510(k) Report

510(k) · Cleared

Recalled · Class II · 2024

Synthes Ria System (Expanded Indications)

K111437510(k) TraditionalCleared Aug 10, 201178-day reviewClass I21 CFR 888.4540Recalls 19

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

Synthes (USA) Products, LLC · HTO Reamer

Cleared on Aug 10, 2011 as substantially equivalent to K042899 (Synthes (Usa), 2005) after a 78-day review. Its family tree reaches back 1 generation to 2005. It has been recalled 19 times.

Decided
Aug 10, 2011
Review
78 days
Class
Class I
Product code
HTO
Recalls
19
Predicates
1

Its longest line of descent runs back 1 generation to K042899 (2005). No later device cites it as a predicate yet.

K042899 · Synthes (Usa) Ria System - Expanded Indications · Synthes (Usa) · 2005 · recalled2006200820102012
  1. Root · 1 generation backK042899 Synthes (Usa) Ria System - Expanded IndicationsSynthes (Usa) · 2005 · Recalled
  2. This deviceK111437 Synthes Ria System (Expanded Indications)Synthes (USA) Products, LLC · 2011
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K042899Synthes (Usa) Ria System - Expanded IndicationsSynthes (Usa)200518
0 (this device)K111437Synthes Ria System (Expanded Indications)Synthes (USA) Products, LLC2011—
FIG. 1 — Lineage of K111437, 2005–2011Source: 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 HTO? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin the report
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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
*K042899Synthes (Usa) Ria System - Expanded Indications
Summary page 1
…ss 11, 21 CFR §888.4540, Orthopedic manual surgical instrument Product Code: HTO & HRX Pre-dicate Device: Synthes RIA System (K042899) -De-vice Description: Synthes IA System is a flexible intramedullary reaming and bone harvesting…
Synthes (Usa)200518

What descends from it?

No later submission names this one as a predicate yet.

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

Recalls of this device

DateClassRecallRoot causeReason
Jan 24, 2024Class IIZ-1237-2024Process controlProducts not sterilized, sterility cannot be confirmed
Nov 19, 2020Class IIZ-0572-2021Use errorRIA 2 reamer head breakage exceeds the expected occurrence rate resulting in adverse tissue reaction, soft tissue damage, and/or bone damage, when the recommended surgical techniques are not followed
Nov 19, 2020Class IIZ-0577-2021Use errorRIA 2 reamer head breakage exceeds the expected occurrence rate resulting in adverse tissue reaction, soft tissue damage, and/or bone damage, when the recommended surgical techniques are not followed
Nov 19, 2020Class IIZ-0583-2021Use errorRIA 2 reamer head breakage exceeds the expected occurrence rate resulting in adverse tissue reaction, soft tissue damage, and/or bone damage, when the recommended surgical techniques are not followed
Nov 19, 2020Class IIZ-0584-2021Use errorRIA 2 reamer head breakage exceeds the expected occurrence rate resulting in adverse tissue reaction, soft tissue damage, and/or bone damage, when the recommended surgical techniques are not followed
Nov 19, 2020Class IIZ-0586-2021Use errorRIA 2 reamer head breakage exceeds the expected occurrence rate resulting in adverse tissue reaction, soft tissue damage, and/or bone damage, when the recommended surgical techniques are not followed
Nov 19, 2020Class IIZ-0571-2021Use errorRIA 2 reamer head breakage exceeds the expected occurrence rate resulting in adverse tissue reaction, soft tissue damage, and/or bone damage, when the recommended surgical techniques are not followed
Nov 19, 2020Class IIZ-0585-2021Use errorRIA 2 reamer head breakage exceeds the expected occurrence rate resulting in adverse tissue reaction, soft tissue damage, and/or bone damage, when the recommended surgical techniques are not followed
Nov 19, 2020Class IIZ-0573-2021Use errorRIA 2 reamer head breakage exceeds the expected occurrence rate resulting in adverse tissue reaction, soft tissue damage, and/or bone damage, when the recommended surgical techniques are not followed
Nov 19, 2020Class IIZ-0578-2021Use errorRIA 2 reamer head breakage exceeds the expected occurrence rate resulting in adverse tissue reaction, soft tissue damage, and/or bone damage, when the recommended surgical techniques are not followed
Nov 19, 2020Class IIZ-0579-2021Use errorRIA 2 reamer head breakage exceeds the expected occurrence rate resulting in adverse tissue reaction, soft tissue damage, and/or bone damage, when the recommended surgical techniques are not followed
Nov 19, 2020Class IIZ-0580-2021Use errorRIA 2 reamer head breakage exceeds the expected occurrence rate resulting in adverse tissue reaction, soft tissue damage, and/or bone damage, when the recommended surgical techniques are not followed
Nov 19, 2020Class IIZ-0587-2021Use errorRIA 2 reamer head breakage exceeds the expected occurrence rate resulting in adverse tissue reaction, soft tissue damage, and/or bone damage, when the recommended surgical techniques are not followed
Nov 19, 2020Class IIZ-0574-2021Use errorRIA 2 reamer head breakage exceeds the expected occurrence rate resulting in adverse tissue reaction, soft tissue damage, and/or bone damage, when the recommended surgical techniques are not followed
Nov 19, 2020Class IIZ-0575-2021Use errorRIA 2 reamer head breakage exceeds the expected occurrence rate resulting in adverse tissue reaction, soft tissue damage, and/or bone damage, when the recommended surgical techniques are not followed
Nov 19, 2020Class IIZ-0576-2021Use errorRIA 2 reamer head breakage exceeds the expected occurrence rate resulting in adverse tissue reaction, soft tissue damage, and/or bone damage, when the recommended surgical techniques are not followed
Nov 19, 2020Class IIZ-0581-2021Use errorRIA 2 reamer head breakage exceeds the expected occurrence rate resulting in adverse tissue reaction, soft tissue damage, and/or bone damage, when the recommended surgical techniques are not followed
Nov 19, 2020Class IIZ-0582-2021Use errorRIA 2 reamer head breakage exceeds the expected occurrence rate resulting in adverse tissue reaction, soft tissue damage, and/or bone damage, when the recommended surgical techniques are not followed
May 28, 2015Class IIZ-2092-2015Labeling False and MisleadingIt was reported that the RIA Drive Shaft, Tube Assembly, and Reamer Head have the potential to break when incorrectly assembled or used improperly. Precautionary statements are being added to the Reamer / Irrigator / Aspirator (RIA)…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Its one ancestor has a recall.

How does its category compare?

All HTO devices

HTO Reamer: FDA decisions, review times, recalls and adverse event reports over 20 years. 2011, this device’s year, is highlighted.

FDA decisions per year · HTO

1in 2011

2011: 1
2007high 1 (2011) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HTO

Too few HTO 510(k)s in any year since 2007 to give a median.

Recalls per year · HTO

17in 2020

2008: 12010: 212011: 22012: 32013: 12014: 12015: 12016: 72017: 72018: 12020: 17
2007high 21 (2010) · low 0 (2007)2026

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

Adverse event reports per year · HTO

1,046in 2025

2007: 312008: 762009: 812010: 902011: 792012: 1622013: 5232014: 4052015: 6552016: 1,0392017: 1,2342018: 1,8352019: 1,9552020: 1,5312021: 4,8022022: 3,9092023: 4,4012024: 4,7462025: 1,046
2007high 4,802 (2021) · low 31 (2007)2025

MAUDE reports naming product code HTO, 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
20070—031
20080—176
20090—081
20100—2190
20111—279
20120—3162
20130—1523
20140—1405
20150—1655
20160—71,039
20170—71,234
20180—11,835
20190—01,955
20200—171,531
20210—04,802
20220—03,909
20230—04,401
20240—04,746
20250—01,046
20260—0—

What is it indicated for?

Synthes MIA System is intended for use in adults and adolescents

(12-21 years) to clear the medullary canal of bone marrow and

debris and to effectively size the medullary canal for the acceptance

of an intramedullary implant or prosthesis, to harvest finely

morselized autogenous bone and bone marrow for any surgical

procedure requiring bone graft to facilitate fusion and/or fill bone

defects, and to remove infected and necrotic bone and tissue from

the medullary canal in the treatment of osteomyelitis.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K111437: Synthes Ria System (Expanded Indications).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K111437

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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