510(k) · Cleared
ClearedModification to Vertex Reconstruction System
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Medtronic Sofamor Danek · KWP Appliance, Fixation, Spinal Interlaminal
Cleared on Sep 14, 2007 as substantially equivalent to K042789 (Medtronic Sofamor Danek, 2004) and 8 other predicates after a 182-day review. Its family tree reaches back 11 generations to 2001. 150 later devices descend from it.
- Decided
- Sep 14, 2007
- Review
- 182 days
- Class
- Class II
- Product code
- KWP
- Recalls
- None
- Predicates
- 9
Its longest line of descent runs back 11 generations to K003155 (2001). 65 ancestors in all, the oldest K841189 (1984). 150 later devices descend from it, 6 citing it directly.
- Root · 11 generations backK003155 Vertebral Body ReplacementOsteotech, Inc. · 2001
- 7 generations between
- 3 generations backK060719 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2006
- 2 generations backK061938 Verte-Stack Spinal SystemMedtronic Sofamor Danek, Inc. · 2006
- 1 generation backK062427 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2006
- This deviceK070742 Modification to Vertex Reconstruction SystemMedtronic Sofamor Danek · 2007
- Descendant · cites it directly · 106 of its ownK110522 Vertex Reconstruction System, Vertex Select Reconstruction SystemMedtronic Sofamor Danek USA, Inc. · 2011
- Descendant · 2 generations on · 102 of its ownK113593 Nextgen Altius Oct SystemBiomet Spine (Aka Ebi, LLC) · 2012
- Descendant · 3 generations on · 75 of its ownK123549 Polaris Spinal System - Ballista II Percutaneous Screw Placement…Biomet Spine (Aka Ebi, LLC) · 2013 · Recalled
- Descendant · 4 generations on · 70 of its ownK131615 Polaris Spinal SystemBiomet Spine (Aka Ebi, LLC) · 2013
- Descendant · 3 generations on · 67 of its ownK133746 Polaris Spinal SystemBiomet Spine (Aka Ebi, LLC) · 2014 · Recalled
Show all 11 generations
- Root · 11 generations backK003155 Vertebral Body ReplacementOsteotech, Inc. · 2001
- 10 generations backK012254 VBROsteotech, Inc. · 2001
- 9 generations backK021791 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2002
- 8 generations backK023570 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2002
- 7 generations backK030601 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2003
- 6 generations backK040536 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
- 5 generations backK041556 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
- 4 generations backK043561 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
- 3 generations backK060719 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2006
- 2 generations backK061938 Verte-Stack Spinal SystemMedtronic Sofamor Danek, Inc. · 2006
- 1 generation backK062427 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2006
- This deviceK070742 Modification to Vertex Reconstruction SystemMedtronic Sofamor Danek · 2007
Showing 5 of 150 descendants. See all descendants
Descendants cleared per year
Most influential descendants
Showing 5 of 150 · See all- K110522Vertex Reconstruction System, Vertex Select Reconstruction SystemMedtronic Sofamor Danek USA, Inc. · 2011 · cites it directly106descendants
- K113593Nextgen Altius Oct SystemBiomet Spine (Aka Ebi, LLC) · 2012 · 2 generations on102descendants
- K123549Polaris Spinal System - Ballista II Percutaneous Screw Placement SystemBiomet Spine (Aka Ebi, LLC) · 2013 · 3 generations on75descendants
- K131615Polaris Spinal SystemBiomet Spine (Aka Ebi, LLC) · 2013 · 4 generations on70descendants
- K133746Polaris Spinal SystemBiomet Spine (Aka Ebi, LLC) · 2014 · 3 generations on67descendants
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −11 | K003155 | Vertebral Body Replacement | Osteotech, Inc. | 2001 | — |
| −10 | K012254 | VBR | Osteotech, Inc. | 2001 | — |
| −9 | K021791 | Verte-Stack Spinal System | Medtronic Sofamor Danek | 2002 | — |
| −8 | K023570 | Modification to Verte-Stack Spinal System | Medtronic Sofamor Danek | 2002 | — |
| −7 | K030601 | Verte-Stack Spinal System | Medtronic Sofamor Danek | 2003 | — |
| −6 | K040536 | Modification to Verte-Stack Spinal System | Medtronic Sofamor Danek | 2004 | — |
| −5 | K041556 | Modification to Verte-Stack Spinal System | Medtronic Sofamor Danek | 2004 | — |
| −4 | K043561 | Modification to Verte-Stack Spinal System | Medtronic Sofamor Danek | 2004 | — |
| −3 | K060719 | Modification to Verte-Stack Spinal System | Medtronic Sofamor Danek | 2006 | — |
| −2 | K061938 | Verte-Stack Spinal System | Medtronic Sofamor Danek, Inc. | 2006 | — |
| −1 | K062427 | Verte-Stack Spinal System | Medtronic Sofamor Danek | 2006 | — |
| 0 (this device) | K070742 | Modification to Vertex Reconstruction System | Medtronic Sofamor Danek | 2007 | — |
| +1 | K110522 | Vertex Reconstruction System, Vertex Select Reconstruction System | Medtronic Sofamor Danek USA, Inc. | 2011 | — |
| +2 | K113593 | Nextgen Altius Oct System | Biomet Spine (Aka Ebi, LLC) | 2012 | — |
| +3 | K123549 | Polaris Spinal System - Ballista II Percutaneous Screw Placement System | Biomet Spine (Aka Ebi, LLC) | 2013 | 2 |
| +4 | K131615 | Polaris Spinal System | Biomet Spine (Aka Ebi, LLC) | 2013 | — |
| +3 | K133746 | Polaris Spinal System | Biomet Spine (Aka Ebi, LLC) | 2014 | 1 |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1984 | 1 | 0 |
| 1985 | 1 | 0 |
| 1997 | 1 | 0 |
| 1998 | 2 | 0 |
| 1999 | 1 | 0 |
| 2000 | 5 | 0 |
| 2001 | 5 | 0 |
| 2002 | 5 | 0 |
| 2003 | 5 | 0 |
| 2004 | 15 | 0 |
| 2005 | 8 | 0 |
| 2006 | 4 | 0 |
| 2007 | 1 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2008 | 1 | 0 |
| 2009 | 1 | 0 |
| 2011 | 2 | 0 |
| 2012 | 5 | 0 |
| 2013 | 5 | 0 |
| 2014 | 9 | 0 |
| 2015 | 8 | 0 |
| 2016 | 6 | 0 |
| 2017 | 12 | 0 |
| 2018 | 8 | 0 |
| 2019 | 6 | 0 |
| 2020 | 16 | 0 |
| 2021 | 8 | 0 |
| 2022 | 9 | 0 |
| 2023 | 16 | 0 |
| 2024 | 13 | 0 |
| 2025 | 12 | 0 |
| 2026 | 13 | 0 |
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 KWP? 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
What was it cleared against? (9)
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.
| Type | Number | Device | Decided |
|---|---|---|---|
| * | K042789 | Vertex Reconstruction SystemSummary page 2…stantially equivalent to other commercially available posterior fixation systems and other pre-enactment devices including the VERTEX® Reconstruction System (K042789, SE 12/21/04; K052402, SE 09/23/05; K052734, SE 10/21/05; K053483, SE 01/05/06), the TRAVERSETM OCT Spinal Fixation S… | 2004 |
| * | K052402 | Vertex Reconstruction SystemSummary page 2…to other commercially available posterior fixation systems and other pre-enactment devices including the VERTEX® Reconstruction System (K042789, SE 12/21/04; K052402, SE 09/23/05; K052734, SE 10/21/05; K053483, SE 01/05/06), the TRAVERSETM OCT Spinal Fixation System (K062879, SE 12/… | 2005 |
| * | K052734 | Modification to: Vertex Reconstruction SystemSummary page 2…available posterior fixation systems and other pre-enactment devices including the VERTEX® Reconstruction System (K042789, SE 12/21/04; K052402, SE 09/23/05; K052734, SE 10/21/05; K053483, SE 01/05/06), the TRAVERSETM OCT Spinal Fixation System (K062879, SE 12/22/06), the CD HORIZON® Spin… | 2005 |
| * | K053483 | Modification to Vertex Reconstruction SystemSummary page 2…xation systems and other pre-enactment devices including the VERTEX® Reconstruction System (K042789, SE 12/21/04; K052402, SE 09/23/05; K052734, SE 10/21/05; K053483, SE 01/05/06), the TRAVERSETM OCT Spinal Fixation System (K062879, SE 12/22/06), the CD HORIZON® Spinal System (K0613… | 2006 |
| * | K062879 | Traverse Oct Spinal Fixation SystemSummary page 2…X® Reconstruction System (K042789, SE 12/21/04; K052402, SE 09/23/05; K052734, SE 10/21/05; K053483, SE 01/05/06), the TRAVERSETM OCT Spinal Fixation System (K062879, SE 12/22/06), the CD HORIZON® Spinal System (K061304, SE 07/18/06; K063417, SE 01/1 8/2007), the VERTE-STACK® Spinal… | 2006 |
| * | K061304 | CD Horizon Spinal SystemSummary page 2…09/23/05; K052734, SE 10/21/05; K053483, SE 01/05/06), the TRAVERSETM OCT Spinal Fixation System (K062879, SE 12/22/06), the CD HORIZON® Spinal System (K061304, SE 07/18/06; K063417, SE 01/1 8/2007), the VERTE-STACK® Spinal System (K062427, SE 09/12/06) and the TSRH® Spinal System (… | 2006 |
| * | K063417 | Modification to CD Horizon Spinal SystemSummary page 2…4, SE 10/21/05; K053483, SE 01/05/06), the TRAVERSETM OCT Spinal Fixation System (K062879, SE 12/22/06), the CD HORIZON® Spinal System (K061304, SE 07/18/06; K063417, SE 01/1 8/2007), the VERTE-STACK® Spinal System (K062427, SE 09/12/06) and the TSRH® Spinal System (K062807, SE 11/0… | 2007 |
| * | K062427 | Verte-Stack Spinal SystemSummary page 2…Fixation System (K062879, SE 12/22/06), the CD HORIZON® Spinal System (K061304, SE 07/18/06; K063417, SE 01/1 8/2007), the VERTE-STACK® Spinal System (K062427, SE 09/12/06) and the TSRH® Spinal System (K062807, SE 11/06/06). The results of mechanical testing performed for the subje… | 2006 |
| * | K062807 | TSRH Spinal SystemSummary page 2…CD HORIZON® Spinal System (K061304, SE 07/18/06; K063417, SE 01/1 8/2007), the VERTE-STACK® Spinal System (K062427, SE 09/12/06) and the TSRH® Spinal System (K062807, SE 11/06/06). The results of mechanical testing performed for the subject VERTEX® Reconstruction System components w… | 2006 |
What descends from it? (150)
See all 1506 later devices cite it directly; ranked here by how many devices descend from each in turn.
| Number | Device | Decided | Descendants |
|---|---|---|---|
| K110522 | Vertex Reconstruction System, Vertex Select Reconstruction System | 2011 | 106 |
| K123656 | Vertex Reconstruction System, Vertex Select Reconstruction System | 2013 | 39 |
| K163375 | INFINITY™ OCT System | 2017 | 16 |
| K073420 | Blackstone Ascent Multiaxial Screws | 2008 | 9 |
| K180851 | VERTEX™ Reconstruction System | 2018 | 8 |
| K093434 | Vertex Reconstruction System and Vertex Select Reconstruction System | 2009 | 7 |
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 6 years and passes through 3 companies; a new generation was cleared every 6 months on median.
- 4 of the 65 ancestors have a recall of any class.
- Of its descendants, K110522 (Medtronic Sofamor Danek USA, Inc., 2011) has gone furthest, with 106 descendants of its own.
- 9 other devices also cite its predicate K042789.
How does its category compare?
All KWP devicesKWP Appliance, Fixation, Spinal Interlaminal: FDA decisions, review times, recalls and adverse event reports over 20 years. 2007, this device’s year, is highlighted.
FDA decisions per year · KWP
9in 2015
2026 to Oct 25, outlined.
Median 510(k) review, days · KWP
113in 2015
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · KWP
2in 2022
Class I (0 since 2007) Class II/III not classified
Adverse event reports per year · KWP
494in 2025
MAUDE reports naming product code KWP, not matched to any one device; reports are not rates.
View these four charts as a table
| Year | Decisions | Median 510(k) review, days | Recalls (Class I) | MAUDE reports |
|---|---|---|---|---|
| 2007 | 14 | 96 | 2 | 210 |
| 2008 | 13 | 50 | 1 | 594 |
| 2009 | 12 | 89 | 23 | 682 |
| 2010 | 14 | 186 | 2 | 474 |
| 2011 | 12 | 67 | 6 | 792 |
| 2012 | 18 | 112 | 1 | 918 |
| 2013 | 12 | 99 | 3 | 1,090 |
| 2014 | 13 | 138 | 0 | 1,022 |
| 2015 | 9 | 113 | 1 | 1,348 |
| 2016 | 0 | — | 3 | 1,379 |
| 2017 | 0 | — | 0 | 864 |
| 2018 | 0 | — | 1 | 657 |
| 2019 | 0 | — | 2 | 518 |
| 2020 | 0 | — | 0 | 796 |
| 2021 | 0 | — | 0 | 525 |
| 2022 | 0 | — | 2 | 335 |
| 2023 | 0 | — | 0 | 332 |
| 2024 | 0 | — | 0 | 436 |
| 2025 | 0 | — | 0 | 494 |
| 2026 | 0 | — | 0 | — |
What is it indicated for?
When intended to promote fusion of the occipitocervical spine, cervical spine, and the thoracic spine, (Occiput-T3), the VERTEX® Reconstruction System is indicated for the following: DDD (neck pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies), spondylolisthesis, spinal stenosis, fracture, dislocation, failed previous fusion and/or tumors. Occipitocervical Components: Plate RodlPlates/Rods/Occipital…
Read the full statement (259 words)
When intended to promote fusion of the occipitocervical spine, cervical spine, and the thoracic spine, (Occiput-T3), the VERTEX® Reconstruction System is indicated for the following:
DDD (neck pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies), spondylolisthesis, spinal stenosis, fracture, dislocation, failed previous fusion and/or tumors.
Occipitocervical Components: Plate RodlPlates/Rods/Occipital Screws/Hooks
The occipitocervical plate rods, plates, rods, occipital screws, and hooks are intended to provide stabilization to promote fusion following reduction of fracture/dislocation or trauma in the occipitocervical junction and the cervical spine. When used to treat these occipitocervical and cervical conditions, these screws are limited to occipital fixation only. The screws are not intended to be placed in the cervical spine.
Occipitocervical constructs require bilateral fixation to C2 and below. Note: Segmental fixation is recommended for these constructs.
Hooks and Rods
The hooks and rods are also intended to provide stabilization to promote fusion following reduction of fracture/dislocation or trauma in the cervical/upper thoracic (Cl-T3) spine.
Multi-axial Screws/Connectors
The use of multi-axial screws are limited to placement in Tl-T3. The screws are not intended to be placed in the cervical spine.
Titanium ATLAS® Cable System to be used with the VERTEX® Reconstruction System allows for cable attachment to the posterior cervical or thoracic spine.
In order to achieve additional levels of fixation, the VERTEX® Reconstruction System may be connected to the CD HORIZON® Spinal System rods with the VERTEX® rod connectors. Refer to the CD HORIZON® Spinal System package insert for a list of the CD HORIZON® Spinal System indications of use.
Indications for use as stated in the FDA summary.
https://510kreport.com/device/K070742 · printed Nov 6, 2026
Cite this page
510(k) Report. “K070742: Modification to Vertex Reconstruction System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K070742
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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