510(k) Report

510(k) · Cleared

Recalled · Class II · 2026

I.T.S. Hand Locking Plates System - HLS

K142418510(k) TraditionalCleared Sep 26, 201429-day reviewClass II21 CFR 888.3030Recalls 1

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

I.T.S. GmbH · HRS Plate, Fixation, Bone

Cleared on Sep 26, 2014 as substantially equivalent to K961497 (Howmedica, Inc., 1996) and 6 other predicates after a 29-day review. Its family tree reaches back 11 generations to 1996. 1 later device descends from it. It has been recalled once.

Decided
Sep 26, 2014
Review
29 days
Class
Class II
Product code
HRS
Recalls
1
Predicates
7

Its longest line of descent runs back 11 generations to K962616 (1996). 157 ancestors in all, the oldest K792022 (1979). 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2010: 4 other ancestors2009: 7 other ancestors2006: 11 other ancestors2004: 6 other ancestors1996: 14 other ancestors2012: 1 other ancestor2007: 7 other ancestors2005: 11 other ancestors2002: 11 other ancestors2011: 1 other ancestor2008: 4 other ancestors2003: 5 other ancestors2001: 11 other ancestors1999: 8 other ancestors1997: 3 other ancestors2000: 10 other ancestors1995: 6 other ancestors1994: 6 other ancestors1993: 3 other ancestors1992: 5 other ancestors1990: 2 other ancestors1979: 1 other ancestor1998: 3 other ancestors1991: 1 other ancestor1989: 3 other ancestors1980: 1 other ancestor1981: 1 other ancestor2026: 1 descendant clearedK962616 · Synthes Dorsal Distal Radius Plate (DDRP) System · Synthes (Usa) · 1996K982732 · Synthes (Usa) Distal Radius Plate System (DRPS) · Synthes · 1998×3: 3 generations cleared close together, K023007 (2002), K030198 (2003), K032705 (2003) ×2: 2 generations cleared close together, K050932 (2005), K051735 (2005) K071563 · Peri-Loc Periarticular Locked Plating System · Smith & Nephew, Inc. · 2007K090675 · Smith & Nephew, Inc. VLP Foot Plating, Screw System and Accessories · Smith & Nephew, Inc. · 2009K100776 · Synthes 2.4 MM/2.7 MM Variable Angle LCP Forefoot/Midfoot System · Synthes (Usa) · 2010K131722 · I.T.S. Extremity Fixation Systems · I.T.S. GmbH · 2013 · recalled19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 6 other ancestors2 generations back: 13 other ancestors3 generations back: 32 other ancestors4 generations back: 40 other ancestors5 generations back: 29 other ancestors6 generations back: 13 other ancestors7 generations back: 6 other ancestors8 generations back: 4 other ancestors9 generations back: 2 other ancestors10 generations back: 1 other ancestor 1 generation forward: 1 descendant K131722 · I.T.S. Extremity Fixation Systems · I.T.S. GmbH · 2013 · recalledK100776 · Synthes 2.4 MM/2.7 MM Variable Angle LCP Forefoot/Midfoot System · Synthes (Usa) · 2010K090675 · Smith & Nephew, Inc. VLP Foot Plating, Screw System and Accessories · Smith & Nephew, Inc. · 2009K071563 · Peri-Loc Periarticular Locked Plating System · Smith & Nephew, Inc. · 2007K051735 · Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper Extremity · Smith & Nephew, Inc. · 2005K050932 · Distal Volar Radius Anatomical Plate System · Hand Innovations, Inc. · 2005 · recalledK032705 · Distal Radius Fracture Repair System · Hand Innovations, Inc. · 2003K030198 · Hand Innovations, Inc. Distal Radius Fracture Repair System · Hand Innovations, Inc. · 2003K023007 · Distal Radius Fracture Repair System · Hand Innovations, Inc. · 2002K982732 · Synthes (Usa) Distal Radius Plate System (DRPS) · Synthes · 1998K962616 · Synthes Dorsal Distal Radius Plate (DDRP) System · Synthes (Usa) · 1996−10−50
  1. Root · 11 generations backK962616 Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa) · 1996
  2. 7 generations between
  3. 3 generations backK090675 Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSmith & Nephew, Inc. · 2009
  4. 2 generations backK100776 Synthes 2.4 MM/2.7 MM Variable Angle LCP Forefoot/Midfoot SystemSynthes (Usa) · 2010
  5. 1 generation backK131722 I.T.S. Extremity Fixation SystemsI.T.S. GmbH · 2013 · Recalled
  6. This deviceK142418 I.T.S. Hand Locking Plates System - HLSI.T.S. GmbH · 2014
  7. Descendant · cites it directly · 0 of its ownK260958 I.T.S. Clavicle Plates with Angular Stability; I.T.S. Volar Radius…I.T.S. GmbH · 2026
Show all 11 generations
  1. Root · 11 generations backK962616 Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa) · 1996
  2. 10 generations backK982732 Synthes (Usa) Distal Radius Plate System (DRPS)Synthes · 1998
  3. 9 generations backK023007 Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2002
  4. 8 generations backK030198 Hand Innovations, Inc. Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2003
  5. 7 generations backK032705 Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2003
  6. 6 generations backK050932 Distal Volar Radius Anatomical Plate SystemHand Innovations, Inc. · 2005 · Recalled
  7. 5 generations backK051735 Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper…Smith & Nephew, Inc. · 2005
  8. 4 generations backK071563 Peri-Loc Periarticular Locked Plating SystemSmith & Nephew, Inc. · 2007
  9. 3 generations backK090675 Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSmith & Nephew, Inc. · 2009
  10. 2 generations backK100776 Synthes 2.4 MM/2.7 MM Variable Angle LCP Forefoot/Midfoot SystemSynthes (Usa) · 2010
  11. 1 generation backK131722 I.T.S. Extremity Fixation SystemsI.T.S. GmbH · 2013 · Recalled
  12. This deviceK142418 I.T.S. Hand Locking Plates System - HLSI.T.S. GmbH · 2014

Most influential descendants

Showing 1 of 1 · See all
  • K260958I.T.S. Clavicle Plates with Angular Stability; I.T.S. Volar Radius Plate with Angular…I.T.S. GmbH · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11K962616Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa)1996—
−10K982732Synthes (Usa) Distal Radius Plate System (DRPS)Synthes1998—
−9K023007Distal Radius Fracture Repair SystemHand Innovations, Inc.2002—
−8K030198Hand Innovations, Inc. Distal Radius Fracture Repair SystemHand Innovations, Inc.2003—
−7K032705Distal Radius Fracture Repair SystemHand Innovations, Inc.2003—
−6K050932Distal Volar Radius Anatomical Plate SystemHand Innovations, Inc.20051
−5K051735Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper ExtremitySmith & Nephew, Inc.2005—
−4K071563Peri-Loc Periarticular Locked Plating SystemSmith & Nephew, Inc.2007—
−3K090675Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSmith & Nephew, Inc.2009—
−2K100776Synthes 2.4 MM/2.7 MM Variable Angle LCP Forefoot/Midfoot SystemSynthes (Usa)2010—
−1K131722I.T.S. Extremity Fixation SystemsI.T.S. GmbH20132
0 (this device)K142418I.T.S. Hand Locking Plates System - HLSI.T.S. GmbH2014—
+1K260958I.T.S. Clavicle Plates with Angular Stability; I.T.S. Volar Radius Plate with…I.T.S. GmbH2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
198110
198930
199020
199110
199250
199330
199460
199560
1996140
199730
199830
199980
2000100
2001110
2002110
200350
200460
2005110
2006110
200770
200840
200970
201040
201110
201210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K142418, 1996–2026Source: 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? (7)

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
*K961497Profyle Titanium Hand and Small Fragment System
Summary page 4
…Fixation Appliances and Accessories (per 21 CRF, Sec. 888.3030). DEVICE PRODUCT CODE: HRS SUBSEQUENT PRODUCT CODE: KTT, HWC SUBSTANTIALLY Stryker — Hand Plating System (K961497 & K060613) EQUIVALENT DEVICES Synthes — LCP Compact Hand 1.5 (K092247) Biomet/DePuy - ALPS Small Bone Locked Plating System (K1…
Howmedica, Inc.1996—
*K060613Variax Locking Plate System
Summary page 4
…ppliances and Accessories (per 21 CRF, Sec. 888.3030). DEVICE PRODUCT CODE: HRS SUBSEQUENT PRODUCT CODE: KTT, HWC SUBSTANTIALLY Stryker — Hand Plating System (K961497 & K060613) EQUIVALENT DEVICES Synthes — LCP Compact Hand 1.5 (K092247) Biomet/DePuy - ALPS Small Bone Locked Plating System (K101240, K06…
Howmedica Osteonics Corp.2006—
*K092247Synthes Locking Hand Plates
Summary page 4
…PRODUCT CODE: HRS SUBSEQUENT PRODUCT CODE: KTT, HWC SUBSTANTIALLY Stryker — Hand Plating System (K961497 & K060613) EQUIVALENT DEVICES Synthes — LCP Compact Hand 1.5 (K092247) Biomet/DePuy - ALPS Small Bone Locked Plating System (K101240, K061748 & K041081) I.T.S. GmbH - Extremity Fixation Systems (K131…
Synthes (Usa)2009—
*K101240Closed Fusion Plate, MTP Plate, Talus Plate, Model 824077021, 22; 824677021, 22…
Summary page 4
…LLY Stryker — Hand Plating System (K961497 & K060613) EQUIVALENT DEVICES Synthes — LCP Compact Hand 1.5 (K092247) Biomet/DePuy - ALPS Small Bone Locked Plating System (K101240, K061748 & K041081) I.T.S. GmbH - Extremity Fixation Systems (K131722) DEVICE DESCRIPTION: The LT.S. Hand Locking Plates System…
DePuy Orthopaedics, Inc.2010—
*K061748Fragment Plate System
Summary page 4
…er — Hand Plating System (K961497 & K060613) EQUIVALENT DEVICES Synthes — LCP Compact Hand 1.5 (K092247) Biomet/DePuy - ALPS Small Bone Locked Plating System (K101240, K061748 & K041081) I.T.S. GmbH - Extremity Fixation Systems (K131722) DEVICE DESCRIPTION: The LT.S. Hand Locking Plates System — HLS co…
Hand Innovations, LLC2006—
*K041081Fragment Plate System, Screws, Pins and K-Wires
Summary page 4
…Plating System (K961497 & K060613) EQUIVALENT DEVICES Synthes — LCP Compact Hand 1.5 (K092247) Biomet/DePuy - ALPS Small Bone Locked Plating System (K101240, K061748 & K041081) I.T.S. GmbH - Extremity Fixation Systems (K131722) DEVICE DESCRIPTION: The LT.S. Hand Locking Plates System — HLS consists of…
Hand Innovations, Inc.20041
*K131722I.T.S. Extremity Fixation Systems
Summary page 4
…CES Synthes — LCP Compact Hand 1.5 (K092247) Biomet/DePuy - ALPS Small Bone Locked Plating System (K101240, K061748 & K041081) I.T.S. GmbH - Extremity Fixation Systems (K131722) DEVICE DESCRIPTION: The LT.S. Hand Locking Plates System — HLS consists of Predicate small bone trauma implant components comm…
I.T.S. GmbH20132

Also cleared against K961497: 8 other devices →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K260958I.T.S. Clavicle Plates with Angular Stability; I.T.S. Volar Radius Plate with Angular…I.T.S. GmbH20260

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Jan 23, 2026Class IIZ-1607-2026No Marketing ApplicationUpdated 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 18 years and passes through 5 companies; a new generation was cleared every 1.6 years on median.
  • 27 of the 157 ancestors have a recall of any class.
  • Of its descendants, K260958 (I.T.S. GmbH, 2026) has gone furthest, with 0 descendants of its own.
  • 8 other devices also cite its predicate K961497.

How does its category compare?

All HRS devices

HRS Plate, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2014, 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 intended use of the I.T.S. Hand Locking Plates System — HLS is to draw two or more aligned bone fragments together to facilitate healing in an adult patient.

The I.T.S. Hand Locking Plates System — HLS is indicated for use in fracture fixation of:

the phalanges,

the metacarpal bones,

the carpal bones,

for arthrodesis,

for corrective osteotomies, and

for subcapital radial head fractures.

The I.T.S. Hand Locking Plates System is not for spinal use.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K142418: I.T.S. Hand Locking Plates System - HLS.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K142418

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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