510(k) · Cleared
ClearedVertex Reconstruction System, Vertex Select Reconstruction System
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Medtronic Sofamor Danek USA, Inc. · KWP Appliance, Fixation, Spinal Interlaminal
Cleared on Feb 25, 2013 as substantially equivalent to K070742 (Medtronic Sofamor Danek, 2007) and 5 other predicates after an 89-day review. Its family tree reaches back 12 generations to 2001. 39 later devices descend from it.
- Decided
- Feb 25, 2013
- Review
- 89 days
- Class
- Class II
- Product code
- KWP
- Recalls
- None
- Predicates
- 6
Its longest line of descent runs back 12 generations to K003155 (2001). 77 ancestors in all, the oldest K841189 (1984). 39 later devices descend from it, 6 citing it directly.
- Root · 12 generations backK003155 Vertebral Body ReplacementOsteotech, Inc. · 2001
- 8 generations between
- 3 generations backK061938 Verte-Stack Spinal SystemMedtronic Sofamor Danek, Inc. · 2006
- 2 generations backK062427 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2006
- 1 generation backK070742 Modification to Vertex Reconstruction SystemMedtronic Sofamor Danek · 2007
- This deviceK123656 Vertex Reconstruction System, Vertex Select Reconstruction SystemMedtronic Sofamor Danek USA, Inc. · 2013
- Descendant · cites it directly · 27 of its ownK133556 Virage Oct Spinal Fixation SystemZimmer Spine, Inc. · 2014 · Recalled
- Descendant · cites it directly · 16 of its ownK163375 INFINITY™ OCT SystemMedtronic Sofamor Danek USA, Inc. · 2017 · Recalled
- Descendant · 2 generations on · 13 of its ownK171444 YUKON OCT Spinal SystemK2m, Inc. · 2017 · Recalled
- Descendant · 2 generations on · 13 of its ownK150918 PASS OCT Spinal SystemMedicrea International SA · 2015
- Descendant · cites it directly · 8 of its ownK180851 VERTEX™ Reconstruction SystemMedtronic Sofamor Danek USA, Inc. · 2018
Show all 12 generations
- Root · 12 generations backK003155 Vertebral Body ReplacementOsteotech, Inc. · 2001
- 11 generations backK012254 VBROsteotech, Inc. · 2001
- 10 generations backK021791 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2002
- 9 generations backK023570 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2002
- 8 generations backK030601 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2003
- 7 generations backK040536 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
- 6 generations backK041556 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
- 5 generations backK043561 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
- 4 generations backK060719 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2006
- 3 generations backK061938 Verte-Stack Spinal SystemMedtronic Sofamor Danek, Inc. · 2006
- 2 generations backK062427 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2006
- 1 generation backK070742 Modification to Vertex Reconstruction SystemMedtronic Sofamor Danek · 2007
- This deviceK123656 Vertex Reconstruction System, Vertex Select Reconstruction SystemMedtronic Sofamor Danek USA, Inc. · 2013
Showing 5 of 39 descendants. See all descendants
Descendants cleared per year
Most influential descendants
Showing 5 of 39 · See all- K133556Virage Oct Spinal Fixation SystemZimmer Spine, Inc. · 2014 · cites it directly27descendants
- K163375INFINITY™ OCT SystemMedtronic Sofamor Danek USA, Inc. · 2017 · cites it directly16descendants
- K171444YUKON OCT Spinal SystemK2m, Inc. · 2017 · 2 generations on13descendants
- K150918PASS OCT Spinal SystemMedicrea International SA · 2015 · 2 generations on13descendants
- K180851VERTEX™ Reconstruction SystemMedtronic Sofamor Danek USA, Inc. · 2018 · cites it directly8descendants
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −12 | K003155 | Vertebral Body Replacement | Osteotech, Inc. | 2001 | — |
| −11 | K012254 | VBR | Osteotech, Inc. | 2001 | — |
| −10 | K021791 | Verte-Stack Spinal System | Medtronic Sofamor Danek | 2002 | — |
| −9 | K023570 | Modification to Verte-Stack Spinal System | Medtronic Sofamor Danek | 2002 | — |
| −8 | K030601 | Verte-Stack Spinal System | Medtronic Sofamor Danek | 2003 | — |
| −7 | K040536 | Modification to Verte-Stack Spinal System | Medtronic Sofamor Danek | 2004 | — |
| −6 | K041556 | Modification to Verte-Stack Spinal System | Medtronic Sofamor Danek | 2004 | — |
| −5 | K043561 | Modification to Verte-Stack Spinal System | Medtronic Sofamor Danek | 2004 | — |
| −4 | K060719 | Modification to Verte-Stack Spinal System | Medtronic Sofamor Danek | 2006 | — |
| −3 | K061938 | Verte-Stack Spinal System | Medtronic Sofamor Danek, Inc. | 2006 | — |
| −2 | K062427 | Verte-Stack Spinal System | Medtronic Sofamor Danek | 2006 | — |
| −1 | K070742 | Modification to Vertex Reconstruction System | Medtronic Sofamor Danek | 2007 | — |
| 0 (this device) | K123656 | Vertex Reconstruction System, Vertex Select Reconstruction System | Medtronic Sofamor Danek USA, Inc. | 2013 | — |
| +1 | K133556 | Virage Oct Spinal Fixation System | Zimmer Spine, Inc. | 2014 | 2 |
| +1 | K163375 | INFINITY™ OCT System | Medtronic Sofamor Danek USA, Inc. | 2017 | 5 |
| +2 | K171444 | YUKON OCT Spinal System | K2m, Inc. | 2017 | 3 |
| +2 | K150918 | PASS OCT Spinal System | Medicrea International SA | 2015 | — |
| +1 | K180851 | VERTEX™ Reconstruction System | Medtronic Sofamor Danek USA, Inc. | 2018 | — |
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 | 6 | 0 |
| 2002 | 7 | 0 |
| 2003 | 5 | 0 |
| 2004 | 17 | 0 |
| 2005 | 9 | 0 |
| 2006 | 4 | 0 |
| 2007 | 1 | 0 |
| 2008 | 2 | 0 |
| 2009 | 3 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2014 | 1 | 0 |
| 2015 | 2 | 0 |
| 2016 | 4 | 0 |
| 2017 | 4 | 0 |
| 2018 | 4 | 0 |
| 2019 | 1 | 0 |
| 2020 | 4 | 0 |
| 2021 | 2 | 0 |
| 2022 | 2 | 0 |
| 2023 | 4 | 0 |
| 2024 | 3 | 0 |
| 2025 | 2 | 0 |
| 2026 | 6 | 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? (6)
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 |
|---|---|---|---|
| * | K070742 | Modification to Vertex Reconstruction SystemSummary page 3…indications for use of the subject devices are substantially equivalent to predicate VERTEX® Reconstruction System devices for pre-cut/pre-bent (K070742, S.E. 09/14/2007 and K080805, S.E. 04/18/2008), tapered rods (K042789, S.E. 12/21/2004, K070742, S.E. 09/14/2007 and… | 2007 |
| * | K080805 | Modification to Vertex Reconstruction SystemSummary page 3…ubject devices are substantially equivalent to predicate VERTEX® Reconstruction System devices for pre-cut/pre-bent (K070742, S.E. 09/14/2007 and K080805, S.E. 04/18/2008), tapered rods (K042789, S.E. 12/21/2004, K070742, S.E. 09/14/2007 and K090714, S.E. 04/… | 2008 |
| * | K042789 | Vertex Reconstruction SystemSummary page 3…predicate VERTEX® Reconstruction System devices for pre-cut/pre-bent (K070742, S.E. 09/14/2007 and K080805, S.E. 04/18/2008), tapered rods (K042789, S.E. 12/21/2004, K070742, S.E. 09/14/2007 and K090714, S.E. 04/17/2009), threaded rods (K09071 4, S.E. 04/17/2009),… | 2004 |
| * | K090714 | Vertex Reconstruction System, Vertex Select Reconstruction SystemSummary page 3…or pre-cut/pre-bent (K070742, S.E. 09/14/2007 and K080805, S.E. 04/18/2008), tapered rods (K042789, S.E. 12/21/2004, K070742, S.E. 09/14/2007 and K090714, S.E. 04/17/2009), threaded rods (K09071 4, S.E. 04/17/2009), dominoes (K090714, S.E. 04/17/2009), crossl… | 2009 |
| * | K082728 | Vertex Recontruction System, Vertex Select Reconstruction SystemSummary page 3…70742, S.E. 09/14/2007 and K090714, S.E. 04/17/2009), threaded rods (K09071 4, S.E. 04/17/2009), dominoes (K090714, S.E. 04/17/2009), crosslinks (K082728, S.E. 01/16/2009) and C plates (KO9l 365, S.E. 08/06/2009). The labeling is identical to that cleared in… | 2009 |
| * | K091365 | Vertex Reconstruction System, Vertex Select Reconstruction System | 2009 |
What descends from it? (39)
See all 396 later devices cite it directly; ranked here by how many devices descend from each in turn.
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 12 years and passes through 4 companies; a new generation was cleared every 9 months on median.
- 5 of the 77 ancestors have a recall of any class.
- Of its descendants, K133556 (Zimmer Spine, Inc., 2014) has gone furthest, with 27 descendants of its own.
- 5 other devices also cite its predicate K070742.
How does its category compare?
All KWP devicesKWP Appliance, Fixation, Spinal Interlaminal: FDA decisions, review times, recalls and adverse event reports over 20 years. 2013, 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 as an adjunct to fusion of the occipitocervical spine, cervical spine, and the thoracic spine (Occiput-T3), the VERTEX® Reconstruction System is indicated for skeletally mature patients using ailograft and/or autograft for the following: DOID (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…
Read the full statement (293 words)
When intended as an adjunct to fusion of the occipitocervical spine, cervical spine, and the thoracic spine (Occiput-T3), the VERTEX® Reconstruction System is indicated for skeletally mature patients using ailograft and/or autograft for the following:
DOID (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.
OccipitocervicalComponents: Plate RodlPlates./RodslOccipitalScrews/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 02 and below.
Nate: 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 firacture/dislocation or trauma in the cervical/upper thoracic (C1-T3) spine.
Multi-axial Screws
The use of multi-axial screws is limited to placement in T1-T3. The screws are not intended to be placed in the cervical spine.
Titanium ATLAS®D Cable System to be used with the VERTEX®D Reconstruction System allows for cable attachment to the posterior cervical or thoracic spine.
Connectors
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.
Transition rods with differing diameters may also be used to connect the VERTEX® Reconstruction System to the CD HORIZON® Spinal System screws, hooks, and connectors.
Refer to the CD HORIZONS 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/K123656 · printed Nov 6, 2026
Cite this page
510(k) Report. “K123656: Vertex Reconstruction System, Vertex Select 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/K123656
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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