510(k) Report

510(k) · Cleared

Cleared

CrossRoads Tray System

K202268510(k) TraditionalCleared Dec 30, 2020141-day reviewClass II21 CFR 880.6850

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

Crossroads Extremity Systems, LLC · KCT Sterilization Wrap Containers, Trays, Cassettes & Other Accessories

Cleared on Dec 30, 2020 as substantially equivalent to K200632 (THINK Surgical, Inc., 2020) after a 141-day review. Its family tree reaches back 8 generations to 1984. 3 later devices descend from it.

Decided
Dec 30, 2020
Review
141 days
Class
Class II
Product code
KCT
Recalls
None
Predicates
1

Its longest line of descent runs back 8 generations to K844002 (1984). 12 ancestors in all. 3 later devices descend from it, 2 citing it directly.

  1. Root · 8 generations backK844002 HU-Friedy Ims Cassette SystemHu-Friedy Mfg. Co., Inc. · 1984
  2. 7 generations backK980065 C/T Med-Systems Cassette SystemC/T Med System, Ltd. · 1998
  3. 6 generations backK990761 Tuttnauer Mini Container Cassette, Tuttnauer Standard Case CassetteTuttnauer U.S.A Co, Ltd. · 1999
  4. 5 generations backK012105 Polyvac Surgical Instrument Delivery SystemSymmetry Medical, Inc. · 2002
  5. 4 generations backK032119 Paragon Medical Surgical Instrument Delivery System VariousParagon Medical, Inc. · 2003
  6. 3 generations backK072211 Intuitive Surgical Instrument and Accessories Sterilization TraysIntuitive Surgical, Inc. · 2008
  7. 2 generations backK180127 TCAT (R) THA Instrument Tray SetTHINK Surgical, Inc. · 2019
  8. 1 generation backK200632 TCAT TKA Instrument Tray SetTHINK Surgical, Inc. · 2020
  9. This deviceK202268 CrossRoads Tray SystemCrossroads Extremity Systems, LLC · 2020
  10. Descendant · cites it directly · 1 of its ownK241927 Synthes Graphic Case & Tray SystemSynthes GmbH · 2025
  11. Descendant · 2 generations on · 0 of its ownK253791 PUREVUE™ Quick Connect Cannula System Tray; PUREVUE™ Quick Connect…DePuy Mitek, Inc. · 2026
  12. Descendant · cites it directly · 0 of its ownK241050 CrossRoads Modular Tray SystemCrossroads Extremity Systems · 2024

Most influential descendants

Showing 3 of 3 · See all
  • K241927Synthes Graphic Case & Tray SystemSynthes GmbH · 2025 · cites it directly1descendant
  • K253791PUREVUE™ Quick Connect Cannula System Tray; PUREVUE™ Quick Connect Cannula System LidDePuy Mitek, Inc. · 2026 · 2 generations on0descendants
  • K241050CrossRoads Modular Tray SystemCrossroads Extremity Systems · 2024 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K844002HU-Friedy Ims Cassette SystemHu-Friedy Mfg. Co., Inc.1984—
−7K980065C/T Med-Systems Cassette SystemC/T Med System, Ltd.1998—
−6K990761Tuttnauer Mini Container Cassette, Tuttnauer Standard Case CassetteTuttnauer U.S.A Co, Ltd.1999—
−5K012105Polyvac Surgical Instrument Delivery SystemSymmetry Medical, Inc.2002—
−4K032119Paragon Medical Surgical Instrument Delivery System VariousParagon Medical, Inc.2003—
−3K072211Intuitive Surgical Instrument and Accessories Sterilization TraysIntuitive Surgical, Inc.2008—
−2K180127TCAT (R) THA Instrument Tray SetTHINK Surgical, Inc.2019—
−1K200632TCAT TKA Instrument Tray SetTHINK Surgical, Inc.2020—
0 (this device)K202268CrossRoads Tray SystemCrossroads Extremity Systems, LLC2020—
+1K241927Synthes Graphic Case & Tray SystemSynthes GmbH2025—
+2K253791PUREVUE™ Quick Connect Cannula System Tray; PUREVUE™ Quick Connect Cannula…DePuy Mitek, Inc.2026—
+1K241050CrossRoads Modular Tray SystemCrossroads Extremity Systems2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199410
199710
200110
200410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
202510
202610
FIG. 1 — Lineage of K202268, 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 KCT? 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 KCT device

  1. #1 K214041 Aesculap AICON Containerscore 18.1 · 6 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? (1)

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
*K200632TCAT TKA Instrument Tray Set
Summary page 4
…ion Wrap Containers, Trays, Cassettes & other Accessories Panel: General Hospital Product Code: KCT Predicate Devices: K200632 TCAT TKA Instrument Tray Set Device Description: The subject CrossRoads Tray System is a reusable steril…
THINK Surgical, Inc.2020—

Also cleared against K200632: 1 other device →

What descends from it? (3)

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K241927Synthes Graphic Case & Tray SystemSynthes GmbH20251
K241050CrossRoads Modular Tray SystemCrossroads Extremity Systems20240

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 36 years and passes through 8 companies; a new generation was cleared every 3.1 years on median.
  • None of the 12 ancestors has a recall.
  • Of its descendants, K241927 (Synthes GmbH, 2025) has gone furthest, with 1 descendant of its own.
  • 1 other device also cites its predicate K200632.

How does its category compare?

All KCT devices

KCT Sterilization Wrap Containers, Trays, Cassettes & Other Accessories: FDA decisions, review times, recalls and adverse event reports over 20 years. 2020, this device’s year, is highlighted.

FDA decisions per year · KCT

11in 2025

2007: 32008: 62009: 62010: 122011: 62012: 102013: 82014: 112015: 152016: 122017: 102018: 152019: 182020: 142021: 182022: 112023: 102024: 82025: 112026 (partial year): 9
2007high 18 (2019) · low 3 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KCT

205in 2025

2007: 199 days median2008: 182 days median2009: 89 days median2010: 202 days median2011: 117 days median2012: 236 days median2013: 131 days median2014: 169 days median2015: 151 days median2016: 182 days median2017: 211 days median2018: 192 days median2019: 187 days median2020: 134 days median2021: 185 days median2022: 137 days median2023: 94 days median2024: 106 days median2025: 205 days median2026 (partial year): 122 days median
2007high 236 (2012) · low 89 (2009)2026

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

Recalls per year · KCT

17in 2022

2010: 12011: 22013: 12014: 12016: 32017: 12021: 12022: 17
2007high 17 (2022) · low 0 (2007)2026

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

Adverse event reports per year · KCT

50in 2025

2007: 22008: 82009: 52010: 32011: 32012: 22013: 62014: 52015: 62016: 162017: 32018: 222019: 152020: 662021: 262022: 82023: 302024: 182025: 50
2007high 66 (2020) · low 2 (2007)2025

MAUDE reports naming product code KCT, 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
2007319902
2008618208
200968905
20101220213
2011611723
20121023602
2013813116
20141116915
20151515106
201612182316
20171021113
201815192022
201918187015
202014134066
202118185126
202211137178
20231094030
20248106018
202511205050
202691220—

What is it indicated for?

The CrossRoads Tray System is used in healthcare facilities to store and organize CrossRoads surgical instruments and components during cleaning/sterilization and during implant/prosthetic treatment. The CrossRoads Tray System are not intended on their own to maintain sterility; it is intended to be used in conjunction with a legally marketed, validated, FDA-cleared sterilization pouch or sterilization wrap. Sterilization validations for the worst-case…

Read the full statement (126 words)

The CrossRoads Tray System is used in healthcare facilities to store and organize CrossRoads surgical instruments and components during cleaning/sterilization and during implant/prosthetic treatment. The CrossRoads Tray System are not intended on their own to maintain sterility; it is intended to be used in conjunction with a legally marketed, validated, FDA-cleared sterilization pouch or sterilization wrap. Sterilization validations for the worst-case CrossRoads Tray System included surgical instruments such as drills, inserters, reamers, fixation pin, benders, and ratcheting handles. The CrossRoads Tray System were validated for a maximum load of 8.5 lbs (tray + instruments).

Method: Steam Sterilization (Moist Heat Sterilization) Cycle Prevacuum

Temperature: 270 ˚F (132 ˚C)

Exposure time: 4 minutes

Drying time: 20 minutes

The tray is 20.60” length x 9.80” width x 2.00” depth.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K202268: CrossRoads Tray System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K202268

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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