510(k) Report

510(k) · Cleared

Cleared

Tsy Shoulder Plate Implant

K040850510(k) TraditionalCleared Jun 24, 200485-day reviewClass II21 CFR 888.3030

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

Orthopedic Sciences, Inc. · HRS Plate, Fixation, Bone

Cleared on Jun 24, 2004 as substantially equivalent to K022139 (Orthopedic Sciences, Inc., 2002) after an 85-day review. Its family tree reaches back 4 generations to 1985. 1 later device descends from it.

Decided
Jun 24, 2004
Review
85 days
Class
Class II
Product code
HRS
Recalls
None
Predicates
1

Its longest line of descent runs back 4 generations to K850886 (1985). 42 ancestors in all, the oldest K770128 (1977). 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2001: 4 other ancestors2000: 3 other ancestors1999: 2 other ancestors1998: 3 other ancestors1997: 3 other ancestors1996: 2 other ancestors1994: 5 other ancestors1993: 3 other ancestors1992: 4 other ancestors1991: 1 other ancestor1990: 1 other ancestor1989: 1 other ancestor1987: 2 other ancestors1979: 3 other ancestors1977: 1 other ancestor2006: 1 descendant clearedK850886 · Compression Hip Screw System · Pfizer, Inc. · 1985 · recalledK955306 · Omega+ Compression Screw System · Howmedica Corp. · 1996 · recalledK970258 · Fixano D.S.S. (Double Sliding Screws) System for Osteosynthsis of Unstable Femoral Neck Fractures · Ferguson Medical · 1997K022139 · Hip Tool Implant · Orthopedic Sciences, Inc. · 200219801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 14 other ancestors3 generations back: 21 other ancestors4 generations back: 3 other ancestors 1 generation forward: 1 descendant K022139 · Hip Tool Implant · Orthopedic Sciences, Inc. · 2002K970258 · Fixano D.S.S. (Double Sliding Screws) System for Osteosynthsis of Unstable Femoral Neck Fractures · Ferguson Medical · 1997K955306 · Omega+ Compression Screw System · Howmedica Corp. · 1996 · recalledK850886 · Compression Hip Screw System · Pfizer, Inc. · 1985 · recalled0
  1. Root · 4 generations backK850886 Compression Hip Screw SystemPfizer, Inc. · 1985 · Recalled
  2. 3 generations backK955306 Omega+ Compression Screw SystemHowmedica Corp. · 1996 · Recalled
  3. 2 generations backK970258 Fixano D.S.S. (Double Sliding Screws) System for Osteosynthsis of…Ferguson Medical · 1997
  4. 1 generation backK022139 Hip Tool ImplantOrthopedic Sciences, Inc. · 2002
  5. This deviceK040850 Tsy Shoulder Plate ImplantOrthopedic Sciences, Inc. · 2004
  6. Descendant · cites it directly · 0 of its ownK063033 Modification to Titanium Shoulder Plate ImplantOrthopedic Sciences, Inc. · 2006

Most influential descendants

Showing 1 of 1 · See all
  • K063033Modification to Titanium Shoulder Plate ImplantOrthopedic Sciences, Inc. · 2006 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K850886Compression Hip Screw SystemPfizer, Inc.19851
−3K955306Omega+ Compression Screw SystemHowmedica Corp.19961
−2K970258Fixano D.S.S. (Double Sliding Screws) System for Osteosynthsis of Unstable…Ferguson Medical1997—
−1K022139Hip Tool ImplantOrthopedic Sciences, Inc.2002—
0 (this device)K040850Tsy Shoulder Plate ImplantOrthopedic Sciences, Inc.2004—
+1K063033Modification to Titanium Shoulder Plate ImplantOrthopedic Sciences, Inc.2006—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197710
197930
198720
198910
199010
199110
199240
199330
199450
199620
199730
199830
199920
200030
200140

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200610
FIG. 1 — Lineage of K040850, 1985–2006Source: 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.

Planning a device in HRS? 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 HRS device

  1. #1 K222465 Tyber Medical Anatomical Plating Systemscore 27.5 · 16 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? (1)

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
*K022139Hip Tool Implant
Summary page 1
…e uedicate device for this modification is the Hip Tool" Implant, a component of the Hip Tool Bone Graft Stabilization System, cleared by FDA on September 23, 2002 under K022 139. INTENDED USE The TSY'M Shoulder Plate Implant is intended to stabilize a bone graft within the hunmeral head and neck to assi…
Orthopedic Sciences, Inc.2002—

Also cleared against K022139: 4 other devices →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K063033Modification to Titanium Shoulder Plate ImplantOrthopedic Sciences, Inc.20060

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 19 years and passes through 4 companies; a new generation was cleared every 5.3 years on median.
  • 6 of the 42 ancestors have a recall of any class.
  • Of its descendants, K063033 (Orthopedic Sciences, Inc., 2006) has gone furthest, with 0 descendants of its own.
  • 4 other devices also cite its predicate K022139.

How does its category compare?

All HRS devices

HRS Plate, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · HRS

54in 2025

2007: 352008: 352009: 472010: 492011: 432012: 592013: 562014: 762015: 562016: 442017: 572018: 402019: 462020: 482021: 402022: 472023: 402024: 542025: 542026 (partial year): 51
2007high 76 (2014) · low 35 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HRS

90in 2025

2007: 63 days median2008: 87 days median2009: 85 days median2010: 100 days median2011: 88 days median2012: 106 days median2013: 89 days median2014: 57 days median2015: 97 days median2016: 109 days median2017: 122 days median2018: 116 days median2019: 89 days median2020: 88 days median2021: 87 days median2022: 144 days median2023: 120 days median2024: 96 days median2025: 90 days median2026 (partial year): 82 days median
2007high 144 (2022) · low 57 (2014)2026

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

Recalls per year · HRS

1in 2025

2007: 22008: 112009: 32010: 162011: 52012: 42013: 112015: 72016: 52017: 32018: 22019: 252020: 12021: 92022: 32023: 12025: 12026 (partial year): 3
2007high 25 (2019) · low 0 (2014)2026

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

Adverse event reports per year · HRS

2,306in 2025

2007: 3392008: 3112009: 4352010: 4912011: 7732012: 1,6632013: 2,6432014: 2,4132015: 3,0952016: 2,2762017: 2,2202018: 2,6632019: 3,3592020: 2,7902021: 2,4422022: 1,7002023: 2,0492024: 1,8492025: 2,306
2007high 3,359 (2019) · low 311 (2008)2025

MAUDE reports naming product code HRS, 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
200735632339
2008358711311
200947853435
20104910016491
201143885773
20125910641,663
20135689112,643
2014765702,413
2015569773,095
20164410952,276
20175712232,220
20184011622,663
20194689253,359
2020488812,790
2021408792,442
20224714431,700
20234012012,049
2024549601,849
2025549012,306
202651823—

What is it indicated for?

The TSYTM Shoulder Plate Implant is intended to stabilize a bone graft within the humeral head and neck to assist healing of an intraosseous fracture.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K040850: Tsy Shoulder Plate Implant.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K040850

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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