510(k) Report

510(k) · Cleared

Cleared

Hinge Pediatric Plating System

K090440510(k) TraditionalCleared May 20, 200989-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

Pega Medical, Inc. · HRS Plate, Fixation, Bone

Cleared on May 20, 2009 as substantially equivalent to K031493 (University of Utah/School of Medicine, 2003) and 2 other predicates after an 89-day review. Its family tree reaches back 3 generations to 1999. 1 later device descends from it.

Decided
May 20, 2009
Review
89 days
Class
Class II
Product code
HRS
Recalls
None
Predicates
3

Its longest line of descent runs back 3 generations to K993106 (1999). 8 ancestors in all. 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2007: 1 other ancestor2003: 1 other ancestor2008: 1 other ancestor2005: 1 other ancestor2000: 1 other ancestor2022: 1 descendant clearedK993106 · Smith & Nephew Bone Plate System (Bone Plates, Bone Screws and Accessories) · Smith & Nephew, Inc. · 1999K073344 · Orthopediatrics Plating System · Orthopediatrics, LLC · 2008K081407 · Orthopediatrics Pediplates System · OrthoPediatrics Corp. · 20081995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 1 other ancestor3 generations back: 2 other ancestors 1 generation forward: 1 descendant K081407 · Orthopediatrics Pediplates System · OrthoPediatrics Corp. · 2008K073344 · Orthopediatrics Plating System · Orthopediatrics, LLC · 2008K993106 · Smith & Nephew Bone Plate System (Bone Plates, Bone Screws and Accessories) · Smith & Nephew, Inc. · 19990
  1. Root · 3 generations backK993106 Smith & Nephew Bone Plate System (Bone Plates, Bone Screws and…Smith & Nephew, Inc. · 1999
  2. 2 generations backK073344 Orthopediatrics Plating SystemOrthopediatrics, LLC · 2008
  3. 1 generation backK081407 Orthopediatrics Pediplates SystemOrthoPediatrics Corp. · 2008
  4. This deviceK090440 Hinge Pediatric Plating SystemPega Medical, Inc. · 2009
  5. Descendant · cites it directly · 0 of its ownK220190 The GIRO Growth Modulation SystemPega Medical, Inc. · 2022

Most influential descendants

Showing 1 of 1 · See all
  • K220190The GIRO Growth Modulation SystemPega Medical, Inc. · 2022 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K993106Smith & Nephew Bone Plate System (Bone Plates, Bone Screws and Accessories)Smith & Nephew, Inc.1999—
−2K073344Orthopediatrics Plating SystemOrthopediatrics, LLC2008—
−1K081407Orthopediatrics Pediplates SystemOrthoPediatrics Corp.2008—
0 (this device)K090440Hinge Pediatric Plating SystemPega Medical, Inc.2009—
+1K220190The GIRO Growth Modulation SystemPega Medical, Inc.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200010
200310
200510
200710
200810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202210
FIG. 1 — Lineage of K090440, 1999–2022Source: 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? (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
*K031493Growth Guidance Plate
Summary page 2
…ng predicate devices: I. Guided Growth Plate (Ti alloy plate and screws) University of Utah School of Medicine marketed as Eight Plate, Orthofix Inc. (K031493) 2. Pediplates System (Stainless Steel plate and screws), Orthopediatrics Inc. (K081407) 3. Growth Control Plating System mark…
University of Utah/School of Medicine2003—
*K081407Orthopediatrics Pediplates System
Summary page 2
…iversity of Utah School of Medicine marketed as Eight Plate, Orthofix Inc. (K031493) 2. Pediplates System (Stainless Steel plate and screws), Orthopediatrics Inc. (K081407) 3. Growth Control Plating System marketed as Peanut Plate (Ti alloy plate and screws), Biomet Inc. (K070823) The intended us…
OrthoPediatrics Corp.2008—
*K070823Growth Control Plating System
Summary page 2
…ainless Steel plate and screws), Orthopediatrics Inc. (K081407) 3. Growth Control Plating System marketed as Peanut Plate (Ti alloy plate and screws), Biomet Inc. (K070823) The intended uses of these devices are the same as the Hinge Pediatric Plating System Summary of Technologies: The technologic…
Biomet Trauma2007—

Also cleared against K031493: 7 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
K220190The GIRO Growth Modulation SystemPega Medical, Inc.20220

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 10 years and passes through 4 companies; a new generation was cleared every 10 months on median.
  • None of the 8 ancestors has a recall.
  • Of its descendants, K220190 (Pega Medical, Inc., 2022) has gone furthest, with 0 descendants of its own.
  • 7 other devices also cite its predicate K031493.

How does its category compare?

All HRS devices

HRS Plate, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2009, this device’s year, is highlighted.

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 Hinge Pediatric Plating System is indicated as a temporary implant to aid in the correction of the angle of growth of long bones by inhibiting longitudinal growth of the physis in pediatric patients. It can be used to correct the following conditions:

* Femur and tibia: varus, valgus, flexion or extension deformities of the knee.

* Humerus: valgus or varus deformities of the elbow.

* Radius and Ulna: flexion or extension deformities of the wrist.

* Ankle: varus, valgus or plantar flexion deformities of the ankle.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K090440: Hinge Pediatric Plating System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K090440

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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