universal Spine System Synthes…
D.K.M. Co., Ltd.2000—
*K982320Depuy Motech Moss Miami Spinal System
Summary page 2
…a K031585 Global Spinal Fixation System U&I America K001668 Moss-Miami Spinal System Depuy Inc. K982320 Universal Spine System Synthes K022949 Performance Data: Mechanical and dynamic testing o…
Depuy, Inc.1998—
*K022949Synthes Uss, Click'x, Uss Vas, Dual-Opening Uss and Small Stature Uss
Summary page 2
…a K001668 Moss-Miami Spinal System Depuy Inc. K982320 Universal Spine System Synthes K022949 Performance Data: Mechanical and dynamic testing of the ZODIAC Polyaxial Pedicle Screw System was performed. The test result…
Synthes (Usa)2003—

Also cleared against K031585: 40 other devices →

What descends from it? (180)

See all 180

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

NumberDeviceApplicantDecidedDescendants
K051286Zodiac Spinal Fixation SystemAlphatec/Nexmed2005176
K093077Zodiac Polyaxial Spinal Fixation SystemAlphatec Spine, Inc.2009170
K100685Zodiac Polyaxial Spinal Fixation SystemAlphatec Spine, Inc.2010168
K160775Thunderbolt™ Minimally Invasive and Lancer™ Open Pedicle Screw SystemsChoicespine, LP201673
K140678Cosmolock Pedicle Screw SystemKalitec Direct, LLC201410
K091189Zodiac Polyaxial Spinal Fixation SystemAlphatec Spine, Inc.20093
K123623Illico Mis Posterior Fixation SystemAlphatec Spine, Inc.20132
K100138Zodiac Polyaxial Spinal Fixation SystemAlphatec Spine, Inc.20100
K090779Zodiac Polyaxial Spinal Fixation SystemAlphatec Spine, Inc.20090
K081158Zodic Polyaxial Spinal Fixation SystemAlphatec Spine, Inc.20080

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

Recalls of this device

DateClassRecallRoot causeReason
Dec 9, 2010Class IIZ-0269-2013Error in labelingThe recall was initiated because Alphatec Spine confirmed that the TI Standard Polyaxial Screw Assembly was laser marked with the incorrect length of 45 MM.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 4 years and passes through 4 companies; a new generation was cleared every 1.0 years on median.
  • 2 of the 9 ancestors have a recall of any class.
  • Of its descendants, K051286 (Alphatec/Nexmed, 2005) has gone furthest, with 176 descendants of its own.
  • 40 other devices also cite its predicate K031585.

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?

It is intended that this device, in any system configuration be removed after development of solid fusion mass. Hook component indications are limited to T7-L5. Sacral screw indications are limited to the sacrum only. 1) The ZODIAC Polyaxial Pedicle Screw System, when used as a hook and sacral screw fixation system (nonpedicle screw) is intended for: a. Patients having fractures of the thoracic and lumbar spine. b. Patients having deformity (i.e.…

Read the full statement (256 words)

It is intended that this device, in any system configuration be removed after development of solid fusion mass. Hook component indications are limited to T7-L5. Sacral screw indications are limited to the sacrum only.

1) The ZODIAC Polyaxial Pedicle Screw System, when used as a hook and sacral screw fixation system (nonpedicle screw) is intended for:

a. Patients having fractures of the thoracic and lumbar spine.

b. Patients having deformity (i.e., idioscoliosis, neuromuscular scoliosis, or kyphoscoliosis with associated paralysis or spasticity).

c. Patients having spondylolisthesis (i.e., isthmic spondylolisthesis, degenerative spondylolisthesis, and acute pars fracture allowing spondylolisthesis).

2) The ZODIAC Polyaxial Pedicle Screw System, when used as a pedicle screw system in the thoraco-lumbo-sacral region of the spine is intended for degenerative spondylolisthesis with objective evidence of neurologic impairment, fracture, dislocation, scoliosis, kyphosis, spinal tumor and failed previous fusion (pseudoarthrosis).

3) In addition, the ZODIAC Polyaxial Pedicle Screw System, when used as a pedicle screw fixation system is intended for:

a. Patients receiving only autogenous bone graft.

b. Patients having the device fixed or attached to the lumbar and sacral spine and having severe spondylolisthesis grade 3 or 4 at the fifth lumbar-first sacral (L5-S1) vertebral joint.

4) The ZODIAC Polyaxial Pedicle Screw System, when used as a laminar hook and bone screw system is intended for:

a. Patients having fractures of thoracic and lumbar spine.

b. Patients having thoracolumbar deformity (i.e., idioscoliosis, neuromuscular scoliosis, or kyphoscoliosis with associated paralysis or spasticity).

c. Patients having spondylolisthesis (i.e., isthmic spondylolisthesis, degenerative spondylolistheses and acute pars fracture allowing spondylolisthesis).

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K033090: Icon Polyaxial Pedicle Screw System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K033090

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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