510(k) · Cleared
Recalled · Class II · 2026I.T.S. Extremity Fixation Systems
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
I.T.S. GmbH · HRS Plate, Fixation, Bone
Cleared on Aug 7, 2013 as substantially equivalent to K111678 (Ortho Solutions Limited, 2012) and 14 other predicates after a 56-day review. Its family tree reaches back 10 generations to 1996. 24 later devices descend from it. It has been recalled 2 times.
- Decided
- Aug 7, 2013
- Review
- 56 days
- Class
- Class II
- Product code
- HRS
- Recalls
- 2
- Predicates
- 15
Its longest line of descent runs back 10 generations to K962616 (1996). 151 ancestors in all, the oldest K792022 (1979). 24 later devices descend from it, 7 citing it directly.
- Root · 10 generations backK962616 Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa) · 1996
- 6 generations between
- 3 generations backK071563 Peri-Loc Periarticular Locked Plating SystemSmith & Nephew, Inc. · 2007
- 2 generations backK090675 Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSmith & Nephew, Inc. · 2009
- 1 generation backK100776 Synthes 2.4 MM/2.7 MM Variable Angle LCP Forefoot/Midfoot SystemSynthes (Usa) · 2010
- This deviceK131722 I.T.S. Extremity Fixation SystemsI.T.S. GmbH · 2013
- Descendant · cites it directly · 11 of its ownK172617 Treace Medical Concepts (TMC) Compression Screw SystemTreace Medical Concepts, Inc. · 2017
- Descendant · 2 generations on · 7 of its ownK213036 Treace Medical Concepts (TMC) Screw Fixation SystemTreace Medical Concepts, Inc. · 2021
- Descendant · 3 generations on · 4 of its ownK240173 Treace Medical Systems (TMC) Plating SystemTreace Medical Concepts, Inc. · 2024 · Recalled
- Descendant · 4 generations on · 3 of its ownK242415 TMC Compression Implant SystemTreace Medical Concepts · 2024
- Descendant · cites it directly · 3 of its ownK210935 I.T.S. Pelvic Reconstruction System (PRS RX & PRS Phoenix)I.T.S. GmbH · 2022 · Recalled
Show all 10 generations
- Root · 10 generations backK962616 Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa) · 1996
- 9 generations backK982732 Synthes (Usa) Distal Radius Plate System (DRPS)Synthes · 1998
- 8 generations backK023007 Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2002
- 7 generations backK030198 Hand Innovations, Inc. Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2003
- 6 generations backK032705 Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2003
- 5 generations backK050932 Distal Volar Radius Anatomical Plate SystemHand Innovations, Inc. · 2005 · Recalled
- 4 generations backK051735 Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper…Smith & Nephew, Inc. · 2005
- 3 generations backK071563 Peri-Loc Periarticular Locked Plating SystemSmith & Nephew, Inc. · 2007
- 2 generations backK090675 Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSmith & Nephew, Inc. · 2009
- 1 generation backK100776 Synthes 2.4 MM/2.7 MM Variable Angle LCP Forefoot/Midfoot SystemSynthes (Usa) · 2010
- This deviceK131722 I.T.S. Extremity Fixation SystemsI.T.S. GmbH · 2013
Showing 5 of 24 descendants. See all descendants
Descendants cleared per year
Most influential descendants
Showing 5 of 24 · See all- K172617Treace Medical Concepts (TMC) Compression Screw SystemTreace Medical Concepts, Inc. · 2017 · cites it directly11descendants
- K213036Treace Medical Concepts (TMC) Screw Fixation SystemTreace Medical Concepts, Inc. · 2021 · 2 generations on7descendants
- K240173Treace Medical Systems (TMC) Plating SystemTreace Medical Concepts, Inc. · 2024 · 3 generations on4descendants
- K242415TMC Compression Implant SystemTreace Medical Concepts · 2024 · 4 generations on3descendants
- K210935I.T.S. Pelvic Reconstruction System (PRS RX & PRS Phoenix)I.T.S. GmbH · 2022 · cites it directly3descendants
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −10 | K962616 | Synthes Dorsal Distal Radius Plate (DDRP) System | Synthes (Usa) | 1996 | — |
| −9 | K982732 | Synthes (Usa) Distal Radius Plate System (DRPS) | Synthes | 1998 | — |
| −8 | K023007 | Distal Radius Fracture Repair System | Hand Innovations, Inc. | 2002 | — |
| −7 | K030198 | Hand Innovations, Inc. Distal Radius Fracture Repair System | Hand Innovations, Inc. | 2003 | — |
| −6 | K032705 | Distal Radius Fracture Repair System | Hand Innovations, Inc. | 2003 | — |
| −5 | K050932 | Distal Volar Radius Anatomical Plate System | Hand Innovations, Inc. | 2005 | 1 |
| −4 | K051735 | Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper Extremity | Smith & Nephew, Inc. | 2005 | — |
| −3 | K071563 | Peri-Loc Periarticular Locked Plating System | Smith & Nephew, Inc. | 2007 | — |
| −2 | K090675 | Smith & Nephew, Inc. VLP Foot Plating, Screw System and Accessories | Smith & Nephew, Inc. | 2009 | — |
| −1 | K100776 | Synthes 2.4 MM/2.7 MM Variable Angle LCP Forefoot/Midfoot System | Synthes (Usa) | 2010 | — |
| 0 (this device) | K131722 | I.T.S. Extremity Fixation Systems | I.T.S. GmbH | 2013 | — |
| +1 | K172617 | Treace Medical Concepts (TMC) Compression Screw System | Treace Medical Concepts, Inc. | 2017 | — |
| +2 | K213036 | Treace Medical Concepts (TMC) Screw Fixation System | Treace Medical Concepts, Inc. | 2021 | — |
| +3 | K240173 | Treace Medical Systems (TMC) Plating System | Treace Medical Concepts, Inc. | 2024 | 1 |
| +4 | K242415 | TMC Compression Implant System | Treace Medical Concepts | 2024 | — |
| +1 | K210935 | I.T.S. Pelvic Reconstruction System (PRS RX & PRS Phoenix) | I.T.S. GmbH | 2022 | 1 |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1979 | 1 | 0 |
| 1980 | 1 | 0 |
| 1981 | 1 | 0 |
| 1989 | 3 | 0 |
| 1990 | 2 | 0 |
| 1991 | 1 | 0 |
| 1992 | 5 | 0 |
| 1993 | 3 | 0 |
| 1994 | 6 | 0 |
| 1995 | 6 | 0 |
| 1996 | 14 | 0 |
| 1997 | 3 | 0 |
| 1998 | 3 | 0 |
| 1999 | 8 | 0 |
| 2000 | 10 | 0 |
| 2001 | 11 | 0 |
| 2002 | 11 | 0 |
| 2003 | 5 | 0 |
| 2004 | 5 | 0 |
| 2005 | 11 | 0 |
| 2006 | 10 | 0 |
| 2007 | 7 | 0 |
| 2008 | 4 | 0 |
| 2009 | 5 | 0 |
| 2010 | 3 | 0 |
| 2011 | 1 | 0 |
| 2012 | 1 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2014 | 1 | 0 |
| 2015 | 3 | 0 |
| 2017 | 2 | 0 |
| 2019 | 1 | 0 |
| 2021 | 1 | 0 |
| 2022 | 3 | 0 |
| 2023 | 3 | 0 |
| 2024 | 4 | 0 |
| 2025 | 2 | 0 |
| 2026 | 4 | 0 |
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 K222465 Tyber Medical Anatomical Plating Systemscore 27.5 · 16 generations · no Class I recall
- #2 Held for the reportin the report
- #3 Held for the reportin the report
What was it cleared against? (15)
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.
| Type | Number | Device | Decided |
|---|---|---|---|
| * | K111678 | Ortho Solutions Extremity Fixation Implants for OsteosysnthesisSummary page 1…DEVICE PRODUCT CODE: HRS SUBSEQUENT PRODUCT CODE: IJWC SUBSTANTIALLY Ortho Solutions - Extremity Fixation Implants (K1 11678) EQUIVALENT DEVICES Stryker- Foot Plating Systems (K060613, K063875) Memometal - Anchorage Bone… | 2012 |
| * | K060613 | Variax Locking Plate SystemSummary page 1…CODE: IJWC SUBSTANTIALLY Ortho Solutions - Extremity Fixation Implants (K1 11678) EQUIVALENT DEVICES Stryker- Foot Plating Systems (K060613, K063875) Memometal - Anchorage Bone Plate System (K083447) Smith & Nephew -… | 2006 |
| * | K063875 | Stryker Foot Plating SystemSummary page 1…IJWC SUBSTANTIALLY Ortho Solutions - Extremity Fixation Implants (K1 11678) EQUIVALENT DEVICES Stryker- Foot Plating Systems (K060613, K063875) Memometal - Anchorage Bone Plate System (K083447) Smith & Nephew - VLP Varia… | 2007 |
| * | K083447 | Memometal Anchorage Bone Plate System, Models PLSS/PLSL, PLP10/PLP20/PLP30/PLP40/PLP50Summary page 1…ixation Implants (K1 11678) EQUIVALENT DEVICES Stryker- Foot Plating Systems (K060613, K063875) Memometal - Anchorage Bone Plate System (K083447) Smith & Nephew - VLP Variable-Angle System (K(090675) Synthes - 2.4/2.7mm Va… | 2009 |
| * | K090675 | Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSummary page 1…ms (K060613, K063875) Memometal - Anchorage Bone Plate System (K083447) Smith & Nephew - VLP Variable-Angle System (K(090675) Synthes - 2.4/2.7mm Variable Angle (VA)-LCP Forefoot/ Midfoot System (K10077… | 2009 |
| * | K100776 | Synthes 2.4 MM/2.7 MM Variable Angle LCP Forefoot/Midfoot SystemSummary page 1…& Nephew - VLP Variable-Angle System (K(090675) Synthes - 2.4/2.7mm Variable Angle (VA)-LCP Forefoot/ Midfoot System (K100776) Vilex - Cannulated Dual Thread Screws (1(014154) Memometal - FIXOS Compressi… | 2010 |
| * | K014154 | Vilex/Duval/Orthex Cannulated Bone Screw DB1 Thread, Model F25-XX-09; Vilex Solid Bone…Summary page 1…nthes - 2.4/2.7mm Variable Angle (VA)-LCP Forefoot/ Midfoot System (K100776) Vilex - Cannulated Dual Thread Screws (1(014154) Memometal - FIXOS Compression Screws (K(070039) Merete Medical - Cannulated… | 2002 |
| * | K070039 | Memometal Fixos ScrewsSummary page 1…Midfoot System (K100776) Vilex - Cannulated Dual Thread Screws (1(014154) Memometal - FIXOS Compression Screws (K(070039) Merete Medical - Cannulated 1-ICS Compression Screws (K091798)… | 2007 |
| * | K091798 | Merete Compression ScrewsSummary page 1…Memometal - FIXOS Compression Screws (K(070039) Merete Medical - Cannulated 1-ICS Compression Screws (K091798) Integra - QWIX Fixation Screws (K(071639) Arthrex - Low Profile Plate and Sc… | 2009 |
| * | K071639 | Qwix Positioning ScrewSummary page 1…Merete Medical - Cannulated 1-ICS Compression Screws (K091798) Integra - QWIX Fixation Screws (K(071639) Arthrex - Low Profile Plate and Screw System (K(052614) SBI - ForeFIX 11 (K0… | 2007 |
| * | K052614 | Low Profile Plate and Screw SystemSummary page 1…(K091798) Integra - QWIX Fixation Screws (K(071639) Arthrex - Low Profile Plate and Screw System (K(052614) SBI - ForeFIX 11 (K071479) Biomet - BioDrive Micro NailI Plate (K092670)… | 2005 |
| * | K071479 | Sbi StafixSummary page 1…Integra - QWIX Fixation Screws (K(071639) Arthrex - Low Profile Plate and Screw System (K(052614) SBI - ForeFIX 11 (K071479) Biomet - BioDrive Micro NailI Plate (K092670) Memometal - FIXOS Twist-Off Sc… | 2007 |
| * | K092670 | Biodrive Micro Screw SystemSummary page 1…threx - Low Profile Plate and Screw System (K(052614) SBI - ForeFIX 11 (K071479) Biomet - BioDrive Micro NailI Plate (K092670) Memometal - FIXOS Twist-Off Screw (K(070039) Wright Medical - Charlotte Snap… | 2009 |
| * | K050819 | Charlotte Snap-Off ScrewSummary page 1…icro NailI Plate (K092670) Memometal - FIXOS Twist-Off Screw (K(070039) Wright Medical - Charlotte Snap-Off Screws (K(050819, K043583) L.T.S. Extremity Fixation Systems Page 1 of 4 Section… | 2005 |
| * | K043583 | Charlotte Snap-Off Screw, Models 45110001, 45110002, 45110003Summary page 1…Memometal - FIXOS Twist-Off Screw (K(070039) Wright Medical - Charlotte Snap-Off Screws (K(050819, K043583) L.T.S. Extremity Fixation Systems Page 1 of 4 Section XII I.T'.S.GmblI -… | 2005 |
What descends from it? (24)
See all 247 later devices cite it directly; ranked here by how many devices descend from each in turn.
| Number | Device | Decided | Descendants |
|---|---|---|---|
| K172617 | Treace Medical Concepts (TMC) Compression Screw System | 2017 | 11 |
| K210935 | I.T.S. Pelvic Reconstruction System (PRS RX & PRS Phoenix) | 2022 | 3 |
| K163489 | OrthoSolutions 'System26' Bone Screws | 2017 | 3 |
| K143365 | Eminent Foot Plate System | 2015 | 1 |
| K142418 | I.T.S. Hand Locking Plates System - HLS | 2014 | 1 |
| K260958 | I.T.S. Clavicle Plates with Angular Stability; I.T.S. Volar Radius Plate with Angular… | 2026 | 0 |
| K151241 | Synchro-Medical TIGER TRACK Screw System | 2015 | 0 |
Has anything in its family been recalled? (0 Class I)
Recalls of this device
| Date | Class | Recall | Root cause | Reason |
|---|---|---|---|---|
| Jan 23, 2026 | Class II | Z-1605-2026 | No Marketing Application | Updated MRI safety testing demonstrates higher RF-induced temperature increases under certain MRI conditions than previously reflected in the Instructions for Use (IFU). |
| Jan 23, 2026 | Class II | Z-1606-2026 | No Marketing Application | Updated MRI safety testing demonstrates higher RF-induced temperature increases under certain MRI conditions than previously reflected in the Instructions for Use (IFU). |
No ancestor or descendant has a Class I recall.
What does this lineage say?
- The line of descent spans 17 years and passes through 5 companies; a new generation was cleared every 1.8 years on median.
- 25 of the 151 ancestors have a recall of any class.
- Of its descendants, K172617 (Treace Medical Concepts, Inc., 2017) has gone furthest, with 11 descendants of its own.
- 7 other devices also cite its predicate K111678.
How does its category compare?
All HRS devicesHRS Plate, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2013, this device’s year, is highlighted.
FDA decisions per year · HRS
54in 2025
2026 to Oct 25, outlined.
Median 510(k) review, days · HRS
90in 2025
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · HRS
1in 2025
Class I (0 since 2007) Class II/III not classified
Adverse event reports per year · HRS
2,306in 2025
MAUDE reports naming product code HRS, not matched to any one device; reports are not rates.
View these four charts as a table
| Year | Decisions | Median 510(k) review, days | Recalls (Class I) | MAUDE reports |
|---|---|---|---|---|
| 2007 | 35 | 63 | 2 | 339 |
| 2008 | 35 | 87 | 11 | 311 |
| 2009 | 47 | 85 | 3 | 435 |
| 2010 | 49 | 100 | 16 | 491 |
| 2011 | 43 | 88 | 5 | 773 |
| 2012 | 59 | 106 | 4 | 1,663 |
| 2013 | 56 | 89 | 11 | 2,643 |
| 2014 | 76 | 57 | 0 | 2,413 |
| 2015 | 56 | 97 | 7 | 3,095 |
| 2016 | 44 | 109 | 5 | 2,276 |
| 2017 | 57 | 122 | 3 | 2,220 |
| 2018 | 40 | 116 | 2 | 2,663 |
| 2019 | 46 | 89 | 25 | 3,359 |
| 2020 | 48 | 88 | 1 | 2,790 |
| 2021 | 40 | 87 | 9 | 2,442 |
| 2022 | 47 | 144 | 3 | 1,700 |
| 2023 | 40 | 120 | 1 | 2,049 |
| 2024 | 54 | 96 | 0 | 1,849 |
| 2025 | 54 | 90 | 1 | 2,306 |
| 2026 | 51 | 82 | 3 | — |
What is it indicated for?
The intended use of the 1.r.S- Exte mit Fixation Systems is to draw two or more aligned bone fragments together to facilitate healing in an adult patient and is composed of the following catagories: The iTS. FLS- Foot Locking Plates Syste Is Indicated for use in internal fixation, reconstruction or arthrodesis of small bones including the fore, mid and hind foot and ankle. Examples of these procedures may include but are not limited to replantation, lag…
Read the full statement (328 words)
The intended use of the 1.r.S- Exte mit Fixation Systems is to draw two or more aligned bone fragments together to facilitate healing in an adult patient and is composed of the following catagories:
The iTS. FLS- Foot Locking Plates Syste Is Indicated for use in internal fixation, reconstruction or arthrodesis of small bones including the fore, mid and hind foot and ankle. Examples of these procedures may include but are not limited to replantation, lag screw techniques, joint fusions, corrective osteotomies, and treatment of fractures. Not for spinal use.
The 1.T.S. HCS - Headless Compression Screw System for sizes of 3.5mm or smaller is indicated for use in fixation small bone fractures or for small bone reconstruction including: mono or bicorlical osteotomies in the foot or hand; distal or proximal metatarsal or metacarpal osteotomies; wail osteotomy; fusion pf the first metatarsalphalangeal joint and interphalageal joint: fixation of osteotomies for Haliux Valgus treatment (such as Scarf, Chevron, etc.); Aikin type osteotomy; distal radius fractures (articular fragments). ulnar styloid fractures, radial head fractures, capitellum fractures, humeral head fractures, glenoid fractures, intercarpal distal and proximal fusions, maileolar fractures, patellar fractures, osteochondral fractures, talonavicular fusions, tibeo-talar fusions, and cuboid fusions.
And for sizes 4.3mmn or larger Is indicated for use for fractures, corrective osteotomies, pseudoarthrosis, degenerative transformations of long bones in the hindfoot and large bone intra-articular fractures of the humerus, femur, and tibia. The size of the chosen compression screw should be adapted to the specific indication, Not for spinal use
The IT.S. HOL - Hallux Osteotomy Locking Plate System is Indicated for use as an intramedullary self-locking plate for distal metatarsal osteotomies and for Hallux Valgus osteotomies up to a corrective angle of 250. Not for spinal use.
The I.TS. Twist-Off Screw System is indicated for use for small bone fixation of bone fractures or for bone reconstruction. Examples include small bone fragments, Well-Osteotomy, Mono-Cortical fixation, Osteotomies and fractures fixation in the foot and hand. Not for spinal use.
Indications for use as stated in the FDA summary.
https://510kreport.com/device/K131722 · printed Nov 6, 2026
Cite this page
510(k) Report. “K131722: I.T.S. Extremity Fixation Systems.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K131722
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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