510(k) Report

510(k) · Cleared

Cleared

Zodiac Spinal Fixation System

K051286510(k) SpecialCleared Jun 17, 200530-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

Alphatec/Nexmed · MNH Orthosis, Spondylolisthesis Spinal Fixation

Cleared on Jun 17, 2005 as substantially equivalent to K033090 (Alphatec Mfg., Inc., 2004) and 1 other predicate after a 30-day review. Its family tree reaches back 4 generations to 2000. 176 later devices descend from it.

Decided
Jun 17, 2005
Review
30 days
Class
Class II
Product code
MNH
Recalls
None
Predicates
2

Its longest line of descent runs back 4 generations to K000319 (2000). 11 ancestors in all, the oldest K982320 (1998). 176 later devices descend from it, 6 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2004: 1 other ancestor2003: 1 other ancestor2000: 4 other ancestors1998: 1 other ancestor2008: 1 descendant cleared2009: 3 descendants cleared2010: 2 descendants cleared2013: 1 descendant cleared2014: 4 descendants cleared2015: 3 descendants cleared2016: 4 descendants cleared2012: 1 descendant cleared2017: 12 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 · recalledK033090 · Icon Polyaxial Pedicle Screw System · Alphatec Mfg., Inc. · 2004 · recalled1995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 3 other ancestors3 generations back: 3 other ancestors 1 generation forward: 6 descendants2 generations forward: 9 descendants3 generations forward: 24 descendants4 generations forward: 17 descendants5 generations forward: 18 descendants6 generations forward: 29 descendants7 generations forward: 28 descendants8 generations forward: 14 descendants9 generations forward: 17 descendants10 generations forward: 12 descendants11 generations forward: 2 descendants K033090 · Icon Polyaxial Pedicle Screw System · Alphatec Mfg., Inc. · 2004 · recalledK031585 · 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 · 4 generations backK000319 Ebi Xfix DFS SystemEbi, L.P. · 2000
  2. 3 generations backK020279 Forex Corporation, Optima, Spinal SystemForex Corp. · 2002 · Recalled
  3. 2 generations backK031585 U&I, Optima, Spinal SystemU&I Corp., America · 2003 · Recalled
  4. 1 generation backK033090 Icon Polyaxial Pedicle Screw SystemAlphatec Mfg., Inc. · 2004 · Recalled
  5. This deviceK051286 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
  10. Descendant · 2 generations on · 83 of its ownK152968 Arsenal Spinal Fixation SystemAlphatec Spine, Inc. · 2015

Showing 5 of 176 descendants. See all descendants

Descendants cleared per year

2008: 12009: 32010: 22012: 12013: 12014: 42015: 32016: 42017: 122018: 102019: 92020: 92021: 92022: 122023: 252024: 262025: 232026: 22
2008high 26 (2024) · low 0 (2011)2026

Most influential descendants

Showing 5 of 176 · See all
  • 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
  • K152968Arsenal Spinal Fixation SystemAlphatec Spine, Inc. · 2015 · 2 generations on83descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K000319Ebi Xfix DFS SystemEbi, L.P.2000—
−3K020279Forex Corporation, Optima, Spinal SystemForex Corp.20024
−2K031585U&I, Optima, Spinal SystemU&I Corp., America20035
−1K033090Icon Polyaxial Pedicle Screw SystemAlphatec Mfg., Inc.20041
0 (this device)K051286Zodiac 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—
+2K152968Arsenal Spinal Fixation SystemAlphatec Spine, Inc.2015—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199810
200040
200310
200410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200810
200930
201020
201210
201310
201440
201530
201640
2017120
2018100
201990
202090
202190
2022120
2023250
2024260
2025230
2026220
FIG. 1 — Lineage of K051286, 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.

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  • 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? (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
*K033090Icon Polyaxial Pedicle Screw System
Summary page 2
…quivalence for the ZODIAC T M Spinal Fixation System manufactured from stainless steel material is the same as the ZODIAC Spinal Fixation System previously cleared under K033090 and K042673. Performance Data Performance data were submitted to characterize the ZODIAC T M Spinal Fixation System manufacture…
Alphatec Mfg., Inc.20041
*K042673Zodiac Polyaxial Spinal Fixation System
Summary page 2
…or the ZODIAC T M Spinal Fixation System manufactured from stainless steel material is the same as the ZODIAC Spinal Fixation System previously cleared under K033090 and K042673. Performance Data Performance data were submitted to characterize the ZODIAC T M Spinal Fixation System manufactured from stain…
Alphatec/Nexmed20043

Also cleared against K033090: 9 other devices →

What descends from it? (176)

See all 176

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

NumberDeviceApplicantDecidedDescendants
K093077Zodiac Polyaxial Spinal Fixation SystemAlphatec Spine, Inc.2009170
K100685Zodiac Polyaxial Spinal Fixation SystemAlphatec Spine, Inc.2010168
K091189Zodiac Polyaxial Spinal Fixation SystemAlphatec Spine, Inc.20093
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)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 5 years and passes through 5 companies; a new generation was cleared every 1.2 years on median.
  • 4 of the 11 ancestors have a recall of any class.
  • Of its descendants, K093077 (Alphatec Spine, Inc., 2009) has gone furthest, with 170 descendants of its own.
  • 9 other devices also cite its predicate K033090.

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?

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-Lb. Sacral screw indications are limited to the sacrum only. 1) The ZODIAC TM Spinal Fixation 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 (254 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-Lb. Sacral screw indications are limited to the sacrum only.

1) The ZODIAC TM Spinal Fixation 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 ZODIACTM Spinal Fixation 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 ZODIACTM Spinal Fixation 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-Si) vertebral joint.

4) The ZODIAC T Spinal Fixation 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. “K051286: Zodiac Spinal Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K051286

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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