510(k) Report

510(k) · Cleared

Cleared

Mini-OSTEO Pedicle Fixation System

K231443510(k) TraditionalCleared Nov 21, 2023187-day reviewClass II21 CFR 888.3070

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

Osteomed Indústria E Comércio DE Implantes Ltda · NKB Thoracolumbosacral Pedicle Screw System

Cleared on Nov 21, 2023 as substantially equivalent to K162494 (Medtronic Sofamor Danek USA, Inc., 2016) and 4 other predicates after a 187-day review. Its family tree reaches back 20 generations to 2004. 1 of the 542 devices in its family, counting itself, has a Class I recall.

Decided
Nov 21, 2023
Review
187 days
Class
Class II
Product code
NKB
Recalls
None
Predicates
5

Its longest line of descent runs back 20 generations to K040583 (2004). 541 ancestors in all, the oldest K781443 (1978). No later device cites it as a predicate yet. 1 of the 542 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2023: 2 other ancestors2016: 7 other ancestors2012: 12 other ancestors2021: 1 other ancestor2019: 1 other ancestor2015: 8 other ancestors2014: 8 other ancestors2013: 15 other ancestors2011: 20 other ancestors2010: 30 other ancestors, 1 with a Class I recall12009: 22 other ancestors2008: 26 other ancestors2006: 31 other ancestors2020: 1 other ancestor2018: 4 other ancestors2007: 23 other ancestors2005: 33 other ancestors2004: 41 other ancestors2003: 29 other ancestors2001: 36 other ancestors2000: 29 other ancestors1999: 18 other ancestors1998: 21 other ancestors1997: 13 other ancestors1994: 7 other ancestors2017: 1 other ancestor2002: 28 other ancestors1996: 12 other ancestors1995: 17 other ancestors1993: 4 other ancestors1978: 1 other ancestor1984: 2 other ancestors1985: 2 other ancestors1988: 2 other ancestors1987: 1 other ancestor1992: 7 other ancestors1989: 1 other ancestor1986: 2 other ancestors1990: 3 other ancestors×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) K121680 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2012×2: 2 generations cleared close together, K131321 (2013), K132111 (2013) ×2: 2 generations cleared close together, K141604 (2014), K143684 (2015) K160989 · NuVasive® Reline® System · Nu Vasive, Incorporated · 2016K170126 · NuVasive® Reline® 4.5-5.0 System · Nu Vasive, Incorporated · 2017K190636 · NuVasive® Reline® 4.5-5.0 System · Nu Vasive, Incorporated · 201919801990200020102020
Other ancestors, by generation 1 generation back: 4 other ancestors2 generations back: 16 other ancestors3 generations back: 65 other ancestors4 generations back: 96 other ancestors5 generations back: 101 other ancestors, 1 with a Class I recall16 generations back: 75 other ancestors7 generations back: 45 other ancestors8 generations back: 47 other ancestors9 generations back: 20 other ancestors10 generations back: 27 other ancestors11 generations back: 14 other ancestors12 generations back: 5 other ancestors13 generations back: 4 other ancestors14 generations back: 2 other ancestors K190636 · NuVasive® Reline® 4.5-5.0 System · Nu Vasive, Incorporated · 2019K170126 · NuVasive® Reline® 4.5-5.0 System · Nu Vasive, Incorporated · 2017K160989 · NuVasive® Reline® System · Nu Vasive, Incorporated · 2016K143684 · NuVasive Reline System · Nu Vasive, Incorporated · 2015K141604 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2014K132111 · CD Horizon Spinal System · Medtronic Sofamor Danek USA · 2013K131321 · CD Horizon Spinal System · Medtronic Sofamor Danek USA · 2013K121680 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2012K113174 · 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 · 2004−20−15−10−50
  1. Root · 20 generations backK040583 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  2. 16 generations between
  3. 3 generations backK160989 NuVasive® Reline® SystemNu Vasive, Incorporated · 2016
  4. 2 generations backK170126 NuVasive® Reline® 4.5-5.0 SystemNu Vasive, Incorporated · 2017
  5. 1 generation backK190636 NuVasive® Reline® 4.5-5.0 SystemNu Vasive, Incorporated · 2019
  6. This deviceK231443 Mini-OSTEO Pedicle Fixation SystemOsteomed Indústria E Comércio DE Implantes Ltda · 2023
Show all 20 generations
  1. Root · 20 generations backK040583 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  2. 19 generations backK041118 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  3. 18 generations backK042025 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2004 · Recalled
  4. 17 generations backK043151 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  5. 16 generations backK050809 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2005
  6. 15 generations backK052187 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  7. 14 generations backK053101 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2006
  8. 13 generations backK091442 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2009
  9. 12 generations backK091974 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2009 · Recalled
  10. 11 generations backK102555 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2010
  11. 10 generations backK112473 CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2011
  12. 9 generations backK113174 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2011 · Recalled
  13. 8 generations backK121680 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2012
  14. 7 generations backK131321 CD Horizon Spinal SystemMedtronic Sofamor Danek USA · 2013
  15. 6 generations backK132111 CD Horizon Spinal SystemMedtronic Sofamor Danek USA · 2013
  16. 5 generations backK141604 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2014
  17. 4 generations backK143684 NuVasive Reline SystemNu Vasive, Incorporated · 2015
  18. 3 generations backK160989 NuVasive® Reline® SystemNu Vasive, Incorporated · 2016
  19. 2 generations backK170126 NuVasive® Reline® 4.5-5.0 SystemNu Vasive, Incorporated · 2017
  20. 1 generation backK190636 NuVasive® Reline® 4.5-5.0 SystemNu Vasive, Incorporated · 2019
  21. This deviceK231443 Mini-OSTEO Pedicle Fixation SystemOsteomed Indústria E Comércio DE Implantes Ltda · 2023

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−20K040583Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
−19K041118Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
−18K042025Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.20044
−17K043151Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
−16K050809CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2005—
−15K052187Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
−14K053101CD Horizon Spinal SystemMedtronic Sofamor Danek2006—
−13K091442CD Horizon Spinal SystemMedtronic Sofamor Danek2009—
−12K091974Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.20091
−11K102555CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2010—
−10K112473CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.2011—
−9K113174CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.20111
−8K121680CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2012—
−7K131321CD Horizon Spinal SystemMedtronic Sofamor Danek USA2013—
−6K132111CD Horizon Spinal SystemMedtronic Sofamor Danek USA2013—
−5K141604CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2014—
−4K143684NuVasive Reline SystemNu Vasive, Incorporated2015—
−3K160989NuVasive® Reline® SystemNu Vasive, Incorporated2016—
−2K170126NuVasive® Reline® 4.5-5.0 SystemNu Vasive, Incorporated2017—
−1K190636NuVasive® Reline® 4.5-5.0 SystemNu Vasive, Incorporated2019—
0 (this device)K231443Mini-OSTEO Pedicle Fixation SystemOsteomed Indústria E Comércio DE Implantes Ltda2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197810
198420
198520
198620
198710
198820
198910
199030
199270
199340
199470
1995170
1996120
1997130
1998210
1999180
2000290
2001360
2002280
2003290
2004410
2005330
2006310
2007230
2008260
2009220
2010301
2011200
2012120
2013150
201480
201580
201670
201710
201840
201910
202010
202110
202320
FIG. 1 — Lineage of K231443, 2004–2023Source: 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 NKB device

  1. #1 K223494 CD Horizon Spinal Systemscore 40.4 · 30 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (5)

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
*K162494CD HORIZON® Spinal System
Summary page 4
…m, Class II Product Codes: NKB, KWP Device Panel: Orthopedic CFR section: 21 CFR 888.3070 21 CFR 888.3050 Predicate K162494 - CD Horizon® Spinal System, Mecatronic, Inc. Devices: K122226 - Revere® Stabilization System, Globus Medical, Inc.…
Medtronic Sofamor Danek USA, Inc.2016—
*K122226Revere Stabilization System
Summary page 4
…FR section: 21 CFR 888.3070 21 CFR 888.3050 Predicate K162494 - CD Horizon® Spinal System, Mecatronic, Inc. Devices: K122226 - Revere® Stabilization System, Globus Medical, Inc. K190636 - Reline 4.5-5.0 System, NuVasive Submitter:…
Globus Medical, Inc.2012—
*K190636NuVasive® Reline® 4.5-5.0 System
Summary page 4
…e K162494 - CD Horizon® Spinal System, Mecatronic, Inc. Devices: K122226 - Revere® Stabilization System, Globus Medical, Inc. K190636 - Reline 4.5-5.0 System, NuVasive Submitter: Fernando Argenton Neto (Responsible Engineer) regulat…
Nu Vasive, Incorporated2019—
*K222229Advanced LumFix Spinal Fixation System
Cleared while this submission was under review
Summary page 4
…Code Type Advanced LumFix Spinal Fixation CG Bio Co., Primary K222229 NKB System Ltd.…
CG Bio Co., Ltd.2023—
*K223096Dark Star Deformity Pedicle Screw System
Cleared while this submission was under review
Summary page 4
…NKB System Ltd. Dark Star Deformity Pedicle Screw Republic NKB, Additional K223096 System Spine, LLC KWP…
Republic Spine, LLC2023—

Also cleared against K162494: 4 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 · 5 generations back · ◆ in the 2010 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 19 years and passes through 6 companies; a new generation was cleared every 7 months on median.
  • 68 of the 541 ancestors have a recall of any class; 1 has a Class I recall.
  • 4 other devices also cite its predicate K162494.

How does its category compare?

All NKB devices

NKB Thoracolumbosacral Pedicle Screw System: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · NKB

24in 2025

2007: 382008: 362009: 442010: 372011: 482012: 602013: 352014: 462015: 552016: 502017: 632018: 562019: 392020: 482021: 322022: 342023: 442024: 392025: 242026 (partial year): 30
2007high 63 (2017) · low 24 (2025)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NKB

61in 2025

2007: 87 days median2008: 59 days median2009: 71 days median2010: 111 days median2011: 84 days median2012: 79 days median2013: 73 days median2014: 90 days median2015: 90 days median2016: 84 days median2017: 69 days median2018: 61 days median2019: 84 days median2020: 68 days median2021: 61 days median2022: 88 days median2023: 72 days median2024: 57 days median2025: 61 days median2026 (partial year): 91 days median
2007high 111 (2010) · low 57 (2024)2026

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

Recalls per year · NKB

1in 2025

2007: 42008: 52009: 332010: 42011: 32012: 132014: 3, 1 Class I2015: 32016: 12017: 12018: 32019: 12020: 12022: 52023: 22024: 32025: 12026 (partial year): 3
2007high 33 (2009) · low 0 (2013)2026

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

Adverse event reports per year · NKB

1,171in 2025

2007: 342008: 822009: 1712010: 4622011: 5772012: 1,7472013: 1,9622014: 1,6712015: 1,4462016: 1,5852017: 1,6182018: 1,6842019: 1,9152020: 2,0762021: 1,7452022: 1,3392023: 9192024: 1,6142025: 1,171
2007high 2,076 (2020) · low 34 (2007)2025

MAUDE reports naming product code NKB, 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
20073887434
20083659582
2009447133171
2010371114462
201148843577
20126079131,747
2013357301,962
201446903 (1)1,671
2015559031,446
2016508411,585
2017636911,618
2018566131,684
2019398411,915
2020486812,076
2021326101,745
2022348851,339
202344722919
2024395731,614
2025246111,171
202630913—

What is it indicated for?

The Mini-OSTEO Pedicle Fixation System is intended for posterior, non-cervical pedicle fixation of the spine to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following acute and chronic instabilities or deformities of the thoracic, lumbar, and/or sacral spine: degenerative disc disease (DDD) defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies); spondylolisthesis; trauma (i.e., fracture or dislocation); spinal stenosis; curvatures (i.e., scoliosis, kyphosis, and/or lordosis); tumor; pseudoarthrosis; and/or failed previous fusion.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K231443: Mini-OSTEO Pedicle Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K231443

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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