510(k) Report

510(k) · Cleared

Cleared

Modification to: CD Horizon Spinal System

K043343510(k) SpecialCleared Dec 28, 200422-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 · MNH Orthosis, Spondylolisthesis Spinal Fixation

Cleared on Dec 28, 2004 as substantially equivalent to K001255 (Medtronic Sofamor Danek, Inc., 2000) and 1 other predicate after a 22-day review. Its family tree reaches back 1 generation to 2000. 1 of the 598 devices in its family, counting itself, has a Class I recall. 595 later devices descend from it.

Decided
Dec 28, 2004
Review
22 days
Class
Class II
Product code
MNH
Recalls
None
Predicates
2

Its longest line of descent runs back 1 generation to K001066 (2000). 2 ancestors in all. 595 later devices descend from it, 3 citing it directly. 1 of the 598 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2000: 1 other ancestor2005: 2 descendants cleared2007: 3 descendants cleared2013: 22 descendants cleared2010: 1 descendant cleared2012: 16 descendants cleared2006: 1 descendant cleared2011: 3 descendants cleared2008: 3 descendants cleared2015: 35 descendants cleared2017: 34 descendants cleared2014: 28 descendants cleared2016: 28 descendants cleared2018: 36 descendants cleared2026: 53 descendants cleared2009: 1 descendant cleared2024: 58 descendants cleared2021: 38 descendants cleared, 1 with a Class I recall12023: 63 descendants cleared2019: 31 descendants cleared2025: 58 descendants cleared2020: 36 descendants cleared2022: 45 descendants clearedK001066 · CD Horizon Eclipse · Medtronic Sofamor Danek, Inc. · 2000200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 3 descendants2 generations forward: 11 descendants3 generations forward: 24 descendants4 generations forward: 95 descendants5 generations forward: 132 descendants6 generations forward: 147 descendants, 1 with a Class I recall17 generations forward: 84 descendants8 generations forward: 53 descendants9 generations forward: 24 descendants10 generations forward: 18 descendants11 generations forward: 4 descendants K001066 · CD Horizon Eclipse · Medtronic Sofamor Danek, Inc. · 20000+5+10
  1. Root · 1 generation backK001066 CD Horizon EclipseMedtronic Sofamor Danek, Inc. · 2000
  2. This deviceK043343 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  3. Descendant · cites it directly · 587 of its ownK051674 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2005
  4. Descendant · 2 generations on · 576 of its ownK063417 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek · 2007
  5. Descendant · cites it directly · 528 of its ownK052747 Modification to:CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  6. Descendant · 2 generations on · 517 of its ownK102807 CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2010
  7. Descendant · 2 generations on · 357 of its ownK121680 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2012

Showing 5 of 595 descendants. See all descendants

Descendants cleared per year

2005: 22006: 12007: 32008: 32009: 12010: 12011: 32012: 162013: 222014: 282015: 352016: 282017: 342018: 362019: 312020: 362021: 382022: 452023: 632024: 582025: 582026: 53
2005high 63 (2023) · low 1 (2006)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 595 · See all
  • K051674CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2005 · cites it directly587descendants
  • K063417Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek · 2007 · 2 generations on576descendants
  • K052747Modification to:CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005 · cites it directly528descendants
  • K102807CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2010 · 2 generations on517descendants
  • K121680CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2012 · 2 generations on357descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K001066CD Horizon EclipseMedtronic Sofamor Danek, Inc.2000—
0 (this device)K043343Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
+1K051674CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2005—
+2K063417Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek2007—
+1K052747Modification to:CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
+2K102807CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.2010—
+2K121680CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2012—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200520
200610
200730
200830
200910
201010
201130
2012160
2013220
2014280
2015350
2016280
2017340
2018360
2019310
2020360
2021381
2022450
2023630
2024580
2025580
2026530
FIG. 1 — Lineage of K043343, 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.

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? (2)

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
*K001255CD Horizon Spinal System
Summary page 2
…Documentation was provided which demonstrated the subject instruments to be substantially equivalent to the previously cleared CD HORIZON® SEXTANT instruments cleared in K001255 (SE 07/11/00) for a percutaneous approach cleared in K001066 (SE 06/22/00).…
Medtronic Sofamor Danek, Inc.2000—
*K001066CD Horizon Eclipse
Summary page 2
…truments to be substantially equivalent to the previously cleared CD HORIZON® SEXTANT instruments cleared in K001255 (SE 07/11/00) for a percutaneous approach cleared in K001066 (SE 06/22/00). 00 02i'- === Page…
Medtronic Sofamor Danek, Inc.2000—

Also cleared against K001255: 2 other devices →

What descends from it? (595)

See all 595

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

NumberDeviceApplicantDecidedDescendants
K051674CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2005587
K052747Modification to:CD Horizon Spinal SystemMedtronic Sofamor Danek2005528
K062670Vertiflex Spinal Screw SystemVertiflex (Tm), Incorporated200712

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?

  • None of the 2 ancestors has a recall.
  • Of its descendants, K051674 (Medtronic Sofamor Danek USA, Inc., 2005) has gone furthest, with 587 descendants of its own.
  • 2 other devices also cite its predicate K001255.

How does its category compare?

All MNH devices

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

FDA decisions per year · MNH

8in 2016

2007: 52008: 132009: 132010: 102011: 172012: 72013: 102014: 122015: 102016: 8
2007high 17 (2011) · low 0 (2017)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MNH

93in 2016

2007: 123 days median2008: 65 days median2009: 151 days median2010: 106 days median2011: 171 days median2012: 93 days median2013: 124 days median2014: 140 days median2015: 99 days median2016: 93 days median
2007high 171 (2011) · low 65 (2008)2026

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

Recalls per year · MNH

1in 2016

2009: 72012: 12013: 12016: 1
2007high 7 (2009) · low 0 (2007)2026

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

Adverse event reports per year · MNH

89in 2025

2007: 182008: 302009: 452010: 592011: 1072012: 4332013: 4642014: 2862015: 1522016: 2162017: 1742018: 1292019: 4032020: 4322021: 5312022: 2652023: 1212024: 3022025: 89
2007high 531 (2021) · low 18 (2007)2025

MAUDE reports naming product code MNH, 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
20075123018
20081365030
200913151745
201010106059
2011171710107
20127931433
2013101241464
2014121400286
201510990152
20168931216
20170—0174
20180—0129
20190—0403
20200—0432
20210—0531
20220—0265
20230—0121
20240—0302
20250—089
20260—0—

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 by back pain of discogenic origin with degeneration of the disc confirmed by patient 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…

Read the full statement (305 words)

The CD HORIZON® Spinal System is intended for posterior, non-cervical fixation for the following indications: degenerative disc disease (defined by back pain of discogenic origin with degeneration of the disc confirmed by patient 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 HORIZON® screws are intended for the following indications: degenerative disc disease (defined by back pain of discogenic origin with degeneration of the disc confirmed by patient 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, 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.

The CD HORIZON® SPIRE Plate is posterior, non-pedicle supplemental fixation device, intended for use in the non-cervical spine (Ti-Si). It is intended for plate fixation/attachment to spinous process for the purpose of achieving supplemental fusion in the following conditions: degenerative disc disease--defined by back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies; spondylolisthesis; trauma (i.e., fracture or dislocation); and/or tumor.

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

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K043343: Modification to: 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/K043343

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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