510(k) Report

510(k) · Cleared

Cleared

Orion Anterior Cervical Plating System

K042235510(k) SpecialCleared Sep 17, 200430-day reviewClass II21 CFR 888.3060

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

Medtronic Sofamor Danek · KWQ Appliance, Fixation, Spinal Intervertebral Body

Cleared on Sep 17, 2004 as substantially equivalent to K973854 (Sofamor Danek USA,Inc., 1998) after a 30-day review. Its family tree reaches back 1 generation to 1998. 1 of the 686 devices in its family, counting itself, has a Class I recall. 684 later devices descend from it.

Decided
Sep 17, 2004
Review
30 days
Class
Class II
Product code
KWQ
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to K973854 (1998). 684 later devices descend from it, 3 citing it directly. 1 of the 686 devices in this family, counting this one, has a Class I recall.

Descendants, by year cleared 2012: 6 descendants cleared2004: 1 descendant cleared2010: 6 descendants cleared2006: 1 descendant cleared2019: 47 descendants cleared2007: 1 descendant cleared2015: 15 descendants cleared2017: 43 descendants cleared2013: 10 descendants cleared2014: 13 descendants cleared2008: 1 descendant cleared2023: 78 descendants cleared2020: 61 descendants cleared2011: 10 descendants cleared2021: 64 descendants cleared, 1 with a Class I recall12016: 24 descendants cleared2018: 33 descendants cleared2022: 64 descendants cleared2024: 73 descendants cleared2025: 68 descendants cleared2026: 65 descendants clearedK973854 · Orion Anterior Cervical Plate System · Sofamor Danek USA,Inc. · 19981995200020052010201520202025
Descendants, by generation 1 generation forward: 3 descendants2 generations forward: 7 descendants3 generations forward: 14 descendants4 generations forward: 37 descendants5 generations forward: 76 descendants6 generations forward: 129 descendants7 generations forward: 144 descendants8 generations forward: 133 descendants, 1 with a Class I recall19 generations forward: 84 descendants10 generations forward: 30 descendants11 generations forward: 16 descendants12 generations forward: 7 descendants13 generations forward: 3 descendants14 generations forward: 1 descendant K973854 · Orion Anterior Cervical Plate System · Sofamor Danek USA,Inc. · 19980+5+10
  1. Root · 1 generation backK973854 Orion Anterior Cervical Plate SystemSofamor Danek USA,Inc. · 1998
  2. This deviceK042235 Orion Anterior Cervical Plating SystemMedtronic Sofamor Danek · 2004
  3. Descendant · cites it directly · 677 of its ownK042922 Venture Anterior Cervical Plating SystemMedtronic Sofamor Danek, Inc. · 2004
  4. Descendant · 2 generations on · 669 of its ownK061274 Venture Anterior Cervical Plate SystemMedtronic Sofamor Danek · 2006
  5. Descendant · 3 generations on · 637 of its ownK073285 Peek Prevail Cervical Interbody DeviceMedtronic Sofamor Danek USA, Inc. · 2008
  6. Descendant · 4 generations on · 397 of its ownK094042 Peek Prevail Cervical Interbody DeviceMedtronic Sofamor Danek · 2010
  7. Descendant · 4 generations on · 389 of its ownK100214 Cornerstone PSR Cervical Interbody Fusion DeviceMedtronic Sofamor Danek · 2010

Showing 5 of 684 descendants. See all descendants

Descendants cleared per year

2004: 12006: 12007: 12008: 12010: 62011: 102012: 62013: 102014: 132015: 152016: 242017: 432018: 332019: 472020: 612021: 642022: 642023: 782024: 732025: 682026: 65
2004high 78 (2023) · low 0 (2005)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 684 · See all
  • K042922Venture Anterior Cervical Plating SystemMedtronic Sofamor Danek, Inc. · 2004 · cites it directly677descendants
  • K061274Venture Anterior Cervical Plate SystemMedtronic Sofamor Danek · 2006 · 2 generations on669descendants
  • K073285Peek Prevail Cervical Interbody DeviceMedtronic Sofamor Danek USA, Inc. · 2008 · 3 generations on637descendants
  • K094042Peek Prevail Cervical Interbody DeviceMedtronic Sofamor Danek · 2010 · 4 generations on397descendants
  • K100214Cornerstone PSR Cervical Interbody Fusion DeviceMedtronic Sofamor Danek · 2010 · 4 generations on389descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K973854Orion Anterior Cervical Plate SystemSofamor Danek USA,Inc.1998—
0 (this device)K042235Orion Anterior Cervical Plating SystemMedtronic Sofamor Danek2004—
+1K042922Venture Anterior Cervical Plating SystemMedtronic Sofamor Danek, Inc.2004—
+2K061274Venture Anterior Cervical Plate SystemMedtronic Sofamor Danek2006—
+3K073285Peek Prevail Cervical Interbody DeviceMedtronic Sofamor Danek USA, Inc.2008—
+4K094042Peek Prevail Cervical Interbody DeviceMedtronic Sofamor Danek2010—
+4K100214Cornerstone PSR Cervical Interbody Fusion DeviceMedtronic Sofamor Danek2010—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200410
200610
200710
200810
201060
2011100
201260
2013100
2014130
2015150
2016240
2017430
2018330
2019470
2020610
2021641
2022640
2023780
2024730
2025680
2026650
FIG. 1 — Lineage of K042235, 1998–2026Source: 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 KWQ device

  1. #1 K233640 Segmental Plating System (SPS);IdentiTi SPS…score 21.9 · 31 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? (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
*K973854Orion Anterior Cervical Plate System
Summary page 1
…Plate System screws were claimed to be substantially equivalent to the predicate ORION® Anterior Cervical Plate System screws cleared in K973854 (SE 3/16/98). A risk analysis and comparison data were provided in support of this notification.…
Sofamor Danek USA,Inc.1998—

Also cleared against K973854: 6 other devices →

What descends from it? (684)

See all 684

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

NumberDeviceApplicantDecidedDescendants
K042922Venture Anterior Cervical Plating SystemMedtronic Sofamor Danek, Inc.2004677
K121514Anodyne Anterior Cervical Plate SystemCorelink, LLC201221
K112809Blue Mountain Cervical PlateQualgenix, LLC20122

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

What does this lineage say?

  • Its one ancestor has no recall.
  • Of its descendants, K042922 (Medtronic Sofamor Danek, Inc., 2004) has gone furthest, with 677 descendants of its own.
  • 6 other devices also cite its predicate K973854.

How does its category compare?

All KWQ devices

KWQ Appliance, Fixation, Spinal Intervertebral Body: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · KWQ

7in 2025

2007: 272008: 322009: 232010: 232011: 222012: 262013: 222014: 172015: 252016: 152017: 202018: 222019: 262020: 262021: 172022: 182023: 162024: 172025: 72026 (partial year): 10
2007high 32 (2008) · low 7 (2025)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KWQ

64in 2025

2007: 101 days median2008: 70 days median2009: 90 days median2010: 104 days median2011: 95 days median2012: 90 days median2013: 88 days median2014: 124 days median2015: 102 days median2016: 121 days median2017: 67 days median2018: 95 days median2019: 81 days median2020: 55 days median2021: 59 days median2022: 85 days median2023: 59 days median2024: 64 days median2025: 64 days median2026 (partial year): 76 days median
2007high 124 (2014) · low 55 (2020)2026

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

Recalls per year · KWQ

1in 2018

2007: 22008: 332009: 352010: 22011: 52012: 72013: 62015: 22016: 92017: 82018: 1
2007high 35 (2009) · low 0 (2014)2026

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

Adverse event reports per year · KWQ

248in 2025

2007: 2882008: 3482009: 3552010: 6912011: 4152012: 5442013: 7962014: 5462015: 5622016: 5022017: 4922018: 3412019: 2982020: 4002021: 5912022: 3922023: 3202024: 4192025: 248
2007high 796 (2013) · low 248 (2025)2025

MAUDE reports naming product code KWQ, 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
2007271012288
2008327033348
2009239035355
2010231042691
201122955415
201226907544
201322886796
2014171240546
2015251022562
2016151219502
201720678492
201822951341
201926810298
202026550400
202117590591
202218850392
202316590320
202417640419
20257640248
202610760—

What is it indicated for?

The ORION® Anterior Cervical Plate System is intended for anterior interbody screw fixation of the cervical spine. The system is indicated for use in the temporary stabilization of the anterior spine during the development of cervical spinal fusions in patients with degenerative disc disease (as defined by neck pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies), trauma (including fractures), tumors, deformity (defined as kyphosis, lordosis, or scoliosis), pseudarthrosis, and/or failed previous fusions.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K042235: Orion Anterior Cervical Plating System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K042235

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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