510(k) Report

510(k) · Cleared

Cleared

Stealth Staple System

K163440510(k) TraditionalCleared Feb 1, 201755-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

First Ray, LLC · JDR Staple, Fixation, Bone

Cleared on Feb 1, 2017 as substantially equivalent to K153622 (First Ray, LLC, 2016) and 2 other predicates after a 55-day review. Its family tree reaches back 7 generations to 1992. 3 later devices descend from it.

Decided
Feb 1, 2017
Review
55 days
Class
Class II
Product code
JDR
Recalls
None
Predicates
3

Its longest line of descent runs back 7 generations to K915818 (1992). 50 ancestors in all, the oldest K792022 (1979). 3 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2016: 1 other ancestor2013: 1 other ancestor2007: 4 other ancestors2001: 4 other ancestors1996: 5 other ancestors2010: 1 other ancestor2006: 3 other ancestors2002: 2 other ancestors2000: 5 other ancestors1999: 4 other ancestors1997: 1 other ancestor1990: 3 other ancestors1994: 1 other ancestor1979: 1 other ancestor2005: 1 other ancestor2003: 1 other ancestor1998: 1 other ancestor1995: 1 other ancestor1991: 1 other ancestor1989: 1 other ancestor1980: 1 other ancestor2019: 1 descendant cleared2022: 1 descendant cleared2023: 1 descendant clearedK915818 · Synthes (R) Titanium Small Reconstruction Plate · Synthes (Usa) · 1992 · recalled×2: 2 generations cleared close together, K990094 (1999), K991873 (1999) K021321 · Wrist Fusion Plate · Acu Med, Inc. · 2002K050681 · Omnitech System & Easy Lock Osteosystem with Xtremities Plates · TriMed, Inc. · 2005K112794 · Eos Small Bone Fixation System · TriMed, Inc. · 2012 · recalledK153395 · OS2-C Compression Staple · In2bones Sas · 201619801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 4 other ancestors3 generations back: 11 other ancestors4 generations back: 12 other ancestors5 generations back: 11 other ancestors6 generations back: 3 other ancestors 1 generation forward: 2 descendants2 generations forward: 1 descendant K153395 · OS2-C Compression Staple · In2bones Sas · 2016K112794 · Eos Small Bone Fixation System · TriMed, Inc. · 2012 · recalledK050681 · Omnitech System & Easy Lock Osteosystem with Xtremities Plates · TriMed, Inc. · 2005K021321 · Wrist Fusion Plate · Acu Med, Inc. · 2002K991873 · Kmi Wrist Fusion System · Kinetikos Medical, Inc. · 1999K990094 · Kmi Wrist Fusion System · Kinetikos Medical, Inc. · 1999K915818 · Synthes (R) Titanium Small Reconstruction Plate · Synthes (Usa) · 1992 · recalled−50
  1. Root · 7 generations backK915818 Synthes (R) Titanium Small Reconstruction PlateSynthes (Usa) · 1992 · Recalled
  2. 6 generations backK990094 Kmi Wrist Fusion SystemKinetikos Medical, Inc. · 1999
  3. 5 generations backK991873 Kmi Wrist Fusion SystemKinetikos Medical, Inc. · 1999
  4. 4 generations backK021321 Wrist Fusion PlateAcu Med, Inc. · 2002
  5. 3 generations backK050681 Omnitech System & Easy Lock Osteosystem with Xtremities PlatesTriMed, Inc. · 2005
  6. 2 generations backK112794 Eos Small Bone Fixation SystemTriMed, Inc. · 2012 · Recalled
  7. 1 generation backK153395 OS2-C Compression StapleIn2bones Sas · 2016
  8. This deviceK163440 Stealth Staple SystemFirst Ray, LLC · 2017
  9. Descendant · cites it directly · 1 of its ownK220181 StealthFix Intraosseous Fixation SystemNextremity Solutions, Inc. · 2022
  10. Descendant · 2 generations on · 0 of its ownK232324 StealthFix Intraosseous Fixation SystemMedartis, Inc. · 2023
  11. Descendant · cites it directly · 0 of its ownK190722 TriMAX Implant SystemCrossroads Extemity Systems, LLC · 2019

Most influential descendants

Showing 3 of 3 · See all
  • K220181StealthFix Intraosseous Fixation SystemNextremity Solutions, Inc. · 2022 · cites it directly1descendant
  • K232324StealthFix Intraosseous Fixation SystemMedartis, Inc. · 2023 · 2 generations on0descendants
  • K190722TriMAX Implant SystemCrossroads Extemity Systems, LLC · 2019 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K915818Synthes (R) Titanium Small Reconstruction PlateSynthes (Usa)19922
−6K990094Kmi Wrist Fusion SystemKinetikos Medical, Inc.1999—
−5K991873Kmi Wrist Fusion SystemKinetikos Medical, Inc.1999—
−4K021321Wrist Fusion PlateAcu Med, Inc.2002—
−3K050681Omnitech System & Easy Lock Osteosystem with Xtremities PlatesTriMed, Inc.2005—
−2K112794Eos Small Bone Fixation SystemTriMed, Inc.20124
−1K153395OS2-C Compression StapleIn2bones Sas2016—
0 (this device)K163440Stealth Staple SystemFirst Ray, LLC2017—
+1K220181StealthFix Intraosseous Fixation SystemNextremity Solutions, Inc.2022—
+2K232324StealthFix Intraosseous Fixation SystemMedartis, Inc.2023—
+1K190722TriMAX Implant SystemCrossroads Extemity Systems, LLC2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
198910
199030
199110
199410
199510
199650
199710
199810
199940
200050
200140
200220
200310
200510
200630
200740
201010
201310
201610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201910
202210
202310
FIG. 1 — Lineage of K163440, 1992–2023Source: 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 JDR? 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 JDR device

  1. #1 K243658 TMC Compression Implant Systemscore 16.7 · 18 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? (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
*K153622First Ray Internal Bone Staple System
Summary page 5
…s bone fractures and osteotomies and achieves joint fusion by engaging two bone fragments and holding them together. Predicate Devices: The Internal Bone Staple System (K153622), marketed as the Stealth Staple System, is the predicate device. The Richards Staple (pre-amendment device), In2Bones, Inc. OS2®…
First Ray, LLC2016—
*K153395OS2-C Compression Staple
Summary page 5
…e System (K153622), marketed as the Stealth Staple System, is the predicate device. The Richards Staple (pre-amendment device), In2Bones, Inc. OS2®-C Compression Staple (K153395) and the Solana Surgical LLC Fuse Force Nitinol Staple (K124045) serve as additional predicates. Technological Characteristics C…
In2bones Sas2016—
*K124045Fuseforce Implant System
Summary page 5
…e predicate device. The Richards Staple (pre-amendment device), In2Bones, Inc. OS2®-C Compression Staple (K153395) and the Solana Surgical LLC Fuse Force Nitinol Staple (K124045) serve as additional predicates. Technological Characteristics Comparison: The Stealth Staple System has the same design and fun…
Solana Surgical, LLC2013—
*—Richards Staple
Named without a submission number
—

Also cleared against K153622: 1 other device →

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K220181StealthFix Intraosseous Fixation SystemNextremity Solutions, Inc.20221
K190722TriMAX Implant SystemCrossroads Extemity Systems, LLC20190

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 25 years and passes through 6 companies; a new generation was cleared every 3.0 years on median.
  • 14 of the 50 ancestors have a recall of any class.
  • Of its descendants, K220181 (Nextremity Solutions, Inc., 2022) has gone furthest, with 1 descendant of its own.
  • 1 other device also cites its predicate K153622.

How does its category compare?

All JDR devices

JDR Staple, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2017, this device’s year, is highlighted.

FDA decisions per year · JDR

3in 2025

2007: 82008: 52010: 22011: 12012: 12013: 92014: 112015: 72016: 62017: 92018: 82019: 52020: 42021: 32022: 52023: 92024: 42025: 32026 (partial year): 2
2007high 11 (2014) · low 0 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JDR

65in 2025

2007: 70 days median2008: 89 days median2013: 137 days median2014: 97 days median2015: 111 days median2016: 101 days median2017: 172 days median2018: 107 days median2019: 149 days median2020: 161 days median2021: 62 days median2022: 107 days median2023: 72 days median2024: 29 days median2025: 65 days median
2007high 172 (2017) · low 29 (2024)2026

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

Recalls per year · JDR

11in 2022

2008: 12015: 12018: 12020: 12022: 112026 (partial year): 2
2007high 11 (2022) · low 0 (2007)2026

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

Adverse event reports per year · JDR

314in 2025

2007: 32008: 142009: 102010: 352011: 622012: 342013: 272014: 492015: 482016: 762017: 1162018: 2392019: 2422020: 2342021: 2102022: 2022023: 1752024: 2062025: 314
2007high 314 (2025) · low 3 (2007)2025

MAUDE reports naming product code JDR, 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
200787003
2008589114
20090—010
20102—035
20111—062
20121—034
20139137027
20141197049
20157111148
20166101076
201791720116
201881071239
201951490242
202041611234
20213620210
2022510711202
20239720175
20244290206
20253650314
20262—2—

What is it indicated for?

The Stealth Staple System is indicated for fixation of bone fractures, fusions, or for bone reconstructions, including:

• Arthrodesis in hand or foot surgery

• Mono or bi-cortical osteotomies in the foot or hand

• Fracture management in the foot or hand

• Distal or proximal metatarsal or metacarpal osteotomies

• Fixation of osteotomies for Hallux Valgus treatment such as scarf, chevron, etc.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K163440: Stealth Staple System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K163440

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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