510(k) Report

510(k) · Cleared

Cleared

Flow-Screw

K142776510(k) TraditionalCleared Mar 23, 2015178-day reviewClass II21 CFR 888.3040

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

Flow-Fx, LLC · HWC Screw, Fixation, Bone

Cleared on Mar 23, 2015 as substantially equivalent to K962823 (Synthes (Usa), 1996) and 3 other predicates after a 178-day review. Its family tree reaches back 12 generations to 1996. 1 later device descends from it.

Decided
Mar 23, 2015
Review
178 days
Class
Class II
Product code
HWC
Recalls
None
Predicates
4

Its longest line of descent runs back 12 generations to K960978 (1996). 80 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 1996: 7 other ancestors2009: 4 other ancestors1999: 3 other ancestors2007: 6 other ancestors2006: 5 other ancestors2003: 8 other ancestors2002: 5 other ancestors2000: 4 other ancestors1998: 1 other ancestor2008: 2 other ancestors2005: 6 other ancestors2004: 5 other ancestors2001: 5 other ancestors1995: 1 other ancestor1979: 1 other ancestor1994: 2 other ancestors1993: 2 other ancestors1997: 1 other ancestor2018: 1 descendant clearedReference device: K062630 · Ossipro Bone Substitute Material · Etex Corp. · 2007Reference device: K072355 · Ossifuse Bone Substitute Material · Etex Corp. · 2007Reference device: K090242 · Gamma-BSM, Beta-BSM · Etex Corp. · 2009Reference device: K101557 · Gamma-BSM, Beta-BSM, Equivabone, Carigen · Etex Corp. · 2010K960978 · Wright Plaster of Paris Pellets (Subject to Revision) · Wrightmedicaltechnologyinc · 1996K980817 · Pro Osteon Implant 500R Resorbable Bone Graft Substitute Model Numbers 5RG05, 5RG10, 5RG15, 5G15L, 5RG20, 5RG30, 5RG30L · Interpore Intl. · 1998K021336 · Novabone-Resorbable Bone Graft Substitute · Novabone Products, LLC · 2002K052494 · Novabone-Bioactive Synthetic Graft · Novabone Products, LLC · 2005K072184 · Vitoss Bioactive Foam Bone Graft Substitute · Orthovita, Inc. · 2007×2: 2 generations cleared close together, K081439 (2008), K083033 (2008) ×3: 3 generations cleared close together, K090855 (2009), K093447 (2010), K101557 (2010) K102528 · N-Force Fixation System · Innovision, Inc. · 2011K132244 · N-Force Fixation System · Innovision, Inc. · 201419801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 4 other ancestors3 generations back: 12 other ancestors4 generations back: 19 other ancestors5 generations back: 14 other ancestors6 generations back: 8 other ancestors7 generations back: 6 other ancestors8 generations back: 3 other ancestors 1 generation forward: 1 descendant K132244 · N-Force Fixation System · Innovision, Inc. · 2014K102528 · N-Force Fixation System · Innovision, Inc. · 2011K101557 · Gamma-BSM, Beta-BSM, Equivabone, Carigen · Etex Corp. · 2010K093447 · Carrigen · Etex Corp. · 2010K090855 · Equivabone Osteoinductive Bone Graft Substitute · Etex Corp. · 2009K083033 · Vitoss Bone Graft Substitute, Bone Graft Substitute Filled Canister, Foam & Bioactive Foam Bone Graft Substitute · Orthovita, Inc. · 2008K081439 · Vitoss Bioactive Foam Pack Bone Graft Substitute · Orthovita, Inc. · 2008K072184 · Vitoss Bioactive Foam Bone Graft Substitute · Orthovita, Inc. · 2007K052494 · Novabone-Bioactive Synthetic Graft · Novabone Products, LLC · 2005K021336 · Novabone-Resorbable Bone Graft Substitute · Novabone Products, LLC · 2002K980817 · Pro Osteon Implant 500R Resorbable Bone Graft Substitute Model Numbers 5RG05, 5RG10, 5RG15, 5G15L, 5RG20, 5RG30, 5RG30L · Interpore Intl. · 1998K960978 · Wright Plaster of Paris Pellets (Subject to Revision) · Wrightmedicaltechnologyinc · 1996−10−50
  1. Root · 12 generations backK960978 Wright Plaster of Paris Pellets (Subject to Revision)Wrightmedicaltechnologyinc · 1996
  2. 8 generations between
  3. 3 generations backK101557 Gamma-BSM, Beta-BSM, Equivabone, CarigenEtex Corp. · 2010
  4. 2 generations backK102528 N-Force Fixation SystemInnovision, Inc. · 2011
  5. 1 generation backK132244 N-Force Fixation SystemInnovision, Inc. · 2014
  6. This deviceK142776 Flow-ScrewFlow-Fx, LLC · 2015
  7. Descendant · cites it directly · 0 of its ownK173556 Injection ScrewBiedermann Medtech, Inc. · 2018
Show all 12 generations
  1. Root · 12 generations backK960978 Wright Plaster of Paris Pellets (Subject to Revision)Wrightmedicaltechnologyinc · 1996
  2. 11 generations backK980817 Pro Osteon Implant 500R Resorbable Bone Graft Substitute Model…Interpore Intl. · 1998
  3. 10 generations backK021336 Novabone-Resorbable Bone Graft SubstituteNovabone Products, LLC · 2002
  4. 9 generations backK052494 Novabone-Bioactive Synthetic GraftNovabone Products, LLC · 2005
  5. 8 generations backK072184 Vitoss Bioactive Foam Bone Graft SubstituteOrthovita, Inc. · 2007
  6. 7 generations backK081439 Vitoss Bioactive Foam Pack Bone Graft SubstituteOrthovita, Inc. · 2008
  7. 6 generations backK083033 Vitoss Bone Graft Substitute, Bone Graft Substitute Filled Canister…Orthovita, Inc. · 2008
  8. 5 generations backK090855 Equivabone Osteoinductive Bone Graft SubstituteEtex Corp. · 2009
  9. 4 generations backK093447 CarrigenEtex Corp. · 2010
  10. 3 generations backK101557 Gamma-BSM, Beta-BSM, Equivabone, CarigenEtex Corp. · 2010
  11. 2 generations backK102528 N-Force Fixation SystemInnovision, Inc. · 2011
  12. 1 generation backK132244 N-Force Fixation SystemInnovision, Inc. · 2014
  13. This deviceK142776 Flow-ScrewFlow-Fx, LLC · 2015

Most influential descendants

Showing 1 of 1 · See all
  • K173556Injection ScrewBiedermann Medtech, Inc. · 2018 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K960978Wright Plaster of Paris Pellets (Subject to Revision)Wrightmedicaltechnologyinc1996—
−11K980817Pro Osteon Implant 500R Resorbable Bone Graft Substitute Model Numbers 5RG05…Interpore Intl.1998—
−10K021336Novabone-Resorbable Bone Graft SubstituteNovabone Products, LLC2002—
−9K052494Novabone-Bioactive Synthetic GraftNovabone Products, LLC2005—
−8K072184Vitoss Bioactive Foam Bone Graft SubstituteOrthovita, Inc.2007—
−7K081439Vitoss Bioactive Foam Pack Bone Graft SubstituteOrthovita, Inc.2008—
−6K083033Vitoss Bone Graft Substitute, Bone Graft Substitute Filled Canister, Foam &…Orthovita, Inc.2008—
−5K090855Equivabone Osteoinductive Bone Graft SubstituteEtex Corp.2009—
−4K093447CarrigenEtex Corp.2010—
−3K101557Gamma-BSM, Beta-BSM, Equivabone, CarigenEtex Corp.2010—
−2K102528N-Force Fixation SystemInnovision, Inc.2011—
−1K132244N-Force Fixation SystemInnovision, Inc.2014—
0 (this device)K142776Flow-ScrewFlow-Fx, LLC2015—
+1K173556Injection ScrewBiedermann Medtech, Inc.2018—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
199320
199420
199510
199670
199710
199810
199930
200040
200150
200250
200380
200450
200560
200650
200760
200820
200940

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201810
FIG. 1 — Lineage of K142776, 1996–2018Source: 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 HWC? 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 HWC device

  1. #1 K203011 Monster Screw Systemscore 22.2 · 14 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? (4)

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
*K962823Synthes Sterile 3.0 MM Cannulated Screw and Threaded Washer
Summary page 4
…6 or stainless steel conforming to ASTM F138 or ASTM F2229. Predicate Devices: The Flow-Screw was shown to be substantially equivalent to the Synthes Cannulated Screws (K962823 and K962011) and the N-Force Fixation System (K102528 and K132244). Substantial Equivalence: The table below summarizes the subs…
Synthes (Usa)1996—
*K962011Synthes 7.0/7.3 MM Cannulated Screws
Summary page 4
…ss steel conforming to ASTM F138 or ASTM F2229. Predicate Devices: The Flow-Screw was shown to be substantially equivalent to the Synthes Cannulated Screws (K962823 and K962011) and the N-Force Fixation System (K102528 and K132244). Substantial Equivalence: The table below summarizes the substantial equi…
Synthes (Usa)1996—
*K102528N-Force Fixation System
Summary page 4
…2229. Predicate Devices: The Flow-Screw was shown to be substantially equivalent to the Synthes Cannulated Screws (K962823 and K962011) and the N-Force Fixation System (K102528 and K132244). Substantial Equivalence: The table below summarizes the substantial equivalence of the Flow-Screw to predicate dev…
Innovision, Inc.2011—
*K132244N-Force Fixation System
Summary page 4
…cate Devices: The Flow-Screw was shown to be substantially equivalent to the Synthes Cannulated Screws (K962823 and K962011) and the N-Force Fixation System (K102528 and K132244). Substantial Equivalence: The table below summarizes the substantial equivalence of the Flow-Screw to predicate devices with re…
Innovision, Inc.2014—
†K062630Ossipro Bone Substitute MaterialEtex Corp.2007—
†K072355Ossifuse Bone Substitute MaterialEtex Corp.2007—
†K090242Gamma-BSM, Beta-BSMEtex Corp.2009—
†K101557Gamma-BSM, Beta-BSM, Equivabone, CarigenEtex Corp.2010—

Also cleared against K962823: 19 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
K173556Injection ScrewBiedermann Medtech, Inc.20180

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 7 companies; a new generation was cleared every 1.1 years on median.
  • 7 of the 80 ancestors have a recall of any class.
  • Of its descendants, K173556 (Biedermann Medtech, Inc., 2018) has gone furthest, with 0 descendants of its own.
  • 19 other devices also cite its predicate K962823.

How does its category compare?

All HWC devices

HWC Screw, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2015, this device’s year, is highlighted.

FDA decisions per year · HWC

15in 2025

2007: 352008: 332009: 272010: 232011: 352012: 202013: 252014: 312015: 412016: 262017: 402018: 202019: 302020: 282021: 262022: 262023: 242024: 172025: 152026 (partial year): 21
2007high 41 (2015) · low 15 (2025)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HWC

111in 2025

2007: 77 days median2008: 76 days median2009: 113 days median2010: 110 days median2011: 88 days median2012: 99 days median2013: 90 days median2014: 88 days median2015: 85 days median2016: 131 days median2017: 127 days median2018: 106 days median2019: 108 days median2020: 75 days median2021: 84 days median2022: 167 days median2023: 104 days median2024: 90 days median2025: 111 days median2026 (partial year): 125 days median
2007high 167 (2022) · low 75 (2020)2026

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

Recalls per year · HWC

1in 2025

2007: 252008: 332009: 292010: 72011: 122012: 302013: 142014: 22015: 52016: 42017: 42018: 12019: 52020: 42021: 22022: 132025: 12026 (partial year): 2
2007high 33 (2008) · low 0 (2023)2026

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

Adverse event reports per year · HWC

2,893in 2025

2007: 6692008: 6602009: 6512010: 7652011: 1,1042012: 3,3392013: 3,8502014: 2,5492015: 2,7112016: 2,2852017: 2,5612018: 3,6622019: 5,4632020: 4,8202021: 4,4462022: 3,9342023: 3,7182024: 3,5752025: 2,893
2007high 5,463 (2019) · low 651 (2009)2025

MAUDE reports naming product code HWC, 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
2007357725669
2008337633660
20092711329651
2010231107765
20113588121,104
20122099303,339
20132590143,850
2014318822,549
2015418552,711
20162613142,285
20174012742,561
20182010613,662
20193010855,463
2020287544,820
2021268424,446
202226167133,934
20232410403,718
2024179003,575
20251511112,893
2026211252—

What is it indicated for?

The Flow-Screw is intended for the fixation of bone fractures and bone reconstructions. When used for these indications, the Flow-Screw can also be used to deliver injectable bone void fillers to a surgical site.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K142776: Flow-Screw.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K142776

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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