510(k) · Cleared
Recalled · Class II · 2022G21 Cement, VADER® Pedicle System
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Icotec AG · PML Bone Cement, Posterior Screw Augmentation
Cleared on Oct 13, 2020 as substantially equivalent to K150408 (G21, S.R.L., 2015) and 6 other predicates after a 221-day review. Its family tree reaches back 20 generations to 2004. 1 of the 362 devices in its family, counting itself, has a Class I recall. 27 later devices descend from it. It has been recalled once.
- Decided
- Oct 13, 2020
- Review
- 221 days
- Class
- Class II
- Product code
- PML
- Recalls
- 1
- Predicates
- 7
Its longest line of descent runs back 20 generations to K040583 (2004). 334 ancestors in all, the oldest P810020 (1984). 27 later devices descend from it, 7 citing it directly. 1 of the 362 devices in this family, counting this one, has a Class I recall.
- Root · 20 generations backK040583 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
- 16 generations between
- 3 generations backK160989 NuVasive® Reline® SystemNu Vasive, Incorporated · 2016
- 2 generations backK180498 NuVasive Reline Fenestrated Screws, High V+ Bone CementNu Vasive, Incorporated · 2018
- 1 generation backK190526 High V+ Bone Cement, CarboClear® Fenestrated Pedicle ScrewsCarboFix Orthopedics, Ltd. · 2019
- This deviceK200596 G21 Cement, VADER® Pedicle SystemIcotec AG · 2020
- Descendant · cites it directly · 14 of its ownK221926 Invictus® Bone Cement, Invictus Spinal Fixation SystemAlphatec Spine, Inc. · 2022
- Descendant · 2 generations on · 11 of its ownK232275 Invictus® Spinal Fixation SystemAlphatec Spine, Inc. · 2023
- Descendant · cites it directly · 5 of its ownK222789 VADER® Pedicle System, G21 CementIcotec AG · 2023 · Recalled
- Descendant · 3 generations on · 4 of its ownK242364 IdentiTi™ II Interbody SystemAlphatec Spine, Inc. · 2024
- Descendant · cites it directly · 4 of its ownK231280 CarboClear® X Pedicle Screw System; CarboClear® X Navigated…CarboFix Orthopedics, Ltd. · 2023
Show all 20 generations
- Root · 20 generations backK040583 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
- 19 generations backK041118 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
- 18 generations backK042025 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2004 · Recalled
- 17 generations backK043151 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
- 16 generations backK050809 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2005
- 15 generations backK052187 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
- 14 generations backK053101 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2006
- 13 generations backK091442 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2009
- 12 generations backK091974 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2009 · Recalled
- 11 generations backK102555 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2010
- 10 generations backK112473 CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2011
- 9 generations backK113174 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2011 · Recalled
- 8 generations backK121680 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2012
- 7 generations backK131321 CD Horizon Spinal SystemMedtronic Sofamor Danek USA · 2013
- 6 generations backK132111 CD Horizon Spinal SystemMedtronic Sofamor Danek USA · 2013
- 5 generations backK141604 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2014
- 4 generations backK143684 NuVasive Reline SystemNu Vasive, Incorporated · 2015
- 3 generations backK160989 NuVasive® Reline® SystemNu Vasive, Incorporated · 2016
- 2 generations backK180498 NuVasive Reline Fenestrated Screws, High V+ Bone CementNu Vasive, Incorporated · 2018
- 1 generation backK190526 High V+ Bone Cement, CarboClear® Fenestrated Pedicle ScrewsCarboFix Orthopedics, Ltd. · 2019
- This deviceK200596 G21 Cement, VADER® Pedicle SystemIcotec AG · 2020
Showing 5 of 27 descendants. See all descendants
Descendants cleared per year
Class I recalls in this family
- K100952 Modification to Synthes Matrix System6 generations back · 2010
Most influential descendants
Showing 5 of 27 · See all- K221926Invictus® Bone Cement, Invictus Spinal Fixation SystemAlphatec Spine, Inc. · 2022 · cites it directly14descendants
- K232275Invictus® Spinal Fixation SystemAlphatec Spine, Inc. · 2023 · 2 generations on11descendants
- K222789VADER® Pedicle System, G21 CementIcotec AG · 2023 · cites it directly5descendants
- K242364IdentiTi™ II Interbody SystemAlphatec Spine, Inc. · 2024 · 3 generations on4descendants
- K231280CarboClear® X Pedicle Screw System; CarboClear® X Navigated Instruments; CarboClear® X…CarboFix Orthopedics, Ltd. · 2023 · cites it directly4descendants
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −20 | K040583 | Modification to: CD Horizon Spinal System | Medtronic Sofamor Danek | 2004 | — |
| −19 | K041118 | Modification to CD Horizon Spinal System | Medtronic Sofamor Danek | 2004 | — |
| −18 | K042025 | Modification to CD Horizon Spinal System | Medtronic Sofamor Danek, Inc. | 2004 | 4 |
| −17 | K043151 | Modification to: CD Horizon Spinal System | Medtronic Sofamor Danek | 2005 | — |
| −16 | K050809 | CD Horizon Spinal System | Medtronic Sofamor Danek USA, Inc. | 2005 | — |
| −15 | K052187 | Modification to: CD Horizon Spinal System | Medtronic Sofamor Danek | 2005 | — |
| −14 | K053101 | CD Horizon Spinal System | Medtronic Sofamor Danek | 2006 | — |
| −13 | K091442 | CD Horizon Spinal System | Medtronic Sofamor Danek | 2009 | — |
| −12 | K091974 | Modification to CD Horizon Spinal System | Medtronic Sofamor Danek USA, Inc. | 2009 | 1 |
| −11 | K102555 | CD Horizon Spinal System | Medtronic Sofamor Danek USA, Inc. | 2010 | — |
| −10 | K112473 | CD Horizon Spinal System | Medtronic Sofamor Danek, Inc. | 2011 | — |
| −9 | K113174 | CD Horizon Spinal System | Medtronic Sofamor Danek USA, Inc. | 2011 | 1 |
| −8 | K121680 | CD Horizon Spinal System | Medtronic Sofamor Danek USA, Inc. | 2012 | — |
| −7 | K131321 | CD Horizon Spinal System | Medtronic Sofamor Danek USA | 2013 | — |
| −6 | K132111 | CD Horizon Spinal System | Medtronic Sofamor Danek USA | 2013 | — |
| −5 | K141604 | CD Horizon Spinal System | Medtronic Sofamor Danek USA, Inc. | 2014 | — |
| −4 | K143684 | NuVasive Reline System | Nu Vasive, Incorporated | 2015 | — |
| −3 | K160989 | NuVasive® Reline® System | Nu Vasive, Incorporated | 2016 | — |
| −2 | K180498 | NuVasive Reline Fenestrated Screws, High V+ Bone Cement | Nu Vasive, Incorporated | 2018 | — |
| −1 | K190526 | High V+ Bone Cement, CarboClear® Fenestrated Pedicle Screws | CarboFix Orthopedics, Ltd. | 2019 | — |
| 0 (this device) | K200596 | G21 Cement, VADER® Pedicle System | Icotec AG | 2020 | — |
| +1 | K221926 | Invictus® Bone Cement, Invictus Spinal Fixation System | Alphatec Spine, Inc. | 2022 | — |
| +2 | K232275 | Invictus® Spinal Fixation System | Alphatec Spine, Inc. | 2023 | — |
| +1 | K222789 | VADER® Pedicle System, G21 Cement | Icotec AG | 2023 | 2 |
| +3 | K242364 | IdentiTi™ II Interbody System | Alphatec Spine, Inc. | 2024 | — |
| +1 | K231280 | CarboClear® X Pedicle Screw System; CarboClear® X Navigated Instruments… | CarboFix Orthopedics, Ltd. | 2023 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1984 | 2 | 0 |
| 1985 | 1 | 0 |
| 1990 | 2 | 0 |
| 1992 | 5 | 0 |
| 1993 | 3 | 0 |
| 1994 | 3 | 0 |
| 1995 | 9 | 0 |
| 1996 | 8 | 0 |
| 1997 | 9 | 0 |
| 1998 | 14 | 0 |
| 1999 | 16 | 0 |
| 2000 | 20 | 0 |
| 2001 | 20 | 0 |
| 2002 | 17 | 0 |
| 2003 | 21 | 0 |
| 2004 | 31 | 0 |
| 2005 | 24 | 0 |
| 2006 | 19 | 0 |
| 2007 | 16 | 0 |
| 2008 | 13 | 0 |
| 2009 | 16 | 0 |
| 2010 | 15 | 1 |
| 2011 | 9 | 0 |
| 2012 | 3 | 0 |
| 2013 | 3 | 0 |
| 2014 | 2 | 0 |
| 2015 | 2 | 0 |
| 2016 | 5 | 0 |
| 2017 | 3 | 0 |
| 2018 | 2 | 0 |
| 2019 | 1 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2022 | 1 | 0 |
| 2023 | 7 | 0 |
| 2024 | 9 | 0 |
| 2025 | 5 | 0 |
| 2026 | 5 | 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.
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 PML device
- #1 K221926 Invictus® Bone Cement, Invictus Spinal…score 22.3 · 30 generations · no Class I recall
- #2 Held for the reportin the report
- #3 Held for the reportin the report
What was it cleared against? (7)
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 |
|---|---|---|---|
| * | K150408 | V-Steady, V-FastSummary page 7…ed pedicle screws. The VADER® Pedicle System can be used for single or multiple level fixations in the non-cervical spine. Primary Predicate Devices: Steady and V-Fast (K150408) Additional Predicate Devices: • icotec VADER®one Pedicle System MIS and LightMore® Pedicle System 6.0 (K190545)… | 2015 |
| * | K190545 | VADER® one Pedicle System MIS and LightMore® Pedicle System 6.0Summary page 7…imary Predicate Devices: Steady and V-Fast (K150408) Additional Predicate Devices: • icotec VADER®one Pedicle System MIS and LightMore® Pedicle System 6.0 (K190545) • icotec Pedicle System (K151977) • Blackstone Pedicle Screw System (K082797) • Corelink Tiger Spine System (K113… | 2019 |
| * | K151977 | icotec Pedicle SystemSummary page 7…ast (K150408) Additional Predicate Devices: • icotec VADER®one Pedicle System MIS and LightMore® Pedicle System 6.0 (K190545) • icotec Pedicle System (K151977) • Blackstone Pedicle Screw System (K082797) • Corelink Tiger Spine System (K113058) • CarboFix Pedicle Screw Syst… | 2016 |
| * | K082797 | Blackstone Pedicle Screw SystemSummary page 7…• icotec VADER®one Pedicle System MIS and LightMore® Pedicle System 6.0 (K190545) • icotec Pedicle System (K151977) • Blackstone Pedicle Screw System (K082797) • Corelink Tiger Spine System (K113058) • CarboFix Pedicle Screw System (K182377) • CarboClear Fenestrated Pedicl… | 2008 |
| * | K113058 | Tiger Spine SystemSummary page 7…ightMore® Pedicle System 6.0 (K190545) • icotec Pedicle System (K151977) • Blackstone Pedicle Screw System (K082797) • Corelink Tiger Spine System (K113058) • CarboFix Pedicle Screw System (K182377) • CarboClear Fenestrated Pedicle Screws, High V+ Bone Cement (K190526) Perf… | 2012 |
| * | K182377 | CarboClear® Pedicle Screw SystemSummary page 7…• icotec Pedicle System (K151977) • Blackstone Pedicle Screw System (K082797) • Corelink Tiger Spine System (K113058) • CarboFix Pedicle Screw System (K182377) • CarboClear Fenestrated Pedicle Screws, High V+ Bone Cement (K190526) Performance Testing Summary: The testing of the VAD… | 2018 |
| * | K190526 | High V+ Bone Cement, CarboClear® Fenestrated Pedicle ScrewsSummary page 7…(K082797) • Corelink Tiger Spine System (K113058) • CarboFix Pedicle Screw System (K182377) • CarboClear Fenestrated Pedicle Screws, High V+ Bone Cement (K190526) Performance Testing Summary: The testing of the VADER® Pedicle System includes: • ASTM F543 Screw Testing • ASTM F17… | 2019 |
What descends from it? (27)
See all 277 later devices cite it directly; ranked here by how many devices descend from each in turn.
| Number | Device | Decided | Descendants |
|---|---|---|---|
| K221926 | Invictus® Bone Cement, Invictus Spinal Fixation System | 2022 | 14 |
| K222789 | VADER® Pedicle System, G21 Cement | 2023 | 5 |
| K231280 | CarboClear® X Pedicle Screw System; CarboClear® X Navigated Instruments; CarboClear® X… | 2023 | 4 |
| K240846 | CarboClear® Hybrid Pedicle Screw System; CarboClear® Hybrid Navigated Instruments… | 2024 | 2 |
| K231809 | Momentum® Posterior Spinal Fixation System with G21 V-STEADY Bone Cement; Momentum® MIS… | 2023 | 1 |
| K242297 | Reform Pedicle Screw System | 2024 | 0 |
| K230774 | PERLA® TL System; TEKTONA® HV US Bone Cement | 2023 | 0 |
Has anything in its family been recalled? (1 Class I)
Recalls of this device
| Date | Class | Recall | Root cause | Reason |
|---|---|---|---|---|
| Nov 3, 2022 | Class II | Z-0728-2023 | Nonconforming Material/Component | During internal testing (at manufacturer site) of two torque wrench devices, it was detected that the torque limiting function was out of specification. The specified torque limiting value is 12 Nm. The measuring results for both… |
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.
- K100952Modification to Synthes Matrix SystemSynthes Spine · 2010 · 6 generations back · ◆ in the 2010 ancestors bar of FIG. 11 Class I recall
What does this lineage say?
- The line of descent spans 16 years and passes through 7 companies; a new generation was cleared every 7 months on median.
- 40 of the 334 ancestors have a recall of any class; 1 has a Class I recall.
- Of its descendants, K221926 (Alphatec Spine, Inc., 2022) has gone furthest, with 14 descendants of its own.
How does its category compare?
All PML devicesPML Bone Cement, Posterior Screw Augmentation: FDA decisions, review times, recalls and adverse event reports over 20 years. 2020, this device’s year, is highlighted.
FDA decisions per year · PML
1in 2024
2026 to Oct 25, outlined.
Median 510(k) review, days · PML
116in 2023
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · PML
2in 2023
Class I (0 since 2007) Class II/III not classified
Adverse event reports per year · PML
55in 2025
MAUDE reports naming product code PML, 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 | 0 | — | 0 | 0 |
| 2008 | 0 | — | 0 | 0 |
| 2009 | 0 | — | 0 | 0 |
| 2010 | 0 | — | 0 | 0 |
| 2011 | 0 | — | 0 | 0 |
| 2012 | 0 | — | 0 | 0 |
| 2013 | 0 | — | 0 | 0 |
| 2014 | 0 | — | 0 | 0 |
| 2015 | 0 | — | 0 | 0 |
| 2016 | 2 | — | 0 | 0 |
| 2017 | 1 | — | 0 | 1 |
| 2018 | 2 | — | 0 | 34 |
| 2019 | 2 | — | 0 | 35 |
| 2020 | 3 | 182 | 0 | 27 |
| 2021 | 1 | — | 0 | 32 |
| 2022 | 2 | — | 0 | 12 |
| 2023 | 3 | 116 | 2 | 18 |
| 2024 | 1 | — | 0 | 60 |
| 2025 | 0 | — | 0 | 55 |
| 2026 | 2 | — | 0 | — |
What is it indicated for?
When used in conjunction with the icotec VADER® Pedicle System, G21 V-Fast and V-Steady Bone Cement are intended to restore the integrity of the spinal column even in the absence of fusion for a limited time in patients with advanced stage tumors involving thoracic and lumbar spine in whom life expectancy, prior to oncological treatment, is of insufficient duration to permit achievement of fusion. The fenestrated VADER® one pedicle screws 6.0 augmented…
Read the full statement (289 words)
When used in conjunction with the icotec VADER® Pedicle System, G21 V-Fast and V-Steady Bone Cement are intended to restore the integrity of the spinal column even in the absence of fusion for a limited time in patients with advanced stage tumors involving thoracic and lumbar spine in whom life expectancy, prior to oncological treatment, is of insufficient duration to permit achievement of fusion. The fenestrated VADER® one pedicle screws 6.0 augmented with G21 V-Fast or V-Steady Bone Cement are for use at spinal levels where the structural integrity of the spine is not severely compromised.
The VADER® Pedicle System is 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 thoracic and lumbar spine in whom life expectancy, prior to oncological treatment, is of insufficient duration to permit achievement of fusion.
When used in conjunction with G21 V-Fast or V-Steady Bone Cement and PicoMix™ V and/or V-HP Gun with the icotec Cement Cannula for mixing and injection of bone cements, the fenestrated VADER® pedicle screws 6.0 are 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 thoracic and lumbar spine in whom life expectancy, prior to oncological treatment, is of insufficient duration to permit achievement of fusion. The fenestrated VADER® pedicle screws 6.0 augmented with G21 V-Fast or V-Steady Bone Cement are limited to the use at spinal levels where the structural integrity of the spine is not severely compromised.
The VADER® Pedicle System is indicated to provide the surgeon with a minimally invasive and open approach for posterior spinal surgery.
Indications for use as stated in the FDA summary.
https://510kreport.com/device/K200596 · printed Nov 3, 2026
Cite this page
510(k) Report. “K200596: G21 Cement, VADER® Pedicle System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K200596
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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