510(k) Report

510(k) · Cleared

Cleared

Synthes 3.5MM Cortex Screws

K043185510(k) TraditionalCleared Feb 3, 200578-day reviewClass II21 CFR 888.3040

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

Synthes (Usa) · HWC Screw, Fixation, Bone

Cleared on Feb 3, 2005 after a 78-day review. The FDA summary names its predicate without a number. 405 later devices descend from it.

Decided
Feb 3, 2005
Review
78 days
Class
Class II
Product code
HWC
Recalls
None
Predicates
0

405 later devices descend from it, 20 citing it directly.

Descendants, by year cleared 2006: 2 descendants cleared2014: 20 descendants cleared2022: 31 descendants cleared2016: 14 descendants cleared2007: 1 descendant cleared2019: 22 descendants cleared2018: 16 descendants cleared2011: 11 descendants cleared2012: 6 descendants cleared2013: 10 descendants cleared2008: 3 descendants cleared2023: 31 descendants cleared2010: 2 descendants cleared2024: 41 descendants cleared2009: 1 descendant cleared2021: 27 descendants cleared2017: 33 descendants cleared2020: 30 descendants cleared2015: 25 descendants cleared2025: 36 descendants cleared2026: 43 descendants cleared20052010201520202025
  1. This deviceK043185 Synthes 3.5MM Cortex ScrewsSynthes (Usa) · 2005
  2. Descendant · cites it directly · 219 of its ownK103705 Low Profile ScrewsArthrex, Inc. · 2011
  3. Descendant · 2 generations on · 135 of its ownK111253 Arthrex Distal Extremity Plate SystemArthrex, Inc. · 2011
  4. Descendant · cites it directly · 122 of its ownK111230 Synthes 3.5MM Low Profile Cortical ScrewSynthes (USA) Products, LLC · 2011
  5. Descendant · cites it directly · 118 of its ownK112583 Synthes Cortical ScrewsSynthes (USA) Products, LLC · 2011
  6. Descendant · 2 generations on · 91 of its ownK112437 Arthrex Fracture SystemArthrex, Inc. · 2011

Showing 5 of 405 descendants. See all descendants

Descendants cleared per year

2006: 22007: 12008: 32009: 12010: 22011: 112012: 62013: 102014: 202015: 252016: 142017: 332018: 162019: 222020: 302021: 272022: 312023: 312024: 412025: 362026: 43
2006high 43 (2026) · low 1 (2007)2026

Most influential descendants

Showing 5 of 405 · See all
  • K103705Low Profile ScrewsArthrex, Inc. · 2011 · cites it directly219descendants
  • K111253Arthrex Distal Extremity Plate SystemArthrex, Inc. · 2011 · 2 generations on135descendants
  • K111230Synthes 3.5MM Low Profile Cortical ScrewSynthes (USA) Products, LLC · 2011 · cites it directly122descendants
  • K112583Synthes Cortical ScrewsSynthes (USA) Products, LLC · 2011 · cites it directly118descendants
  • K112437Arthrex Fracture SystemArthrex, Inc. · 2011 · 2 generations on91descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K043185Synthes 3.5MM Cortex ScrewsSynthes (Usa)2005—
+1K103705Low Profile ScrewsArthrex, Inc.2011—
+2K111253Arthrex Distal Extremity Plate SystemArthrex, Inc.2011—
+1K111230Synthes 3.5MM Low Profile Cortical ScrewSynthes (USA) Products, LLC2011—
+1K112583Synthes Cortical ScrewsSynthes (USA) Products, LLC2011—
+2K112437Arthrex Fracture SystemArthrex, Inc.2011—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200620
200710
200830
200910
201020
2011110
201260
2013100
2014200
2015250
2016140
2017330
2018160
2019220
2020300
2021270
2022310
2023310
2024410
2025360
2026430
FIG. 1 — Lineage of K043185, 2005–2026Source: 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 HWC? 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 HWC device

  1. #1 K203011 Monster Screw Systemscore 22.2 · 14 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
*—Synthes 3.5 mm Cortex Screws
Named without a submission number
—

What descends from it? (405)

See all 405

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

NumberDeviceApplicantDecidedDescendants
K103705Low Profile ScrewsArthrex, Inc.2011219
K111230Synthes 3.5MM Low Profile Cortical ScrewSynthes (USA) Products, LLC2011122
K112583Synthes Cortical ScrewsSynthes (USA) Products, LLC2011118
K082516Peri-Loc Periarticular Locked Plating System Hexalobular Bone ScrewsSmith & Nephew, Inc.200887
K062494Ebi Optilock Upper Extremity Plating SystemEbi, L.P.200622
K113733Small and Large Fragments Osteosynthesis System NeofixNeoortho Produtos Ortopedicos S/A201211
K082949Orthopediatrics Bone ScrewsOrthoPediatrics Corp.200811
K161665VLP Wrist Fracture SystemSmith & Nephew, Inc.201610
K181533EVOS Wrist Fracture Plating SystemSmith & Nephew, Inc.20189
K130108Double Engine Bone Plate and Screw SystemsXiamen Double Engine Medical Material Co., Ltd.20139

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?

  • Of its descendants, K103705 (Arthrex, Inc., 2011) has gone furthest, with 219 descendants of its own.

How does its category compare?

All HWC devices

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

FDA decisions per year · HWC

15in 2025

2007: 352008: 332009: 272010: 232011: 352012: 202013: 252014: 312015: 412016: 262017: 402018: 202019: 302020: 282021: 262022: 262023: 242024: 172025: 152026 (partial year): 21
2007high 41 (2015) · low 15 (2025)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HWC

111in 2025

2007: 77 days median2008: 76 days median2009: 113 days median2010: 110 days median2011: 88 days median2012: 99 days median2013: 90 days median2014: 88 days median2015: 85 days median2016: 131 days median2017: 127 days median2018: 106 days median2019: 108 days median2020: 75 days median2021: 84 days median2022: 167 days median2023: 104 days median2024: 90 days median2025: 111 days median2026 (partial year): 125 days median
2007high 167 (2022) · low 75 (2020)2026

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

Recalls per year · HWC

1in 2025

2007: 252008: 332009: 292010: 72011: 122012: 302013: 142014: 22015: 52016: 42017: 42018: 12019: 52020: 42021: 22022: 132025: 12026 (partial year): 2
2007high 33 (2008) · low 0 (2023)2026

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

Adverse event reports per year · HWC

2,893in 2025

2007: 6692008: 6602009: 6512010: 7652011: 1,1042012: 3,3392013: 3,8502014: 2,5492015: 2,7112016: 2,2852017: 2,5612018: 3,6622019: 5,4632020: 4,8202021: 4,4462022: 3,9342023: 3,7182024: 3,5752025: 2,893
2007high 5,463 (2019) · low 651 (2009)2025

MAUDE reports naming product code HWC, 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
2007357725669
2008337633660
20092711329651
2010231107765
20113588121,104
20122099303,339
20132590143,850
2014318822,549
2015418552,711
20162613142,285
20174012742,561
20182010613,662
20193010855,463
2020287544,820
2021268424,446
202226167133,934
20232410403,718
2024179003,575
20251511112,893
2026211252—

What is it indicated for?

The Synthes 3.5 mm Cortex Screws are intended for fixation of fractures, osteotomies and non-unions of the clavicle, scapula, olecranon, humerus, radius, ulna, pelvis, tibia, calcaneous, femur and fibula.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K043185: Synthes 3.5MM Cortex Screws.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K043185

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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