510(k) Report

510(k) · Cleared

Cleared

Stratum™ Reduced Size Foot Plating System

K200785510(k) TraditionalCleared Jul 27, 2020123-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

Nextremity Solutions, Inc. · HRS Plate, Fixation, Bone

Cleared on Jul 27, 2020 as substantially equivalent to K081546 (DePuy Orthopaedics, Inc., 2008) and 2 other predicates after a 123-day review. Its family tree reaches back 5 generations to 2004.

Decided
Jul 27, 2020
Review
123 days
Class
Class II
Product code
HRS
Recalls
None
Predicates
3

Its longest line of descent runs back 5 generations to K041081 (2004). 9 ancestors in all. No later device cites it as a predicate yet.

  1. Root · 5 generations backK041081 Fragment Plate System, Screws, Pins and K-WiresHand Innovations, Inc. · 2004 · Recalled
  2. 4 generations backK061748 Fragment Plate SystemHand Innovations, LLC · 2006
  3. 3 generations backK101240 Closed Fusion Plate, MTP Plate, Talus Plate, Model 824077021, 22…DePuy Orthopaedics, Inc. · 2010
  4. 2 generations backK131670 Lapidus Plate, 3.5MM Inline Fusion Plate, 3.5MM MTP Plate (Left and…Biomet, Inc. · 2013
  5. 1 generation backK182201 Stratum™ Foot Plating SystemNextremity Solutions, Inc. · 2018 · Recalled
  6. This deviceK200785 Stratum™ Reduced Size Foot Plating SystemNextremity Solutions, Inc. · 2020
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K041081Fragment Plate System, Screws, Pins and K-WiresHand Innovations, Inc.20041
−4K061748Fragment Plate SystemHand Innovations, LLC2006—
−3K101240Closed Fusion Plate, MTP Plate, Talus Plate, Model 824077021, 22; 824677021…DePuy Orthopaedics, Inc.2010—
−2K131670Lapidus Plate, 3.5MM Inline Fusion Plate, 3.5MM MTP Plate (Left and Right)Biomet, Inc.2013—
−1K182201Stratum™ Foot Plating SystemNextremity Solutions, Inc.20185
0 (this device)K200785Stratum™ Reduced Size Foot Plating SystemNextremity Solutions, Inc.2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200610
200810
200910
201410
FIG. 1 — Lineage of K200785, 2004–2020Source: 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? (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
*K081546Small Bone Locking Plating System
Summary page 4
…HWC Substantially Equivalent Devices:  Zimmer Biomet F3™ Fragment Plating System (cleared as the DePuy Small Bone Locking Plating System), K081546 – Primary Predicate  Zimmer Biomet A.L.P.S. Hand Fracture (cleared as the DePuy Small Bone Locking Plating…
DePuy Orthopaedics, Inc.20081
*K140724MSP Metatarsal Shortening System
Summary page 4
…cleared as the DePuy Small Bone Locking Plating System), K081546 – Primary Predicate  Nextremity Solutions MSP Metatarsal Shortening System, K140724 – Additional Predicate  Nextremity Solutions Stratum™ Foot Plating System, K182201 – Additional Predicate === Pa…
Nextremity Solutions, Inc.2014—
*K182201Stratum™ Foot Plating System
Summary page 4
… Nextremity Solutions MSP Metatarsal Shortening System, K140724 – Additional Predicate  Nextremity Solutions Stratum™ Foot Plating System, K182201 – Additional Predicate K200…
Nextremity Solutions, Inc.20185

Also cleared against K081546: 10 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 16 years and passes through 5 companies; a new generation was cleared every 2.9 years on median.
  • 4 of the 9 ancestors have a recall of any class.
  • 10 other devices also cite its predicate K081546.

How does its category compare?

All HRS devices

HRS Plate, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2020, 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 Nextremity Solutions Stratum™ Reduced Size Foot Plating System is intended for stabilization and fixation of small bone fragments in fresh fractures, revision procedures, joint fusion and reconstruction of small bones of the foot and ankle, particularly in osteopenic bone.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K200785: Stratum™ Reduced Size Foot Plating System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K200785

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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