510(k) Report

510(k) · Cleared

Cleared

Interphalangeal Joint Fusion Device Range

K191424510(k) TraditionalCleared Aug 28, 201991-day reviewClass II21 CFR 888.3040

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Neosteo · HWC Screw, Fixation, Bone

Cleared on Aug 28, 2019 as substantially equivalent to K133636 (Extremity Medical, LLC, 2014) and 2 other predicates after a 91-day review. Its family tree reaches back 5 generations to 1990.

Decided
Aug 28, 2019
Review
91 days
Class
Class II
Product code
HWC
Recalls
None
Predicates
3

Its longest line of descent runs back 5 generations to K901456 (1990). 32 ancestors in all, the oldest K792670 (1980). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2010: 2 other ancestors2012: 3 other ancestors2008: 1 other ancestor2007: 4 other ancestors2003: 2 other ancestors2002: 2 other ancestors2001: 3 other ancestors2000: 1 other ancestor1998: 1 other ancestor1996: 3 other ancestors2006: 1 other ancestor2004: 1 other ancestor1997: 2 other ancestors1980: 1 other ancestorK901456 · Orthosorb (R) Absorbable Pin · Johnson & Johnson International · 1990K031712 · Inion Otps Biodegradable Pin · Inion, Ltd. · 2003K050275 · Modification to: Inion Otps Biodegradable Pin · Inion, Ltd. · 2005K061164 · Activapin · Bioretec, Ltd. · 2006K133636 · Extremity Medical Hammertoe Device · Extremity Medical, LLC · 201419801990200020102020
Other ancestors, by generation 1 generation back: 2 other ancestors2 generations back: 8 other ancestors3 generations back: 9 other ancestors4 generations back: 6 other ancestors5 generations back: 2 other ancestors K133636 · Extremity Medical Hammertoe Device · Extremity Medical, LLC · 2014K061164 · Activapin · Bioretec, Ltd. · 2006K050275 · Modification to: Inion Otps Biodegradable Pin · Inion, Ltd. · 2005K031712 · Inion Otps Biodegradable Pin · Inion, Ltd. · 2003K901456 · Orthosorb (R) Absorbable Pin · Johnson & Johnson International · 1990−50
  1. Root · 5 generations backK901456 Orthosorb (R) Absorbable PinJohnson & Johnson International · 1990
  2. 4 generations backK031712 Inion Otps Biodegradable PinInion, Ltd. · 2003
  3. 3 generations backK050275 Modification to: Inion Otps Biodegradable PinInion, Ltd. · 2005
  4. 2 generations backK061164 ActivapinBioretec, Ltd. · 2006
  5. 1 generation backK133636 Extremity Medical Hammertoe DeviceExtremity Medical, LLC · 2014
  6. This deviceK191424 Interphalangeal Joint Fusion Device RangeNeosteo · 2019
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K901456Orthosorb (R) Absorbable PinJohnson & Johnson International1990—
−4K031712Inion Otps Biodegradable PinInion, Ltd.2003—
−3K050275Modification to: Inion Otps Biodegradable PinInion, Ltd.2005—
−2K061164ActivapinBioretec, Ltd.2006—
−1K133636Extremity Medical Hammertoe DeviceExtremity Medical, LLC2014—
0 (this device)K191424Interphalangeal Joint Fusion Device RangeNeosteo2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198010
199630
199720
199810
200010
200130
200220
200320
200410
200610
200740
200810
201020
201230
FIG. 1 — Lineage of K191424, 1990–2019Source: 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 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. #1 K203011 Monster Screw Systemscore 22.2 · 14 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? (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.

TypeNumberDeviceApplicantDecidedRecalls
*K133636Extremity Medical Hammertoe Device
Summary page 4
…87 “Orthopedic” Product code HWC Primary Predicate Device HammerFix® (K133636) from Extremity Medical ProToe® (K101165) from Wright Medical Secondary Predica…
Extremity Medical, LLC2014—
*K101165Pro-Toe VO Hammertow Implant System
Summary page 4
…HWC Primary Predicate Device HammerFix® (K133636) from Extremity Medical ProToe® (K101165) from Wright Medical Secondary Predicate Devices Kirschner and Guide Wires (K100736) from SMT Schilling Metalltechnik GmbH =…
Wrightmedicaltechnologyinc2010—
*K100736Kirschner and Guide Wires
Summary page 4
…from Extremity Medical ProToe® (K101165) from Wright Medical Secondary Predicate Devices Kirschner and Guide Wires (K100736) from SMT Schilling Metalltechnik GmbH…
Smt Schilling Metalltechnik GmbH2010—

Also cleared against K133636: 8 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 29 years and passes through 5 companies; a new generation was cleared every 5.4 years on median.
  • 3 of the 32 ancestors have a recall of any class.
  • 8 other devices also cite its predicate K133636.

How does its category compare?

All HWC devices

HWC 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

2007: 352008: 332009: 272010: 232011: 352012: 202013: 252014: 312015: 412016: 262017: 402018: 202019: 302020: 282021: 262022: 262023: 242024: 172025: 152026 (partial year): 21
2007high 41 (2015) · low 15 (2025)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HWC

111in 2025

2007: 77 days median2008: 76 days median2009: 113 days median2010: 110 days median2011: 88 days median2012: 99 days median2013: 90 days median2014: 88 days median2015: 85 days median2016: 131 days median2017: 127 days median2018: 106 days median2019: 108 days median2020: 75 days median2021: 84 days median2022: 167 days median2023: 104 days median2024: 90 days median2025: 111 days median2026 (partial year): 125 days median
2007high 167 (2022) · low 75 (2020)2026

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

Recalls per year · HWC

1in 2025

2007: 252008: 332009: 292010: 72011: 122012: 302013: 142014: 22015: 52016: 42017: 42018: 12019: 52020: 42021: 22022: 132025: 12026 (partial year): 2
2007high 33 (2008) · low 0 (2023)2026

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

Adverse event reports per year · HWC

2,893in 2025

2007: 6692008: 6602009: 6512010: 7652011: 1,1042012: 3,3392013: 3,8502014: 2,5492015: 2,7112016: 2,2852017: 2,5612018: 3,6622019: 5,4632020: 4,8202021: 4,4462022: 3,9342023: 3,7182024: 3,5752025: 2,893
2007high 5,463 (2019) · low 651 (2009)2025

MAUDE reports naming product code HWC, 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
2007357725669
2008337633660
20092711329651
2010231107765
20113588121,104
20122099303,339
20132590143,850
2014318822,549
2015418552,711
20162613142,285
20174012742,561
20182010613,662
20193010855,463
2020287544,820
2021268424,446
202226167133,934
20232410403,718
2024179003,575
20251511112,893
2026211252—

What is it indicated for?

The Interphalangeal Joint Fusion Devices are intended for the fixation of osteotomies and reconstruction of the lesser toes following correction procedures for hammertoe, claw toe and mallet toe.

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. “K191424: Interphalangeal Joint Fusion Device Range.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K191424

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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