510(k) Report

510(k) · Cleared

Cleared

AXI+LINE Proximal Bunion Correction System

K152548510(k) TraditionalCleared Dec 21, 2015104-day reviewClass II21 CFR 888.3030

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

Nextremity Solutions, Inc. · HRS Plate, Fixation, Bone

Cleared on Dec 21, 2015 as substantially equivalent to K131061 (Nextremity Solutions, 2013) and 3 other predicates after a 104-day review. Its family tree reaches back 12 generations to 1996.

Decided
Dec 21, 2015
Review
104 days
Class
Class II
Product code
HRS
Recalls
None
Predicates
4

Its longest line of descent runs back 12 generations to K962616 (1996). 178 ancestors in all, the oldest K792022 (1979). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2015: 1 other ancestor2014: 1 other ancestor2013: 3 other ancestors2012: 2 other ancestors2011: 1 other ancestor2010: 5 other ancestors2009: 10 other ancestors2007: 9 other ancestors2006: 10 other ancestors2008: 6 other ancestors2005: 12 other ancestors2003: 7 other ancestors2002: 12 other ancestors2001: 11 other ancestors2000: 10 other ancestors1999: 9 other ancestors1996: 16 other ancestors2004: 5 other ancestors1998: 3 other ancestors1997: 3 other ancestors1995: 6 other ancestors1993: 3 other ancestors1992: 5 other ancestors1989: 4 other ancestors1979: 1 other ancestor1994: 6 other ancestors1990: 2 other ancestors1980: 1 other ancestor1991: 1 other ancestor1981: 1 other ancestorK962616 · Synthes Dorsal Distal Radius Plate (DDRP) System · Synthes (Usa) · 1996K982732 · Synthes (Usa) Distal Radius Plate System (DRPS) · Synthes · 1998×2: 2 generations cleared close together, K023007 (2002), K030198 (2003) K032705 · Distal Radius Fracture Repair System · Hand Innovations, Inc. · 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 · recalledK143365 · Eminent Foot Plate System · Eminent Spine · 20151980199020002010
Other ancestors, by generation 1 generation back: 3 other ancestors2 generations back: 12 other ancestors3 generations back: 32 other ancestors4 generations back: 49 other ancestors5 generations back: 33 other ancestors6 generations back: 18 other ancestors7 generations back: 12 other ancestors8 generations back: 4 other ancestors9 generations back: 1 other ancestor10 generations back: 1 other ancestor11 generations back: 1 other ancestor K143365 · Eminent Foot Plate System · Eminent Spine · 2015K131722 · 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 · 12 generations backK962616 Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa) · 1996
  2. 8 generations between
  3. 3 generations backK100776 Synthes 2.4 MM/2.7 MM Variable Angle LCP Forefoot/Midfoot SystemSynthes (Usa) · 2010
  4. 2 generations backK131722 I.T.S. Extremity Fixation SystemsI.T.S. GmbH · 2013 · Recalled
  5. 1 generation backK143365 Eminent Foot Plate SystemEminent Spine · 2015
  6. This deviceK152548 AXI+LINE Proximal Bunion Correction SystemNextremity Solutions, Inc. · 2015
Show all 12 generations
  1. Root · 12 generations backK962616 Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa) · 1996
  2. 11 generations backK982732 Synthes (Usa) Distal Radius Plate System (DRPS)Synthes · 1998
  3. 10 generations backK023007 Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2002
  4. 9 generations backK030198 Hand Innovations, Inc. Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2003
  5. 8 generations backK032705 Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2003
  6. 7 generations backK050932 Distal Volar Radius Anatomical Plate SystemHand Innovations, Inc. · 2005 · Recalled
  7. 6 generations backK051735 Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper…Smith & Nephew, Inc. · 2005
  8. 5 generations backK071563 Peri-Loc Periarticular Locked Plating SystemSmith & Nephew, Inc. · 2007
  9. 4 generations backK090675 Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSmith & Nephew, Inc. · 2009
  10. 3 generations backK100776 Synthes 2.4 MM/2.7 MM Variable Angle LCP Forefoot/Midfoot SystemSynthes (Usa) · 2010
  11. 2 generations backK131722 I.T.S. Extremity Fixation SystemsI.T.S. GmbH · 2013 · Recalled
  12. 1 generation backK143365 Eminent Foot Plate SystemEminent Spine · 2015
  13. This deviceK152548 AXI+LINE Proximal Bunion Correction SystemNextremity Solutions, Inc. · 2015
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K962616Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa)1996—
−11K982732Synthes (Usa) Distal Radius Plate System (DRPS)Synthes1998—
−10K023007Distal Radius Fracture Repair SystemHand Innovations, Inc.2002—
−9K030198Hand Innovations, Inc. Distal Radius Fracture Repair SystemHand Innovations, Inc.2003—
−8K032705Distal Radius Fracture Repair SystemHand Innovations, Inc.2003—
−7K050932Distal Volar Radius Anatomical Plate SystemHand Innovations, Inc.20051
−6K051735Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper ExtremitySmith & Nephew, Inc.2005—
−5K071563Peri-Loc Periarticular Locked Plating SystemSmith & Nephew, Inc.2007—
−4K090675Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSmith & Nephew, Inc.2009—
−3K100776Synthes 2.4 MM/2.7 MM Variable Angle LCP Forefoot/Midfoot SystemSynthes (Usa)2010—
−2K131722I.T.S. Extremity Fixation SystemsI.T.S. GmbH20132
−1K143365Eminent Foot Plate SystemEminent Spine2015—
0 (this device)K152548AXI+LINE Proximal Bunion Correction SystemNextremity Solutions, Inc.2015—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
198110
198940
199020
199110
199250
199330
199460
199560
1996160
199730
199830
199990
2000100
2001110
2002120
200370
200450
2005120
2006100
200790
200860
2009100
201050
201110
201220
201330
201410
201510
FIG. 1 — Lineage of K152548, 1996–2015Source: 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? (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
*K131061Restore Bunion Correction System
Summary page 4
…Drug and Cosmetic Act, the device classification is Class II, Performance Standards. Predicate Devices: K131061 – Nextremity Solutions – Restore™ Bunion Correction System K140724 – Next…
Nextremity Solutions2013—
*K140724MSP Metatarsal Shortening System
Summary page 4
…rmance Standards. Predicate Devices: K131061 – Nextremity Solutions – Restore™ Bunion Correction System K140724 – Nextremity Solutions – MSP™ Metatarsal Shortening System K143365 – Empi…
Nextremity Solutions, Inc.2014—
*K143365Eminent Foot Plate System
Summary page 4
…Correction System K140724 – Nextremity Solutions – MSP™ Metatarsal Shortening System K143365 – Empirical Testing Corp.- Eminent Foot Plate System K142581 – PaxMed Int…
Eminent Spine2015—
*K142581APTUS Foot System
Summary page 4
…Shortening System K143365 – Empirical Testing Corp.- Eminent Foot Plate System K142581 – PaxMed International LLC – APTUS Foot System K1…
Medartis AG2015—

Also cleared against K131061: 3 other devices →

What descends from it?

No later submission names this one as a predicate yet.

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 1.6 years on median.
  • 31 of the 178 ancestors have a recall of any class.
  • 3 other devices also cite its predicate K131061.

How does its category compare?

All HRS devices

HRS Plate, 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 · 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 AXI+LINE™ Proximal Bunion Correction System is indicated for fixation of fractures, osteotomies, non-unions and fusions of small bones and small bone segments in the foot and ankle.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K152548: AXI+LINE Proximal Bunion Correction System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K152548

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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