510(k) Report

510(k) · Cleared

Cleared

CD HORIZON Spinal System Instruments for use with MAZOR X Stealth Edition

K182121510(k) TraditionalCleared Nov 2, 201888-day reviewClass II21 CFR 882.4560

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. · OLO Orthopedic Stereotaxic Instrument

Cleared on Nov 2, 2018 as substantially equivalent to K140454 (Medtronic Sofamor Danek USA, Inc., 2014) after an 88-day review. Its family tree reaches back 10 generations to 1986. 41 later devices descend from it.

Decided
Nov 2, 2018
Review
88 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
1

Its longest line of descent runs back 10 generations to K862807 (1986). 63 ancestors in all, the oldest K842956 (1984). 41 later devices descend from it, 5 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2013: 1 other ancestor2008: 2 other ancestors2006: 3 other ancestors2005: 4 other ancestors2001: 2 other ancestors2000: 5 other ancestors1999: 1 other ancestor1997: 3 other ancestors1994: 4 other ancestors2004: 2 other ancestors2003: 2 other ancestors2002: 3 other ancestors1998: 3 other ancestors1995: 7 other ancestors1988: 2 other ancestors1987: 1 other ancestor1992: 2 other ancestors1989: 1 other ancestor1986: 1 other ancestor1996: 1 other ancestor1985: 1 other ancestor1990: 1 other ancestor1984: 1 other ancestor2020: 1 descendant cleared2023: 6 descendants cleared2021: 3 descendants cleared2022: 3 descendants cleared2026: 15 descendants cleared2025: 7 descendants cleared2024: 6 descendants clearedReference device: K153442 · CD HORIZON Spinal System, Medtronic Navigated Manual Reusable Instruments for Use with the STEALTHSTATION System, Medtronic Reusable Instruments for Use with the IPC POWEREASE System, Medtronic Navigated Reusable Instruments for Use with the STEALTHSTATION and IPC POWEREASE Systems · Medtronic Sofamor Danek USA, Inc. · 2016Reference device: K163221 · Mazor X · Mazor Robotics, Ltd. · 2017Reference device: K124004 · Navigated CD Horizon Solera Screwdrivers, Taps, Iliac Taps, Legacy Taps · Medtronic Navigation, Inc. · 2013 · recalledReference device: K111520 · Ipc Powerease System · Medtronic Xomed, Inc. · 2011 · recalledK862807 · Treace Drill System · Treace Medical, Inc. · 1986×2: 2 generations cleared close together, K964548 (1997), K971059 (1997) K981637 · Integrated Drive/Pump System for Otolaryngology · Linvatec Corp. · 1998K990524 · E9000 System · Linvatec Corp. · 1999K012456 · Sodem High Speed System (Electric) (Ear, Nose, and Throat) · Sodemsystems · 2001K081277 · XPS 4000 System, Midas Rex Legend Ehs System, Integrated Power CONS0LE (Ipc) · Medtronic Xomed, Inc. · 2008 · recalledK111520 · Ipc Powerease System · Medtronic Xomed, Inc. · 2011 · recalledK123270 · Powerease System · Medtronic Sofamor Danek USA, Inc. · 2013K140454 · Navigated CD Horizon Solera Screwdriver/Taps · Medtronic Sofamor Danek USA, Inc. · 2014 · recalled19801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor3 generations back: 5 other ancestors4 generations back: 10 other ancestors5 generations back: 18 other ancestors6 generations back: 7 other ancestors7 generations back: 6 other ancestors8 generations back: 6 other ancestors 1 generation forward: 5 descendants2 generations forward: 8 descendants3 generations forward: 12 descendants4 generations forward: 9 descendants5 generations forward: 7 descendants K140454 · Navigated CD Horizon Solera Screwdriver/Taps · Medtronic Sofamor Danek USA, Inc. · 2014 · recalledK123270 · Powerease System · Medtronic Sofamor Danek USA, Inc. · 2013K111520 · Ipc Powerease System · Medtronic Xomed, Inc. · 2011 · recalledK081277 · XPS 4000 System, Midas Rex Legend Ehs System, Integrated Power CONS0LE (Ipc) · Medtronic Xomed, Inc. · 2008 · recalledK012456 · Sodem High Speed System (Electric) (Ear, Nose, and Throat) · Sodemsystems · 2001K990524 · E9000 System · Linvatec Corp. · 1999K981637 · Integrated Drive/Pump System for Otolaryngology · Linvatec Corp. · 1998K971059 · Universal Drive System · Linvatec Corp. · 1997K964548 · Apex Universal Drive System · Linvatec Corp. · 1997K862807 · Treace Drill System · Treace Medical, Inc. · 1986−10−50+5
  1. Root · 10 generations backK862807 Treace Drill SystemTreace Medical, Inc. · 1986
  2. 6 generations between
  3. 3 generations backK111520 Ipc Powerease SystemMedtronic Xomed, Inc. · 2011 · Recalled
  4. 2 generations backK123270 Powerease SystemMedtronic Sofamor Danek USA, Inc. · 2013
  5. 1 generation backK140454 Navigated CD Horizon Solera Screwdriver/TapsMedtronic Sofamor Danek USA, Inc. · 2014 · Recalled
  6. This deviceK182121 CD HORIZON Spinal System Instruments for use with MAZOR X Stealth…Medtronic Sofamor Danek USA, Inc. · 2018
  7. Descendant · cites it directly · 35 of its ownK203291 CD Horizon Spinal System InstrumentsMedtronic Sofamor Danek USA, Inc. · 2020
  8. Descendant · cites it directly · 34 of its ownK210637 CD Horizon™ Spinal SystemMedtronic · 2021
  9. Descendant · 2 generations on · 20 of its ownK221244 CD Horizon™ Spinal SystemMedtronic · 2022
  10. Descendant · 2 generations on · 17 of its ownK223494 CD Horizon Spinal SystemMedtronic · 2023
  11. Descendant · 2 generations on · 15 of its ownK211958 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2021
Show all 10 generations
  1. Root · 10 generations backK862807 Treace Drill SystemTreace Medical, Inc. · 1986
  2. 9 generations backK964548 Apex Universal Drive SystemLinvatec Corp. · 1997
  3. 8 generations backK971059 Universal Drive SystemLinvatec Corp. · 1997
  4. 7 generations backK981637 Integrated Drive/Pump System for OtolaryngologyLinvatec Corp. · 1998
  5. 6 generations backK990524 E9000 SystemLinvatec Corp. · 1999
  6. 5 generations backK012456 Sodem High Speed System (Electric) (Ear, Nose, and Throat)Sodemsystems · 2001
  7. 4 generations backK081277 XPS 4000 System, Midas Rex Legend Ehs System, Integrated Power…Medtronic Xomed, Inc. · 2008 · Recalled
  8. 3 generations backK111520 Ipc Powerease SystemMedtronic Xomed, Inc. · 2011 · Recalled
  9. 2 generations backK123270 Powerease SystemMedtronic Sofamor Danek USA, Inc. · 2013
  10. 1 generation backK140454 Navigated CD Horizon Solera Screwdriver/TapsMedtronic Sofamor Danek USA, Inc. · 2014 · Recalled
  11. This deviceK182121 CD HORIZON Spinal System Instruments for use with MAZOR X Stealth…Medtronic Sofamor Danek USA, Inc. · 2018

Showing 5 of 41 descendants. See all descendants

Descendants cleared per year

2020: 12021: 32022: 32023: 62024: 62025: 72026: 15
2020high 15 (2026) · low 1 (2020)2026

Most influential descendants

Showing 5 of 41 · See all
  • K203291CD Horizon Spinal System InstrumentsMedtronic Sofamor Danek USA, Inc. · 2020 · cites it directly35descendants
  • K210637CD Horizon™ Spinal SystemMedtronic · 2021 · cites it directly34descendants
  • K221244CD Horizon™ Spinal SystemMedtronic · 2022 · 2 generations on20descendants
  • K223494CD Horizon Spinal SystemMedtronic · 2023 · 2 generations on17descendants
  • K211958CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2021 · 2 generations on15descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K862807Treace Drill SystemTreace Medical, Inc.1986—
−9K964548Apex Universal Drive SystemLinvatec Corp.1997—
−8K971059Universal Drive SystemLinvatec Corp.1997—
−7K981637Integrated Drive/Pump System for OtolaryngologyLinvatec Corp.1998—
−6K990524E9000 SystemLinvatec Corp.1999—
−5K012456Sodem High Speed System (Electric) (Ear, Nose, and Throat)Sodemsystems2001—
−4K081277XPS 4000 System, Midas Rex Legend Ehs System, Integrated Power CONS0LE (Ipc)Medtronic Xomed, Inc.20081
−3K111520Ipc Powerease SystemMedtronic Xomed, Inc.20112
−2K123270Powerease SystemMedtronic Sofamor Danek USA, Inc.2013—
−1K140454Navigated CD Horizon Solera Screwdriver/TapsMedtronic Sofamor Danek USA, Inc.20141
0 (this device)K182121CD HORIZON Spinal System Instruments for use with MAZOR X Stealth EditionMedtronic Sofamor Danek USA, Inc.2018—
+1K203291CD Horizon Spinal System InstrumentsMedtronic Sofamor Danek USA, Inc.2020—
+1K210637CD Horizon™ Spinal SystemMedtronic2021—
+2K221244CD Horizon™ Spinal SystemMedtronic2022—
+2K223494CD Horizon Spinal SystemMedtronic2023—
+2K211958CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198410
198510
198610
198710
198820
198910
199010
199220
199440
199570
199610
199730
199830
199910
200050
200120
200230
200320
200420
200540
200630
200820
201310

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202010
202130
202230
202360
202460
202570
2026150
FIG. 1 — Lineage of K182121, 1986–2026Source: 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 OLO? 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 OLO device

  1. #1 K240662 Spine Guidance Software (version 5.0); Xia 3/…score 23.7 · 15 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
*K140454Navigated CD Horizon Solera Screwdriver/Taps
Summary page 4
…4560) Classification: Class II Product Code: OLO III. Predicate Devices: Primary Predicate: Navigated CD HORIZON™ SOLERA™ Spinal System (K140454, S.E. 05/22/2014) Reference Predicates: CD HORIZON™ BALLAST™ Spinal System (K153442, S.E. 02/18/2016) MAZ…
Medtronic Sofamor Danek USA, Inc.20141
†K153442CD HORIZON Spinal System, Medtronic Navigated Manual Reusable Instruments for Use with…Medtronic Sofamor Danek USA, Inc.2016—
†K163221Mazor XMazor Robotics, Ltd.2017—
†K124004Navigated CD Horizon Solera Screwdrivers, Taps, Iliac Taps, Legacy TapsMedtronic Navigation, Inc.20131
†K111520Ipc Powerease SystemMedtronic Xomed, Inc.20112

Also cleared against K140454: 48 other devices →

What descends from it? (41)

See all 41

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

NumberDeviceApplicantDecidedDescendants
K203291CD Horizon Spinal System InstrumentsMedtronic Sofamor Danek USA, Inc.202035
K210637CD Horizon™ Spinal SystemMedtronic202134
K211596CD Horizon Spinal SystemMedtronic20213
K230716Robotic Graft Delivery InstrumentsMedtronic Sofamor Danek, Inc.20230
K231184CD Horizon™ Spinal SystemMedtronic Sofamor Danek USA, Inc.20230

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 32 years and passes through 5 companies; a new generation was cleared every 2.2 years on median.
  • 10 of the 63 ancestors have a recall of any class.
  • Of its descendants, K203291 (Medtronic Sofamor Danek USA, Inc., 2020) has gone furthest, with 35 descendants of its own.
  • 48 other devices also cite its predicate K140454.

How does its category compare?

All OLO devices

OLO Orthopedic Stereotaxic Instrument: FDA decisions, review times, recalls and adverse event reports over 20 years. 2018, this device’s year, is highlighted.

FDA decisions per year · OLO

40in 2025

2009: 112010: 92011: 112012: 72013: 72014: 102015: 102016: 142017: 332018: 242019: 352020: 342021: 282022: 402023: 452024: 442025: 402026 (partial year): 42
2007high 45 (2023) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OLO

119in 2025

2009: 126 days median2010: 113 days median2011: 138 days median2012: 129 days median2013: 137 days median2014: 119 days median2015: 176 days median2016: 120 days median2017: 91 days median2018: 97 days median2019: 95 days median2020: 89 days median2021: 91 days median2022: 89 days median2023: 90 days median2024: 90 days median2025: 119 days median2026 (partial year): 109 days median
2007high 176 (2015) · low 89 (2020)2026

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

Recalls per year · OLO

1in 2025

2010: 12011: 12012: 12014: 32015: 22016: 32017: 22018: 12019: 12020: 62022: 52023: 7, 1 Class I2024: 42025: 12026 (partial year): 6
2007high 7 (2023) · low 0 (2007)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · OLO

3,306in 2025

2008: 12009: 42010: 42011: 102012: 602013: 362014: 2452015: 4662016: 7502017: 1,0762018: 1,2302019: 1,5852020: 2,7462021: 1,6962022: 1,5682023: 1,4932024: 2,3532025: 3,306
2007high 3,306 (2025) · low 0 (2007)2025

MAUDE reports naming product code OLO, 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—01
20091112604
2010911314
201111138110
20127129160
20137137036
2014101193245
2015101762466
2016141203750
2017339121,076
2018249711,230
2019359511,585
2020348962,746
2021289101,696
2022408951,568
202345907 (1)1,493
2024449042,353
20254011913,306
2026421096—

What is it indicated for?

Medtronic Surgical Instruments are intended to be used during the preparation and placement of Medtronic implants during spinal surgery to assist the surgeon in precisely locating anatomical structures in either open, or minimally invasive, procedures. Medtronic Surgical Instruments are specifically designed for use with the MAZOR X Stealth™ Edition, which is indicated for any medical condition in which the use of stereotactic surgery may be appropriate…

Read the full statement (180 words)

Medtronic Surgical Instruments are intended to be used during the preparation and placement of Medtronic implants during spinal surgery to assist the surgeon in precisely locating anatomical structures in either open, or minimally invasive, procedures. Medtronic Surgical Instruments are specifically designed for use with the MAZOR X Stealth™ Edition, which is indicated for any medical condition in which the use of stereotactic surgery may be appropriate, and where reference to a rigid anatomical structure, such as a skull, a long bone, or vertebra can be identified relative to a CT or MR-based model, fluoroscopy images, or digitized landmarks of the anatomy. Medtronic Surgical Instruments can be navigated or non-navigated manual instruments that may or may not be guided through the MAZOR X Arm Guide. Medtronic surgical drills shall only be used through the MAZOR X arm guides, Medtronic cannulas, and Medtronic drill guides. Some of the Medtronic Surgical Instruments are also compatible with the IPC™ POWEREASE™ System. An instrument may incorporate a measuring function which has uses as described on the label and the instrument.

DO NOT IMPLANT THE INSTRUMENTS

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K182121: CD HORIZON Spinal System Instruments for use with MAZOR X Stealth Edition.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K182121

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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