510(k) Report

510(k) · Cleared

Recalled · 2006

MSD Silo Spinal System

K042210510(k) TraditionalCleared Nov 4, 200480-day reviewClass II21 CFR 888.3070Recalls 1

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

Medtronic Sofamor Danek · MNI Orthosis, Spinal Pedicle Fixation

Cleared on Nov 4, 2004 as substantially equivalent to K041030 (Medtronic Sofamor Danek, 2004) after an 80-day review. Its family tree reaches back 2 generations to 1999. 1 of the 670 devices in its family, counting itself, has a Class I recall. 666 later devices descend from it. It has been recalled once.

Decided
Nov 4, 2004
Review
80 days
Class
Class II
Product code
MNI
Recalls
1
Predicates
1

Its longest line of descent runs back 2 generations to K981676 (1999). 3 ancestors in all. 666 later devices descend from it, 2 citing it directly. 1 of the 670 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2003: 1 other ancestor2005: 1 descendant cleared2006: 1 descendant cleared2009: 2 descendants cleared2010: 3 descendants cleared2018: 48 descendants cleared2013: 24 descendants cleared2021: 45 descendants cleared, 1 with a Class I recall12024: 60 descendants cleared2014: 34 descendants cleared2012: 14 descendants cleared2022: 48 descendants cleared2011: 4 descendants cleared2015: 37 descendants cleared2016: 39 descendants cleared2017: 44 descendants cleared2020: 46 descendants cleared2025: 57 descendants cleared2023: 67 descendants cleared2019: 38 descendants cleared2026: 54 descendants clearedK981676 · CD Horizon Spinal System · Sofamor Danek USA,Inc. · 1999K041030 · Modification to CD Horizon Spinal System · Medtronic Sofamor Danek · 20041995200020052010201520202025
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor 1 generation forward: 2 descendants2 generations forward: 2 descendants3 generations forward: 11 descendants4 generations forward: 49 descendants5 generations forward: 100 descendants6 generations forward: 171 descendants7 generations forward: 141 descendants8 generations forward: 91 descendants, 1 with a Class I recall19 generations forward: 46 descendants10 generations forward: 37 descendants11 generations forward: 16 descendants K041030 · Modification to CD Horizon Spinal System · Medtronic Sofamor Danek · 2004K981676 · CD Horizon Spinal System · Sofamor Danek USA,Inc. · 19990+5+10
  1. Root · 2 generations backK981676 CD Horizon Spinal SystemSofamor Danek USA,Inc. · 1999
  2. 1 generation backK041030 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  3. This deviceK042210 MSD Silo Spinal SystemMedtronic Sofamor Danek · 2004
  4. Descendant · cites it directly · 665 of its ownK052144 TSRH Spinal SystemMedtronic Sofamor Danek · 2005 · Recalled
  5. Descendant · 2 generations on · 663 of its ownK090390 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2009
  6. Descendant · 3 generations on · 656 of its ownK091974 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2009 · Recalled
  7. Descendant · 4 generations on · 598 of its ownK102555 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2010
  8. Descendant · 4 generations on · 597 of its ownK112473 CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2011

Showing 5 of 666 descendants. See all descendants

Descendants cleared per year

2005: 12006: 12009: 22010: 32011: 42012: 142013: 242014: 342015: 372016: 392017: 442018: 482019: 382020: 462021: 452022: 482023: 672024: 602025: 572026: 54
2005high 67 (2023) · low 0 (2007)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 666 · See all
  • K052144TSRH Spinal SystemMedtronic Sofamor Danek · 2005 · cites it directly665descendants
  • K090390CD Horizon Spinal SystemMedtronic Sofamor Danek · 2009 · 2 generations on663descendants
  • K091974Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2009 · 3 generations on656descendants
  • K102555CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2010 · 4 generations on598descendants
  • K112473CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2011 · 4 generations on597descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K981676CD Horizon Spinal SystemSofamor Danek USA,Inc.1999—
−1K041030Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
0 (this device)K042210MSD Silo Spinal SystemMedtronic Sofamor Danek2004—
+1K052144TSRH Spinal SystemMedtronic Sofamor Danek20051
+2K090390CD Horizon Spinal SystemMedtronic Sofamor Danek2009—
+3K091974Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.20091
+4K102555CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2010—
+4K112473CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.2011—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200310

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200510
200610
200920
201030
201140
2012140
2013240
2014340
2015370
2016390
2017440
2018480
2019380
2020460
2021451
2022480
2023670
2024600
2025570
2026540
FIG. 1 — Lineage of K042210, 1999–2026Source: 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.

  • 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? (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
*K041030Modification to CD Horizon Spinal System
Summary page 2
…test reports, was provided which demonstrated the MSD SiloTM Spinal System to be substantially equivalent to CD HORIZON® Spinal System components previously cleared in 1K041030. 0 0 00 6: ft ~~DEPARTMENT…
Medtronic Sofamor Danek2004—

Also cleared against K041030: 4 other devices →

What descends from it? (666)

See all 666

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

NumberDeviceApplicantDecidedDescendants
K052144TSRH Spinal SystemMedtronic Sofamor Danek2005665
K060203Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek20060

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

Recalls of this device

DateClassRecallRoot causeReason
Dec 18, 2006Not classifiedZ-0411-2007OtherDue to a manufacturing error, the proximal end may deform causing the protrusions that engage the associated implant to break off of the instrument during use.

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 · 8 generations on · ◆ in the 2021 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 5 years and passes through 2 companies; a new generation was cleared every 5.4 years on median.
  • 1 of the 3 ancestors has a recall of any class.
  • Of its descendants, K052144 (Medtronic Sofamor Danek, 2005) has gone furthest, with 665 descendants of its own.
  • 4 other devices also cite its predicate K041030.

How does its category compare?

All MNI devices

MNI Orthosis, Spinal Pedicle Fixation: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · MNI

1in 2017

2007: 202008: 232009: 182010: 162011: 172012: 192013: 142014: 62015: 122016: 72017: 1
2007high 23 (2008) · low 0 (2018)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MNI

168in 2016

2007: 82 days median2008: 64 days median2009: 86 days median2010: 74 days median2011: 111 days median2012: 75 days median2013: 77 days median2014: 104 days median2015: 54 days median2016: 168 days median
2007high 168 (2016) · low 54 (2015)2026

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

Recalls per year · MNI

1in 2018

2007: 262008: 82009: 32010: 12012: 12013: 42015: 12018: 1
2007high 26 (2007) · low 0 (2011)2026

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

Adverse event reports per year · MNI

80in 2025

2007: 832008: 1082009: 1382010: 1262011: 1462012: 2002013: 8242014: 3012015: 2602016: 1172017: 2472018: 1342019: 1882020: 1152021: 2702022: 2142023: 1222024: 1142025: 80
2007high 824 (2013) · low 80 (2025)2025

MAUDE reports naming product code MNI, 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
200720822683
200823648108
200918863138
201016741126
2011171110146
201219751200
201314774824
201461040301
201512541260
201671680117
20171—0247
20180—1134
20190—0188
20200—0115
20210—0270
20220—0214
20230—0122
20240—0114
20250—080
20260—0—

What is it indicated for?

The MSD SiLoTM 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. Except for hooks, when…

Read the full statement (124 words)

The MSD SiLoTM 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.

Except for hooks, when used as an anterolateral thoracic/lumbar system, the MSD SiLoTM 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.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K042210: MSD Silo Spinal System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K042210

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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