510(k) Report

510(k) · Cleared

Cleared

Flex-Thread Fibula Pin System

K172943510(k) TraditionalCleared Oct 30, 201734-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

Intrafuse, LLC · HSB Rod, Fixation, Intramedullary And Accessories

Cleared on Oct 30, 2017 as substantially equivalent to K102845 (Mahe Medical GmbH, 2011) and 5 other predicates after a 34-day review. Its family tree reaches back 8 generations to 1996. 4 later devices descend from it.

Decided
Oct 30, 2017
Review
34 days
Class
Class II
Product code
HSB
Recalls
None
Predicates
6

Its longest line of descent runs back 8 generations to K962823 (1996). 57 ancestors in all, the oldest K792022 (1979). 4 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2016: 1 other ancestor2015: 2 other ancestors2007: 1 other ancestor2003: 3 other ancestors2009: 2 other ancestors2008: 3 other ancestors1998: 2 other ancestors1997: 1 other ancestor1995: 2 other ancestors1992: 1 other ancestor2006: 6 other ancestors2005: 3 other ancestors2002: 4 other ancestors2000: 3 other ancestors1996: 5 other ancestors2004: 2 other ancestors2001: 2 other ancestors1979: 1 other ancestor1994: 2 other ancestors1993: 2 other ancestors1999: 1 other ancestor2021: 2 descendants cleared2022: 1 descendant cleared2026: 1 descendant clearedK962823 · Synthes Sterile 3.0 MM Cannulated Screw and Threaded Washer · Synthes (Usa) · 1996K993762 · I.CO.S Screw · New Deal, S.A. · 2000K024233 · Kompressor Screw System · Kinetikos Medical, Inc. · 2003K040356 · Kompressor Screw System · Kinetikos Medical, Inc. · 2004K060071 · Nexa Compression Screw · Nexa Orthopedics, Inc. · 2006K063298 · Osteomed Headless Cannulated Screw System · Osteomed LP · 2007K083912 · Treu; Bone Screws, Schanz Screws, Kirschner Wires, Steinmann Pins, Larsen Pins · Treu-Instrumente GmbH · 2009K102845 · Mahe Fixation Plate and Screw System · Mahe Medical GmbH · 201119801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 5 other ancestors2 generations back: 8 other ancestors3 generations back: 13 other ancestors4 generations back: 14 other ancestors5 generations back: 5 other ancestors7 generations back: 1 other ancestor8 generations back: 3 other ancestors 1 generation forward: 1 descendant2 generations forward: 2 descendants3 generations forward: 1 descendant K102845 · Mahe Fixation Plate and Screw System · Mahe Medical GmbH · 2011K083912 · Treu; Bone Screws, Schanz Screws, Kirschner Wires, Steinmann Pins, Larsen Pins · Treu-Instrumente GmbH · 2009K063298 · Osteomed Headless Cannulated Screw System · Osteomed LP · 2007K060071 · Nexa Compression Screw · Nexa Orthopedics, Inc. · 2006K040356 · Kompressor Screw System · Kinetikos Medical, Inc. · 2004K024233 · Kompressor Screw System · Kinetikos Medical, Inc. · 2003K993762 · I.CO.S Screw · New Deal, S.A. · 2000K962823 · Synthes Sterile 3.0 MM Cannulated Screw and Threaded Washer · Synthes (Usa) · 1996−50
  1. Root · 8 generations backK962823 Synthes Sterile 3.0 MM Cannulated Screw and Threaded WasherSynthes (Usa) · 1996
  2. 7 generations backK993762 I.CO.S ScrewNew Deal, S.A. · 2000
  3. 6 generations backK024233 Kompressor Screw SystemKinetikos Medical, Inc. · 2003
  4. 5 generations backK040356 Kompressor Screw SystemKinetikos Medical, Inc. · 2004
  5. 4 generations backK060071 Nexa Compression ScrewNexa Orthopedics, Inc. · 2006
  6. 3 generations backK063298 Osteomed Headless Cannulated Screw SystemOsteomed LP · 2007
  7. 2 generations backK083912 Treu; Bone Screws, Schanz Screws, Kirschner Wires, Steinmann Pins…Treu-Instrumente GmbH · 2009
  8. 1 generation backK102845 Mahe Fixation Plate and Screw SystemMahe Medical GmbH · 2011
  9. This deviceK172943 Flex-Thread Fibula Pin SystemIntrafuse, LLC · 2017
  10. Descendant · cites it directly · 3 of its ownK202858 Flex-ThreadTM Distal Fibula Intramedullary Nail SystemConventus Orthopaedics, LLC · 2021 · Recalled
  11. Descendant · 2 generations on · 1 of its ownK212030 Flex-Thread™ Distal Fibula lntramedullary Nail SystemFlower Orthopedics Corporation Dba Conventus Flower · 2021
  12. Descendant · 3 generations on · 0 of its ownK252961 Fusion FibFix NailFusion Orthopedics USA, LLC · 2026
  13. Descendant · 2 generations on · 0 of its ownK222390 Flex-Thread™ Ulna Intramedullary Nail SystemFlower Orthopedics Corporation Dba Conventus Flower · 2022

Most influential descendants

Showing 4 of 4 · See all
  • K202858Flex-ThreadTM Distal Fibula Intramedullary Nail SystemConventus Orthopaedics, LLC · 2021 · cites it directly3descendants
  • K212030Flex-Thread™ Distal Fibula lntramedullary Nail SystemFlower Orthopedics Corporation Dba Conventus Flower · 2021 · 2 generations on1descendant
  • K252961Fusion FibFix NailFusion Orthopedics USA, LLC · 2026 · 3 generations on0descendants
  • K222390Flex-Thread™ Ulna Intramedullary Nail SystemFlower Orthopedics Corporation Dba Conventus Flower · 2022 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K962823Synthes Sterile 3.0 MM Cannulated Screw and Threaded WasherSynthes (Usa)1996—
−7K993762I.CO.S ScrewNew Deal, S.A.2000—
−6K024233Kompressor Screw SystemKinetikos Medical, Inc.2003—
−5K040356Kompressor Screw SystemKinetikos Medical, Inc.2004—
−4K060071Nexa Compression ScrewNexa Orthopedics, Inc.2006—
−3K063298Osteomed Headless Cannulated Screw SystemOsteomed LP2007—
−2K083912Treu; Bone Screws, Schanz Screws, Kirschner Wires, Steinmann Pins, Larsen PinsTreu-Instrumente GmbH2009—
−1K102845Mahe Fixation Plate and Screw SystemMahe Medical GmbH2011—
0 (this device)K172943Flex-Thread Fibula Pin SystemIntrafuse, LLC2017—
+1K202858Flex-ThreadTM Distal Fibula Intramedullary Nail SystemConventus Orthopaedics, LLC20212
+2K212030Flex-Thread™ Distal Fibula lntramedullary Nail SystemFlower Orthopedics Corporation Dba Conventus Flower2021—
+3K252961Fusion FibFix NailFusion Orthopedics USA, LLC2026—
+2K222390Flex-Thread™ Ulna Intramedullary Nail SystemFlower Orthopedics Corporation Dba Conventus Flower2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
199210
199320
199420
199520
199650
199710
199820
199910
200030
200120
200240
200330
200420
200530
200660
200710
200830
200920
201520
201610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202120
202210
202610
FIG. 1 — Lineage of K172943, 1996–2026Source: 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? (6)

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
*K102845Mahe Fixation Plate and Screw System
Summary page 4
…of a Fibula, and cortical screws to further enhance stability and fixation of the Fibula. Predicate Devices: The Mahe Medical GmbH Mahe Fixation Plate and Screw System (K102845), the Sonoma Orthopedics Products, Inc. Sonoma Fibula Repair System (K142945, K160069) and the Acumed, LLC Acumed Small Bone IM N…
Mahe Medical GmbH2011—
*K142945Sonoma Fibula Repair System
Summary page 4
…the Fibula. Predicate Devices: The Mahe Medical GmbH Mahe Fixation Plate and Screw System (K102845), the Sonoma Orthopedics Products, Inc. Sonoma Fibula Repair System (K142945, K160069) and the Acumed, LLC Acumed Small Bone IM Nail System (K143276, K071994, K031438) serve as the predicate devices.…
Sonoma Orthopedic Products, Inc.2015—
*K160069Sonoma Fibula Repair System
Summary page 4
…la. Predicate Devices: The Mahe Medical GmbH Mahe Fixation Plate and Screw System (K102845), the Sonoma Orthopedics Products, Inc. Sonoma Fibula Repair System (K142945, K160069) and the Acumed, LLC Acumed Small Bone IM Nail System (K143276, K071994, K031438) serve as the predicate devices.…
Sonoma Orthopedics Products, Inc.2016—
*K143276Acumed Small Bone IM Nail System
Summary page 4
…te and Screw System (K102845), the Sonoma Orthopedics Products, Inc. Sonoma Fibula Repair System (K142945, K160069) and the Acumed, LLC Acumed Small Bone IM Nail System (K143276, K071994, K031438) serve as the predicate devices.…
Acumed, LLC2015—
*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 only number one digit away in this product code whose FDA name shares the summary’s words.
Acumed, LLC2007—
*K031438Acumed Small Bone Locking Rod System II
Summary page 4
…m (K102845), the Sonoma Orthopedics Products, Inc. Sonoma Fibula Repair System (K142945, K160069) and the Acumed, LLC Acumed Small Bone IM Nail System (K143276, K071994, K031438) serve as the predicate devices.…
Acumed, LLC20031

Also cleared against K102845: 1 other device →

What descends from it? (4)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K202858Flex-ThreadTM Distal Fibula Intramedullary Nail SystemConventus Orthopaedics, LLC20213

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 8 companies; a new generation was cleared every 2.4 years on median.
  • 11 of the 57 ancestors have a recall of any class.
  • Of its descendants, K202858 (Conventus Orthopaedics, LLC, 2021) has gone furthest, with 3 descendants of its own.
  • 1 other device also cites its predicate K102845.

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. 2017, 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 Flex-Thread Fibula Pin System is intended for use in the fixation of fibula fractures and osteotomies.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K172943: Flex-Thread Fibula Pin System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K172943

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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