510(k) · Cleared
ClearedBone Screw Line Addition
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Vilex IN Tennessee, Inc. · HWC Screw, Fixation, Bone
Cleared on Jul 29, 2019 as substantially equivalent to K991197 (Vilex, Inc., 1999) and 2 other predicates after a 77-day review. Its family tree reaches back 2 generations to 2006. 2 later devices descend from it.
- Decided
- Jul 29, 2019
- Review
- 77 days
- Class
- Class II
- Product code
- HWC
- Recalls
- None
- Predicates
- 3
Its longest line of descent runs back 2 generations to K053136 (2006). 4 ancestors in all, the oldest K991197 (1999). 2 later devices descend from it, 1 citing it directly.
- Root · 2 generations backK053136 5TH Metatarsal Fracture ScrewWrightmedicaltechnologyinc · 2006
- 1 generation backK140952 Charlotte Carolina Jones Fracture System ScrewWrightmedicaltechnologyinc · 2014
- This deviceK191289 Bone Screw Line AdditionVilex IN Tennessee, Inc. · 2019
- Descendant · cites it directly · 1 of its ownK202817 GEO Bone Screw SystemGramercy Extremity Orthopedics, LLC · 2020
- Descendant · 2 generations on · 0 of its ownK230946 Accelerate Compression Screw System-Small Product Code ACC-S…Trax Surgical · 2023
Most influential descendants
Showing 2 of 2 · See allView FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −2 | K053136 | 5TH Metatarsal Fracture Screw | Wrightmedicaltechnologyinc | 2006 | — |
| −1 | K140952 | Charlotte Carolina Jones Fracture System Screw | Wrightmedicaltechnologyinc | 2014 | — |
| 0 (this device) | K191289 | Bone Screw Line Addition | Vilex IN Tennessee, Inc. | 2019 | — |
| +1 | K202817 | GEO Bone Screw System | Gramercy Extremity Orthopedics, LLC | 2020 | — |
| +2 | K230946 | Accelerate Compression Screw System-Small Product Code ACC-S; Accelerate… | Trax Surgical | 2023 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1999 | 1 | 0 |
| 2015 | 1 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2020 | 1 | 0 |
| 2023 | 1 | 0 |
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 HWC? 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 HWC device
- #1 K203011 Monster Screw Systemscore 22.2 · 14 generations · no Class I recall
- #2 Held for the reportin the report
- #3 Held for the reportin the report
What was it cleared against? (3)
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.
| Type | Number | Device | Decided |
|---|---|---|---|
| * | K991197 | Vilex/Duval/Orthex Cannulated Bone Screw, Models P222-XX, S25-XX, P227-XX, S30-XX…Summary page 4…earance No. Date Primary predicate Vilex/Orthex/Duval Cannulated Bone Vilex, Inc. K991197 04/26/1999 Screw Predicates Charlotte Carolina Jones Fracture Wright Medical K140952 05/15/2014 System Scr… | 1999 |
| * | K140952 | Charlotte Carolina Jones Fracture System ScrewSummary page 4…icate Vilex/Orthex/Duval Cannulated Bone Vilex, Inc. K991197 04/26/1999 Screw Predicates Charlotte Carolina Jones Fracture Wright Medical K140952 05/15/2014 System Screw Technology, Inc. Asnis JFX System Stryker Traum… | 2014 |
| * | K153154 | Asnis JFX SystemSummary page 4…Wright Medical K140952 05/15/2014 System Screw Technology, Inc. Asnis JFX System Stryker Trauma K153154 12/28/2015 AG IV. Device Description The Vilex Bone Screw Line Addition inc… | 2015 |
What descends from it? (2)
1 later device cites it directly; ranked here by how many devices descend from each in turn.
| Number | Device | Decided | Descendants |
|---|---|---|---|
| K202817 | GEO Bone Screw System | 2020 | 1 |
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 13 years and passes through 2 companies; a new generation was cleared every 8.4 years on median.
- None of the 4 ancestors has a recall.
- Of its descendants, K202817 (Gramercy Extremity Orthopedics, LLC, 2020) has gone furthest, with 1 descendant of its own.
- 13 other devices also cite its predicate K991197.
How does its category compare?
All HWC devicesHWC Screw, 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 · HWC
15in 2025
2026 to Oct 25, outlined.
Median 510(k) review, days · HWC
111in 2025
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · HWC
1in 2025
Class I (0 since 2007) Class II/III not classified
Adverse event reports per year · HWC
2,893in 2025
MAUDE reports naming product code HWC, not matched to any one device; reports are not rates.
View these four charts as a table
| Year | Decisions | Median 510(k) review, days | Recalls (Class I) | MAUDE reports |
|---|---|---|---|---|
| 2007 | 35 | 77 | 25 | 669 |
| 2008 | 33 | 76 | 33 | 660 |
| 2009 | 27 | 113 | 29 | 651 |
| 2010 | 23 | 110 | 7 | 765 |
| 2011 | 35 | 88 | 12 | 1,104 |
| 2012 | 20 | 99 | 30 | 3,339 |
| 2013 | 25 | 90 | 14 | 3,850 |
| 2014 | 31 | 88 | 2 | 2,549 |
| 2015 | 41 | 85 | 5 | 2,711 |
| 2016 | 26 | 131 | 4 | 2,285 |
| 2017 | 40 | 127 | 4 | 2,561 |
| 2018 | 20 | 106 | 1 | 3,662 |
| 2019 | 30 | 108 | 5 | 5,463 |
| 2020 | 28 | 75 | 4 | 4,820 |
| 2021 | 26 | 84 | 2 | 4,446 |
| 2022 | 26 | 167 | 13 | 3,934 |
| 2023 | 24 | 104 | 0 | 3,718 |
| 2024 | 17 | 90 | 0 | 3,575 |
| 2025 | 15 | 111 | 1 | 2,893 |
| 2026 | 21 | 125 | 2 | — |
What is it indicated for?
The Bone Screw Line Addition is intended to be used for the following indications:
• Bone fractures
o Jones fractures
o Acute fractures
o Avulsion fractures
o Repetitive stress fractures
o Malleolar fractures
o Talus fractures
o Greater tuberosity fractures
• Fixation of malunions and non-unions
• Osteotomies
• Arthrodesis
Indications for use as stated in the FDA summary.
https://510kreport.com/device/K191289 · printed Nov 5, 2026
Cite this page
510(k) Report. “K191289: Bone Screw Line Addition.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K191289
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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