510(k) Report

510(k) · Cleared

Cleared

M.U.S.T. MINI Posterior Cervical Screws System Extension

K220570510(k) TraditionalCleared Apr 26, 202257-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

Medacta International S.A. · NKG Posterior Cervical Screw System

Cleared on Apr 26, 2022 as substantially equivalent to K171369 (Medacta International S.A., 2017) and 2 other predicates after a 57-day review. Its family tree reaches back 19 generations to 2004. 1 of the 248 devices in its family, counting itself, has a Class I recall.

Decided
Apr 26, 2022
Review
57 days
Class
Class II
Product code
NKG
Recalls
None
Predicates
3

Its longest line of descent runs back 19 generations to K040583 (2004). 247 ancestors in all, the oldest K781443 (1978). No later device cites it as a predicate yet. 1 of the 248 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2017: 1 other ancestor2016: 3 other ancestors2015: 7 other ancestors2013: 1 other ancestor2012: 4 other ancestors2011: 4 other ancestors2008: 10 other ancestors2007: 11 other ancestors2004: 34 other ancestors2003: 19 other ancestors2002: 14 other ancestors1999: 9 other ancestors2014: 1 other ancestor2010: 8 other ancestors, 1 with a Class I recall12009: 6 other ancestors2005: 21 other ancestors2001: 16 other ancestors2000: 15 other ancestors1998: 6 other ancestors2006: 14 other ancestors1997: 5 other ancestors1995: 3 other ancestors1996: 3 other ancestors1994: 1 other ancestor1985: 1 other ancestor1978: 1 other ancestor1993: 2 other ancestors1992: 5 other ancestors1990: 2 other ancestors1984: 1 other ancestorReference device: K121115 · M.U.S.T Pedicle Screw System · Medacta International · 2012 · recalledReference device: K171170 · M.U.S.T. Pedicle Screw System Extension - Straight Connectors and Additional Screws · Medacta International S.A. · 2017×7: 7 generations cleared close together, K040583 (2004), K041118 (2004), K042025 (2004), K043151 (2005), K050809 (2005), K052187 (2005), K053101 (2006) ×2: 2 generations cleared close together, K091442 (2009), K091974 (2009) K102555 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2010×2: 2 generations cleared close together, K112473 (2011), K113174 (2011) K121115 · M.U.S.T Pedicle Screw System · Medacta International · 2012 · recalledK132878 · M.U.S.T. Extension · Medacta International · 2013K141988 · M.U.S.T Pedicle Screw System · Medacta International · 2014K153664 · M.U.S.T. Pedicle Screw System · Medacta International · 2016×2: 2 generations cleared close together, K171170 (2017), K171369 (2017) K200130 · M.U.S.T. MINI Posterior Cervical Screws System · Medacta International S.A. · 202019801990200020102020
Other ancestors, by generation 1 generation back: 1 other ancestor2 generations back: 17 other ancestors3 generations back: 29 other ancestors, 1 with a Class I recall14 generations back: 49 other ancestors5 generations back: 37 other ancestors6 generations back: 47 other ancestors7 generations back: 16 other ancestors8 generations back: 15 other ancestors9 generations back: 13 other ancestors10 generations back: 3 other ancestors11 generations back: 1 other ancestor K200130 · M.U.S.T. MINI Posterior Cervical Screws System · Medacta International S.A. · 2020K171369 · M.U.S.T. MINI Posterior Cervical Screws System · Medacta International S.A. · 2017K171170 · M.U.S.T. Pedicle Screw System Extension - Straight Connectors and Additional Screws · Medacta International S.A. · 2017K153664 · M.U.S.T. Pedicle Screw System · Medacta International · 2016K141988 · M.U.S.T Pedicle Screw System · Medacta International · 2014K132878 · M.U.S.T. Extension · Medacta International · 2013K121115 · M.U.S.T Pedicle Screw System · Medacta International · 2012 · recalledK113174 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2011 · recalledK112473 · CD Horizon Spinal System · Medtronic Sofamor Danek, Inc. · 2011K102555 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2010K091974 · Modification to CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2009 · recalledK091442 · CD Horizon Spinal System · Medtronic Sofamor Danek · 2009K053101 · CD Horizon Spinal System · Medtronic Sofamor Danek · 2006K052187 · Modification to: CD Horizon Spinal System · Medtronic Sofamor Danek · 2005K050809 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2005K043151 · Modification to: CD Horizon Spinal System · Medtronic Sofamor Danek · 2005K042025 · Modification to CD Horizon Spinal System · Medtronic Sofamor Danek, Inc. · 2004 · recalledK041118 · Modification to CD Horizon Spinal System · Medtronic Sofamor Danek · 2004K040583 · Modification to: CD Horizon Spinal System · Medtronic Sofamor Danek · 2004−15−10−50
  1. Root · 19 generations backK040583 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  2. 15 generations between
  3. 3 generations backK171170 M.U.S.T. Pedicle Screw System Extension - Straight Connectors and…Medacta International S.A. · 2017
  4. 2 generations backK171369 M.U.S.T. MINI Posterior Cervical Screws SystemMedacta International S.A. · 2017
  5. 1 generation backK200130 M.U.S.T. MINI Posterior Cervical Screws SystemMedacta International S.A. · 2020
  6. This deviceK220570 M.U.S.T. MINI Posterior Cervical Screws System ExtensionMedacta International S.A. · 2022
Show all 19 generations
  1. Root · 19 generations backK040583 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  2. 18 generations backK041118 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  3. 17 generations backK042025 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2004 · Recalled
  4. 16 generations backK043151 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  5. 15 generations backK050809 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2005
  6. 14 generations backK052187 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  7. 13 generations backK053101 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2006
  8. 12 generations backK091442 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2009
  9. 11 generations backK091974 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2009 · Recalled
  10. 10 generations backK102555 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2010
  11. 9 generations backK112473 CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2011
  12. 8 generations backK113174 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2011 · Recalled
  13. 7 generations backK121115 M.U.S.T Pedicle Screw SystemMedacta International · 2012 · Recalled
  14. 6 generations backK132878 M.U.S.T. ExtensionMedacta International · 2013
  15. 5 generations backK141988 M.U.S.T Pedicle Screw SystemMedacta International · 2014
  16. 4 generations backK153664 M.U.S.T. Pedicle Screw SystemMedacta International · 2016
  17. 3 generations backK171170 M.U.S.T. Pedicle Screw System Extension - Straight Connectors and…Medacta International S.A. · 2017
  18. 2 generations backK171369 M.U.S.T. MINI Posterior Cervical Screws SystemMedacta International S.A. · 2017
  19. 1 generation backK200130 M.U.S.T. MINI Posterior Cervical Screws SystemMedacta International S.A. · 2020
  20. This deviceK220570 M.U.S.T. MINI Posterior Cervical Screws System ExtensionMedacta International S.A. · 2022

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−19K040583Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
−18K041118Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
−17K042025Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.20044
−16K043151Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
−15K050809CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2005—
−14K052187Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
−13K053101CD Horizon Spinal SystemMedtronic Sofamor Danek2006—
−12K091442CD Horizon Spinal SystemMedtronic Sofamor Danek2009—
−11K091974Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.20091
−10K102555CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2010—
−9K112473CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.2011—
−8K113174CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.20111
−7K121115M.U.S.T Pedicle Screw SystemMedacta International20121
−6K132878M.U.S.T. ExtensionMedacta International2013—
−5K141988M.U.S.T Pedicle Screw SystemMedacta International2014—
−4K153664M.U.S.T. Pedicle Screw SystemMedacta International2016—
−3K171170M.U.S.T. Pedicle Screw System Extension - Straight Connectors and Additional…Medacta International S.A.2017—
−2K171369M.U.S.T. MINI Posterior Cervical Screws SystemMedacta International S.A.2017—
−1K200130M.U.S.T. MINI Posterior Cervical Screws SystemMedacta International S.A.2020—
0 (this device)K220570M.U.S.T. MINI Posterior Cervical Screws System ExtensionMedacta International S.A.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197810
198410
198510
199020
199250
199320
199410
199530
199630
199750
199860
199990
2000150
2001160
2002140
2003190
2004340
2005210
2006140
2007110
2008100
200960
201081
201140
201240
201310
201410
201570
201630
201710
FIG. 1 — Lineage of K220570, 2004–2022Source: 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? (3)

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
*K171369M.U.S.T. MINI Posterior Cervical Screws System
Summary page 4
…Predicate Device Substantial equivalence is claimed to the following predicate devices: Primary predicate device:  M.U.S.T. MINI Posterior Cervical Screws System, K171369, Medacta International SA Additional predicate devices:  M.U.S.T. MINI Posterior Cervical Screws System Extension, K200130,…
Medacta International S.A.2017—
*K200130M.U.S.T. MINI Posterior Cervical Screws System
Summary page 4
…T. MINI Posterior Cervical Screws System, K171369, Medacta International SA Additional predicate devices:  M.U.S.T. MINI Posterior Cervical Screws System Extension, K200130, Medacta International SA  BRIDALVEIL Occipital Cervical Thoracic System, K171250, Astura Medical Reference devices:…
Medacta International S.A.2020—
*K171250BRIDALVEIL Occipital Cervical Thoracic System
Summary page 4
…cate devices:  M.U.S.T. MINI Posterior Cervical Screws System Extension, K200130, Medacta International SA  BRIDALVEIL Occipital Cervical Thoracic System, K171250, Astura Medical Reference devices:  M.U.S.T. Pedicle Screw System, Medacta International, K121115, Medacta International SA…
Astura Medical2017—
†K121115M.U.S.T Pedicle Screw SystemMedacta International20121
†K171170M.U.S.T. Pedicle Screw System Extension - Straight Connectors and Additional ScrewsMedacta International S.A.2017—

Also cleared against K171369: 3 other devices →

What descends from it?

No later submission names this one as a predicate yet.

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.

  • K100952Modification to Synthes Matrix SystemSynthes Spine · 2010 · 3 generations back · ◆ in the 2010 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 18 years and passes through 5 companies; a new generation was cleared every 8 months on median.
  • 32 of the 247 ancestors have a recall of any class; 1 has a Class I recall.
  • 3 other devices also cite its predicate K171369.

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. 2022, 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 M.U.S.T. Mini posterior cervical screw system is intended to provide immobilization and stabilization of spinal segments as an adjunct to fusion, in skeletally mature patient, for the following acute and chronic instabilities of 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…

Read the full statement (249 words)

The M.U.S.T. Mini posterior cervical screw system is intended to provide immobilization and stabilization of spinal segments as an adjunct to fusion, in skeletally mature patient, for the following acute and chronic instabilities of 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; 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 M.U.S.T. Mini posterior cervical screw 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 M.U.S.T. Mini posterior cervical screw system may be connected to the M.U.S.T. system rods with the M.U.S.T. Mini rod connectors. Transition rods with differing diameters may also be used to connect the M.U.S.T. Mini posterior cervical screw system to the M.U.S.T. system. Refer to the M.U.S.T. system package insert for a list of the M.U.S.T. indications of use.

When used with the occipital plate the M.U.S.T. Mini posterior cervical screw system is also intended to provide immobilization and stabilization for the occipito-cervico-thoracic junction (occiput - T3) in treatment of the instabilities mentioned above, including occipitocervical dislocation.

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. “K220570: M.U.S.T. MINI Posterior Cervical Screws System Extension.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K220570

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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