510(k) Report

510(k) · Cleared

Cleared

MySpine Unilateral Guides

K231483510(k) TraditionalCleared Jul 21, 202359-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

Medacta International S.A. · PQC Pedicle Screw Placement Guide

Cleared on Jul 21, 2023 as substantially equivalent to K203673 (Medacta International S.A., 2021) and 3 other predicates after a 59-day review. Its family tree reaches back 19 generations to 2004. 1 of the 154 devices in its family, counting itself, has a Class I recall.

Decided
Jul 21, 2023
Review
59 days
Class
Class II
Product code
PQC
Recalls
None
Predicates
4

Its longest line of descent runs back 19 generations to K040583 (2004). 153 ancestors in all, the oldest K781443 (1978). No later device cites it as a predicate yet. 1 of the 154 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2020: 1 other ancestor2018: 2 other ancestors2016: 1 other ancestor2010: 5 other ancestors, 1 with a Class I recall12009: 3 other ancestors2007: 6 other ancestors2004: 17 other ancestors2003: 13 other ancestors2011: 1 other ancestor2008: 4 other ancestors2006: 8 other ancestors2005: 13 other ancestors2002: 7 other ancestors2001: 11 other ancestors2000: 13 other ancestors1999: 4 other ancestors1998: 4 other ancestors1997: 3 other ancestors1995: 3 other ancestors1996: 3 other ancestors1994: 1 other ancestor1978: 1 other ancestor1993: 2 other ancestors1992: 5 other ancestors1990: 2 other ancestors1984: 1 other ancestor×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 · recalledK132788 · Myspine Pedicle Screw Placement Guides · Medacta International · 2014K143222 · FIREFLY Pedicle Screw Navigation Guide · Mighty Oak Medical, Inc. · 2015K162419 · FIREFLY® Pedicle Screw Navigation Guide · Mighty Oak Medical, Inc. · 2016K181399 · FIREFLY® Pedicle Screw Navigation Guide · Mighty Oak Medical, Inc. · 2018K203673 · MySpine Pedicle Screw Placement Guides Extension (MySpine Low Profile Guides, MySpine MC and Drill Pilot Guides, and MySpine S2-Alar/Alar Iliac Guides) · Medacta International S.A. · 2021K220888 · MySpine S2-SI Pedicle and Sacro-Iliac Screw Placement Guides · Medacta International S.A. · 202219801990200020102020
Other ancestors, by generation 1 generation back: 2 other ancestors2 generations back: 2 other ancestors4 generations back: 9 other ancestors, 1 with a Class I recall15 generations back: 31 other ancestors6 generations back: 42 other ancestors7 generations back: 26 other ancestors8 generations back: 12 other ancestors9 generations back: 10 other ancestors K220888 · MySpine S2-SI Pedicle and Sacro-Iliac Screw Placement Guides · Medacta International S.A. · 2022K203673 · MySpine Pedicle Screw Placement Guides Extension (MySpine Low Profile Guides, MySpine MC and Drill Pilot Guides, and MySpine S2-Alar/Alar Iliac Guides) · Medacta International S.A. · 2021K181399 · FIREFLY® Pedicle Screw Navigation Guide · Mighty Oak Medical, Inc. · 2018K162419 · FIREFLY® Pedicle Screw Navigation Guide · Mighty Oak Medical, Inc. · 2016K143222 · FIREFLY Pedicle Screw Navigation Guide · Mighty Oak Medical, Inc. · 2015K132788 · Myspine Pedicle Screw Placement Guides · Medacta International · 2014K121115 · 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 backK181399 FIREFLY® Pedicle Screw Navigation GuideMighty Oak Medical, Inc. · 2018
  4. 2 generations backK203673 MySpine Pedicle Screw Placement Guides Extension (MySpine Low…Medacta International S.A. · 2021
  5. 1 generation backK220888 MySpine S2-SI Pedicle and Sacro-Iliac Screw Placement GuidesMedacta International S.A. · 2022
  6. This deviceK231483 MySpine Unilateral GuidesMedacta International S.A. · 2023
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 backK132788 Myspine Pedicle Screw Placement GuidesMedacta International · 2014
  15. 5 generations backK143222 FIREFLY Pedicle Screw Navigation GuideMighty Oak Medical, Inc. · 2015
  16. 4 generations backK162419 FIREFLY® Pedicle Screw Navigation GuideMighty Oak Medical, Inc. · 2016
  17. 3 generations backK181399 FIREFLY® Pedicle Screw Navigation GuideMighty Oak Medical, Inc. · 2018
  18. 2 generations backK203673 MySpine Pedicle Screw Placement Guides Extension (MySpine Low…Medacta International S.A. · 2021
  19. 1 generation backK220888 MySpine S2-SI Pedicle and Sacro-Iliac Screw Placement GuidesMedacta International S.A. · 2022
  20. This deviceK231483 MySpine Unilateral GuidesMedacta International S.A. · 2023

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
−6K132788Myspine Pedicle Screw Placement GuidesMedacta International2014—
−5K143222FIREFLY Pedicle Screw Navigation GuideMighty Oak Medical, Inc.2015—
−4K162419FIREFLY® Pedicle Screw Navigation GuideMighty Oak Medical, Inc.2016—
−3K181399FIREFLY® Pedicle Screw Navigation GuideMighty Oak Medical, Inc.2018—
−2K203673MySpine Pedicle Screw Placement Guides Extension (MySpine Low Profile Guides…Medacta International S.A.2021—
−1K220888MySpine S2-SI Pedicle and Sacro-Iliac Screw Placement GuidesMedacta International S.A.2022—
0 (this device)K231483MySpine Unilateral GuidesMedacta International S.A.2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197810
198410
199020
199250
199320
199410
199530
199630
199730
199840
199940
2000130
2001110
200270
2003130
2004170
2005130
200680
200760
200840
200930
201051
201110
201610
201820
202010
FIG. 1 — Lineage of K231483, 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 PQC device

  1. #1 K253472 FIREFLY® Pedicle Screw Navigation Guidescore 15.7 · 17 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? (4)

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
*K203673MySpine Pedicle Screw Placement Guides Extension (MySpine Low Profile Guides, MySpine MC…
Summary page 5
…II III. Predicate Device Substantial equivalence is claimed to the following primary predicate device:  MySpine Pedicle Screw Placement Guides Extension, K203673, Medacta International SA Additionally, the following predicate devices are used within the submission:  MySpine S2-SI P…
Medacta International S.A.2021—
*K220888MySpine S2-SI Pedicle and Sacro-Iliac Screw Placement Guides
Summary page 5
…ta International SA Additionally, the following predicate devices are used within the submission:  MySpine S2-SI Pedicle and Sacro-Iliac Screw Placement Guides, K220888, Medacta International SA  MySpine S2-Alar/Alar-Iliac Pedicle Screw Placement Guides, K200792, Medacta Internati…
Medacta International S.A.2022—
*K200792MySpine S2-Alar/Alar-Iliac Pedicle Screw Placement Guides
Summary page 5
…pine S2-SI Pedicle and Sacro-Iliac Screw Placement Guides, K220888, Medacta International SA  MySpine S2-Alar/Alar-Iliac Pedicle Screw Placement Guides, K200792, Medacta International SA  MySpine Pedicle Screw Placement Guides – MC and Drill Pilot Instruments, K173472, Med…
Medacta Inernational SA2020—
*K173472MySpine Pedicle Screw Placement Guides – MC and Drill Pilot Instruments
Summary page 5
…r/Alar-Iliac Pedicle Screw Placement Guides, K200792, Medacta International SA  MySpine Pedicle Screw Placement Guides – MC and Drill Pilot Instruments, K173472, Medacta Interational SA K23…
Medacta International S.A.2018—

Also cleared against K203673: 2 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 · 4 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 11 months on median.
  • 22 of the 153 ancestors have a recall of any class; 1 has a Class I recall.
  • 2 other devices also cite its predicate K203673.

How does its category compare?

All PQC devices

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

FDA decisions per year · PQC

1in 2023

2016: 12018: 32020: 12021: 12023: 12026 (partial year): 1
2007high 3 (2018) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PQC

82in 2018

2018: 82 days median
2007high 82 (2018)2026

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

Recalls per year · PQC

No recall names PQC since 2007.

Adverse event reports per year · PQC

1in 2025

2018: 32019: 42020: 22021: 32023: 32024: 22025: 1
2007high 4 (2019) · low 0 (2007)2025

MAUDE reports naming product code PQC, 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
20150—00
20161—00
20170—00
201838203
20190—04
20201—02
20211—03
20220—00
20231—03
20240—02
20250—01
20261—0—

What is it indicated for?

MySpine MC and Drill Pilot MySpine is intended to be used with any 510(k) cleared, legally marketed, pedicle screw spinal system (for its approved indications for use) and its respective compatible components for non-cervical open, posterior spinal fixation procedures intended for fusion. MySpine Drill Pilot is intended as a thoracic and lumbar posterior pedicle targeting guides for patients requiring spinal fusion between the levels of T1 to L5. The…

Read the full statement (458 words)

MySpine MC and Drill Pilot

MySpine is intended to be used with any 510(k) cleared, legally marketed, pedicle screw spinal system (for its approved indications for use) and its respective compatible components for non-cervical open, posterior spinal fixation procedures intended for fusion. MySpine Drill Pilot is intended as a thoracic and lumbar posterior pedicle targeting guides for patients requiring spinal fusion between the levels of T1 to L5. The device is intended for perforating a guiding hole to assist in the positioning of pedicle screws in the vertebral body.

MySpine MC is intended as a lumbar and sacral posterior pedicle targeting guide for patients requiring spinal fusion between the levels of L1 to S1.

The device is provided with two options:

• Drill based

• K-wire based

MySpine MC drill based are intended for perforating a guiding hole to assist in the positioning of pedicle screws in the vertebral body. MySpine MC K-wire based are intended for the placement of K-wires to assist in the positioning of pedicle screws in the vertebral body.

The use of the guides involves a surgical planning software, with which the surgeon preoperatively plans the surgical placement of the implants based upon the radiological images of the patients’ anatomical landmarks and the selected surgical equipment. These components include patient-specific guides fabricated on the basis of the surgical plan to precisely reference the placement of the implant components intra-operatively per the surgical plan. MySpine MC and Drill Pilot guides are intended for single use only. Please see MySpine guides labelling for compatibility requirements between the MySpine guides and the 510(k) cleared pedicle screw system intended to be used.

MySpine S2-Alar/Alar-Iliac and MySpine Anchor guides

MySpine S2-Alar/Alar-Iliac and MySpine Anchor guides are intended to be used with any 510(k) cleared, legally marketed, pedicle screw system (for its approved indications for use) and its respective compatible components for non-cervical open, posterior spinal fixation procedures intended for fusion. The SI trajectory of the MySpine Anchor guide is only intended to be used with M.U.S.T. SI Headless Screw System and its cleared indications for use.

MySpine S2-Alar/Alar-Iliac and MySpine Anchor guides (hereinafter referred to as "MySpine guides") are intended to be used as anatomical perforating guides, specific to a patient’s anatomy, to assist intraoperatively in the preparation of the screw trajectory in S1, S2 and in the Ilium. The use of the guides involves a surgical planning software, with which the surgeon preoperatively plans the surgical placement of the implants based upon the radiological images of the patients’ anatomical landmarks and the selected surgical equipment. The MySpine guides are intended for single use only. Please see MySpine guides labelling for compatibility requirements between the MySpine guides and the 510(k) cleared posterior fixation screw system intended to be used.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K231483: MySpine Unilateral Guides.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K231483

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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