510(k) Report

510(k) · Cleared

Cleared

F20

K103433510(k) SpecialCleared Jan 3, 201140-day reviewClass II21 CFR 888.3027

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

Teknimed, S.A. · NDN Cement, Bone, Vertebroplasty

Cleared on Jan 3, 2011 as substantially equivalent to K090435 (Teknimed, S.A., 2009) and 2 other predicates after a 40-day review. Its family tree reaches back 5 generations to 2001. 18 later devices descend from it.

Decided
Jan 3, 2011
Review
40 days
Class
Class II
Product code
NDN
Recalls
None
Predicates
3

Its longest line of descent runs back 5 generations to K002652 (2001). 8 ancestors in all, the oldest K003294 (2000). 18 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2009: 1 other ancestor2000: 1 other ancestor2004: 1 other ancestor2024: 4 descendants cleared2022: 1 descendant cleared2023: 3 descendants cleared2026: 7 descendants cleared2025: 3 descendants clearedK002652 · Surgical Simplex P Radiopaque Bone Cement and Acm and Mixevacii · Stryker Corp. · 2001 · recalled×2: 2 generations cleared close together, K033801 (2004), K041584 (2004) K043593 · Spine-Fix Biomimetic Bone Cement · Teknimed, S.A. · 2006K080873 · Opacity + Bone Cement · Teknimed, S.A. · 2008200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 1 other ancestor3 generations back: 1 other ancestor 1 generation forward: 2 descendants2 generations forward: 5 descendants3 generations forward: 7 descendants4 generations forward: 4 descendants K080873 · Opacity + Bone Cement · Teknimed, S.A. · 2008K043593 · Spine-Fix Biomimetic Bone Cement · Teknimed, S.A. · 2006K041584 · Kyphx HV-R Bone Cement, Model C01A · Kyphon, Inc. · 2004 · recalledK033801 · Kyphx HV-R, Model C01A · Kyphon, Inc. · 2004 · recalledK002652 · Surgical Simplex P Radiopaque Bone Cement and Acm and Mixevacii · Stryker Corp. · 2001 · recalled−50
  1. Root · 5 generations backK002652 Surgical Simplex P Radiopaque Bone Cement and Acm and MixevaciiStryker Corp. · 2001 · Recalled
  2. 4 generations backK033801 Kyphx HV-R, Model C01AKyphon, Inc. · 2004 · Recalled
  3. 3 generations backK041584 Kyphx HV-R Bone Cement, Model C01AKyphon, Inc. · 2004 · Recalled
  4. 2 generations backK043593 Spine-Fix Biomimetic Bone CementTeknimed, S.A. · 2006
  5. 1 generation backK080873 Opacity + Bone CementTeknimed, S.A. · 2008
  6. This deviceK103433 F20Teknimed, S.A. · 2011
  7. Descendant · cites it directly · 14 of its ownK221926 Invictus® Bone Cement, Invictus Spinal Fixation SystemAlphatec Spine, Inc. · 2022
  8. Descendant · 2 generations on · 11 of its ownK232275 Invictus® Spinal Fixation SystemAlphatec Spine, Inc. · 2023
  9. Descendant · 3 generations on · 4 of its ownK242364 IdentiTi™ II Interbody SystemAlphatec Spine, Inc. · 2024
  10. Descendant · 2 generations on · 3 of its ownK232044 Invictus Robotic Navigation InstrumentsAlphatec Spine, Inc. · 2023
  11. Descendant · 3 generations on · 2 of its ownK241519 Invictus® Small Stature Spinal Fixation SystemAlphatec Spine, Inc. · 2024

Showing 5 of 18 descendants. See all descendants

Descendants cleared per year

2022: 12023: 32024: 42025: 32026: 7
2022high 7 (2026) · low 1 (2022)2026

Most influential descendants

Showing 5 of 18 · See all
  • K221926Invictus® Bone Cement, Invictus Spinal Fixation SystemAlphatec Spine, Inc. · 2022 · cites it directly14descendants
  • K232275Invictus® Spinal Fixation SystemAlphatec Spine, Inc. · 2023 · 2 generations on11descendants
  • K242364IdentiTi™ II Interbody SystemAlphatec Spine, Inc. · 2024 · 3 generations on4descendants
  • K232044Invictus Robotic Navigation InstrumentsAlphatec Spine, Inc. · 2023 · 2 generations on3descendants
  • K241519Invictus® Small Stature Spinal Fixation SystemAlphatec Spine, Inc. · 2024 · 3 generations on2descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K002652Surgical Simplex P Radiopaque Bone Cement and Acm and MixevaciiStryker Corp.20011
−4K033801Kyphx HV-R, Model C01AKyphon, Inc.20042
−3K041584Kyphx HV-R Bone Cement, Model C01AKyphon, Inc.20042
−2K043593Spine-Fix Biomimetic Bone CementTeknimed, S.A.2006—
−1K080873Opacity + Bone CementTeknimed, S.A.2008—
0 (this device)K103433F20Teknimed, S.A.2011—
+1K221926Invictus® Bone Cement, Invictus Spinal Fixation SystemAlphatec Spine, Inc.2022—
+2K232275Invictus® Spinal Fixation SystemAlphatec Spine, Inc.2023—
+3K242364IdentiTi™ II Interbody SystemAlphatec Spine, Inc.2024—
+2K232044Invictus Robotic Navigation InstrumentsAlphatec Spine, Inc.2023—
+3K241519Invictus® Small Stature Spinal Fixation SystemAlphatec Spine, Inc.2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200010
200410
200910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202210
202330
202440
202530
202670
FIG. 1 — Lineage of K103433, 2001–2026Source: 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.

Planning a device in NDN? 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 NDN device

  1. #1 K241775 XeliteMed VertehighFix High Viscosity Spinal…score 14.9 · 4 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.

TypeNumberDeviceApplicantDecidedRecalls
*K090435Vertecem
Summary page 1
…NON 3. Predicate or legally marketed devices which are substantially equivalent: F20 is a modification of the following bone cements: Vertecem (K090435, Teknimed) Opacity+ (K080873, Teknimed) Spine-Fix* (K045593, Teknimed) 4. Description of the device:…
Teknimed, S.A.2009—
*K080873Opacity + Bone Cement
Summary page 1
…marketed devices which are substantially equivalent: F20 is a modification of the following bone cements: Vertecem (K090435, Teknimed) Opacity+ (K080873, Teknimed) Spine-Fix* (K045593, Teknimed) 4. Description of the device: The purpose of this submission…
Teknimed, S.A.2008—
*K043593Spine-Fix Biomimetic Bone Cement
Our reading of the summary gave K045593, which is not a number in FDA’s lists. Corrected to the only number one digit away that is an earlier device of this one’s maker, Teknimed, S.A., in this field.
Teknimed, S.A.2006—

Also cleared against K090435: 3 other devices →

What descends from it? (18)

See all 18

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

NumberDeviceApplicantDecidedDescendants
K221926Invictus® Bone Cement, Invictus Spinal Fixation SystemAlphatec Spine, Inc.202214
K241034Meta+ Bone Cement & M.U.S.T. Fenestrated Pedicle Screw SystemMedacta International S.A.20242

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 10 years and passes through 3 companies; a new generation was cleared every 2.3 years on median.
  • 5 of the 8 ancestors have a recall of any class.
  • Of its descendants, K221926 (Alphatec Spine, Inc., 2022) has gone furthest, with 14 descendants of its own.
  • 3 other devices also cite its predicate K090435.

How does its category compare?

All NDN devices

NDN Cement, Bone, Vertebroplasty: FDA decisions, review times, recalls and adverse event reports over 20 years. 2011, this device’s year, is highlighted.

FDA decisions per year · NDN

2in 2025

2007: 92008: 12009: 62010: 52011: 112012: 72013: 72014: 72015: 62016: 42017: 52018: 32019: 22020: 42021: 22022: 22023: 22024: 32025: 22026 (partial year): 1
2007high 11 (2011) · low 1 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NDN

90in 2024

2007: 128 days median2009: 211 days median2010: 215 days median2011: 164 days median2012: 90 days median2013: 118 days median2014: 106 days median2015: 76 days median2016: 154 days median2017: 125 days median2018: 111 days median2020: 157 days median2024: 90 days median
2007high 215 (2010) · low 76 (2015)2026

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

Recalls per year · NDN

4in 2013

2009: 12013: 4
2007high 4 (2013) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · NDN

626in 2025

2007: 212008: 392009: 702010: 3962011: 982012: 892013: 2422014: 2312015: 2042016: 1822017: 1912018: 1442019: 2272020: 2122021: 3442022: 2702023: 3112024: 4542025: 626
2007high 626 (2025) · low 21 (2007)2025

MAUDE reports naming product code NDN, 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
20079128021
20081—039
20096211170
201052150396
201111164098
2012790089
201371184242
201471060231
20156760204
201641540182
201751250191
201831110144
20192—0227
202041570212
20212—0344
20222—0270
20232—0311
20243900454
20252—0626
20261—0—

What is it indicated for?

The F20 is indicated for the fixation of pathological fractures of the vertebral body using vertebroplasty or kyphoplasty procedures. Painful vertebral compression fractures of the vertebral body may result from osteoporosis, benign lesions (hemangioma), or malignant lesions (metastatic cancers, myeloma).

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K103433: F20.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K103433

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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