# K123656: Vertex Reconstruction System, Vertex Select Reconstruction System

- Pathway: 510(k) (Traditional)
- Applicant: Medtronic Sofamor Danek USA, Inc.
- Decided: Feb 25, 2013 after 89 days
- Product code: KWP (Appliance, Fixation, Spinal Interlaminal)
- Device class: 2
- Regulation: 21 CFR 888.3050
- Recalls of this device: none
- Data: FDA decisions to Oct 25, 2026; recalls to Oct 12, 2026

## Lineage
Longest line of descent: 12 generations back to K003155 (2001). 77 ancestors in all.
39 later devices descend from it; 6 cite it directly.
0 of 117 devices in its family (counting itself) have a Class I recall.

## Predicates on the family tree (from the FDA summary)
- K070742: Modification to Vertex Reconstruction System, Medtronic Sofamor Danek (2007) Summary page 3.
- K080805: Modification to Vertex Reconstruction System, Medtronic Sofamor Danek (2008) Summary page 3.
- K042789: Vertex Reconstruction System, Medtronic Sofamor Danek (2004) Summary page 3.
- K090714: Vertex Reconstruction System, Vertex Select Reconstruction System, Medtronic Sofamor Danek (2009) Summary page 3.
- K082728: Vertex Recontruction System, Vertex  Select Reconstruction System, Medtronic Sofamor Danek USA, Inc. (2009) Summary page 3.
- K091365: Vertex Reconstruction System, Vertex Select Reconstruction System, Medtronic Soafamor Danek (2009)

## Most influential descendants
- K133556: Virage Oct Spinal Fixation System (2014), 27 descendants of its own
- K163375: INFINITY™ OCT System (2017), 16 descendants of its own
- K171444: YUKON OCT Spinal System (2017), 13 descendants of its own
- K150918: PASS OCT Spinal System (2015), 13 descendants of its own
- K180851: VERTEX™ Reconstruction System (2018), 8 descendants of its own

## Indications for use
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.

Source page: https://510kreport.com/device/K123656
Methodology: https://510kreport.com/methodology