510(k) · Cleared
Clearedopti-Toe
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Graham Medical Technologies, LLC (D.B.A.Gramedica) · HTY Pin, Fixation, Smooth
Cleared on May 29, 2015 as substantially equivalent to K122031 (Nextremity Solutions, LLC, 2012) and 1 other predicate after a 268-day review. Its family tree reaches back 5 generations to 1996. 1 later device descends from it.
- Decided
- May 29, 2015
- Review
- 268 days
- Class
- Class II
- Product code
- HTY
- Recalls
- None
- Predicates
- 2
Its longest line of descent runs back 5 generations to K960385 (1996). 11 ancestors in all. 1 later device descends from it, 1 citing it directly.
- Root · 5 generations backK960385 Sterile Kirschner Wires and Steinmann PinsDepuy, Inc. · 1996
- 4 generations backK022599 Newdeal K WireNew Deal, S.A. · 2002
- 3 generations backK070598 Memometal Intra-Medullary Bone Fastener, Models Smart Toe / X-FuseMemometal Technologies · 2007
- 2 generations backK110445 Flexfusion (TM) Fixation ImplantNextremity Solutions, LLC · 2011 · Recalled
- 1 generation backK122031 Nextra TI Hammertoe Correction SystemNextremity Solutions, LLC · 2012
- This deviceK142478 opti-ToeGraham Medical Technologies, LLC (D.B.A.Gramedica) · 2015
- Descendant · cites it directly · 0 of its ownK162685 2-Piece Hammertoe Correction SystemLife Spine, Inc. · 2017
Most influential descendants
Showing 1 of 1 · See all- K1626852-Piece Hammertoe Correction SystemLife Spine, Inc. · 2017 · cites it directly0descendants
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −5 | K960385 | Sterile Kirschner Wires and Steinmann Pins | Depuy, Inc. | 1996 | — |
| −4 | K022599 | Newdeal K Wire | New Deal, S.A. | 2002 | — |
| −3 | K070598 | Memometal Intra-Medullary Bone Fastener, Models Smart Toe / X-Fuse | Memometal Technologies | 2007 | — |
| −2 | K110445 | Flexfusion (TM) Fixation Implant | Nextremity Solutions, LLC | 2011 | 6 |
| −1 | K122031 | Nextra TI Hammertoe Correction System | Nextremity Solutions, LLC | 2012 | — |
| 0 (this device) | K142478 | opti-Toe | Graham Medical Technologies, LLC (D.B.A.Gramedica) | 2015 | — |
| +1 | K162685 | 2-Piece Hammertoe Correction System | Life Spine, Inc. | 2017 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1997 | 1 | 0 |
| 1998 | 1 | 0 |
| 1999 | 1 | 0 |
| 2005 | 1 | 0 |
| 2010 | 1 | 0 |
| 2014 | 1 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2017 | 1 | 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 HTY? 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 HTY device
- #1 K231272 OSSIOfiber® Pin Product Family, OSSIOfiber®…score 19.3 · 14 generations · no Class I recall
- #2 Held for the reportin the report
- #3 Held for the reportin the report
What was it cleared against? (2)
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 |
|---|---|---|---|
| * | K122031 | Nextra TI Hammertoe Correction SystemSummary page 4…cureBME.com Trade Name opti-Toe Common Name Pin, fixation, smooth Code–Classification HTY 21 CFR 888.3040 : Class II Predicate Devices K122031 NextraTM Ti Hammertoe Correction System ` K142490 ProxiFuse Hammer Toe Device Reference Dev… | 2012 |
| * | K142490 | ProxiFuse Hammer Toe Device Cleared while this submission was under review Summary page 4…th Code–Classification HTY 21 CFR 888.3040 : Class II Predicate Devices K122031 NextraTM Ti Hammertoe Correction System ` K142490 ProxiFuse Hammer Toe Device Reference Devices K990804 StayFuse K960385 DePuy K-Wire Device Descript… | 2014 |
| † | K990804 | Stayfuse | 1999 |
| † | K960385 | Sterile Kirschner Wires and Steinmann Pins | 1996 |
What descends from it? (1)
1 later device cites it directly; ranked here by how many devices descend from each in turn.
| Number | Device | Decided | Descendants |
|---|---|---|---|
| K162685 | 2-Piece Hammertoe Correction System | 2017 | 0 |
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 19 years and passes through 5 companies; a new generation was cleared every 3.6 years on median.
- 2 of the 11 ancestors have a recall of any class.
- Of its descendants, K162685 (Life Spine, Inc., 2017) has gone furthest, with 0 descendants of its own.
- 4 other devices also cite its predicate K122031.
How does its category compare?
All HTY devicesHTY Pin, Fixation, Smooth: FDA decisions, review times, recalls and adverse event reports over 20 years. 2015, this device’s year, is highlighted.
FDA decisions per year · HTY
5in 2025
2026 to Oct 25, outlined.
Median 510(k) review, days · HTY
90in 2025
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · HTY
2in 2022
Class I (0 since 2007) Class II/III not classified
Adverse event reports per year · HTY
39in 2025
MAUDE reports naming product code HTY, 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 | 6 | 112 | 0 | 46 |
| 2008 | 6 | 86 | 0 | 38 |
| 2009 | 2 | — | 1 | 36 |
| 2010 | 9 | 180 | 1 | 33 |
| 2011 | 6 | 82 | 0 | 164 |
| 2012 | 4 | 76 | 0 | 129 |
| 2013 | 4 | 128 | 0 | 187 |
| 2014 | 8 | 73 | 0 | 149 |
| 2015 | 8 | 101 | 0 | 121 |
| 2016 | 6 | 114 | 2 | 128 |
| 2017 | 5 | 127 | 0 | 82 |
| 2018 | 4 | 162 | 0 | 138 |
| 2019 | 4 | 93 | 1 | 222 |
| 2020 | 5 | 108 | 0 | 210 |
| 2021 | 5 | 137 | 0 | 148 |
| 2022 | 4 | 121 | 2 | 96 |
| 2023 | 5 | 146 | 0 | 153 |
| 2024 | 1 | — | 0 | 297 |
| 2025 | 5 | 90 | 0 | 39 |
| 2026 | 2 | — | 1 | — |
What is it indicated for?
The GraMedica opti-Toe Device is indicated for reconstruction of the lesser toes following correction procedures for hammertoe, claw toe, and mallet toe. The GraMedica opti-Toe components are to be cemented in place and assembled for reconstruction of the toe. Patients should protect their weight-bearing or heel weight-bearing only until soft tissue healing has occurred.
Indications for use as stated in the FDA summary.
https://510kreport.com/device/K142478 · printed Nov 6, 2026
Cite this page
510(k) Report. “K142478: opti-Toe.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K142478
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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