510(k) Report

510(k) · Cleared

Cleared

Aos 6.5MM Captured, Fully Threaded Cancellous Screw

K141228510(k) TraditionalCleared Jul 8, 201457-day reviewClass II21 CFR 888.3020

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

Advanced Orthopaedic Solutions, Inc. · HSB Rod, Fixation, Intramedullary And Accessories

Cleared on Jul 8, 2014 as substantially equivalent to K123569 (Advanced Orthopaedic Solutions, Inc., 2013) and 2 other predicates after a 57-day review. Its family tree reaches back 6 generations to 2000. 2 later devices descend from it.

Decided
Jul 8, 2014
Review
57 days
Class
Class II
Product code
HSB
Recalls
None
Predicates
3

Its longest line of descent runs back 6 generations to K000684 (2000). 80 ancestors in all, the oldest K871539 (1987). 2 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2013: 1 other ancestor2003: 7 other ancestors2012: 1 other ancestor2010: 1 other ancestor2008: 2 other ancestors2007: 3 other ancestors2005: 2 other ancestors2004: 8 other ancestors2002: 4 other ancestors2001: 10 other ancestors2000: 5 other ancestors1997: 5 other ancestors1996: 6 other ancestors1995: 3 other ancestors1992: 3 other ancestors1987: 1 other ancestor2011: 1 other ancestor2009: 2 other ancestors1999: 1 other ancestor1998: 6 other ancestors1991: 1 other ancestor1989: 1 other ancestor2023: 1 descendant cleared2025: 1 descendant clearedK000684 · Small Fragment Dynamic Compression Locking (DCL) System · Synthes (Usa) · 2000 · recalled×2: 2 generations cleared close together, K011335 (2001), K012655 (2001) K063460 · Acumed Congruent Bone Plate System · Acumed, LLC · 2006K080184 · Distal Humeral Plates with Angular Stability · I.T.S. Implantat-Technologie-Systeme GmbH · 2008 · recalledK132945 · CFN-Cannulated Femur Nail, CTN-Cannulated Tibia Nail, CHN-Cannulated Humeral Nail · I.T.S. GmbH · 20141990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 24 other ancestors3 generations back: 29 other ancestors4 generations back: 13 other ancestors5 generations back: 5 other ancestors6 generations back: 1 other ancestor 1 generation forward: 1 descendant2 generations forward: 1 descendant K132945 · CFN-Cannulated Femur Nail, CTN-Cannulated Tibia Nail, CHN-Cannulated Humeral Nail · I.T.S. GmbH · 2014K080184 · Distal Humeral Plates with Angular Stability · I.T.S. Implantat-Technologie-Systeme GmbH · 2008 · recalledK063460 · Acumed Congruent Bone Plate System · Acumed, LLC · 2006K012655 · Congruent Bone Plate System · Acu Med, Inc. · 2001 · recalledK011335 · Synths One-Third Tubular DCL Plate · Synthes (Usa) · 2001 · recalledK000684 · Small Fragment Dynamic Compression Locking (DCL) System · Synthes (Usa) · 2000 · recalled−50
  1. Root · 6 generations backK000684 Small Fragment Dynamic Compression Locking (DCL) SystemSynthes (Usa) · 2000 · Recalled
  2. 5 generations backK011335 Synths One-Third Tubular DCL PlateSynthes (Usa) · 2001 · Recalled
  3. 4 generations backK012655 Congruent Bone Plate SystemAcu Med, Inc. · 2001 · Recalled
  4. 3 generations backK063460 Acumed Congruent Bone Plate SystemAcumed, LLC · 2006
  5. 2 generations backK080184 Distal Humeral Plates with Angular StabilityI.T.S. Implantat-Technologie-Systeme GmbH · 2008 · Recalled
  6. 1 generation backK132945 CFN-Cannulated Femur Nail, CTN-Cannulated Tibia Nail, CHN-Cannulated…I.T.S. GmbH · 2014
  7. This deviceK141228 Aos 6.5MM Captured, Fully Threaded Cancellous ScrewAdvanced Orthopaedic Solutions, Inc. · 2014
  8. Descendant · cites it directly · 1 of its ownK230257 Arthrex Intramedullary NailsArthrex, Inc. · 2023
  9. Descendant · 2 generations on · 0 of its ownK243890 Arthrex Intramedullary NailsArthrex, Inc. · 2025

Most influential descendants

Showing 2 of 2 · See all
  • K230257Arthrex Intramedullary NailsArthrex, Inc. · 2023 · cites it directly1descendant
  • K243890Arthrex Intramedullary NailsArthrex, Inc. · 2025 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K000684Small Fragment Dynamic Compression Locking (DCL) SystemSynthes (Usa)20001
−5K011335Synths One-Third Tubular DCL PlateSynthes (Usa)20012
−4K012655Congruent Bone Plate SystemAcu Med, Inc.200116
−3K063460Acumed Congruent Bone Plate SystemAcumed, LLC2006—
−2K080184Distal Humeral Plates with Angular StabilityI.T.S. Implantat-Technologie-Systeme GmbH20081
−1K132945CFN-Cannulated Femur Nail, CTN-Cannulated Tibia Nail, CHN-Cannulated Humeral…I.T.S. GmbH2014—
0 (this device)K141228Aos 6.5MM Captured, Fully Threaded Cancellous ScrewAdvanced Orthopaedic Solutions, Inc.2014—
+1K230257Arthrex Intramedullary NailsArthrex, Inc.2023—
+2K243890Arthrex Intramedullary NailsArthrex, Inc.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198710
198910
199110
199230
199530
199660
199750
199860
199910
200050
2001100
200240
200370
200480
200520
200730
200820
200920
201010
201110
201210
201310

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
202510
FIG. 1 — Lineage of K141228, 2000–2025Source: 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 HSB? 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 HSB device

  1. #1 K200869 Gamma3 Systemscore 19.8 · 8 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
*K123569Antegrade Femoral Nail
Summary page 1
…Rod DEVICE CODE: HSB- SUBSTANTIALLY EQUIVALENT DEVICES: ACS Antegrade Femoral Nail System (510(k): K1 23569, Cleared May 24, 2013); DePuy ACE Universal and Troch Entry Femoral Nail Systems…
Advanced Orthopaedic Solutions, Inc.2013—
*K033329Depuy Ace Universal and Troch Entry Femoral Nail Systems
Summary page 1
…K1 23569, Cleared May 24, 2013); DePuy ACE Universal and Troch Entry Femoral Nail Systems (51 0(k): K033329, Cleared November 14, 2003); and I.TS. GMBH IM Nail Systems CFN-CTN-CHN…
Depuy, Inc.2003—
*K132945CFN-Cannulated Femur Nail, CTN-Cannulated Tibia Nail, CHN-Cannulated Humeral Nail
Summary page 1
…(51 0(k): K033329, Cleared November 14, 2003); and I.TS. GMBH IM Nail Systems CFN-CTN-CHN (510(k): K132945, Cleared March 7, 2014) DEVICE DESCRIPTION: The AOS 6.5mm Fully Threaded Cancellous Screw is…
I.T.S. GmbH2014—

Also cleared against K123569: 3 other devices →

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K230257Arthrex Intramedullary NailsArthrex, Inc.20231

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 14 years and passes through 6 companies; a new generation was cleared every 1.3 years on median.
  • 34 of the 80 ancestors have a recall of any class.
  • Of its descendants, K230257 (Arthrex, Inc., 2023) has gone furthest, with 1 descendant of its own.
  • 3 other devices also cite its predicate K123569.

How does its category compare?

All HSB devices

HSB Rod, Fixation, Intramedullary And Accessories: FDA decisions, review times, recalls and adverse event reports over 20 years. 2014, this device’s year, is highlighted.

FDA decisions per year · HSB

15in 2025

2007: 82008: 112009: 182010: 142011: 162012: 172013: 182014: 192015: 222016: 82017: 232018: 172019: 132020: 172021: 102022: 122023: 112024: 132025: 152026 (partial year): 18
2007high 23 (2017) · low 8 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HSB

106in 2025

2007: 68 days median2008: 57 days median2009: 86 days median2010: 117 days median2011: 78 days median2012: 112 days median2013: 105 days median2014: 147 days median2015: 111 days median2016: 124 days median2017: 119 days median2018: 134 days median2019: 132 days median2020: 112 days median2021: 94 days median2022: 172 days median2023: 162 days median2024: 195 days median2025: 106 days median2026 (partial year): 151 days median
2007high 195 (2024) · low 57 (2008)2026

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

Recalls per year · HSB

18in 2025

2008: 92009: 812010: 182011: 22012: 72013: 142014: 32015: 32016: 62017: 662018: 562019: 62020: 62021: 22022: 12023: 12024: 12025: 182026 (partial year): 1
2007high 81 (2009) · low 0 (2007)2026

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

Adverse event reports per year · HSB

2,911in 2025

2007: 1622008: 1842009: 3342010: 4542011: 6622012: 1,0792013: 1,7732014: 1,4742015: 1,6712016: 1,9202017: 1,4472018: 3,5262019: 2,5172020: 3,2992021: 4,1112022: 2,7332023: 2,2192024: 2,8692025: 2,911
2007high 4,111 (2021) · low 162 (2007)2025

MAUDE reports naming product code HSB, 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
20078680162
200811579184
2009188681334
20101411718454
201116782662
20121711271,079
201318105141,773
20141914731,474
20152211131,671
2016812461,920
201723119661,447
201817134563,526
20191313262,517
20201711263,299
2021109424,111
20221217212,733
20231116212,219
20241319512,869
202515106182,911
2026181511—

What is it indicated for?

The AOS Antegradle Femoral Nail is intended for use in intramedullary fixation of fractures of the femur to include the following: Open and closed femoral fractures; Pseudoarthrosis and correction osteotomy; Pathologic fractures, impending pathologic fractures, and tumor resections; Supracondylar fractures, including those with severe comminution and intraarticular extension; psilateral femur fractures; Bone lengthening; Fractures proximal to a total knee arthroplasty or prosthesis; Fractures distal to a hip joint; Nonunions and malunions; Fractures resulting from osteoporosis.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K141228: Aos 6.5MM Captured, Fully Threaded Cancellous Screw.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K141228

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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