510(k) Report

510(k) · Cleared

Cleared

Cranial Loop, Cranial Loop L and Cranial Loop XL and Cranial Bone Fixation System

K132044510(k) TraditionalCleared Sep 30, 201390-day reviewClass II21 CFR 882.5250

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

Neos Surgery S.L · GXR Cover, Burr Hole

Cleared on Sep 30, 2013 as substantially equivalent to K101235 (Neos Surgery S.L, 2010) after a 90-day review. Its family tree reaches back 3 generations to 2001. 3 later devices descend from it.

Decided
Sep 30, 2013
Review
90 days
Class
Class II
Product code
GXR
Recalls
None
Predicates
1

Its longest line of descent runs back 3 generations to K002334 (2001). 7 ancestors in all, the oldest K972332 (1998). 3 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2001: 1 other ancestor1998: 1 other ancestor2003: 1 other ancestor2002: 1 other ancestor2020: 1 descendant cleared2024: 1 descendant cleared2016: 1 descendant clearedK002334 · Macroporens Craniloc · Macropore Biosurgery, Inc. · 2001K040080 · Aesculap Absorbable Craniofix · Aesculap, Inc. · 2004K101235 · Cranial Loop Cranial Bone Fixation System · Neos Surgery S.L · 20101995200020052010201520202025
Other ancestors, by generationDescendants, by generation 2 generations back: 2 other ancestors3 generations back: 2 other ancestors 1 generation forward: 3 descendants K101235 · Cranial Loop Cranial Bone Fixation System · Neos Surgery S.L · 2010K040080 · Aesculap Absorbable Craniofix · Aesculap, Inc. · 2004K002334 · Macroporens Craniloc · Macropore Biosurgery, Inc. · 20010
  1. Root · 3 generations backK002334 Macroporens CranilocMacropore Biosurgery, Inc. · 2001
  2. 2 generations backK040080 Aesculap Absorbable CraniofixAesculap, Inc. · 2004
  3. 1 generation backK101235 Cranial Loop Cranial Bone Fixation SystemNeos Surgery S.L · 2010
  4. This deviceK132044 Cranial Loop, Cranial Loop L and Cranial Loop XL and Cranial Bone…Neos Surgery S.L · 2013
  5. Descendant · cites it directly · 1 of its ownK160739 Cranial COVERNeos Surgery S.L · 2016
  6. Descendant · cites it directly · 0 of its ownK240137 Cranial LOOP, Cranial LOOP L and Cranial LOOP XL Cranial Bone…Neos Surgery S.L · 2024
  7. Descendant · cites it directly · 0 of its ownK192310 Flap Fixator, Burr Hole CoverOssaware Biotech Co., Ltd. · 2020

Most influential descendants

Showing 3 of 3 · See all
  • K160739Cranial COVERNeos Surgery S.L · 2016 · cites it directly1descendant
  • K240137Cranial LOOP, Cranial LOOP L and Cranial LOOP XL Cranial Bone Fixation SystemNeos Surgery S.L · 2024 · cites it directly0descendants
  • K192310Flap Fixator, Burr Hole CoverOssaware Biotech Co., Ltd. · 2020 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K002334Macroporens CranilocMacropore Biosurgery, Inc.2001—
−2K040080Aesculap Absorbable CraniofixAesculap, Inc.2004—
−1K101235Cranial Loop Cranial Bone Fixation SystemNeos Surgery S.L2010—
0 (this device)K132044Cranial Loop, Cranial Loop L and Cranial Loop XL and Cranial Bone Fixation…Neos Surgery S.L2013—
+1K160739Cranial COVERNeos Surgery S.L2016—
+1K240137Cranial LOOP, Cranial LOOP L and Cranial LOOP XL Cranial Bone Fixation SystemNeos Surgery S.L2024—
+1K192310Flap Fixator, Burr Hole CoverOssaware Biotech Co., Ltd.2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199810
200110
200210
200310

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201610
202010
202410
FIG. 1 — Lineage of K132044, 2001–2024Source: 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 GXR? 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 GXR device

  1. #1 K253447 Montage Flowable Settable, Resorbable Bone…score 13.7 · 10 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin 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
*K101235Cranial Loop Cranial Bone Fixation System
Summary page 4
…ussion: The line extension for the Cranial LOOP L and Cranial LOOP XL has the following similarities to the previously cleared Cranial LOOP Cranial Bone Fixation System- K101235: * has the same indicated use. " uses the same operating principle, * incorporates the same basic device…
Neos Surgery S.L2010—

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K160739Cranial COVERNeos Surgery S.L20161
K240137Cranial LOOP, Cranial LOOP L and Cranial LOOP XL Cranial Bone Fixation SystemNeos Surgery S.L20240
K192310Flap Fixator, Burr Hole CoverOssaware Biotech Co., Ltd.20200

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 12 years and passes through 3 companies; a new generation was cleared every 2.9 years on median.
  • None of the 7 ancestors has a recall.
  • Of its descendants, K160739 (Neos Surgery S.L, 2016) has gone furthest, with 1 descendant of its own.

How does its category compare?

All GXR devices

GXR Cover, Burr Hole: FDA decisions, review times, recalls and adverse event reports over 20 years. 2013, this device’s year, is highlighted.

FDA decisions per year · GXR

1in 2024

2007: 12010: 22013: 42014: 22016: 22018: 22020: 22023: 12024: 12026 (partial year): 1
2007high 4 (2013) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GXR

116in 2013

2013: 116 days median
2007high 116 (2013)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · GXR

No recall names GXR since 2007.

Adverse event reports per year · GXR

10in 2025

2007: 32008: 22010: 12011: 42012: 42013: 42014: 22015: 72016: 72017: 72018: 452019: 282020: 162021: 282022: 132023: 112024: 32025: 10
2007high 45 (2018) · low 0 (2009)2025

MAUDE reports naming product code GXR, 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
20071—03
20080—02
20090—00
20102—01
20110—04
20120—04
2013411604
20142—02
20150—07
20162—07
20170—07
20182—045
20190—028
20202—016
20210—028
20220—013
20231—011
20241—03
20250—010
20261—0—

What is it indicated for?

The Cranial LOOP Cranial Bone Fixation Systems: Cranial LOOP, Cranial LOOP L and Cranial LOOP XL, are long-term implantable devices indicated for post-craniotamy bone flap fixation.

In cranial bone fixation procedures, the Cranial LOOP (FCO50000) and Cranial LOOP L (FCO5O1 00) are for use within the calvarial gap while the Cranial LOOP XL (FC050200) is to be used for covering a standard 14 mm cranial burr hale only.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K132044: Cranial Loop, Cranial Loop L and Cranial Loop XL and Cranial Bone Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K132044

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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