510(k) Report

510(k) · Cleared

Cleared

VERTEX Reconstruction System

K143471510(k) TraditionalCleared Feb 6, 201563-day reviewClass II21 CFR 888.3075

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

Medtronic Sofamor Danek USA, Inc. · NKG Posterior Cervical Screw System

Cleared on Feb 6, 2015 as substantially equivalent to K062254 (Medtronic Sofamor Danek, Inc., 2008) after a 63-day review. Its family tree reaches back 2 generations to 1997. 1 of the 169 devices in its family, counting itself, has a Class I recall. 165 later devices descend from it.

Decided
Feb 6, 2015
Review
63 days
Class
Class II
Product code
NKG
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to K953076 (1997). 3 ancestors in all. 165 later devices descend from it, 19 citing it directly. 1 of the 169 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2002: 1 other ancestor2016: 12 descendants cleared2017: 10 descendants cleared2015: 9 descendants cleared2018: 9 descendants cleared2020: 11 descendants cleared2023: 20 descendants cleared2025: 20 descendants cleared2019: 7 descendants cleared2022: 12 descendants cleared2026: 24 descendants cleared2021: 10 descendants cleared, 1 with a Class I recall12024: 21 descendants clearedReference device: K123906 · Vertex Reconstruction System, Vertext Select Reconstruction System · Medtronic Sofamor Danek USA, Inc. · 2013Reference device: K123568 · Vertex Reconstruction System · Medtronic Sofamor Danek USA, Inc. · 2012K953076 · Townley Facet/Pedicular Screw Plating System · Sofamor Danek USA,Inc. · 1997K062254 · Axis Fixation System · Medtronic Sofamor Danek, Inc. · 20081995200020052010201520202025
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor 1 generation forward: 19 descendants2 generations forward: 23 descendants3 generations forward: 29 descendants4 generations forward: 41 descendants, 1 with a Class I recall15 generations forward: 19 descendants6 generations forward: 17 descendants7 generations forward: 12 descendants8 generations forward: 3 descendants9 generations forward: 1 descendant10 generations forward: 1 descendant K062254 · Axis Fixation System · Medtronic Sofamor Danek, Inc. · 2008K953076 · Townley Facet/Pedicular Screw Plating System · Sofamor Danek USA,Inc. · 19970+5+10
  1. Root · 2 generations backK953076 Townley Facet/Pedicular Screw Plating SystemSofamor Danek USA,Inc. · 1997
  2. 1 generation backK062254 Axis Fixation SystemMedtronic Sofamor Danek, Inc. · 2008
  3. This deviceK143471 VERTEX Reconstruction SystemMedtronic Sofamor Danek USA, Inc. · 2015
  4. Descendant · cites it directly · 96 of its ownK150552 ELLIPSE and PROTEX CT OCCIPITO-CERVICO-THORACIC SPINAL SYSTEMSGlobus Medical, Inc. · 2015 · Recalled
  5. Descendant · 2 generations on · 78 of its ownK161591 QUARTEX™ Occipito-Cervico-Thoracic Spinal System, Globus Navigation…Globus Medical, Inc. · 2016
  6. Descendant · 3 generations on · 69 of its ownK171651 Excelsius GPSGlobus Medical, Inc. · 2017 · Recalled
  7. Descendant · 4 generations on · 42 of its ownK191100 ExcelsiusGPS Spine 1.1 Interbody ModuleGlobus Medical, Inc. · 2019
  8. Descendant · cites it directly · 34 of its ownK152338 VERTEX (r) Reconstruction SystemMedtronic Sofamor Danek USA, Inc. · 2015

Showing 5 of 165 descendants. See all descendants

Descendants cleared per year

2015: 92016: 122017: 102018: 92019: 72020: 112021: 102022: 122023: 202024: 212025: 202026: 24
2015high 24 (2026) · low 7 (2019)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 165 · See all
  • K150552ELLIPSE and PROTEX CT OCCIPITO-CERVICO-THORACIC SPINAL SYSTEMSGlobus Medical, Inc. · 2015 · cites it directly96descendants
  • K161591QUARTEX™ Occipito-Cervico-Thoracic Spinal System, Globus Navigation InstrumentsGlobus Medical, Inc. · 2016 · 2 generations on78descendants
  • K171651Excelsius GPSGlobus Medical, Inc. · 2017 · 3 generations on69descendants
  • K191100ExcelsiusGPS Spine 1.1 Interbody ModuleGlobus Medical, Inc. · 2019 · 4 generations on42descendants
  • K152338VERTEX (r) Reconstruction SystemMedtronic Sofamor Danek USA, Inc. · 2015 · cites it directly34descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K953076Townley Facet/Pedicular Screw Plating SystemSofamor Danek USA,Inc.1997—
−1K062254Axis Fixation SystemMedtronic Sofamor Danek, Inc.2008—
0 (this device)K143471VERTEX Reconstruction SystemMedtronic Sofamor Danek USA, Inc.2015—
+1K150552ELLIPSE and PROTEX CT OCCIPITO-CERVICO-THORACIC SPINAL SYSTEMSGlobus Medical, Inc.20151
+2K161591QUARTEX™ Occipito-Cervico-Thoracic Spinal System, Globus Navigation InstrumentsGlobus Medical, Inc.2016—
+3K171651Excelsius GPSGlobus Medical, Inc.20171
+4K191100ExcelsiusGPS Spine 1.1 Interbody ModuleGlobus Medical, Inc.2019—
+1K152338VERTEX (r) Reconstruction SystemMedtronic Sofamor Danek USA, Inc.2015—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201590
2016120
2017100
201890
201970
2020110
2021101
2022120
2023200
2024210
2025200
2026240
FIG. 1 — Lineage of K143471, 1997–2026Source: 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.

1 device in this family has 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 NKG device

  1. #1 K252327 CMORE® CT System; CMORE® CT System Navigated…score 19.6 · 22 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? (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
*K062254Axis Fixation System
Summary page 5
…t VERTEX® Reconstruction System is substantially equivalent to the predicate cervical spinal system – the AXIS® Fixation System (primary predicate) cleared by the FDA in K062254 (SE 06/16/08). The subject device is also equivalent to the previously cleared VERTEX® devices most recently cleared in K123906 (…
Medtronic Sofamor Danek, Inc.2008—
†K123906Vertex Reconstruction System, Vertext Select Reconstruction SystemMedtronic Sofamor Danek USA, Inc.2013—
†K123568Vertex Reconstruction SystemMedtronic Sofamor Danek USA, Inc.2012—

Also cleared against K062254: 1 other device →

What descends from it? (165)

See all 165

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

NumberDeviceApplicantDecidedDescendants
K150552ELLIPSE and PROTEX CT OCCIPITO-CERVICO-THORACIC SPINAL SYSTEMSGlobus Medical, Inc.201596
K152338VERTEX (r) Reconstruction SystemMedtronic Sofamor Danek USA, Inc.201534
K150539OASYS SystemStryker Corporation201534
K150474NuVasive VuePoint II OCT SystemNu Vasive, Incorporated201526
K151031Virage OCT Spinal Fixation SystemZimmer Spine, Inc.201520
K163375INFINITY™ OCT SystemMedtronic Sofamor Danek USA, Inc.201716
K150918PASS OCT Spinal SystemMedicrea International SA201513
K153386Perla Posterior Cervico-Thoracic Fixation systemSpineart20162
K150570ANAX OCT Spinal SystemU&I Corporation20152
K171250BRIDALVEIL Occipital Cervical Thoracic SystemAstura Medical20171

Has anything in its family been recalled? (1 Class I)

No FDA recall names this device.

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.

  • K211616ExcelsiusHubGlobus Medical, Inc. · 2021 · 4 generations on · ◆ in the 2021 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 18 years and passes through 3 companies; a new generation was cleared every 11.3 years on median.
  • None of the 3 ancestors has a recall.
  • Of its descendants, K150552 (Globus Medical, Inc., 2015) has gone furthest, with 96 descendants of its own.
  • 1 other device also cites its predicate K062254.

How does its category compare?

All NKG devices

NKG Posterior Cervical Screw System: FDA decisions, review times, recalls and adverse event reports over 20 years. 2015, this device’s year, is highlighted.

FDA decisions per year · NKG

6in 2025

2015: 172016: 162017: 152018: 122019: 82020: 142021: 72022: 72023: 102024: 32025: 62026 (partial year): 4
2007high 17 (2015) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NKG

58in 2025

2015: 71 days median2016: 87 days median2017: 108 days median2018: 61 days median2019: 50 days median2020: 59 days median2021: 56 days median2022: 108 days median2023: 58 days median2024: 100 days median2025: 58 days median2026 (partial year): 169 days median
2007high 169 (2026) · low 50 (2019)2026

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

Recalls per year · NKG

2in 2020

2018: 12019: 12020: 2
2007high 2 (2020) · low 0 (2007)2026

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

Adverse event reports per year · NKG

153in 2025

2015: 42016: 732017: 992018: 1272019: 2142020: 2362021: 7042022: 1752023: 1312024: 2062025: 153
2007high 704 (2021) · low 0 (2007)2025

MAUDE reports naming product code NKG, 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
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
2015177104
20161687073
201715108099
201812611127
20198501214
202014592236
20217560704
202271080175
202310580131
202431000206
20256580153
202641690—

What is it indicated for?

The VERTEX® Reconstruction System is intended to provide immobilization and stabilization of spinal segments as an adjunct to fusion for the following acute and chronic instabilities of the craniocervical junction, the cervical spine (C1 to C7) and the thoracic spine from T1-T3: traumatic spinal fractures and/or traumatic dislocations; instability or deformity; failed previous fusions (e.g., pseudarthrosis); tumors involving the cervical spine; and…

Read the full statement (207 words)

The VERTEX® Reconstruction System is intended to provide immobilization and stabilization of spinal segments as an adjunct to fusion for the following acute and chronic instabilities of the craniocervical junction, the cervical spine (C1 to C7) and the thoracic spine from T1-T3: traumatic spinal fractures and/or traumatic dislocations; instability or deformity; failed previous fusions (e.g., pseudarthrosis); tumors involving the cervical spine; and degenerative disease, including intractable radiculopathy and/or myelopathy, neck and/or arm pain of discogenic origin as confirmed by radiographic studies, and degenerative disease of the facets with instability. The VERTEX® Reconstruction System is also intended to restore the integrity of the spinal column even in the absence of fusion for a limited time period in patients with advanced stage tumors involving the cervical spine in whom life expectancy is of insufficient duration to permit achievement of fusion.

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. Refer to the CD HORIZON® Spinal System package insert for a list of the CD HORIZON® Spinal System indications of use.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K143471: VERTEX Reconstruction System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K143471

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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