510(k) Report

510(k) · Cleared

Cleared

Maxlock Extreme Extremity Plating System with Variable Angle Technology

K100618510(k) SpecialCleared Apr 20, 201047-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

Orthohelix Surgical Designs, Inc. · HRS Plate, Fixation, Bone

Cleared on Apr 20, 2010 as substantially equivalent to K073624 (Orthohelix Surgical Designs, Inc., 2008) and 2 other predicates after a 47-day review. Its family tree reaches back 7 generations to 1996. 339 later devices descend from it.

Decided
Apr 20, 2010
Review
47 days
Class
Class II
Product code
HRS
Recalls
None
Predicates
3

Its longest line of descent runs back 7 generations to K954385 (1996). 25 ancestors in all, the oldest K920738 (1992). 339 later devices descend from it, 8 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2009: 1 other ancestor2006: 2 other ancestors2002: 2 other ancestors1992: 1 other ancestor2001: 2 other ancestors1999: 1 other ancestor1996: 2 other ancestors1994: 3 other ancestors1995: 1 other ancestor2000: 2 other ancestors1997: 1 other ancestor2012: 14 descendants cleared2010: 2 descendants cleared2011: 2 descendants cleared2014: 13 descendants cleared2017: 29 descendants cleared2015: 24 descendants cleared2019: 19 descendants cleared2023: 28 descendants cleared2021: 24 descendants cleared2024: 39 descendants cleared2018: 15 descendants cleared2013: 5 descendants cleared2020: 27 descendants cleared2016: 13 descendants cleared2022: 24 descendants cleared2025: 24 descendants cleared2026: 37 descendants clearedK954385 · Synthes Mandibular Modular Fixation System · Synthes (Usa) · 1996K974555 · Synthes 2.0 MM Locking Plate System (2.0 LPS) · Synthes (Usa) · 1998K030448 · Osteomed 2.0 Locking Plates and Screws · Osteomed LP · 2003K032442 · KLS-Martin Mandibular/Reconstruction System II · KLS-Martin L.P. · 2003K040598 · KLS Martin Hand Plating System · KLS-Martin L.P. · 2004K050868 · Maxlock · Orthohelix Surgical Designs, Inc. · 2005K073624 · Modular Foot System · Orthohelix Surgical Designs, Inc. · 2008 · recalled1990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 1 other ancestor3 generations back: 2 other ancestors4 generations back: 5 other ancestors5 generations back: 4 other ancestors6 generations back: 3 other ancestors7 generations back: 1 other ancestor 1 generation forward: 8 descendants2 generations forward: 45 descendants3 generations forward: 115 descendants4 generations forward: 97 descendants5 generations forward: 49 descendants6 generations forward: 17 descendants7 generations forward: 7 descendants8 generations forward: 1 descendant K073624 · Modular Foot System · Orthohelix Surgical Designs, Inc. · 2008 · recalledK050868 · Maxlock · Orthohelix Surgical Designs, Inc. · 2005K040598 · KLS Martin Hand Plating System · KLS-Martin L.P. · 2004K032442 · KLS-Martin Mandibular/Reconstruction System II · KLS-Martin L.P. · 2003K030448 · Osteomed 2.0 Locking Plates and Screws · Osteomed LP · 2003K974555 · Synthes 2.0 MM Locking Plate System (2.0 LPS) · Synthes (Usa) · 1998K954385 · Synthes Mandibular Modular Fixation System · Synthes (Usa) · 1996−50+5
  1. Root · 7 generations backK954385 Synthes Mandibular Modular Fixation SystemSynthes (Usa) · 1996
  2. 6 generations backK974555 Synthes 2.0 MM Locking Plate System (2.0 LPS)Synthes (Usa) · 1998
  3. 5 generations backK030448 Osteomed 2.0 Locking Plates and ScrewsOsteomed LP · 2003
  4. 4 generations backK032442 KLS-Martin Mandibular/Reconstruction System IIKLS-Martin L.P. · 2003
  5. 3 generations backK040598 KLS Martin Hand Plating SystemKLS-Martin L.P. · 2004
  6. 2 generations backK050868 MaxlockOrthohelix Surgical Designs, Inc. · 2005
  7. 1 generation backK073624 Modular Foot SystemOrthohelix Surgical Designs, Inc. · 2008 · Recalled
  8. This deviceK100618 Maxlock Extreme Extremity Plating System with Variable Angle…Orthohelix Surgical Designs, Inc. · 2010
  9. Descendant · cites it directly · 228 of its ownK100776 Synthes 2.4 MM/2.7 MM Variable Angle LCP Forefoot/Midfoot SystemSynthes (Usa) · 2010
  10. Descendant · cites it directly · 119 of its ownK102156 Maxlock Extreme Extremity Plating System Distal Radius Plates and…Orthohelix Surgical Designs, Inc. · 2010 · Recalled
  11. Descendant · 2 generations on · 118 of its ownK112583 Synthes Cortical ScrewsSynthes (USA) Products, LLC · 2011
  12. Descendant · cites it directly · 97 of its ownK113014 Claw II Polyaxial Compression System and Ortholoc 3DSI Locking ScrewsWrightmedicaltechnologyinc · 2012 · Recalled
  13. Descendant · cites it directly · 95 of its ownK121651 Ortholoc 3DI Midfoot/Flatfoot SystemWrightmedicaltechnologyinc · 2012

Showing 5 of 339 descendants. See all descendants

Descendants cleared per year

2010: 22011: 22012: 142013: 52014: 132015: 242016: 132017: 292018: 152019: 192020: 272021: 242022: 242023: 282024: 392025: 242026: 37
2010high 39 (2024) · low 2 (2010)2026

Most influential descendants

Showing 5 of 339 · See all
  • K100776Synthes 2.4 MM/2.7 MM Variable Angle LCP Forefoot/Midfoot SystemSynthes (Usa) · 2010 · cites it directly228descendants
  • K102156Maxlock Extreme Extremity Plating System Distal Radius Plates and ScrewsOrthohelix Surgical Designs, Inc. · 2010 · cites it directly119descendants
  • K112583Synthes Cortical ScrewsSynthes (USA) Products, LLC · 2011 · 2 generations on118descendants
  • K113014Claw II Polyaxial Compression System and Ortholoc 3DSI Locking ScrewsWrightmedicaltechnologyinc · 2012 · cites it directly97descendants
  • K121651Ortholoc 3DI Midfoot/Flatfoot SystemWrightmedicaltechnologyinc · 2012 · cites it directly95descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K954385Synthes Mandibular Modular Fixation SystemSynthes (Usa)1996—
−6K974555Synthes 2.0 MM Locking Plate System (2.0 LPS)Synthes (Usa)1998—
−5K030448Osteomed 2.0 Locking Plates and ScrewsOsteomed LP2003—
−4K032442KLS-Martin Mandibular/Reconstruction System IIKLS-Martin L.P.2003—
−3K040598KLS Martin Hand Plating SystemKLS-Martin L.P.2004—
−2K050868MaxlockOrthohelix Surgical Designs, Inc.2005—
−1K073624Modular Foot SystemOrthohelix Surgical Designs, Inc.20081
0 (this device)K100618Maxlock Extreme Extremity Plating System with Variable Angle TechnologyOrthohelix Surgical Designs, Inc.2010—
+1K100776Synthes 2.4 MM/2.7 MM Variable Angle LCP Forefoot/Midfoot SystemSynthes (Usa)2010—
+1K102156Maxlock Extreme Extremity Plating System Distal Radius Plates and ScrewsOrthohelix Surgical Designs, Inc.20101
+2K112583Synthes Cortical ScrewsSynthes (USA) Products, LLC2011—
+1K113014Claw II Polyaxial Compression System and Ortholoc 3DSI Locking ScrewsWrightmedicaltechnologyinc201212
+1K121651Ortholoc 3DI Midfoot/Flatfoot SystemWrightmedicaltechnologyinc2012—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199210
199430
199510
199620
199710
199910
200020
200120
200220
200620
200910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201020
201120
2012140
201350
2014130
2015240
2016130
2017290
2018150
2019190
2020270
2021240
2022240
2023280
2024390
2025240
2026370
FIG. 1 — Lineage of K100618, 1996–2026Source: 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 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
*K073624Modular Foot System
Summary page 2
…MaxLock Extreme® Extremity Plating System with Variable Angle Technology is substantially equivalent to currently marketed devices, the Orthol-elix Modular Foot System (K073624) and Clavicle Plating System (K090289) and the Stryker VariAx System (K0606 13). The new technology is a modification to the Orth…
Orthohelix Surgical Designs, Inc.20081
*K090289Clavicle Plating System
Summary page 2
…stem with Variable Angle Technology is substantially equivalent to currently marketed devices, the Orthol-elix Modular Foot System (K073624) and Clavicle Plating System (K090289) and the Stryker VariAx System (K0606 13). The new technology is a modification to the Ortho~lelix Modular Foot System, K073624 a…
Orthohelix Surgical Designs, Inc.2009—
*K060613Variax Locking Plate System
Summary page 2
…ubstantially equivalent to currently marketed devices, the Orthol-elix Modular Foot System (K073624) and Clavicle Plating System (K090289) and the Stryker VariAx System (K0606 13). The new technology is a modification to the Ortho~lelix Modular Foot System, K073624 and Clavicle Plating System, K090289. The…
Howmedica Osteonics Corp.2006—

Also cleared against K073624: 4 other devices →

What descends from it? (339)

See all 339

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

NumberDeviceApplicantDecidedDescendants
K100776Synthes 2.4 MM/2.7 MM Variable Angle LCP Forefoot/Midfoot SystemSynthes (Usa)2010228
K102156Maxlock Extreme Extremity Plating System Distal Radius Plates and ScrewsOrthohelix Surgical Designs, Inc.2010119
K113014Claw II Polyaxial Compression System and Ortholoc 3DSI Locking ScrewsWrightmedicaltechnologyinc201297
K121651Ortholoc 3DI Midfoot/Flatfoot SystemWrightmedicaltechnologyinc201295
K111041Mini Variable SystemOrthohelix Surgical Designs, Inc.201177
K113048Maxlock Extreme SystemOrthohelix Surgical Designs, Inc.201252
K170401Piccolo Composite® Plate SystemCarboFix Orthopedics, Ltd.20173
K141004Intraosseous Fixation SystemOrthohelix Surgical Designs, Inc.20140

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 14 years and passes through 4 companies; a new generation was cleared every 2.0 years on median.
  • 4 of the 25 ancestors have a recall of any class.
  • Of its descendants, K100776 (Synthes (Usa), 2010) has gone furthest, with 228 descendants of its own.
  • 4 other devices also cite its predicate K073624.

How does its category compare?

All HRS devices

HRS Plate, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2010, 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?

Variable Angle technology in MTP, TMT, MFT, MXL, DFX, and EDL plates are indicated for fractures, fusions and osteotomies for small bones in the hand, wrist, foot and ankle in both pediatric and adult patients.

Variable Angle Technology in MXL and CLA plates are indicated for the fractures, fusions, and osteotomnies of the clavicle and small bones in the hand, wrist, foot and ankle.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K100618: Maxlock Extreme Extremity Plating System with Variable Angle Technology.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K100618

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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