510(k) · Cleared
ClearedCD Horizon Spinal System
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Medtronic Sofamor Danek · NKB Thoracolumbosacral Pedicle Screw System
Cleared on May 15, 2009 as substantially equivalent to K981676 (Sofamor Danek USA,Inc., 1999) and 3 other predicates after an 87-day review. Its family tree reaches back 4 generations to 1999. 1 of the 678 devices in its family, counting itself, has a Class I recall. 663 later devices descend from it.
- Decided
- May 15, 2009
- Review
- 87 days
- Class
- Class II
- Product code
- NKB
- Recalls
- None
- Predicates
- 4
Its longest line of descent runs back 4 generations to K981676 (1999). 14 ancestors in all. 663 later devices descend from it, 11 citing it directly. 1 of the 678 devices in this family, counting this one, has a Class I recall.
- Root · 4 generations backK981676 CD Horizon Spinal SystemSofamor Danek USA,Inc. · 1999
- 3 generations backK041862 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
- 2 generations backK050079 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2005
- 1 generation backK050981 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2005
- This deviceK090390 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2009
- Descendant · cites it directly · 656 of its ownK091974 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2009 · Recalled
- Descendant · 2 generations on · 598 of its ownK102555 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2010
- Descendant · 2 generations on · 597 of its ownK112473 CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2011
- Descendant · 2 generations on · 597 of its ownK112555 CD Horizon (R) Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2011
- Descendant · 2 generations on · 596 of its ownK113174 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2011 · Recalled
Showing 5 of 663 descendants. See all descendants
Descendants cleared per year
Class I recalls in this family
- K211616 ExcelsiusHub6 generations on · 2021
Most influential descendants
Showing 5 of 663 · See all- K091974Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2009 · cites it directly656descendants
- K102555CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2010 · 2 generations on598descendants
- K112473CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2011 · 2 generations on597descendants
- K112555CD Horizon (R) Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2011 · 2 generations on597descendants
- K113174CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2011 · 2 generations on596descendants
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −4 | K981676 | CD Horizon Spinal System | Sofamor Danek USA,Inc. | 1999 | — |
| −3 | K041862 | CD Horizon Spinal System | Medtronic Sofamor Danek | 2004 | — |
| −2 | K050079 | CD Horizon Spinal System | Medtronic Sofamor Danek USA, Inc. | 2005 | — |
| −1 | K050981 | CD Horizon Spinal System | Medtronic Sofamor Danek USA, Inc. | 2005 | — |
| 0 (this device) | K090390 | CD Horizon Spinal System | Medtronic Sofamor Danek | 2009 | — |
| +1 | K091974 | Modification to CD Horizon Spinal System | Medtronic Sofamor Danek USA, Inc. | 2009 | 1 |
| +2 | K102555 | CD Horizon Spinal System | Medtronic Sofamor Danek USA, Inc. | 2010 | — |
| +2 | K112473 | CD Horizon Spinal System | Medtronic Sofamor Danek, Inc. | 2011 | — |
| +2 | K112555 | CD Horizon (R) Spinal System | Medtronic Sofamor Danek USA, Inc. | 2011 | — |
| +2 | K113174 | CD Horizon Spinal System | Medtronic Sofamor Danek USA, Inc. | 2011 | 1 |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2000 | 1 | 0 |
| 2003 | 2 | 0 |
| 2004 | 5 | 0 |
| 2005 | 2 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2009 | 1 | 0 |
| 2010 | 3 | 0 |
| 2011 | 4 | 0 |
| 2012 | 14 | 0 |
| 2013 | 24 | 0 |
| 2014 | 34 | 0 |
| 2015 | 37 | 0 |
| 2016 | 39 | 0 |
| 2017 | 44 | 0 |
| 2018 | 48 | 0 |
| 2019 | 38 | 0 |
| 2020 | 46 | 0 |
| 2021 | 45 | 1 |
| 2022 | 48 | 0 |
| 2023 | 67 | 0 |
| 2024 | 60 | 0 |
| 2025 | 57 | 0 |
| 2026 | 54 | 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.
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 K223494 CD Horizon Spinal Systemscore 40.4 · 30 generations · no Class I recall
- #2 Held for the reportin the report
- #3 Held for the reportin the report
What was it cleared against? (4)
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 |
|---|---|---|---|
| * | K981676 | CD Horizon Spinal SystemSummary page 2…hat the CD HORIZON® Spinal System is substantially equivalent to other commercially available fixation systems including CD HORIZON® Spinal System in K981676 (SE 1/28/99), K040962 (SE 5/14/04), K050981 (SE 5/18/05), and TSRH® Spinal System in K052144 (SE 9/2/05). The… | 1999 |
| * | K040962 | Modification to CD Horizon Spinal SystemSummary page 2…inal System is substantially equivalent to other commercially available fixation systems including CD HORIZON® Spinal System in K981676 (SE 1/28/99), K040962 (SE 5/14/04), K050981 (SE 5/18/05), and TSRH® Spinal System in K052144 (SE 9/2/05). The results of the mechanical testi… | 2004 |
| * | K050981 | CD Horizon Spinal SystemSummary page 2…tially equivalent to other commercially available fixation systems including CD HORIZON® Spinal System in K981676 (SE 1/28/99), K040962 (SE 5/14/04), K050981 (SE 5/18/05), and TSRH® Spinal System in K052144 (SE 9/2/05). The results of the mechanical testing performed for the s… | 2005 |
| * | K052144 | TSRH Spinal SystemSummary page 2…fixation systems including CD HORIZON® Spinal System in K981676 (SE 1/28/99), K040962 (SE 5/14/04), K050981 (SE 5/18/05), and TSRH® Spinal System in K052144 (SE 9/2/05). The results of the mechanical testing performed for the subject CD HORIZON® Spinal System compon… | 2005 |
What descends from it? (663)
See all 66311 later devices cite it directly; ranked here by how many devices descend from each in turn.
| Number | Device | Decided | Descendants |
|---|---|---|---|
| K091974 | Modification to CD Horizon Spinal System | 2009 | 656 |
| K101074 | Modification to: CD Horizon (R) Spinal System | 2010 | 225 |
| K132328 | CD Horizon Spinal System | 2013 | 176 |
| K140449 | CD Horizon Spinal System | 2014 | 59 |
| K182119 | CD HORIZON™ Spinal System | 2018 | 58 |
| K140529 | Everest Spinal System | 2014 | 31 |
| K181139 | OLYMPIC Posterior Spinal Fixation System | 2018 | 8 |
| K243007 | CD Horizon™ Spinal System | 2024 | 3 |
| K173249 | CD HORIZON™ Spinal System | 2018 | 1 |
| K141147 | Range Spinal System | 2014 | 1 |
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?
- The line of descent spans 10 years and passes through 3 companies; a new generation was cleared every 4.0 years on median.
- 3 of the 14 ancestors have a recall of any class.
- Of its descendants, K091974 (Medtronic Sofamor Danek USA, Inc., 2009) has gone furthest, with 656 descendants of its own.
- 17 other devices also cite its predicate K981676.
How does its category compare?
All NKB devicesNKB Thoracolumbosacral Pedicle Screw System: FDA decisions, review times, recalls and adverse event reports over 20 years. 2009, this device’s year, is highlighted.
FDA decisions per year · NKB
24in 2025
2026 to Oct 25, outlined.
Median 510(k) review, days · NKB
61in 2025
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · NKB
1in 2025
Class I (1 since 2007) Class II/III not classified
Adverse event reports per year · NKB
1,171in 2025
MAUDE reports naming product code NKB, 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 | 38 | 87 | 4 | 34 |
| 2008 | 36 | 59 | 5 | 82 |
| 2009 | 44 | 71 | 33 | 171 |
| 2010 | 37 | 111 | 4 | 462 |
| 2011 | 48 | 84 | 3 | 577 |
| 2012 | 60 | 79 | 13 | 1,747 |
| 2013 | 35 | 73 | 0 | 1,962 |
| 2014 | 46 | 90 | 3 (1) | 1,671 |
| 2015 | 55 | 90 | 3 | 1,446 |
| 2016 | 50 | 84 | 1 | 1,585 |
| 2017 | 63 | 69 | 1 | 1,618 |
| 2018 | 56 | 61 | 3 | 1,684 |
| 2019 | 39 | 84 | 1 | 1,915 |
| 2020 | 48 | 68 | 1 | 2,076 |
| 2021 | 32 | 61 | 0 | 1,745 |
| 2022 | 34 | 88 | 5 | 1,339 |
| 2023 | 44 | 72 | 2 | 919 |
| 2024 | 39 | 57 | 3 | 1,614 |
| 2025 | 24 | 61 | 1 | 1,171 |
| 2026 | 30 | 91 | 3 | — |
What is it indicated for?
The CD HORIZON® Spinal System with or without SEXTANT® instrumentation is intended for posterior, non-cervical fixation as an adjunct to fusion 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)…
Read the full statement (239 words)
The CD HORIZON® Spinal System with or without SEXTANT® instrumentation is intended for posterior, non-cervical fixation as an adjunct to fusion 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; pseudarthritis; and/or failed previous fusion.
Except for hooks, when used as an anterolateral thoracic/lumbar system, the CD HORIZON® Spinal System may also be used for the same indications as an adjunct to fusion.
With the exception of degenerative disc disease, the CD HORIZON® LEGACY M 3.5mm rods and the CD HORIZON® Spinal System PEEK rods and associated components may be used for the aforementioned indications in skeletally mature patients as an adjunct to fusion.
The CD HORIZON SPIRETM Plate is a posterior, non-pedicle supplemental fixation device intended for use in the non-cervical spine (TI-SI) as an adjunct to fusion. It is intended for plate fixation/attachment to spinous processes for the purpose of achieving supplemental fusion in the following conditions: degenerative disc disease (as previously defined); spondylolisthesis, trauma; and/or tumor.
In order to achieve additional levels of fixation as an adjunct to fusion, 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.
https://510kreport.com/device/K090390 · printed Nov 4, 2026
Cite this page
510(k) Report. “K090390: 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/K090390
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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