510(k) Report

510(k) · Cleared

Cleared

Avanti Distal Radius and Forearm System

K191118510(k) TraditionalCleared Dec 13, 2019231-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

Avanti Orthopaedics, Inc. · HRS Plate, Fixation, Bone

Cleared on Dec 13, 2019 as substantially equivalent to K132704 (Biomet, 2013) and 4 other predicates after a 231-day review. Its family tree reaches back 12 generations to 1984. 1 later device descends from it.

Decided
Dec 13, 2019
Review
231 days
Class
Class II
Product code
HRS
Recalls
None
Predicates
5

Its longest line of descent runs back 12 generations to K841189 (1984). 93 ancestors in all, the oldest K791619 (1979). 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2013: 1 other ancestor2004: 5 other ancestors2000: 9 other ancestors1995: 2 other ancestors2011: 1 other ancestor2009: 1 other ancestor2008: 2 other ancestors2003: 10 other ancestors2001: 10 other ancestors2005: 1 other ancestor2002: 7 other ancestors1999: 5 other ancestors1998: 5 other ancestors1997: 4 other ancestors1994: 1 other ancestor1996: 4 other ancestors1993: 3 other ancestors1992: 3 other ancestors1990: 2 other ancestors1986: 1 other ancestor1979: 1 other ancestor1989: 1 other ancestor1981: 1 other ancestor1991: 1 other ancestor2026: 1 descendant clearedK841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 1984K990148 · Stackable Cage System · Depuy Motech Acromed · 1999K003043 · Surgical Titanium Mesh System · Depuyacromed · 2001×2: 2 generations cleared close together, K022793 (2003), K031757 (2003) ×2: 2 generations cleared close together, K041888 (2004), K043316 (2005) K052533 · Kimba Spinal Implant · Signus Medizintechnik GmbH · 2005×2: 2 generations cleared close together, K091425 (2010), K100497 (2010) K102597 · Piccolo Composite Plate System · N.M.B. Medical Applications, Ltd. · 2011K160995 · NEOVIEW Plating System · In2bones Sas · 2016 · recalled19801990200020102020
  1. Root · 12 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 8 generations between
  3. 3 generations backK100497 Quantum IM Composite Nailing System (Quantum Nailing System)N.M.B. Medical Applications, Ltd. · 2010
  4. 2 generations backK102597 Piccolo Composite Plate SystemN.M.B. Medical Applications, Ltd. · 2011
  5. 1 generation backK160995 NEOVIEW Plating SystemIn2bones Sas · 2016 · Recalled
  6. This deviceK191118 Avanti Distal Radius and Forearm SystemAvanti Orthopaedics, Inc. · 2019
  7. Descendant · cites it directly · 0 of its ownK261145 Avanti Distal Elbow ORIF SystemAvanti Orthopaedics, LLC · 2026
Show all 12 generations
  1. Root · 12 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 11 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 10 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 9 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 8 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 7 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 6 generations backK043316 Rabea Spinal ImplantSignus Medizintechnik GmbH · 2005
  8. 5 generations backK052533 Kimba Spinal ImplantSignus Medizintechnik GmbH · 2005
  9. 4 generations backK091425 Quantum M Composite Nailing SystemN.M.B. Medical Applications, Ltd. · 2010
  10. 3 generations backK100497 Quantum IM Composite Nailing System (Quantum Nailing System)N.M.B. Medical Applications, Ltd. · 2010
  11. 2 generations backK102597 Piccolo Composite Plate SystemN.M.B. Medical Applications, Ltd. · 2011
  12. 1 generation backK160995 NEOVIEW Plating SystemIn2bones Sas · 2016 · Recalled
  13. This deviceK191118 Avanti Distal Radius and Forearm SystemAvanti Orthopaedics, Inc. · 2019

Most influential descendants

Showing 1 of 1 · See all
  • K261145Avanti Distal Elbow ORIF SystemAvanti Orthopaedics, LLC · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−11K990148Stackable Cage SystemDepuy Motech Acromed1999—
−10K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−9K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−8K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−7K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−6K043316Rabea Spinal ImplantSignus Medizintechnik GmbH2005—
−5K052533Kimba Spinal ImplantSignus Medizintechnik GmbH2005—
−4K091425Quantum M Composite Nailing SystemN.M.B. Medical Applications, Ltd.2010—
−3K100497Quantum IM Composite Nailing System (Quantum Nailing System)N.M.B. Medical Applications, Ltd.2010—
−2K102597Piccolo Composite Plate SystemN.M.B. Medical Applications, Ltd.2011—
−1K160995NEOVIEW Plating SystemIn2bones Sas20164
0 (this device)K191118Avanti Distal Radius and Forearm SystemAvanti Orthopaedics, Inc.2019—
+1K261145Avanti Distal Elbow ORIF SystemAvanti Orthopaedics, LLC2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198110
198610
198910
199020
199110
199230
199330
199410
199520
199640
199740
199850
199950
200090
2001100
200270
2003100
200450
200510
200820
200910
201110
201310

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K191118, 1984–2026Source: 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 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? (5)

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
*K132704Distal Radius Volar Rim Plate Standard, Distal Radius Volar Rim Plate Narrow
Summary page 4
…Single/Multiplecomponentmetallicbonefixationappliancesandaccessories Code–Classification HRS,21CFR888.3030:ClassII PrimaryPredicate K132704BiometDistalRadiusVolarRim(DVR)PlatingSystem K042355SynthesLCPWristFusionPlates…
Biomet20131
*K042355Synthes (Usa) LCP Wrist Fusion Plates
Summary page 4
…Code–Classification HRS,21CFR888.3030:ClassII PrimaryPredicate K132704BiometDistalRadiusVolarRim(DVR)PlatingSystem K042355SynthesLCPWristFusionPlates K951304Synthes2.7MMCannulatedScrewandThreadedWasher Addi…
Synthes (Usa)2004—
*K951304Synthes 2.7 MM Cannulated Screw and Threaded Washer
Summary page 4
…redicate K132704BiometDistalRadiusVolarRim(DVR)PlatingSystem K042355SynthesLCPWristFusionPlates K951304Synthes2.7MMCannulatedScrewandThreadedWasher Additional K000684SynthesSmallFragmentDynamicCompressio…
Synthes (Usa)19951
*K000684Small Fragment Dynamic Compression Locking (DCL) System
Summary page 4
…K042355SynthesLCPWristFusionPlates K951304Synthes2.7MMCannulatedScrewandThreadedWasher Additional K000684SynthesSmallFragmentDynamicCompressionLocking(DCL)System Predicates K160995In2BonesSASNeoviewPlate…
Synthes (Usa)20001
*K160995NEOVIEW Plating System
Summary page 4
…7MMCannulatedScrewandThreadedWasher Additional K000684SynthesSmallFragmentDynamicCompressionLocking(DCL)System Predicates K160995In2BonesSASNeoviewPlate  TheAvantiDistalRadiusandForearmSystem…
In2bones Sas20164

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K261145Avanti Distal Elbow ORIF SystemAvanti Orthopaedics, LLC20260

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 35 years and passes through 8 companies; a new generation was cleared every 1.7 years on median.
  • 18 of the 93 ancestors have a recall of any class.
  • Of its descendants, K261145 (Avanti Orthopaedics, LLC, 2026) has gone furthest, with 0 descendants of its own.

How does its category compare?

All HRS devices

HRS Plate, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, 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 system intended for fixation of fractures, osteotomies, malunions, and non-unions, involving the radius, ulna, and carpals. Additionally, the wrist fusion plates may be used for wrist arthrodesis.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K191118: Avanti Distal Radius and Forearm System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K191118

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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