510(k) Report

510(k) · Cleared

Cleared

Pioneer Sternal Cable Plate System

K122293510(k) TraditionalCleared Oct 12, 201273-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

Pioneer Surgical Technology, Inc. · HRS Plate, Fixation, Bone

Cleared on Oct 12, 2012 as substantially equivalent to K946173 (ETHICON, Inc., 1995) and 5 other predicates after a 73-day review. Its family tree reaches back 9 generations to 1976. 46 later devices descend from it.

Decided
Oct 12, 2012
Review
73 days
Class
Class II
Product code
HRS
Recalls
None
Predicates
6

Its longest line of descent runs back 9 generations to K761228 (1976). 26 ancestors in all. 46 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2004: 1 other ancestor2003: 1 other ancestor2001: 1 other ancestor1995: 1 other ancestor1994: 3 other ancestors1998: 1 other ancestor1997: 2 other ancestors1996: 3 other ancestors1991: 1 other ancestor1988: 1 other ancestor1986: 2 other ancestors2014: 1 descendant cleared2015: 1 descendant cleared2021: 2 descendants cleared2018: 2 descendants cleared2016: 1 descendant cleared2023: 6 descendants cleared2022: 3 descendants cleared2020: 1 descendant cleared2024: 10 descendants cleared2025: 11 descendants cleared2026: 8 descendants clearedK761228 · Luhr Mandibular Compression-Screw System · Howmedica Corp. · 1976K963739 · Leibinger - Luhr Small Orthopedic Bone Screws · Howmedica Leibinger, Inc. · 1997×2: 2 generations cleared close together, K970912 (1997), K974785 (1998) K013954 · Lorenz Self Drilling Screws · Walter Lorenz Surgical, Inc. · 2002×2: 2 generations cleared close together, K032228 (2003), K033740 (2003) K063506 · Lorenz Sternal Closure System · Walter Lorenz Surgical, Inc. · 2006K110574 · Biomet Microfixation Sternalock Blu Sternal Closure System · Biomet Microfixation, Inc. · 2011 · recalled19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 5 other ancestors4 generations back: 2 other ancestors5 generations back: 2 other ancestors6 generations back: 2 other ancestors7 generations back: 6 other ancestors 1 generation forward: 1 descendant2 generations forward: 2 descendants3 generations forward: 5 descendants4 generations forward: 7 descendants5 generations forward: 13 descendants6 generations forward: 16 descendants7 generations forward: 2 descendants K110574 · Biomet Microfixation Sternalock Blu Sternal Closure System · Biomet Microfixation, Inc. · 2011 · recalledK063506 · Lorenz Sternal Closure System · Walter Lorenz Surgical, Inc. · 2006K033740 · Lorenz Sternal Closure System · Walter Lorenz Surgical, Inc. · 2003K032228 · Lorenz 2.4 Self Drilling Screws · Walter Lorenz Surgical, Inc. · 2003K013954 · Lorenz Self Drilling Screws · Walter Lorenz Surgical, Inc. · 2002K974785 · Auto-Drive Bone Screw · Osteomed Corp. · 1998K970912 · Leibinger Self-Drilling Screw · Howmedica Leibinger, Inc. · 1997K963739 · Leibinger - Luhr Small Orthopedic Bone Screws · Howmedica Leibinger, Inc. · 1997K761228 · Luhr Mandibular Compression-Screw System · Howmedica Corp. · 1976−50+5
  1. Root · 9 generations backK761228 Luhr Mandibular Compression-Screw SystemHowmedica Corp. · 1976
  2. 5 generations between
  3. 3 generations backK033740 Lorenz Sternal Closure SystemWalter Lorenz Surgical, Inc. · 2003
  4. 2 generations backK063506 Lorenz Sternal Closure SystemWalter Lorenz Surgical, Inc. · 2006
  5. 1 generation backK110574 Biomet Microfixation Sternalock Blu Sternal Closure SystemBiomet Microfixation, Inc. · 2011 · Recalled
  6. This deviceK122293 Pioneer Sternal Cable Plate SystemPioneer Surgical Technology, Inc. · 2012
  7. Descendant · cites it directly · 45 of its ownK133785 Tritium Sternal Cable Plate SystemPioneer Surgical Technology, Inc. · 2014 · Recalled
  8. Descendant · 2 generations on · 44 of its ownK150581 Tritium Sternal Cable Plate SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) · 2015
  9. Descendant · 3 generations on · 43 of its ownK161876 Tritium® Sternal Cable Plate SystemPioneer Surgical Technology, Inc., Dba Rti Surgical, Inc. · 2016
  10. Descendant · 4 generations on · 40 of its ownK193468 Tritium Sternal Cable Plate SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) · 2020
  11. Descendant · 2 generations on · 39 of its ownK202889 Able Medical Devices Valkyrie Thoracic Fixation SystemJm Longyear Manufacturing, LLC D.B.A. Able Medical Devices · 2021
Show all 9 generations
  1. Root · 9 generations backK761228 Luhr Mandibular Compression-Screw SystemHowmedica Corp. · 1976
  2. 8 generations backK963739 Leibinger - Luhr Small Orthopedic Bone ScrewsHowmedica Leibinger, Inc. · 1997
  3. 7 generations backK970912 Leibinger Self-Drilling ScrewHowmedica Leibinger, Inc. · 1997
  4. 6 generations backK974785 Auto-Drive Bone ScrewOsteomed Corp. · 1998
  5. 5 generations backK013954 Lorenz Self Drilling ScrewsWalter Lorenz Surgical, Inc. · 2002
  6. 4 generations backK032228 Lorenz 2.4 Self Drilling ScrewsWalter Lorenz Surgical, Inc. · 2003
  7. 3 generations backK033740 Lorenz Sternal Closure SystemWalter Lorenz Surgical, Inc. · 2003
  8. 2 generations backK063506 Lorenz Sternal Closure SystemWalter Lorenz Surgical, Inc. · 2006
  9. 1 generation backK110574 Biomet Microfixation Sternalock Blu Sternal Closure SystemBiomet Microfixation, Inc. · 2011 · Recalled
  10. This deviceK122293 Pioneer Sternal Cable Plate SystemPioneer Surgical Technology, Inc. · 2012

Showing 5 of 46 descendants. See all descendants

Descendants cleared per year

2014: 12015: 12016: 12018: 22020: 12021: 22022: 32023: 62024: 102025: 112026: 8
2014high 11 (2025) · low 0 (2017)2026

Most influential descendants

Showing 5 of 46 · See all
  • K133785Tritium Sternal Cable Plate SystemPioneer Surgical Technology, Inc. · 2014 · cites it directly45descendants
  • K150581Tritium Sternal Cable Plate SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) · 2015 · 2 generations on44descendants
  • K161876Tritium® Sternal Cable Plate SystemPioneer Surgical Technology, Inc., Dba Rti Surgical, Inc. · 2016 · 3 generations on43descendants
  • K193468Tritium Sternal Cable Plate SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.) · 2020 · 4 generations on40descendants
  • K202889Able Medical Devices Valkyrie Thoracic Fixation SystemJm Longyear Manufacturing, LLC D.B.A. Able Medical Devices · 2021 · 2 generations on39descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K761228Luhr Mandibular Compression-Screw SystemHowmedica Corp.1976—
−8K963739Leibinger - Luhr Small Orthopedic Bone ScrewsHowmedica Leibinger, Inc.1997—
−7K970912Leibinger Self-Drilling ScrewHowmedica Leibinger, Inc.1997—
−6K974785Auto-Drive Bone ScrewOsteomed Corp.1998—
−5K013954Lorenz Self Drilling ScrewsWalter Lorenz Surgical, Inc.2002—
−4K032228Lorenz 2.4 Self Drilling ScrewsWalter Lorenz Surgical, Inc.2003—
−3K033740Lorenz Sternal Closure SystemWalter Lorenz Surgical, Inc.2003—
−2K063506Lorenz Sternal Closure SystemWalter Lorenz Surgical, Inc.2006—
−1K110574Biomet Microfixation Sternalock Blu Sternal Closure SystemBiomet Microfixation, Inc.20111
0 (this device)K122293Pioneer Sternal Cable Plate SystemPioneer Surgical Technology, Inc.2012—
+1K133785Tritium Sternal Cable Plate SystemPioneer Surgical Technology, Inc.20141
+2K150581Tritium Sternal Cable Plate SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.)2015—
+3K161876Tritium® Sternal Cable Plate SystemPioneer Surgical Technology, Inc., Dba Rti Surgical, Inc.2016—
+4K193468Tritium Sternal Cable Plate SystemPioneer Surgical Technology, Inc. (Dba Rti Surgical, Inc.)2020—
+2K202889Able Medical Devices Valkyrie Thoracic Fixation SystemJm Longyear Manufacturing, LLC D.B.A. Able Medical Devices2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198620
198810
199110
199430
199510
199630
199720
199810
200110
200310
200410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201410
201510
201610
201820
202010
202120
202230
202360
2024100
2025110
202680
FIG. 1 — Lineage of K122293, 1976–2026Source: 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? (6)

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
*K946173Stainless Steel, Gut, Poly (Glycolide/L-Lactide) Polyamide, Polypropylene, Poly…
Summary page 1
…on-Spinal, Metallic (HRS) §888.3040 Screw, Fixation, Bone, Non-Spinal, Metallic (HWC) Predicate Devices: Ethicon Stainless Steel Suture Wire (K946 173) Pioneer Songer Cable System (K93548 1) Lorenz Sternal Closure System with Modular…
ETHICON, Inc.199510
*K935481Sponger Cable System, Modification
Summary page 1
…ew, Fixation, Bone, Non-Spinal, Metallic (HWC) Predicate Devices: Ethicon Stainless Steel Suture Wire (K946 173) Pioneer Songer Cable System (K93548 1) Lorenz Sternal Closure System with Modular Screw (Biomet SternaLock) (KOI 11076)…
Pioneer Surgical Technology1994—
*K011076Lorenz Sternal Closure System with Modular ScrewWalter Lorenz Surgical, Inc.2001—
*K110574Biomet Microfixation Sternalock Blu Sternal Closure SystemBiomet Microfixation, Inc.20111
*K031508Synthes (Usa) Sternal Reconstruction System
Summary page 1
…Biomet SternaLock Biu Microfixation Sternal Closure System (KI 10574) Synthes Modular Sternal Cable / Sternal Reconstruction System (K03 1508/ K0338 16) Description: The Pioneer Sternal Cable Plate System contains various configurations…
Synthes (Usa)2003—
*K033816Synthes (Usa) Modification to Sternal Reconstruction System
Summary page 1
…iu Microfixation Sternal Closure System (KI 10574) Synthes Modular Sternal Cable / Sternal Reconstruction System (K03 1508/ K0338 16) Description: The Pioneer Sternal Cable Plate System contains various configurations of plates,…
Synthes (Usa)2004—

Also cleared against K946173: 18 other devices →

What descends from it? (46)

See all 46

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K133785Tritium Sternal Cable Plate SystemPioneer Surgical Technology, Inc.201445

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 36 years and passes through 6 companies; a new generation was cleared every 1.4 years on median.
  • 3 of the 26 ancestors have a recall of any class.
  • Of its descendants, K133785 (Pioneer Surgical Technology, Inc., 2014) has gone furthest, with 45 descendants of its own.
  • 18 other devices also cite its predicate K946173.

How does its category compare?

All HRS devices

HRS Plate, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, 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 Pioneer Sternal Cable Plate System is intended for use in the stabilization and fixation of fractures of the anterior chest wall including Sternal fixation following Sternotomy and Sternal reconstructive surgical procedures.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K122293: Pioneer Sternal Cable Plate System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K122293

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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