510(k) Report

510(k) · Cleared

Cleared

Sonoma Fibula Repair System

K142945510(k) TraditionalCleared Jan 22, 2015104-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

Sonoma Orthopedic Products, Inc. · HSB Rod, Fixation, Intramedullary And Accessories

Cleared on Jan 22, 2015 as substantially equivalent to K071944 (Acumed, LLC, 2007) and 1 other predicate after a 104-day review. Its family tree reaches back 3 generations to 1992. 10 later devices descend from it.

Decided
Jan 22, 2015
Review
104 days
Class
Class II
Product code
HSB
Recalls
None
Predicates
2

Its longest line of descent runs back 3 generations to K913949 (1992). 5 ancestors in all. 10 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1998: 1 other ancestor1995: 1 other ancestor2017: 1 descendant cleared2016: 1 descendant cleared2018: 1 descendant cleared2026: 2 descendants cleared2021: 2 descendants cleared2024: 1 descendant cleared2025: 1 descendant cleared2022: 1 descendant clearedK913949 · True/Flex Humerus, Ulna & Radius Intramed Rods Sys · Applied Osteo Systems, Inc. · 1992K031438 · Acumed Small Bone Locking Rod System II · Acumed, LLC · 2003 · recalledK071944 · Acumed Small Bone Locking System II · Acumed, LLC · 20071990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 2 other ancestors 1 generation forward: 2 descendants2 generations forward: 3 descendants3 generations forward: 4 descendants4 generations forward: 1 descendant K071944 · Acumed Small Bone Locking System II · Acumed, LLC · 2007K031438 · Acumed Small Bone Locking Rod System II · Acumed, LLC · 2003 · recalledK913949 · True/Flex Humerus, Ulna & Radius Intramed Rods Sys · Applied Osteo Systems, Inc. · 19920
  1. Root · 3 generations backK913949 True/Flex Humerus, Ulna & Radius Intramed Rods SysApplied Osteo Systems, Inc. · 1992
  2. 2 generations backK031438 Acumed Small Bone Locking Rod System IIAcumed, LLC · 2003 · Recalled
  3. 1 generation backK071944 Acumed Small Bone Locking System IIAcumed, LLC · 2007
  4. This deviceK142945 Sonoma Fibula Repair SystemSonoma Orthopedic Products, Inc. · 2015
  5. Descendant · cites it directly · 9 of its ownK160069 Sonoma Fibula Repair SystemSonoma Orthopedics Products, Inc. · 2016
  6. Descendant · cites it directly · 4 of its ownK172943 Flex-Thread Fibula Pin SystemIntrafuse, LLC · 2017
  7. Descendant · 2 generations on · 3 of its ownK202858 Flex-ThreadTM Distal Fibula Intramedullary Nail SystemConventus Orthopaedics, LLC · 2021 · Recalled
  8. Descendant · 2 generations on · 3 of its ownK173656 Arthrex FibuLock NailArthrex, Inc. · 2018
  9. Descendant · 3 generations on · 1 of its ownK212030 Flex-Thread™ Distal Fibula lntramedullary Nail SystemFlower Orthopedics Corporation Dba Conventus Flower · 2021

Showing 5 of 10 descendants. See all descendants

Descendants cleared per year

2016: 12017: 12018: 12021: 22022: 12024: 12025: 12026: 2
2016high 2 (2021) · low 0 (2019)2026

Most influential descendants

Showing 5 of 10 · See all
  • K160069Sonoma Fibula Repair SystemSonoma Orthopedics Products, Inc. · 2016 · cites it directly9descendants
  • K172943Flex-Thread Fibula Pin SystemIntrafuse, LLC · 2017 · cites it directly4descendants
  • K202858Flex-ThreadTM Distal Fibula Intramedullary Nail SystemConventus Orthopaedics, LLC · 2021 · 2 generations on3descendants
  • K173656Arthrex FibuLock NailArthrex, Inc. · 2018 · 2 generations on3descendants
  • K212030Flex-Thread™ Distal Fibula lntramedullary Nail SystemFlower Orthopedics Corporation Dba Conventus Flower · 2021 · 3 generations on1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K913949True/Flex Humerus, Ulna & Radius Intramed Rods SysApplied Osteo Systems, Inc.1992—
−2K031438Acumed Small Bone Locking Rod System IIAcumed, LLC20031
−1K071944Acumed Small Bone Locking System IIAcumed, LLC2007—
0 (this device)K142945Sonoma Fibula Repair SystemSonoma Orthopedic Products, Inc.2015—
+1K160069Sonoma Fibula Repair SystemSonoma Orthopedics Products, Inc.2016—
+1K172943Flex-Thread Fibula Pin SystemIntrafuse, LLC2017—
+2K202858Flex-ThreadTM Distal Fibula Intramedullary Nail SystemConventus Orthopaedics, LLC20212
+2K173656Arthrex FibuLock NailArthrex, Inc.2018—
+3K212030Flex-Thread™ Distal Fibula lntramedullary Nail SystemFlower Orthopedics Corporation Dba Conventus Flower2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199510
199810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201610
201710
201810
202120
202210
202410
202510
202620
FIG. 1 — Lineage of K142945, 1992–2026Source: 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 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
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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.

TypeNumberDeviceApplicantDecidedRecalls
*K071944Acumed Small Bone Locking System II
Our reading of the summary gave K071994, which is not a number in FDA’s lists. Corrected to the number one digit away whose FDA name carries the summary’s words for the device, “Acumed Small Bone Locking Rod System II”.
Acumed, LLC2007—
*K031438Acumed Small Bone Locking Rod System II
Summary page 6
…K142945 Page 2 of 2 Predicate Devices: K071994 Acumed Small Bone Locking Rod System II K031438 Acumed Small Bone Locking Rod System II Device Description: The Sonoma Fibula Repair System includes all implants…
Acumed, LLC20031

Also cleared against K071944: 4 other devices →

What descends from it? (10)

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K160069Sonoma Fibula Repair SystemSonoma Orthopedics Products, Inc.20169
K172943Flex-Thread Fibula Pin SystemIntrafuse, LLC20174

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 23 years and passes through 3 companies; a new generation was cleared every 7.5 years on median.
  • 2 of the 5 ancestors have a recall of any class.
  • Of its descendants, K160069 (Sonoma Orthopedics Products, Inc., 2016) has gone furthest, with 9 descendants of its own.
  • 4 other devices also cite its predicate K071944.

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. 2015, 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 Sonoma Fibula Repair System is intended for use in the fixation of fibula fractures.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K142945: Sonoma Fibula Repair System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K142945

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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