510(k) Report

510(k) · Cleared

Cleared

MySpine Cervical Guides

K231515510(k) TraditionalCleared Dec 7, 2023196-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. · QSD Posterior Cervical Screw Placement Guide

Cleared on Dec 7, 2023 as substantially equivalent to K220132 (Mighty Oak Medical, Inc., 2022) and 2 other predicates after a 196-day review. Its family tree reaches back 18 generations to 2004. 1 of the 160 devices in its family, counting itself, has a Class I recall.

Decided
Dec 7, 2023
Review
196 days
Class
Class II
Product code
QSD
Recalls
None
Predicates
3

Its longest line of descent runs back 18 generations to K040583 (2004). 159 ancestors in all, the oldest K781443 (1978). No later device cites it as a predicate yet. 1 of the 160 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2022: 1 other ancestor2018: 2 other ancestors2020: 1 other ancestor2016: 2 other ancestors2015: 2 other ancestors2010: 5 other ancestors, 1 with a Class I recall12009: 3 other ancestors2007: 6 other ancestors2004: 17 other ancestors2003: 13 other ancestors2011: 1 other ancestor2008: 5 other ancestors2006: 8 other ancestors2005: 13 other ancestors2002: 8 other ancestors2001: 11 other ancestors2000: 13 other ancestors1999: 4 other ancestors1998: 4 other ancestors1997: 4 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. · 202119801990200020102020
Other ancestors, by generation 1 generation back: 2 other ancestors2 generations back: 4 other ancestors3 generations back: 1 other ancestor4 generations back: 10 other ancestors, 1 with a Class I recall15 generations back: 32 other ancestors6 generations back: 44 other ancestors7 generations back: 26 other ancestors8 generations back: 12 other ancestors9 generations back: 10 other ancestors K203673 · 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 · 18 generations backK040583 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  2. 14 generations between
  3. 3 generations backK162419 FIREFLY® Pedicle Screw Navigation GuideMighty Oak Medical, Inc. · 2016
  4. 2 generations backK181399 FIREFLY® Pedicle Screw Navigation GuideMighty Oak Medical, Inc. · 2018
  5. 1 generation backK203673 MySpine Pedicle Screw Placement Guides Extension (MySpine Low…Medacta International S.A. · 2021
  6. This deviceK231515 MySpine Cervical GuidesMedacta International S.A. · 2023
Show all 18 generations
  1. Root · 18 generations backK040583 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  2. 17 generations backK041118 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  3. 16 generations backK042025 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2004 · Recalled
  4. 15 generations backK043151 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  5. 14 generations backK050809 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2005
  6. 13 generations backK052187 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  7. 12 generations backK053101 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2006
  8. 11 generations backK091442 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2009
  9. 10 generations backK091974 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2009 · Recalled
  10. 9 generations backK102555 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2010
  11. 8 generations backK112473 CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2011
  12. 7 generations backK113174 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2011 · Recalled
  13. 6 generations backK121115 M.U.S.T Pedicle Screw SystemMedacta International · 2012 · Recalled
  14. 5 generations backK132788 Myspine Pedicle Screw Placement GuidesMedacta International · 2014
  15. 4 generations backK143222 FIREFLY Pedicle Screw Navigation GuideMighty Oak Medical, Inc. · 2015
  16. 3 generations backK162419 FIREFLY® Pedicle Screw Navigation GuideMighty Oak Medical, Inc. · 2016
  17. 2 generations backK181399 FIREFLY® Pedicle Screw Navigation GuideMighty Oak Medical, Inc. · 2018
  18. 1 generation backK203673 MySpine Pedicle Screw Placement Guides Extension (MySpine Low…Medacta International S.A. · 2021
  19. This deviceK231515 MySpine Cervical GuidesMedacta International S.A. · 2023

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−18K040583Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
−17K041118Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
−16K042025Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.20044
−15K043151Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
−14K050809CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2005—
−13K052187Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
−12K053101CD Horizon Spinal SystemMedtronic Sofamor Danek2006—
−11K091442CD Horizon Spinal SystemMedtronic Sofamor Danek2009—
−10K091974Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.20091
−9K102555CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2010—
−8K112473CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.2011—
−7K113174CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.20111
−6K121115M.U.S.T Pedicle Screw SystemMedacta International20121
−5K132788Myspine Pedicle Screw Placement GuidesMedacta International2014—
−4K143222FIREFLY Pedicle Screw Navigation GuideMighty Oak Medical, Inc.2015—
−3K162419FIREFLY® Pedicle Screw Navigation GuideMighty Oak Medical, Inc.2016—
−2K181399FIREFLY® Pedicle Screw Navigation GuideMighty Oak Medical, Inc.2018—
−1K203673MySpine Pedicle Screw Placement Guides Extension (MySpine Low Profile Guides…Medacta International S.A.2021—
0 (this device)K231515MySpine Cervical GuidesMedacta International S.A.2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197810
198410
199020
199250
199320
199410
199530
199630
199740
199840
199940
2000130
2001110
200280
2003130
2004170
2005130
200680
200760
200850
200930
201051
201110
201520
201620
201820
202010
202210
FIG. 1 — Lineage of K231515, 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 QSD device

  1. #1 K220132 FIREFLY® Cervical Navigation Guidescore 8.4 · 5 generations · no Class I recall
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
*K220132FIREFLY® Cervical Navigation Guide
Summary page 4
…ication II III. Predicate Device Substantial equivalence is claimed to the following primary predicate device:  FIREFLY Cervical Navigation Guide, K220132, Mighty Oak Medical Inc. Additionally, the following predicate devices are used within the submission:  MySpine Pedicle…
Mighty Oak Medical, Inc.2022—
*K203673MySpine Pedicle Screw Placement Guides Extension (MySpine Low Profile Guides, MySpine MC…
Summary page 4
…220132, Mighty Oak Medical Inc. Additionally, the following predicate devices are used within the submission:  MySpine Pedicle Screw Placement Guides Extension, K203673, Medacta International SA  MySpine Pedicle Screw Placement Guides – MC and Drill Pilot Instruments, K173472, Medacta…
Medacta International S.A.2021—
*K173472MySpine Pedicle Screw Placement Guides – MC and Drill Pilot Instruments
Summary page 4
… MySpine Pedicle Screw Placement Guides Extension, K203673, Medacta International SA  MySpine Pedicle Screw Placement Guides – MC and Drill Pilot Instruments, K173472, Medacta Interational SA IV. Device Description MySpine Cervical guides are patient specific devices intended to be…
Medacta International S.A.2018—

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 159 ancestors have a recall of any class; 1 has a Class I recall.

How does its category compare?

All QSD devices

QSD Posterior Cervical 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 · QSD

1in 2023

2022: 12023: 1
2007high 1 (2022) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QSD

Too few QSD 510(k)s in any year since 2007 to give a median.

Recalls per year · QSD

No recall names QSD since 2007.

Adverse event reports per year · QSD

No MAUDE report names QSD since 2007.

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
20160—00
20170—00
20180—00
20190—00
20200—00
20210—00
20221—00
20231—00
20240—00
20250—00
20260—0—

What is it indicated for?

MySpine Cervical is intended to be used with any 510(k) cleared, legally marketed, posterior cervical screw system (for its cleared indications for use) and its respective compatible components for cervical posterior spinal fixation procedures intended for fusion. MySpine Cervical guides are patient specific devices intended to be used as anatomical perforating guides, specific to a single patient’s anatomy, to assist intra-operatively in the positioning…

Read the full statement (174 words)

MySpine Cervical is intended to be used with any 510(k) cleared, legally marketed, posterior cervical screw system (for its cleared indications for use) and its respective compatible components for cervical posterior spinal fixation procedures intended for fusion. MySpine Cervical guides are patient specific devices intended to be used as anatomical perforating guides, specific to a single patient’s anatomy, to assist intra-operatively in the positioning of screws during posterior cervical fixation surgery between the levels of C2 to C7.

For pedicle diameters equal or less than ø4mm, Medacta provides the guides for the pilot hole preparation into the lateral mass without penetrating the pedicle.

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 based on the surgical plan to precisely reference the placement of the implant components intra-operatively per the surgical plan. MySpine Cervical guides are intended for single use only.

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. “K231515: MySpine Cervical Guides.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K231515

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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