510(k) Report

510(k) · Cleared

Cleared

MAYFIELD Skull Clamp

K142238510(k) TraditionalCleared Nov 24, 2014103-day reviewClass II21 CFR 882.4460

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

Integra LifeSciences Corporation · HBL Holder, Head, Neurosurgical (Skull Clamp)

Cleared on Nov 24, 2014 as substantially equivalent to K120633 (Integra LifeSciences Corporation, 2012) after a 103-day review. Its family tree reaches back 3 generations to 2005. 1 later device descends from it.

Decided
Nov 24, 2014
Review
103 days
Class
Class II
Product code
HBL
Recalls
None
Predicates
1

Its longest line of descent runs back 3 generations to K050319 (2005). 4 ancestors in all. 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2005: 1 other ancestor2025: 1 descendant clearedK050319 · Mayfield MR/CT Skull Clamp, Model 4-0-a-1104 · Integra Lifesciences Corp. · 2005K090506 · Mayfield Infinity XR2 Skull Clamp, Model a-2114 · Integra LifeSciences Corporation · 2009K120633 · Mayfield Skull Clamp · Integra LifeSciences Corporation · 2012 · recalled20052010201520202025
  1. Root · 3 generations backK050319 Mayfield MR/CT Skull Clamp, Model 4-0-a-1104Integra Lifesciences Corp. · 2005
  2. 2 generations backK090506 Mayfield Infinity XR2 Skull Clamp, Model a-2114Integra LifeSciences Corporation · 2009
  3. 1 generation backK120633 Mayfield Skull ClampIntegra LifeSciences Corporation · 2012 · Recalled
  4. This deviceK142238 MAYFIELD Skull ClampIntegra LifeSciences Corporation · 2014
  5. Descendant · cites it directly · 0 of its ownK250423 mb-FIX Cranial Stabilization SystemsMedical Bees GmbH · 2025

Most influential descendants

Showing 1 of 1 · See all
  • K250423mb-FIX Cranial Stabilization SystemsMedical Bees GmbH · 2025 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K050319Mayfield MR/CT Skull Clamp, Model 4-0-a-1104Integra Lifesciences Corp.2005—
−2K090506Mayfield Infinity XR2 Skull Clamp, Model a-2114Integra LifeSciences Corporation2009—
−1K120633Mayfield Skull ClampIntegra LifeSciences Corporation20122
0 (this device)K142238MAYFIELD Skull ClampIntegra LifeSciences Corporation2014—
+1K250423mb-FIX Cranial Stabilization SystemsMedical Bees GmbH2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202510
FIG. 1 — Lineage of K142238, 2005–2025Source: 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 HBL? 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 HBL device

  1. #1 K250423 mb-FIX Cranial Stabilization Systemsscore 13.0 · 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
*K120633Mayfield Skull Clamp
Summary page 4
…e Class Class II 807.92(a)(3) - Legally marketed device(s) to which equivalence is claimed MAYFIELD Skull Clamp (K120633) 807.92(a)(4) - Device description The MAYFIELD Skull Clamp is a cranial stabilization…
Integra LifeSciences Corporation20122

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K250423mb-FIX Cranial Stabilization SystemsMedical Bees GmbH20250

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 9 years and passes through 2 companies; a new generation was cleared every 3.1 years on median.
  • 1 of the 4 ancestors has a recall of any class.
  • Of its descendants, K250423 (Medical Bees GmbH, 2025) has gone furthest, with 0 descendants of its own.

How does its category compare?

All HBL devices

HBL Holder, Head, Neurosurgical (Skull Clamp): FDA decisions, review times, recalls and adverse event reports over 20 years. 2014, this device’s year, is highlighted.

FDA decisions per year · HBL

1in 2025

2007: 32008: 22009: 32010: 12011: 12012: 22013: 22014: 22017: 12019: 22020: 22021: 12024: 22025: 1
2007high 3 (2007) · low 0 (2015)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HBL

54in 2009

2007: 30 days median2009: 54 days median
2007high 54 (2009) · low 30 (2007)2026

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

Recalls per year · HBL

1in 2025

2012: 12013: 12017: 12019: 12020: 12022: 12025: 1
2007high 1 (2012) · low 0 (2007)2026

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

Adverse event reports per year · HBL

272in 2025

2007: 392008: 1032009: 972010: 1542011: 1992012: 1702013: 1482014: 1662015: 1962016: 2802017: 2962018: 3052019: 1,0282020: 6072021: 5122022: 2682023: 2652024: 1972025: 272
2007high 1,028 (2019) · low 39 (2007)2025

MAUDE reports naming product code HBL, 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
2007330039
20082—0103
2009354097
20101—0154
20111—0199
20122—1170
20132—1148
20142—0166
20150—0196
20160—0280
20171—1296
20180—0305
20192—11,028
20202—1607
20211—0512
20220—1268
20230—0265
20242—0197
20251—1272
20260—0—

What is it indicated for?

The MAYFIELD Skull Clamp is placed on the patient's skull to hold their head and neck securely in a particular position when rigid fixation is desired. The clamp is indicated for use in open and percutaneous craniotomies as well as spinal surgery when rigid skeletal fixation is necessary.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K142238: MAYFIELD Skull Clamp.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K142238

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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