510(k) Report

510(k) · Cleared

Cleared

CD Horizon Spinal System

K981676510(k) TraditionalCleared Jan 28, 1999261-day reviewClass II21 CFR 888.3050

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

Sofamor Danek USA,Inc. · KWP Appliance, Fixation, Spinal Interlaminal

Cleared on Jan 28, 1999 after a 261-day review. The FDA summary names no predicate by number. 1 of the 1,219 devices in its family, counting itself, has a Class I recall. 1,218 later devices descend from it.

Decided
Jan 28, 1999
Review
261 days
Class
Class II
Product code
KWP
Recalls
None
Predicates
0

1,218 later devices descend from it, 18 citing it directly. 1 of the 1,219 devices in this family, counting this one, has a Class I recall.

Descendants, by year cleared 2012: 52 descendants cleared2011: 30 descendants cleared2004: 5 descendants cleared2013: 58 descendants cleared2002: 1 descendant cleared2005: 15 descendants cleared2020: 73 descendants cleared2006: 10 descendants cleared2021: 66 descendants cleared, 1 with a Class I recall12018: 76 descendants cleared2017: 77 descendants cleared2009: 22 descendants cleared2010: 21 descendants cleared2003: 2 descendants cleared2008: 15 descendants cleared2022: 80 descendants cleared2014: 62 descendants cleared2007: 11 descendants cleared2016: 65 descendants cleared2023: 100 descendants cleared2015: 64 descendants cleared2024: 86 descendants cleared2019: 67 descendants cleared2025: 82 descendants cleared2026: 78 descendants cleared1995200020052010201520202025
  1. This deviceK981676 CD Horizon Spinal SystemSofamor Danek USA,Inc. · 1999
  2. Descendant · cites it directly · 1,128 of its ownK043488 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  3. Descendant · cites it directly · 987 of its ownK042025 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2004 · Recalled
  4. Descendant · 2 generations on · 880 of its ownK043151 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  5. Descendant · cites it directly · 880 of its ownK041862 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  6. Descendant · 2 generations on · 870 of its ownK050809 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2005

Showing 5 of 1,218 descendants. See all descendants

Descendants cleared per year

2002: 12003: 22004: 52005: 152006: 102007: 112008: 152009: 222010: 212011: 302012: 522013: 582014: 622015: 642016: 652017: 772018: 762019: 672020: 732021: 662022: 802023: 1002024: 862025: 822026: 78
2002high 100 (2023) · low 1 (2002)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 1,218 · See all
  • K043488Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005 · cites it directly1,128descendants
  • K042025Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2004 · cites it directly987descendants
  • K043151Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005 · 2 generations on880descendants
  • K041862CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004 · cites it directly880descendants
  • K050809CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2005 · 2 generations on870descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K981676CD Horizon Spinal SystemSofamor Danek USA,Inc.1999—
+1K043488Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
+1K042025Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.20044
+2K043151Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
+1K041862CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
+2K050809CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2005—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200210
200320
200450
2005150
2006100
2007110
2008150
2009220
2010210
2011300
2012520
2013580
2014620
2015640
2016650
2017770
2018760
2019670
2020730
2021661
2022800
20231000
2024860
2025820
2026780
FIG. 1 — Lineage of K981676, 1999–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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.

  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin the report
Get a 510(k) Report

What was it cleared against?

The FDA summary names no predicate by number.

What descends from it? (1,218)

See all 1,218

18 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K043488Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek20051,128
K042025Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.2004987
K041862CD Horizon Spinal SystemMedtronic Sofamor Danek2004880
K041030Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek2004790
K090390CD Horizon Spinal SystemMedtronic Sofamor Danek2009663
K013885Blackstone Spinal Fixation System Posterior HooksBlackstone Medical, Inc.2002300
K101074Modification to: CD Horizon (R) Spinal SystemMedtronic Sofamor Danek USA, Inc.2010225
K132328CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2013176
K111510CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.2011128
K121764CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.201245

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.

  • K211616ExcelsiusHubGlobus Medical, Inc. · 2021 · 5 generations on · ◆ in the 2021 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • Of its descendants, K043488 (Medtronic Sofamor Danek, 2005) has gone furthest, with 1,128 descendants of its own.

How does its category compare?

All KWP devices

KWP Appliance, Fixation, Spinal Interlaminal: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · KWP

9in 2015

2007: 142008: 132009: 122010: 142011: 122012: 182013: 122014: 132015: 9
2007high 18 (2012) · low 0 (2016)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KWP

113in 2015

2007: 96 days median2008: 50 days median2009: 89 days median2010: 186 days median2011: 67 days median2012: 112 days median2013: 99 days median2014: 138 days median2015: 113 days median
2007high 186 (2010) · low 50 (2008)2026

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

Recalls per year · KWP

2in 2022

2007: 22008: 12009: 232010: 22011: 62012: 12013: 32015: 12016: 32018: 12019: 22022: 2
2007high 23 (2009) · low 0 (2014)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · KWP

494in 2025

2007: 2102008: 5942009: 6822010: 4742011: 7922012: 9182013: 1,0902014: 1,0222015: 1,3482016: 1,3792017: 8642018: 6572019: 5182020: 7962021: 5252022: 3352023: 3322024: 4362025: 494
2007high 1,379 (2016) · low 210 (2007)2025

MAUDE reports naming product code KWP, 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
200714962210
200813501594
2009128923682
2010141862474
201112676792
2012181121918
2013129931,090
20141313801,022
2015911311,348
20160—31,379
20170—0864
20180—1657
20190—2518
20200—0796
20210—0525
20220—2335
20230—0332
20240—0436
20250—0494
20260—0—

What is it indicated for?

When used as a pedicle screw fixation system of the non-cervical posterior spine in skeletally mature patients, the CD HORIZON® Spinal System is indicated for one or more of the following: (1) degenerative spondylolisthesis with objective evidence of neurologic impairment, (2) fracture, (3) dislocation, (4) scoliosis, (5) kyphosis, (6) spinal tumor, and/or (7) failed previous fusion (pseudarthrosis). In addition, when used as a pedicle screw fixation…

Read the full statement (276 words)

When used as a pedicle screw fixation system of the non-cervical posterior spine in skeletally mature patients, the CD HORIZON® Spinal System is indicated for one or more of the following: (1) degenerative spondylolisthesis with objective evidence of neurologic impairment, (2) fracture, (3) dislocation, (4) scoliosis, (5) kyphosis, (6) spinal tumor, and/or (7) failed previous fusion (pseudarthrosis).

In addition, when used as a pedicle screw fixation system, the CD HORIZON® Spinal System is also indicated for skeletally mature patients: (a) having severe spondylolisthesis (Grades 3 and 4) of the fifth lumbar-first sacral (L5-S1) vertebral joint; (b) who are receiving fusions using autogenous bone graft only; (c) who are having the device fixed or attached to the lumbar and sacral spine (L3 and below); and (4) who are having the device removed after the development of a solid fusion mass.

When used as a posterior, non-cervical, non-pedicle screw fixation system, the CD HORIZON® Spinal System is intended for the following indications: (1) degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies), (2) spinal stenosis, (3) spondylolisthesis, (4) spinal deformities (i.e., scoliosis, kyphosis, and/or lordosis), (5) fracture, (6) pseudarthrosis, (7) tumor resection, and/or (8) failed previous fusion.

When used as an anterolateral thoracic/lumbar system, the CD HORIZON® Spinal System is intended for the following indications: (1) degenerative disc disease (as defined by back pain of discogenic origin with degeneration of the disc confirmed by patient history and radiographic studies), (2) spinal stenosis, (3) spondylolisthesis, (4) spinal deformities (i.e., scoliosis, kyphosis, and/or lordosis), (5) fracture, (6) pseudarthrosis, (7) tumor resection, and/or (8) failed previous fusion.

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. “K981676: CD Horizon Spinal System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K981676

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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