510(k) Report

510(k) · Cleared

Cleared

Craniofix and CRANIOFIX2 Titanium Clamp System

K040864510(k) TraditionalCleared Jun 17, 200476-day reviewClass II21 CFR 882.5330

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

Aesculap · GXN Plate, Cranioplasty, Preformed, Non-Alterable

Cleared on Jun 17, 2004 as substantially equivalent to K972332 (Aesculap, Inc., 1998) and 1 other predicate after a 76-day review. Its family tree reaches back 1 generation to 1994. 67 later devices descend from it.

Decided
Jun 17, 2004
Review
76 days
Class
Class II
Product code
GXN
Recalls
None
Predicates
2

Its longest line of descent runs back 1 generation to K923705 (1994). 2 ancestors in all. 67 later devices descend from it, 4 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1998: 1 other ancestor2014: 4 descendants cleared2012: 2 descendants cleared2006: 2 descendants cleared2007: 1 descendant cleared2009: 1 descendant cleared2016: 2 descendants cleared2011: 1 descendant cleared2024: 12 descendants cleared2013: 1 descendant cleared2021: 3 descendants cleared2023: 8 descendants cleared2025: 14 descendants cleared2022: 3 descendants cleared2026: 11 descendants cleared2015: 2 descendants clearedK923705 · Aesculap Craniofacial Titanium Plates and Screws · Aesculap, Inc. · 19941990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 4 descendants2 generations forward: 2 descendants3 generations forward: 6 descendants4 generations forward: 7 descendants5 generations forward: 7 descendants6 generations forward: 8 descendants7 generations forward: 14 descendants8 generations forward: 17 descendants9 generations forward: 2 descendants K923705 · Aesculap Craniofacial Titanium Plates and Screws · Aesculap, Inc. · 19940+5
  1. Root · 1 generation backK923705 Aesculap Craniofacial Titanium Plates and ScrewsAesculap, Inc. · 1994
  2. This deviceK040864 Craniofix and CRANIOFIX2 Titanium Clamp SystemAesculap · 2004
  3. Descendant · cites it directly · 62 of its ownK062857 KLS Martin Quick DiscKLS Martin L.P. · 2006
  4. Descendant · 2 generations on · 61 of its ownK070169 KLS Martin Quick Disc, Sternal Talon and Sternal Plating - SterileKLS Martin L.P. · 2007
  5. Descendant · 3 generations on · 45 of its ownK151983 KLS Martin LSS Plating SystemKLS Martin L.P. · 2016
  6. Descendant · 4 generations on · 39 of its ownK202889 Able Medical Devices Valkyrie Thoracic Fixation SystemJm Longyear Manufacturing, LLC D.B.A. Able Medical Devices · 2021
  7. Descendant · 5 generations on · 36 of its ownK220782 IdentiTi™ Porous Ti Interbody System, IdentiTi™ NanoTec™ Interbody…Alphatec Spine, Inc. · 2022

Showing 5 of 67 descendants. See all descendants

Descendants cleared per year

2006: 22007: 12009: 12011: 12012: 22013: 12014: 42015: 22016: 22021: 32022: 32023: 82024: 122025: 142026: 11
2006high 14 (2025) · low 0 (2008)2026

Most influential descendants

Showing 5 of 67 · See all
  • K062857KLS Martin Quick DiscKLS Martin L.P. · 2006 · cites it directly62descendants
  • K070169KLS Martin Quick Disc, Sternal Talon and Sternal Plating - SterileKLS Martin L.P. · 2007 · 2 generations on61descendants
  • K151983KLS Martin LSS Plating SystemKLS Martin L.P. · 2016 · 3 generations on45descendants
  • K202889Able Medical Devices Valkyrie Thoracic Fixation SystemJm Longyear Manufacturing, LLC D.B.A. Able Medical Devices · 2021 · 4 generations on39descendants
  • K220782IdentiTi™ Porous Ti Interbody System, IdentiTi™ NanoTec™ Interbody System, Transcend™…Alphatec Spine, Inc. · 2022 · 5 generations on36descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K923705Aesculap Craniofacial Titanium Plates and ScrewsAesculap, Inc.1994—
0 (this device)K040864Craniofix and CRANIOFIX2 Titanium Clamp SystemAesculap2004—
+1K062857KLS Martin Quick DiscKLS Martin L.P.2006—
+2K070169KLS Martin Quick Disc, Sternal Talon and Sternal Plating - SterileKLS Martin L.P.2007—
+3K151983KLS Martin LSS Plating SystemKLS Martin L.P.2016—
+4K202889Able Medical Devices Valkyrie Thoracic Fixation SystemJm Longyear Manufacturing, LLC D.B.A. Able Medical Devices2021—
+5K220782IdentiTi™ Porous Ti Interbody System, IdentiTi™ NanoTec™ Interbody System…Alphatec Spine, Inc.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200620
200710
200910
201110
201220
201310
201440
201520
201620
202130
202230
202380
2024120
2025140
2026110
FIG. 1 — Lineage of K040864, 1994–2026Source: 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 GXN? 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 GXN device

  1. #1 K260709 ClearFit Ti Ring 14mm (171750);ClearFit Ti…score 13.7 · 8 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? (2)

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
*K972332Aesculap Craniofix Titanium Clamp System
Summary page 2
…ded indications for use described in this premarket notification are substantially equivalent to these predicate devices: * Aesculap CranioFix Titanium Clamp System (K972332) * Aesculap Craniofacial Implant Set (K923705) 5 A DEPAR…
Aesculap, Inc.1998—
*K923705Aesculap Craniofacial Titanium Plates and Screws
Summary page 2
…t notification are substantially equivalent to these predicate devices: * Aesculap CranioFix Titanium Clamp System (K972332) * Aesculap Craniofacial Implant Set (K923705) 5 A DEPARTMENT OF HEALTH & HUMAN SERVICES…
Aesculap, Inc.1994—

Also cleared against K972332: 7 other devices →

What descends from it? (67)

See all 67

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

NumberDeviceApplicantDecidedDescendants
K062857KLS Martin Quick DiscKLS Martin L.P.200662
K122353Crainfix 2 Titanium Clamp SystemAesculap, Inc.20121
K063017Aesculap Sternumfix Sternal Closure SystemAesculap, Inc.20061
K130447Speedy Flap SystemJeil Medical Corporation20140

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?

  • None of the 2 ancestors has a recall.
  • Of its descendants, K062857 (KLS Martin L.P., 2006) has gone furthest, with 62 descendants of its own.
  • 7 other devices also cite its predicate K972332.

How does its category compare?

All GXN devices

GXN Plate, Cranioplasty, Preformed, Non-Alterable: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · GXN

2in 2025

2007: 22008: 12011: 22012: 32013: 12014: 22015: 22016: 12017: 22018: 32020: 52021: 32022: 22023: 12024: 12025: 22026 (partial year): 4
2007high 5 (2020) · low 0 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GXN

69in 2021

2012: 102 days median2018: 199 days median2020: 33 days median2021: 69 days median2026 (partial year): 193 days median
2007high 199 (2018) · low 33 (2020)2026

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

Recalls per year · GXN

6in 2018

2018: 6
2007high 6 (2018) · low 0 (2007)2026

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

Adverse event reports per year · GXN

24in 2025

2007: 32008: 172009: 172010: 232011: 202012: 292013: 572014: 602015: 472016: 352017: 742018: 562019: 542020: 632021: 632022: 572023: 322024: 352025: 24
2007high 74 (2017) · low 3 (2007)2025

MAUDE reports naming product code GXN, 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
20072—03
20081—017
20090—017
20100—023
20112—020
20123102029
20131—057
20142—060
20152—047
20161—035
20172—074
20183199656
20190—054
2020533063
2021369063
20222—057
20231—032
20241—035
20252—024
202641930—

What is it indicated for?

Aesculap's CranioFix and CranioFix2 System are intended for use in the fixation of cranioplasty plates, covering burr holes, and fixation of cranial fractures.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K040864: Craniofix and CRANIOFIX2 Titanium Clamp System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K040864

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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