510(k) Report

510(k) · Cleared

Recalled · 2011

Synthes Matrix System

K092929510(k) TraditionalCleared Dec 29, 200997-day reviewClass II21 CFR 888.3070Recalls 1

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

Synthes (Usa) · NKB Thoracolumbosacral Pedicle Screw System

Cleared on Dec 29, 2009 after a 97-day review. The FDA summary names no predicate by number. 2 of the 399 devices in its family, counting itself, have a Class I recall. 398 later devices descend from it. It has been recalled once.

Decided
Dec 29, 2009
Review
97 days
Class
Class II
Product code
NKB
Recalls
1
Predicates
0

398 later devices descend from it, 12 citing it directly. 2 of the 399 devices in this family, counting this one, have a Class I recall.

Descendants, by year cleared 2010: 2 descendants cleared, 1 with a Class I recall12012: 12 descendants cleared2013: 8 descendants cleared2011: 3 descendants cleared2017: 28 descendants cleared2014: 13 descendants cleared2018: 25 descendants cleared2021: 21 descendants cleared, 1 with a Class I recall12015: 17 descendants cleared2016: 14 descendants cleared2023: 47 descendants cleared2024: 50 descendants cleared2026: 39 descendants cleared2020: 28 descendants cleared2019: 21 descendants cleared2025: 42 descendants cleared2022: 28 descendants cleared20052010201520202025
  1. This deviceK092929 Synthes Matrix SystemSynthes (Usa) · 2009
  2. Descendant · cites it directly · 348 of its ownK103287 Synthes 6.0 Cocr and CPT TI-3 RodsSynthes Spine · 2011
  3. Descendant · cites it directly · 316 of its ownK100634 Synthes Matrix SystemSynthes (Usa) · 2010
  4. Descendant · cites it directly · 314 of its ownK100952 Modification to Synthes Matrix SystemSynthes Spine · 2010 · Recalled (Class I)
  5. Descendant · 2 generations on · 260 of its ownK113395 Revere 4.5 Stabilization SystemGlobus Medical, Inc. · 2012
  6. Descendant · 3 generations on · 225 of its ownK122226 Revere Stabilization SystemGlobus Medical, Inc. · 2012

Showing 5 of 398 descendants. See all descendants

Descendants cleared per year

2010: 22011: 32012: 122013: 82014: 132015: 172016: 142017: 282018: 252019: 212020: 282021: 212022: 282023: 472024: 502025: 422026: 39
2010high 50 (2024) · low 2 (2010)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 398 · See all
  • K103287Synthes 6.0 Cocr and CPT TI-3 RodsSynthes Spine · 2011 · cites it directly348descendants
  • K100634Synthes Matrix SystemSynthes (Usa) · 2010 · cites it directly316descendants
  • K100952Modification to Synthes Matrix SystemSynthes Spine · 2010 · cites it directly314descendants
  • K113395Revere 4.5 Stabilization SystemGlobus Medical, Inc. · 2012 · 2 generations on260descendants
  • K122226Revere Stabilization SystemGlobus Medical, Inc. · 2012 · 3 generations on225descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K092929Synthes Matrix SystemSynthes (Usa)2009—
+1K103287Synthes 6.0 Cocr and CPT TI-3 RodsSynthes Spine2011—
+1K100634Synthes Matrix SystemSynthes (Usa)2010—
+1K100952Modification to Synthes Matrix SystemSynthes Spine2010Class I
+2K113395Revere 4.5 Stabilization SystemGlobus Medical, Inc.2012—
+3K122226Revere Stabilization SystemGlobus Medical, Inc.2012—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201021
201130
2012120
201380
2014130
2015170
2016140
2017280
2018250
2019210
2020280
2021211
2022280
2023470
2024500
2025420
2026390
FIG. 1 — Lineage of K092929, 2009–2026Source: 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.

2 devices in this family have 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
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What was it cleared against?

The FDA summary names no predicate by number.

What descends from it? (398)

See all 398

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

NumberDeviceApplicantDecidedDescendants
K103287Synthes 6.0 Cocr and CPT TI-3 RodsSynthes Spine2011348
K100634Synthes Matrix SystemSynthes (Usa)2010316
K100952Modification to Synthes Matrix System Class ISynthes Spine2010314
K111358Synthes UssSynthes Spine2011151
K113149Synthes Uss ConnectorsSynthes Spine201293
K113044Synthes MirsSynthes Spine201193
K120571Synthes Uss ConnectorSynthes Spine201274
K120838Synthes Matrix SystemSynthes Spine201216
K121670Medyssey Cannulated Pedicle ScrewMedyssey Co, Ltd.201311
K123134Easyspine SystemLdr Spine USA, Inc.20131

Has anything in its family been recalled? (2 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Mar 11, 2011Not classifiedZ-3207-2011Labeling Change ControlLabeling Correction -- The locking cap was not able to be loosened, resulting in the breakage of the screwdriver or the rod to be cut and the assembly to be removed (screw, cap, and rod). This poses a potential risk of significant…

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.

  • K100952Modification to Synthes Matrix SystemSynthes Spine · 2010 · Cites it directly · ◆ in the 2010 descendants bar of FIG. 11 Class I recall
  • K211616ExcelsiusHubGlobus Medical, Inc. · 2021 · 5 generations on · ◆ in the 2021 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • Of its descendants, K103287 (Synthes Spine, 2011) has gone furthest, with 348 descendants of its own.

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. 2009, this device’s year, is highlighted.

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 Synthes USS (including Matrix, USS Side-Opening, USS Dual-Opening, USS Small Stature (which includes small stature and pediatric patients), USS VAS variable axis components, USS Fracture, Click'X, Click'X Monoaxial, Pangea, Pangea Monoaxial, USS Polyaxial, USS Iliosacral, and ClampFix) are non-cervical spinal fixation devices intended for use as posterior pedicle screw fixation systems (T1-S2/ilium), a posterior hook fixation system (T1-L5), or as an…

Read the full statement (326 words)

The Synthes USS (including Matrix, USS Side-Opening, USS Dual-Opening, USS Small Stature (which includes small stature and pediatric patients), USS VAS variable axis components, USS Fracture, Click'X, Click'X Monoaxial, Pangea, Pangea Monoaxial, USS Polyaxial, USS Iliosacral, and ClampFix) are non-cervical spinal fixation devices intended for use as posterior pedicle screw fixation systems (T1-S2/ilium), a posterior hook fixation system (T1-L5), or as an anterolateral fixation system (T8-L5). Pedicle screw fixation is limited to skeletally mature patients with the exception of the Small Stature USS. These devices are indicated as an adjunct to fusion for all of the following indications regardless of the intended use: degenerative disc disease (defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies), spondylolisthesis, trauma (i.e., fracture or dislocation), deformities or curvatures (i.e., scoliosis, kyphosis, and/or lordosis, Scheuermann's Disease), tumor, stenosis, and failed previous fusion (pseudoarthrosis).

When treating patients with Degenerative Disc Disease (DDD), transverse bars are not cleared for use as part of the posterior pedicle screw construct.

When used with the 3.5/6.0-mm parallel connectors, the Synthes USS (including USS Side-Opening, USS Dual-Opening, USS VAS variable axis components, USS Fracture, Click'X, Click'X Monoaxial, Pangea, Pangea Monoaxial, USS Polyaxial, USS Iliosacral, and ClampFix) can be linked to the CerviFix 3.5 mm Systems (including CerviFix, Axon, and Synapse). In addition, when used with 3.5/5.0 mm parallel connectors, the Synthes Small Stature USS can be linked to the CerviFix 3.5 mm Systems (including CerviFix, Axon, and Synapse). When used with the 5.0/6.0mm parallel connectors, the Synthes Small Stature USS can be linked to the Synthes USS (including USS Side-Opening, USS Dual-Opening, USS VAS variable axis components, USS Fracture, Click'X, Click'X Monoaxial, Pangea, Pangea Monoaxial, USS Polyaxial, USS Iliosacral, and ClampFix).

In addition, Synthes USS (including USS Side-Opening, USS Dual-Opening, USS VAS variable axis components, USS Fracture, Click'X, Click'X Monoaxial, Pangea, Pangea Monoaxial, USS Polyaxial, USS Iliosacral, and ClampFix) can be interchanged with all USS 6.0 mm rods and transconnectors.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K092929: Synthes Matrix System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K092929

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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