510(k) Report

510(k) · Cleared

Cleared

Radiopaque Bone Cement

K043518510(k) TraditionalCleared May 11, 2005142-day reviewClass II21 CFR 888.3027

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

Cardinalhealth · NDN Cement, Bone, Vertebroplasty

Cleared on May 11, 2005 as substantially equivalent to K032945 (Stryker Corp., 2004) after a 142-day review. Its family tree reaches back 1 generation to 2004. 27 later devices descend from it.

Decided
May 11, 2005
Review
142 days
Class
Class II
Product code
NDN
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to K032945 (2004). 27 later devices descend from it, 6 citing it directly.

Descendants, by year cleared 2015: 3 descendants cleared2013: 3 descendants cleared2011: 2 descendants cleared2010: 1 descendant cleared2009: 1 descendant cleared2012: 1 descendant cleared2020: 2 descendants cleared2016: 2 descendants cleared2014: 3 descendants cleared2018: 1 descendant cleared2024: 1 descendant cleared2019: 2 descendants cleared2025: 2 descendants cleared2023: 2 descendants cleared2026: 1 descendant clearedK032945 · Simplex X · Stryker Corp. · 2004 · recalled200020052010201520202025
Descendants, by generation 1 generation forward: 6 descendants2 generations forward: 8 descendants3 generations forward: 5 descendants4 generations forward: 4 descendants5 generations forward: 1 descendant6 generations forward: 1 descendant7 generations forward: 2 descendants K032945 · Simplex X · Stryker Corp. · 2004 · recalled0+5
  1. Root · 1 generation backK032945 Simplex XStryker Corp. · 2004 · Recalled
  2. This deviceK043518 Radiopaque Bone CementCardinalhealth · 2005
  3. Descendant · cites it directly · 24 of its ownK090211 Inflatable Bone TampCardinal Health, Inc. · 2009
  4. Descendant · cites it directly · 23 of its ownK093463 Avamax Vertebral Balloon Model VBS1010, VBS1015, VBS1020Care Fusion · 2010
  5. Descendant · cites it directly · 22 of its ownK103064 Avamax Vertebral BalloonCare Fusion · 2011
  6. Descendant · cites it directly · 8 of its ownK131820 Avamax Vertebral Balloon System, 8G, Avamax Vertebral Balloon…Care Fusion · 2013
  7. Descendant · 2 generations on · 8 of its ownK122533 Osseoflex SB Inflatable Bone TampOsseon Therapeutics, Inc. · 2012

Showing 5 of 27 descendants. See all descendants

Descendants cleared per year

2009: 12010: 12011: 22012: 12013: 32014: 32015: 32016: 22018: 12019: 22020: 22023: 22024: 12025: 22026: 1
2009high 3 (2013) · low 0 (2017)2026

Most influential descendants

Showing 5 of 27 · See all
  • K090211Inflatable Bone TampCardinal Health, Inc. · 2009 · cites it directly24descendants
  • K093463Avamax Vertebral Balloon Model VBS1010, VBS1015, VBS1020Care Fusion · 2010 · cites it directly23descendants
  • K103064Avamax Vertebral BalloonCare Fusion · 2011 · cites it directly22descendants
  • K131820Avamax Vertebral Balloon System, 8G, Avamax Vertebral Balloon System, 10G, Avamax…Care Fusion · 2013 · cites it directly8descendants
  • K122533Osseoflex SB Inflatable Bone TampOsseon Therapeutics, Inc. · 2012 · 2 generations on8descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K032945Simplex XStryker Corp.20042
0 (this device)K043518Radiopaque Bone CementCardinalhealth2005—
+1K090211Inflatable Bone TampCardinal Health, Inc.2009—
+1K093463Avamax Vertebral Balloon Model VBS1010, VBS1015, VBS1020Care Fusion2010—
+1K103064Avamax Vertebral BalloonCare Fusion2011—
+1K131820Avamax Vertebral Balloon System, 8G, Avamax Vertebral Balloon System, 10G…Care Fusion2013—
+2K122533Osseoflex SB Inflatable Bone TampOsseon Therapeutics, Inc.2012—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200910
201010
201120
201210
201330
201430
201530
201620
201810
201920
202020
202320
202410
202520
202610
FIG. 1 — Lineage of K043518, 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 NDN? 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 NDN device

  1. #1 K241775 XeliteMed VertehighFix High Viscosity Spinal…score 14.9 · 4 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
*K032945Simplex X
Summary page 1
…the vertebral body. Substantial Equivalence: This device is substantially equivalent to Stryker Spineplex Radiopaque Bone Cement (K032945). Description: Radiopaque Bone Cement is a self-curing acrylic that a surgeon uses to…
Stryker Corp.20042

Also cleared against K032945: 14 other devices →

What descends from it? (27)

See all 27

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

NumberDeviceApplicantDecidedDescendants
K090211Inflatable Bone TampCardinal Health, Inc.200924
K093463Avamax Vertebral Balloon Model VBS1010, VBS1015, VBS1020Care Fusion201023
K103064Avamax Vertebral BalloonCare Fusion201122
K131820Avamax Vertebral Balloon System, 8G, Avamax Vertebral Balloon System, 10G, Avamax…Care Fusion20138
K131824Avaflex Vertebral Balloon SystemCare Fusion20133
K151125AVAflex Vertebral Balloon SystemCare Fusion20151

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

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Its one ancestor has a recall.
  • Of its descendants, K090211 (Cardinal Health, Inc., 2009) has gone furthest, with 24 descendants of its own.
  • 14 other devices also cite its predicate K032945.

How does its category compare?

All NDN devices

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

FDA decisions per year · NDN

2in 2025

2007: 92008: 12009: 62010: 52011: 112012: 72013: 72014: 72015: 62016: 42017: 52018: 32019: 22020: 42021: 22022: 22023: 22024: 32025: 22026 (partial year): 1
2007high 11 (2011) · low 1 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NDN

90in 2024

2007: 128 days median2009: 211 days median2010: 215 days median2011: 164 days median2012: 90 days median2013: 118 days median2014: 106 days median2015: 76 days median2016: 154 days median2017: 125 days median2018: 111 days median2020: 157 days median2024: 90 days median
2007high 215 (2010) · low 76 (2015)2026

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

Recalls per year · NDN

4in 2013

2009: 12013: 4
2007high 4 (2013) · low 0 (2007)2026

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

Adverse event reports per year · NDN

626in 2025

2007: 212008: 392009: 702010: 3962011: 982012: 892013: 2422014: 2312015: 2042016: 1822017: 1912018: 1442019: 2272020: 2122021: 3442022: 2702023: 3112024: 4542025: 626
2007high 626 (2025) · low 21 (2007)2025

MAUDE reports naming product code NDN, 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
20079128021
20081—039
20096211170
201052150396
201111164098
2012790089
201371184242
201471060231
20156760204
201641540182
201751250191
201831110144
20192—0227
202041570212
20212—0344
20222—0270
20232—0311
20243900454
20252—0626
20261—0—

What is it indicated for?

Radiopaque Bone Cement is indicated for the fixation of pathological fractures of the vertebral body.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K043518: Radiopaque Bone Cement.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K043518

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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