510(k) Report

510(k) · Cleared

Recalled · Class II · 2019

2.4MM VA-LCP Intercarpal Fusion System

K103243510(k) TraditionalCleared Jan 21, 201181-day reviewClass II21 CFR 888.3030Recalls 7

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

Synthes (Usa) · HRS Plate, Fixation, Bone

Cleared on Jan 21, 2011 as substantially equivalent to K990094 (Kinetikos Medical, Inc., 1999) and 2 other predicates after an 81-day review. Its family tree reaches back 4 generations to 1992. 18 later devices descend from it. It has been recalled 7 times.

Decided
Jan 21, 2011
Review
81 days
Class
Class II
Product code
HRS
Recalls
7
Predicates
3

Its longest line of descent runs back 4 generations to K915818 (1992). 13 ancestors in all, the oldest K800806 (1980). 18 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2001: 3 other ancestors1980: 1 other ancestor2000: 2 other ancestors1995: 1 other ancestor1991: 1 other ancestor1989: 1 other ancestor2023: 3 descendants cleared2013: 4 descendants cleared2017: 2 descendants cleared2014: 2 descendants cleared2015: 1 descendant cleared2024: 2 descendants cleared2016: 1 descendant cleared2018: 1 descendant cleared2020: 1 descendant cleared2026: 1 descendant clearedK915818 · Synthes (R) Titanium Small Reconstruction Plate · Synthes (Usa) · 1992 · recalledK990094 · Kmi Wrist Fusion System · Kinetikos Medical, Inc. · 1999K991873 · Kmi Wrist Fusion System · Kinetikos Medical, Inc. · 1999K021321 · Wrist Fusion Plate · Acu Med, Inc. · 200219801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 2 other ancestors3 generations back: 6 other ancestors4 generations back: 1 other ancestor 1 generation forward: 3 descendants2 generations forward: 8 descendants3 generations forward: 2 descendants4 generations forward: 3 descendants5 generations forward: 1 descendant6 generations forward: 1 descendant K021321 · Wrist Fusion Plate · Acu Med, Inc. · 2002K991873 · Kmi Wrist Fusion System · Kinetikos Medical, Inc. · 1999K990094 · Kmi Wrist Fusion System · Kinetikos Medical, Inc. · 1999K915818 · Synthes (R) Titanium Small Reconstruction Plate · Synthes (Usa) · 1992 · recalled0+5
  1. Root · 4 generations backK915818 Synthes (R) Titanium Small Reconstruction PlateSynthes (Usa) · 1992 · Recalled
  2. 3 generations backK990094 Kmi Wrist Fusion SystemKinetikos Medical, Inc. · 1999
  3. 2 generations backK991873 Kmi Wrist Fusion SystemKinetikos Medical, Inc. · 1999
  4. 1 generation backK021321 Wrist Fusion PlateAcu Med, Inc. · 2002
  5. This deviceK103243 2.4MM VA-LCP Intercarpal Fusion SystemSynthes (Usa) · 2011
  6. Descendant · cites it directly · 14 of its ownK123562 Flower Small and Medium Bone ImplantsFlower Orthopedics Corporation · 2013 · Recalled
  7. Descendant · 2 generations on · 11 of its ownK131657 Flower Small and Medium Implant SetFlower Orthopedics Corporation · 2013 · Recalled
  8. Descendant · 2 generations on · 7 of its ownK152306 MotoBand¿ CP Implant SystemCrossroads Extremity Systems, LLC · 2015
  9. Descendant · 3 generations on · 6 of its ownK160300 MotoBand (TM) CP Implant SystemCrossroads Extremity Systems, LLC · 2016
  10. Descendant · 3 generations on · 4 of its ownK173710 MotoBAND CP Implant SystemCrossroads Extremity Systems, LLC · 2018 · Recalled

Showing 5 of 18 descendants. See all descendants

Descendants cleared per year

2013: 42014: 22015: 12016: 12017: 22018: 12020: 12023: 32024: 22026: 1
2013high 4 (2013) · low 0 (2019)2026

Most influential descendants

Showing 5 of 18 · See all
  • K123562Flower Small and Medium Bone ImplantsFlower Orthopedics Corporation · 2013 · cites it directly14descendants
  • K131657Flower Small and Medium Implant SetFlower Orthopedics Corporation · 2013 · 2 generations on11descendants
  • K152306MotoBand¿ CP Implant SystemCrossroads Extremity Systems, LLC · 2015 · 2 generations on7descendants
  • K160300MotoBand (TM) CP Implant SystemCrossroads Extremity Systems, LLC · 2016 · 3 generations on6descendants
  • K173710MotoBAND CP Implant SystemCrossroads Extremity Systems, LLC · 2018 · 3 generations on4descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K915818Synthes (R) Titanium Small Reconstruction PlateSynthes (Usa)19922
−3K990094Kmi Wrist Fusion SystemKinetikos Medical, Inc.1999—
−2K991873Kmi Wrist Fusion SystemKinetikos Medical, Inc.1999—
−1K021321Wrist Fusion PlateAcu Med, Inc.2002—
0 (this device)K1032432.4MM VA-LCP Intercarpal Fusion SystemSynthes (Usa)2011—
+1K123562Flower Small and Medium Bone ImplantsFlower Orthopedics Corporation20132
+2K131657Flower Small and Medium Implant SetFlower Orthopedics Corporation20131
+2K152306MotoBand¿ CP Implant SystemCrossroads Extremity Systems, LLC2015—
+3K160300MotoBand (TM) CP Implant SystemCrossroads Extremity Systems, LLC2016—
+3K173710MotoBAND CP Implant SystemCrossroads Extremity Systems, LLC20181

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198010
198910
199110
199510
200020
200130

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201340
201420
201510
201610
201720
201810
202010
202330
202420
202610
FIG. 1 — Lineage of K103243, 1992–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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
*K990094Kmi Wrist Fusion System
Summary page 1
…Class 11, §888.3040 - Smooth or threaded metallic bone fixation fastener, HWC Predicate Device: KM I - Wrist Fusion System (K990094) KM I - Wrist Fusion System (K991873) Acumned - Hub Cap Limited Wrist…
Kinetikos Medical, Inc.1999—
*K991873Kmi Wrist Fusion System
Summary page 1
…fastener, HWC Predicate Device: KM I - Wrist Fusion System (K990094) KM I - Wrist Fusion System (K991873) Acumned - Hub Cap Limited Wrist Fusion Plate (K021321) Device Description: The 2.4mm VA…
Kinetikos Medical, Inc.1999—
*K021321Wrist Fusion Plate
Summary page 1
…st Fusion System (K990094) KM I - Wrist Fusion System (K991873) Acumned - Hub Cap Limited Wrist Fusion Plate (K021321) Device Description: The 2.4mm VA-LCP Intercarpal Fusion System features low profile cir…
Acu Med, Inc.2002—

Also cleared against K990094: 2 other devices →

What descends from it? (18)

See all 18

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

NumberDeviceApplicantDecidedDescendants
K123562Flower Small and Medium Bone ImplantsFlower Orthopedics Corporation201314
K221150Advanced Bone PlateDouble Medical Technology, Inc.20231
K160553DePuy Synthes 4.0 mm and 5.0 mm Locking Screws – MR Conditional, DePuy Synthes Wrist…Synthes (Usa) Products, LLC / Depuy Orthopaedics, Inc.20170

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

Recalls of this device

DateClassRecallRoot causeReason
Dec 16, 2019Class IIZ-0879-2020Under Investigation by firmThere is a possibility that the inner cap could open when the outer cap is removed or the entire inner tube remains in the outer tube. In both instances this could prevent the screw from being removed and used causing a surgical delay.…
Dec 16, 2019Class IIZ-0882-2020Under Investigation by firmThere is a possibility that the inner cap could open when the outer cap is removed or the entire inner tube remains in the outer tube. In both instances this could prevent the screw from being removed and used causing a surgical delay.…
Dec 16, 2019Class IIZ-0883-2020Under Investigation by firmThere is a possibility that the inner cap could open when the outer cap is removed or the entire inner tube remains in the outer tube. In both instances this could prevent the screw from being removed and used causing a surgical delay.…
Dec 16, 2019Class IIZ-0880-2020Under Investigation by firmThere is a possibility that the inner cap could open when the outer cap is removed or the entire inner tube remains in the outer tube. In both instances this could prevent the screw from being removed and used causing a surgical delay.…
Dec 16, 2019Class IIZ-0881-2020Under Investigation by firmThere is a possibility that the inner cap could open when the outer cap is removed or the entire inner tube remains in the outer tube. In both instances this could prevent the screw from being removed and used causing a surgical delay.…
Jun 28, 2016Class IIZ-2389-2016Nonconforming Material/ComponentIt was reported that the specified lots of the 2.4mm Titanium Locking Screw Self-Tapping with Stardrive Recess 12mm can break between the head and the shaft. This resulted from the neck feature being too close to the StarDrive feature…
Nov 2, 2015Class IIZ-0323-2016Process controlIt was discovered that the above part number and lot of 2.4mm Locking Screws may contain the incorrect package insert (GP2613, VA-LCP Distal Radius System). The correct package insert for the above part is GP2615 (Modular Mini Fragment…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 19 years and passes through 3 companies; a new generation was cleared every 7.1 years on median.
  • 5 of the 13 ancestors have a recall of any class.
  • Of its descendants, K123562 (Flower Orthopedics Corporation, 2013) has gone furthest, with 14 descendants of its own.
  • 2 other devices also cite its predicate K990094.

How does its category compare?

All HRS devices

HRS Plate, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2011, 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 2.4mm VA-LCP Intercarpal Fusion System is indicated for fusion of small bones of the hand including: hamate, capitate, lunate, and triquetrum, for the revision of failed partial wrist fusions, and is indicated for use in patients suffering pain and/or loss of function due to:

-Osteoarthritis

-Rheumatoid arthritis

-Post-traumatic or degenerative wrist arthritis

-Carpal instability

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K103243: 2.4MM VA-LCP Intercarpal Fusion System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K103243

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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