510(k) Report

510(k) · Cleared

Cleared

Pathfinder NXT Minimally Invasive Pedicle Screw System

K121671510(k) TraditionalCleared Jul 18, 201242-day reviewClass II21 CFR 888.3070

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

Zimmer Spine, Inc. · NKB Thoracolumbosacral Pedicle Screw System

Cleared on Jul 18, 2012 as substantially equivalent to K100845 (Zimmer Spine, Inc., 2010) after a 42-day review. Its family tree reaches back 8 generations to 1995.

Decided
Jul 18, 2012
Review
42 days
Class
Class II
Product code
NKB
Recalls
None
Predicates
1

Its longest line of descent runs back 8 generations to K950697 (1995). 41 ancestors in all, the oldest K933881 (1994). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2008: 3 other ancestors2003: 5 other ancestors2007: 3 other ancestors2006: 2 other ancestors2004: 6 other ancestors2002: 3 other ancestors1998: 1 other ancestor1997: 1 other ancestor1994: 1 other ancestor2005: 2 other ancestors2001: 3 other ancestors1999: 1 other ancestor1996: 1 other ancestor2000: 1 other ancestorK950697 · Depuy Motech Moss Miami Spinal System - Pedicle Fixation · Depuy Motech · 1995×2: 2 generations cleared close together, K050461 (2005), K052761 (2005) ×2: 2 generations cleared close together, K060361 (2006), K060979 (2006) K082942 · Modfication to: Expedium Spine System · Depuy Spine, Inc. · 2008K090648 · Viper 2 System · Depuy Spine, Inc. · 2009K100845 · Pathfinder II, Minimally Invasie Pedicle Screw System Model 3500 Series · Zimmer Spine, Inc. · 2010 · recalled19901995200020052010
  1. Root · 8 generations backK950697 Depuy Motech Moss Miami Spinal System - Pedicle FixationDepuy Motech · 1995
  2. 7 generations backK050461 Xia 4.5 Spinal SystemStryker Spine · 2005
  3. 6 generations backK052761 Modification to: Xia 4.5 Spinal SystemStryker Spine · 2005
  4. 5 generations backK060361 Xia Spinal System, Xia 4.5 Spinal SystemStryker Spine · 2006 · Recalled
  5. 4 generations backK060979 Xia Titanium and 4.5 Spinal SystemsStryker Spine · 2006
  6. 3 generations backK082942 Modfication to: Expedium Spine SystemDepuy Spine, Inc. · 2008
  7. 2 generations backK090648 Viper 2 SystemDepuy Spine, Inc. · 2009
  8. 1 generation backK100845 Pathfinder II, Minimally Invasie Pedicle Screw System Model 3500…Zimmer Spine, Inc. · 2010 · Recalled
  9. This deviceK121671 Pathfinder NXT Minimally Invasive Pedicle Screw SystemZimmer Spine, Inc. · 2012
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K950697Depuy Motech Moss Miami Spinal System - Pedicle FixationDepuy Motech1995—
−7K050461Xia 4.5 Spinal SystemStryker Spine2005—
−6K052761Modification to: Xia 4.5 Spinal SystemStryker Spine2005—
−5K060361Xia Spinal System, Xia 4.5 Spinal SystemStryker Spine20061
−4K060979Xia Titanium and 4.5 Spinal SystemsStryker Spine2006—
−3K082942Modfication to: Expedium Spine SystemDepuy Spine, Inc.2008—
−2K090648Viper 2 SystemDepuy Spine, Inc.2009—
−1K100845Pathfinder II, Minimally Invasie Pedicle Screw System Model 3500 SeriesZimmer Spine, Inc.20105
0 (this device)K121671Pathfinder NXT Minimally Invasive Pedicle Screw SystemZimmer Spine, Inc.2012—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199410
199610
199710
199810
199910
200010
200130
200230
200350
200460
200520
200620
200730
200830
FIG. 1 — Lineage of K121671, 1995–2012Source: 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 NKB? 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? (1)

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
*K100845Pathfinder II, Minimally Invasie Pedicle Screw System Model 3500 Series
Summary page 1
…MIS System included both Class 1 510(k) exempt instrumentation and those instruments considered to be accessories to the implant. PathFinder NXT was cleared via 5 10(k) #K 100845 on 21 September 2010. The Fixed Percutaneous Rod Holder accessory that is the subject of this premarket notification instrument…
Zimmer Spine, Inc.20105

Also cleared against K100845: 2 other devices →

What descends from it?

No later submission names this one as a predicate yet.

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 17 years and passes through 4 companies; a new generation was cleared every 1.3 years on median.
  • 7 of the 41 ancestors have a recall of any class.
  • 2 other devices also cite its predicate K100845.

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. 2012, 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?

When intended for pedicle screw fixation from T1-S1, the indications include immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of the thoracic, lumbar and sacral spine: degenerative disc disease (defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies), degenerative…

Read the full statement (128 words)

When intended for pedicle screw fixation from T1-S1, the indications include immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of the thoracic, lumbar and sacral spine: degenerative disc disease (defined as discogenic back pain with degeneration of the disc confirmed by history and radiographic studies), degenerative spondylolisthesis with objective evidence of neurologic impairment, fracture, dislocation, deformities or curvatures (i.e. scoliosis, kyphosis, and/or lordosis), tumor and failed previous fusion.

As pedicle screw system placed between L3 and S1, the indications include Grade 3 or Grade 4 spondylolisthesis, when utilizing autologous bone graft, when affixed to the posterior lumbosacral spine, and intended to be removed after the solid fusion is established.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K121671: Pathfinder NXT Minimally Invasive Pedicle Screw System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K121671

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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