510(k) Report

510(k) · Cleared

Recalled · 2007

CD Horizon Spinal System

K060615510(k) TraditionalCleared Oct 25, 2006232-day reviewClass II21 CFR 888.3070Recalls 34

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

Medtronic Sofamor Danek · NKB Thoracolumbosacral Pedicle Screw System

Cleared on Oct 25, 2006 as substantially equivalent to K042025 (Medtronic Sofamor Danek, Inc., 2004) and 1 other predicate after a 232-day review. Its family tree reaches back 3 generations to 2004. 1 of the 836 devices in its family, counting itself, has a Class I recall. 822 later devices descend from it. It has been recalled 34 times.

Decided
Oct 25, 2006
Review
232 days
Class
Class II
Product code
NKB
Recalls
34
Predicates
3

Its longest line of descent runs back 3 generations to K040583 (2004). 13 ancestors in all, the oldest K980288 (1998). 822 later devices descend from it, 2 citing it directly. 1 of the 836 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2005: 1 other ancestor2004: 2 other ancestors2003: 2 other ancestors2002: 1 other ancestor2000: 2 other ancestors1999: 1 other ancestor1998: 1 other ancestor2007: 1 descendant cleared2008: 4 descendants cleared2009: 7 descendants cleared2012: 21 descendants cleared2010: 3 descendants cleared2011: 6 descendants cleared2016: 42 descendants cleared2013: 33 descendants cleared2022: 69 descendants cleared2015: 40 descendants cleared2017: 46 descendants cleared2024: 77 descendants cleared2023: 86 descendants cleared2018: 54 descendants cleared2014: 37 descendants cleared2019: 44 descendants cleared2021: 56 descendants cleared, 1 with a Class I recall12025: 71 descendants cleared2026: 65 descendants cleared2020: 60 descendants cleared×3: 3 generations cleared close together, K040583 (2004), K041118 (2004), K042025 (2004) 1995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 8 other ancestors3 generations back: 1 other ancestor 1 generation forward: 2 descendants2 generations forward: 8 descendants3 generations forward: 20 descendants4 generations forward: 49 descendants5 generations forward: 116 descendants6 generations forward: 218 descendants7 generations forward: 190 descendants, 1 with a Class I recall18 generations forward: 111 descendants9 generations forward: 74 descendants10 generations forward: 27 descendants11 generations forward: 7 descendants K042025 · Modification to CD Horizon Spinal System · Medtronic Sofamor Danek, Inc. · 2004 · recalledK041118 · Modification to CD Horizon Spinal System · Medtronic Sofamor Danek · 2004K040583 · Modification to: CD Horizon Spinal System · Medtronic Sofamor Danek · 20040+5+10
  1. Root · 3 generations backK040583 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  2. 2 generations backK041118 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  3. 1 generation backK042025 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2004 · Recalled
  4. This deviceK060615 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2006
  5. Descendant · cites it directly · 821 of its ownK063670 Modifications to CD Horizon Spinal SystemMedtronic Sofamor Danek · 2007
  6. Descendant · 2 generations on · 779 of its ownK082236 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2008
  7. Descendant · 3 generations on · 776 of its ownK091442 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2009
  8. Descendant · 3 generations on · 656 of its ownK091974 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2009 · Recalled
  9. Descendant · 4 generations on · 598 of its ownK102555 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2010

Showing 5 of 822 descendants. See all descendants

Descendants cleared per year

2007: 12008: 42009: 72010: 32011: 62012: 212013: 332014: 372015: 402016: 422017: 462018: 542019: 442020: 602021: 562022: 692023: 862024: 772025: 712026: 65
2007high 86 (2023) · low 1 (2007)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 822 · See all
  • K063670Modifications to CD Horizon Spinal SystemMedtronic Sofamor Danek · 2007 · cites it directly821descendants
  • K082236CD Horizon Spinal SystemMedtronic Sofamor Danek · 2008 · 2 generations on779descendants
  • K091442CD Horizon Spinal SystemMedtronic Sofamor Danek · 2009 · 3 generations on776descendants
  • 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
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K040583Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
−2K041118Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
−1K042025Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.20044
0 (this device)K060615CD Horizon Spinal SystemMedtronic Sofamor Danek2006—
+1K063670Modifications to CD Horizon Spinal SystemMedtronic Sofamor Danek2007—
+2K082236CD Horizon Spinal SystemMedtronic Sofamor Danek2008—
+3K091442CD 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—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199810
199910
200020
200210
200320
200420
200510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200710
200840
200970
201030
201160
2012210
2013330
2014370
2015400
2016420
2017460
2018540
2019440
2020600
2021561
2022690
2023860
2024770
2025710
2026650
FIG. 1 — Lineage of K060615, 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.

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 NKB device

  1. #1 K223494 CD Horizon Spinal Systemscore 40.4 · 30 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (3)

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; numbers the summary cites that cannot be its predicate are marked – and kept off the family tree.

TypeNumberDeviceApplicantDecidedRecalls
*K042025Modification to CD Horizon Spinal System
Summary page 3
…lts, was provided which demonstrated the subject CD HORIZON® AGILETm Dynamic Stabilization Device to be substantially equivalent to predicate CD HIORIZON® Spinal System (K042025, SE 08/25/04), the ATLAS Cable System (K920291, SE 04/08/92), and the DYNESYS® Spinal System cleared in K043565 (SE 03/11/05). =…
Medtronic Sofamor Danek, Inc.20044
Kept off the family treeK920291FDA’s K920291 is Moni-Trol-L and Moni-Trol-XL
Our reading of the summary gave K920291, FDA’s number for Moni-Trol-L and Moni-Trol-XL (Medical Analysis Systems, Inc.). Its FDA name has none of the distinctive words the summary uses for the device it names, “ATLAS Cable System”. Kept off the family tree.
Summary page 3
…t CD HORIZON® AGILETm Dynamic Stabilization Device to be substantially equivalent to predicate CD HIORIZON® Spinal System (K042025, SE 08/25/04), the ATLAS Cable System (K920291, SE 04/08/92), and the DYNESYS® Spinal System cleared in K043565 (SE 03/11/05). DEPARTMENT OF HEALTH & HUMAN…
Medical Analysis Systems, Inc.1992—
*K043565Modification to Dynesys Spinal System
Summary page 3
…ially equivalent to predicate CD HIORIZON® Spinal System (K042025, SE 08/25/04), the ATLAS Cable System (K920291, SE 04/08/92), and the DYNESYS® Spinal System cleared in K043565 (SE 03/11/05). DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Ser…
Zimmer Spine, Inc.20051

Also cleared against K042025: 36 other devices →

What descends from it? (822)

See all 822

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

NumberDeviceApplicantDecidedDescendants
K063670Modifications to CD Horizon Spinal SystemMedtronic Sofamor Danek2007821
K073143Modified Vertiflex Spinal Screw SystemVertiflex, Inc.20080

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

Recalls of this device

DateClassRecallRoot causeReason
Nov 12, 2007Not classifiedZ-1434-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1431-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1421-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1439-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1414-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1415-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1424-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1419-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1438-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1430-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1433-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1417-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1408-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1412-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1422-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1436-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1423-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1410-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1418-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1435-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1411-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1426-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1416-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1420-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1413-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1428-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1437-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1440-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1409-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1441-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1429-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1425-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1432-2008Device DesignBreaks: Shear failure of the cable component of the system.
Nov 12, 2007Not classifiedZ-1427-2008Device DesignBreaks: Shear failure of the cable component of the system.

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

What does this lineage say?

  • The line of descent spans 2 years and passes through 2 companies; a new generation was cleared every 3 months on median.
  • 4 of the 13 ancestors have a recall of any class.
  • Of its descendants, K063670 (Medtronic Sofamor Danek, 2007) has gone furthest, with 821 descendants of its own.
  • 36 other devices also cite its predicate K042025.

How does its category compare?

All NKB devices

NKB Thoracolumbosacral Pedicle Screw System: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · NKB

24in 2025

2007: 382008: 362009: 442010: 372011: 482012: 602013: 352014: 462015: 552016: 502017: 632018: 562019: 392020: 482021: 322022: 342023: 442024: 392025: 242026 (partial year): 30
2007high 63 (2017) · low 24 (2025)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NKB

61in 2025

2007: 87 days median2008: 59 days median2009: 71 days median2010: 111 days median2011: 84 days median2012: 79 days median2013: 73 days median2014: 90 days median2015: 90 days median2016: 84 days median2017: 69 days median2018: 61 days median2019: 84 days median2020: 68 days median2021: 61 days median2022: 88 days median2023: 72 days median2024: 57 days median2025: 61 days median2026 (partial year): 91 days median
2007high 111 (2010) · low 57 (2024)2026

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

Recalls per year · NKB

1in 2025

2007: 42008: 52009: 332010: 42011: 32012: 132014: 3, 1 Class I2015: 32016: 12017: 12018: 32019: 12020: 12022: 52023: 22024: 32025: 12026 (partial year): 3
2007high 33 (2009) · low 0 (2013)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · NKB

1,171in 2025

2007: 342008: 822009: 1712010: 4622011: 5772012: 1,7472013: 1,9622014: 1,6712015: 1,4462016: 1,5852017: 1,6182018: 1,6842019: 1,9152020: 2,0762021: 1,7452022: 1,3392023: 9192024: 1,6142025: 1,171
2007high 2,076 (2020) · low 34 (2007)2025

MAUDE reports naming product code NKB, 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
20073887434
20083659582
2009447133171
2010371114462
201148843577
20126079131,747
2013357301,962
201446903 (1)1,671
2015559031,446
2016508411,585
2017636911,618
2018566131,684
2019398411,915
2020486812,076
2021326101,745
2022348851,339
202344722919
2024395731,614
2025246111,171
202630913—

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 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. When used in a…

Read the full statement (696 words)

The CD HORIZON® Spinal 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.

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 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; pseudoarthrosis; 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 a posterior, non-pedicle supplemental fixation device, intended for use in the non-cervical spine (T1 - S1). 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 as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies; spondylolisthesis; trauma (i.e., fracture or dislocation); and/or tumor.

The CD HORIZON® LEGACY 3.5mm rod and associated components, when used as a pedicle screw fixation system of the non-cervical posterior spine in skeletally mature patients, are indicated for one or more of the following: (1) degenerative spondylolisthesis with objective evidence of neurologic impairment, (2) fracture, (3) dislocation, (4) scoliosis, (5) kyphosis, (6) spinal tumor, and/or (7) failed previous fusion (pseudarthrosis).

In addition, when used as a pedicle screw fixation system, the CD HORIZON® LEGACY 3.5mm rod and associated components are indicated for skeletally mature patients: (a) having severe spondylolisthesis (Grades 3 and 4) of the fifth lumbar-first sacral (L5-S1) vertebral joint; (b) who are receiving fusions using autogenous bone graft only; (c) who are having the device fixed or attached to the lumbar and sacral spine (L3 and below); and (d) who are having the device removed after the development of a solid fusion mass.

When used as a pedicle screw system in skeletally mature patients, the CD HORIZON® Spinal System PEEK rods and associated components are intended to provided immobilization and stabilization of spinal segments as an adjunct to fusion in the treatment of the following acute and chronic instabilities of the thoracic, lumbar and sacral spine: (1) degenerative spondylolisthesis with objective evidence of neurologic impairment, (2) kyphosis, and/or (3) failed previous fusion. Additionally, when used as a pedicle screw device, the CD HORIZON® Spinal System PEEK rod constructs are indicated for use in patients who: (1) are receiving fusion with autogenous graft only, (2) are having the device attached to the lumbar or sacral spine, and/or (3) are having the device removed after the development of a solid fusion mass.

When used as a pedicle screw fixation system in skeletally mature patients, the CD HORIZON® AGILE™ Dynamic Stabilization Device is intended to provide immobilization and stabilization of spinal segments as an adjunct to fusion in the treatment of the degenerative spondylolisthesis with objective evidence of neurologic impairment and/or failed previous fusion in the thoracic, lumbar and/or sacral spine. Additionally, when used as a pedicle screw fixation system, the CD HORIZON® AGILE™ Dynamic Stabilization Device is indicated for use in patients who are receiving fusions with autogenous graft only; who are having the device fixed or attached to the lumbar or sacral spine; and/or are having the device removed after the development of a solid fusion mass.

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. “K060615: CD Horizon Spinal System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K060615

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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