510(k) Report

510(k) · Cleared

Cleared

Additive Orthopaedics Bunion System

K163593510(k) TraditionalCleared Jun 20, 2017181-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

Additive Orthopaedics, LLC · HRS Plate, Fixation, Bone

Cleared on Jun 20, 2017 as substantially equivalent to K131061 (Nextremity Solutions, 2013) and 3 other predicates after a 181-day review. Its family tree reaches back 11 generations to 1996.

Decided
Jun 20, 2017
Review
181 days
Class
Class II
Product code
HRS
Recalls
None
Predicates
4

Its longest line of descent runs back 11 generations to K954385 (1996). 156 ancestors in all, the oldest K792022 (1979). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2014: 1 other ancestor2013: 2 other ancestors2012: 2 other ancestors2011: 1 other ancestor2010: 5 other ancestors2009: 6 other ancestors2007: 7 other ancestors2006: 10 other ancestors2008: 5 other ancestors2005: 12 other ancestors2003: 6 other ancestors2002: 11 other ancestors2001: 10 other ancestors2000: 9 other ancestors1999: 7 other ancestors1997: 2 other ancestors1996: 14 other ancestors2004: 4 other ancestors1998: 3 other ancestors1995: 4 other ancestors1993: 3 other ancestors1992: 5 other ancestors1989: 4 other ancestors1979: 1 other ancestor1994: 6 other ancestors1990: 2 other ancestors1981: 1 other ancestor1980: 1 other ancestor1991: 1 other ancestorReference device: K153207 · Additive Orthopaedics Bone Wedge System · Additive Orthopaedics, LLC · 2016Reference device: K160264 · Additive Orthopaedics Hammertoe Correction System · Additive Orthopaedics, LLC · 2016K954385 · Synthes Mandibular Modular Fixation System · Synthes (Usa) · 1996K974555 · Synthes 2.0 MM Locking Plate System (2.0 LPS) · Synthes (Usa) · 1998K030448 · Osteomed 2.0 Locking Plates and Screws · Osteomed LP · 2003K032442 · KLS-Martin Mandibular/Reconstruction System II · KLS-Martin L.P. · 2003K040598 · KLS Martin Hand Plating System · KLS-Martin L.P. · 2004K050868 · Maxlock · Orthohelix Surgical Designs, Inc. · 2005K073624 · Modular Foot System · Orthohelix Surgical Designs, Inc. · 2008 · recalled×2: 2 generations cleared close together, K100618 (2010), K102156 (2010) K111041 · Mini Variable System · Orthohelix Surgical Designs, Inc. · 2011K120157 · Mini Maxlock Extreme Plating System · Orthohelix Surgical Designs, Inc. · 20121980199020002010
  1. Root · 11 generations backK954385 Synthes Mandibular Modular Fixation SystemSynthes (Usa) · 1996
  2. 7 generations between
  3. 3 generations backK102156 Maxlock Extreme Extremity Plating System Distal Radius Plates and…Orthohelix Surgical Designs, Inc. · 2010 · Recalled
  4. 2 generations backK111041 Mini Variable SystemOrthohelix Surgical Designs, Inc. · 2011
  5. 1 generation backK120157 Mini Maxlock Extreme Plating SystemOrthohelix Surgical Designs, Inc. · 2012
  6. This deviceK163593 Additive Orthopaedics Bunion SystemAdditive Orthopaedics, LLC · 2017
Show all 11 generations
  1. Root · 11 generations backK954385 Synthes Mandibular Modular Fixation SystemSynthes (Usa) · 1996
  2. 10 generations backK974555 Synthes 2.0 MM Locking Plate System (2.0 LPS)Synthes (Usa) · 1998
  3. 9 generations backK030448 Osteomed 2.0 Locking Plates and ScrewsOsteomed LP · 2003
  4. 8 generations backK032442 KLS-Martin Mandibular/Reconstruction System IIKLS-Martin L.P. · 2003
  5. 7 generations backK040598 KLS Martin Hand Plating SystemKLS-Martin L.P. · 2004
  6. 6 generations backK050868 MaxlockOrthohelix Surgical Designs, Inc. · 2005
  7. 5 generations backK073624 Modular Foot SystemOrthohelix Surgical Designs, Inc. · 2008 · Recalled
  8. 4 generations backK100618 Maxlock Extreme Extremity Plating System with Variable Angle…Orthohelix Surgical Designs, Inc. · 2010
  9. 3 generations backK102156 Maxlock Extreme Extremity Plating System Distal Radius Plates and…Orthohelix Surgical Designs, Inc. · 2010 · Recalled
  10. 2 generations backK111041 Mini Variable SystemOrthohelix Surgical Designs, Inc. · 2011
  11. 1 generation backK120157 Mini Maxlock Extreme Plating SystemOrthohelix Surgical Designs, Inc. · 2012
  12. This deviceK163593 Additive Orthopaedics Bunion SystemAdditive Orthopaedics, LLC · 2017
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11K954385Synthes Mandibular Modular Fixation SystemSynthes (Usa)1996—
−10K974555Synthes 2.0 MM Locking Plate System (2.0 LPS)Synthes (Usa)1998—
−9K030448Osteomed 2.0 Locking Plates and ScrewsOsteomed LP2003—
−8K032442KLS-Martin Mandibular/Reconstruction System IIKLS-Martin L.P.2003—
−7K040598KLS Martin Hand Plating SystemKLS-Martin L.P.2004—
−6K050868MaxlockOrthohelix Surgical Designs, Inc.2005—
−5K073624Modular Foot SystemOrthohelix Surgical Designs, Inc.20081
−4K100618Maxlock Extreme Extremity Plating System with Variable Angle TechnologyOrthohelix Surgical Designs, Inc.2010—
−3K102156Maxlock Extreme Extremity Plating System Distal Radius Plates and ScrewsOrthohelix Surgical Designs, Inc.20101
−2K111041Mini Variable SystemOrthohelix Surgical Designs, Inc.2011—
−1K120157Mini Maxlock Extreme Plating SystemOrthohelix Surgical Designs, Inc.2012—
0 (this device)K163593Additive Orthopaedics Bunion SystemAdditive Orthopaedics, LLC2017—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
198110
198940
199020
199110
199250
199330
199460
199540
1996140
199720
199830
199970
200090
2001100
2002110
200360
200440
2005120
2006100
200770
200850
200960
201050
201110
201220
201320
201410
FIG. 1 — Lineage of K163593, 1996–2017Source: 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
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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
*K131061Restore Bunion Correction System
Summary page 4
…Primary: Nextremity Solutions, Inc. Restore Fixation System K131061 Additional: OrthoHelix Surgical Designs, Inc. Mini MaxLock Extreme Plating System…
Nextremity Solutions2013—
*K120157Mini Maxlock Extreme Plating System
Summary page 4
…Additional: OrthoHelix Surgical Designs, Inc. Mini MaxLock Extreme Plating System K120157 Additional: Osteomed ExtremiLock System…
Orthohelix Surgical Designs, Inc.2012—
*K131445Osteomed Extremilock Foot Plating System
Summary page 4
…Additional: Osteomed ExtremiLock System K131445 Additional: OrthoSolutions, Inc. Ultos Foot Plating system…
Osteomed LP2013—
*K141784Ortho Solutions Ultos Plating System
Summary page 4
…Additional: OrthoSolutions, Inc. Ultos Foot Plating system K141784 Reference: Additive Orthopaedics, LLC Hammertoe Correction System…
Ortho Solutions Limited20142
†K153207Additive Orthopaedics Bone Wedge SystemAdditive Orthopaedics, LLC2016—
†K160264Additive Orthopaedics Hammertoe Correction SystemAdditive Orthopaedics, LLC2016—

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 21 years and passes through 5 companies; a new generation was cleared every 1.0 years on median.
  • 27 of the 156 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. 2017, 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 Additive Orthopaedics Bunion System is indicated for alignment, stabilization and fusion of fractures, osteotomies and arthrodesis of small bones such as the foot and ankle.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K163593: Additive Orthopaedics Bunion System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K163593

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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