510(k) Report

510(k) · Cleared

Cleared

MectaScrew Extension

K203335510(k) TraditionalCleared Feb 3, 2022448-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

Medacta International S.A. · HWC Screw, Fixation, Bone

Cleared on Feb 3, 2022 as substantially equivalent to K071437 (KARL STORZ Endoscopy-America, Inc., 2007) and 1 other predicate after a 448-day review. Its family tree reaches back 10 generations to 1994.

Decided
Feb 3, 2022
Review
448 days
Class
Class II
Product code
HWC
Recalls
None
Predicates
2

Its longest line of descent runs back 10 generations to K933738 (1994). 61 ancestors in all, the oldest K895711 (1990). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2019: 1 other ancestor2009: 1 other ancestor2006: 5 other ancestors2005: 3 other ancestors2002: 2 other ancestors2008: 1 other ancestor2007: 2 other ancestors2004: 1 other ancestor2003: 2 other ancestors2001: 4 other ancestors2000: 4 other ancestors1998: 6 other ancestors1995: 4 other ancestors1994: 2 other ancestors1999: 4 other ancestors1997: 1 other ancestor1996: 6 other ancestors1990: 1 other ancestor1993: 1 other ancestorK933738 · M. Kurosaka Interference Fixation Screw · Depuy, Inc. · 1994 · recalledK955733 · Hyloc Interference Screw (Cannulated)/(Non-Cannulated) · Depuy, Inc. · 1996×2: 2 generations cleared close together, K980440 (1998), K981670 (1998) K982662 · Depuy Profile Round Head Interference Screw, Depuy Phantom Resorbable Interference Screw · DePuy Orthopaedics, Inc. · 1998 · recalledK993073 · Smart Screw Acl Models 237020, 237025, 237030, 238020, 238025, 238030, 239020, 239025, 239030 · Bionx Implants, Ltd. · 1999K032894 · Osteo Acl Screw Model;237020T, 237025T, 237030T, 238020T, 238025T, 238030T, 239020T, 239025T, 239030T, 231020T, 231025T, · Linvatec Biomaterials, Inc. · 2004K052080 · Matryx Interference Screw · Linvatec Biomaterials, Inc. · 2005K063588 · Matryx Interference Screw, 239038T5,231025T5,231033T5,231038T5,231125T5,231133T5,231138T5 · Conmed Linvatec Biomaterials · 2007K071437 · Megafix-C Bioabsorbable Composite Interference Screw, Model 2870719C, 2870723C, 2870823C, 2870828C, 2870928C · KARL STORZ Endoscopy-America, Inc. · 20071990199520002005201020152020
Other ancestors, by generation 1 generation back: 1 other ancestor2 generations back: 5 other ancestors3 generations back: 10 other ancestors4 generations back: 9 other ancestors5 generations back: 15 other ancestors6 generations back: 9 other ancestors7 generations back: 2 other ancestors K071437 · Megafix-C Bioabsorbable Composite Interference Screw, Model 2870719C, 2870723C, 2870823C, 2870828C, 2870928C · KARL STORZ Endoscopy-America, Inc. · 2007K063588 · Matryx Interference Screw, 239038T5,231025T5,231033T5,231038T5,231125T5,231133T5,231138T5 · Conmed Linvatec Biomaterials · 2007K052080 · Matryx Interference Screw · Linvatec Biomaterials, Inc. · 2005K032894 · Osteo Acl Screw Model;237020T, 237025T, 237030T, 238020T, 238025T, 238030T, 239020T, 239025T, 239030T, 231020T, 231025T, · Linvatec Biomaterials, Inc. · 2004K993073 · Smart Screw Acl Models 237020, 237025, 237030, 238020, 238025, 238030, 239020, 239025, 239030 · Bionx Implants, Ltd. · 1999K982662 · Depuy Profile Round Head Interference Screw, Depuy Phantom Resorbable Interference Screw · DePuy Orthopaedics, Inc. · 1998 · recalledK981670 · Depuy Profile Round Head Interference Screw and Depuy Phantom Resorbable Interference Screw · Depuy, Inc. · 1998K980440 · Depuy Orthotech Phantom Sof-Thread Soft Tissue Interference Screw · Depuy, Inc. · 1998K955733 · Hyloc Interference Screw (Cannulated)/(Non-Cannulated) · Depuy, Inc. · 1996K933738 · M. Kurosaka Interference Fixation Screw · Depuy, Inc. · 1994 · recalled−10−50
  1. Root · 10 generations backK933738 M. Kurosaka Interference Fixation ScrewDepuy, Inc. · 1994 · Recalled
  2. 6 generations between
  3. 3 generations backK052080 Matryx Interference ScrewLinvatec Biomaterials, Inc. · 2005
  4. 2 generations backK063588 Matryx Interference Screw…Conmed Linvatec Biomaterials · 2007
  5. 1 generation backK071437 Megafix-C Bioabsorbable Composite Interference Screw, Model…KARL STORZ Endoscopy-America, Inc. · 2007
  6. This deviceK203335 MectaScrew ExtensionMedacta International S.A. · 2022
Show all 10 generations
  1. Root · 10 generations backK933738 M. Kurosaka Interference Fixation ScrewDepuy, Inc. · 1994 · Recalled
  2. 9 generations backK955733 Hyloc Interference Screw (Cannulated)/(Non-Cannulated)Depuy, Inc. · 1996
  3. 8 generations backK980440 Depuy Orthotech Phantom Sof-Thread Soft Tissue Interference ScrewDepuy, Inc. · 1998
  4. 7 generations backK981670 Depuy Profile Round Head Interference Screw and Depuy Phantom…Depuy, Inc. · 1998
  5. 6 generations backK982662 Depuy Profile Round Head Interference Screw, Depuy Phantom…DePuy Orthopaedics, Inc. · 1998 · Recalled
  6. 5 generations backK993073 Smart Screw Acl Models 237020, 237025, 237030, 238020, 238025…Bionx Implants, Ltd. · 1999
  7. 4 generations backK032894 Osteo Acl Screw Model;237020T, 237025T, 237030T, 238020T, 238025T…Linvatec Biomaterials, Inc. · 2004
  8. 3 generations backK052080 Matryx Interference ScrewLinvatec Biomaterials, Inc. · 2005
  9. 2 generations backK063588 Matryx Interference Screw…Conmed Linvatec Biomaterials · 2007
  10. 1 generation backK071437 Megafix-C Bioabsorbable Composite Interference Screw, Model…KARL STORZ Endoscopy-America, Inc. · 2007
  11. This deviceK203335 MectaScrew ExtensionMedacta International S.A. · 2022
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K933738M. Kurosaka Interference Fixation ScrewDepuy, Inc.19942
−9K955733Hyloc Interference Screw (Cannulated)/(Non-Cannulated)Depuy, Inc.1996—
−8K980440Depuy Orthotech Phantom Sof-Thread Soft Tissue Interference ScrewDepuy, Inc.1998—
−7K981670Depuy Profile Round Head Interference Screw and Depuy Phantom Resorbable…Depuy, Inc.1998—
−6K982662Depuy Profile Round Head Interference Screw, Depuy Phantom Resorbable…DePuy Orthopaedics, Inc.19984
−5K993073Smart Screw Acl Models 237020, 237025, 237030, 238020, 238025, 238030, 239020…Bionx Implants, Ltd.1999—
−4K032894Osteo Acl Screw Model;237020T, 237025T, 237030T, 238020T, 238025T, 238030T…Linvatec Biomaterials, Inc.2004—
−3K052080Matryx Interference ScrewLinvatec Biomaterials, Inc.2005—
−2K063588Matryx Interference Screw…Conmed Linvatec Biomaterials2007—
−1K071437Megafix-C Bioabsorbable Composite Interference Screw, Model 2870719C…KARL STORZ Endoscopy-America, Inc.2007—
0 (this device)K203335MectaScrew ExtensionMedacta International S.A.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199010
199310
199420
199540
199660
199710
199860
199940
200040
200140
200220
200320
200410
200530
200650
200720
200810
200910
201910
FIG. 1 — Lineage of K203335, 1994–2022Source: 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? (2)

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
*K071437Megafix-C Bioabsorbable Composite Interference Screw, Model 2870719C, 2870723C…
Summary page 4
…Predicate Device Substantial equivalence is claimed to the following primary predicate device:  KSEA Megafix-C Bioabsorbable Composite Interference Screw, K071437, Karl Storz Endoscopy – America, Inc Substantial equivalence is claimed to the following secondary predicate device:…
KARL STORZ Endoscopy-America, Inc.2007—
*K190892MectaScrew PEEK Interference Screw
Summary page 4
…rence Screw, K071437, Karl Storz Endoscopy – America, Inc Substantial equivalence is claimed to the following secondary predicate device:  MectaScrew PEEK, K190892, Medacta International SA IV. Device Description The MectaScrew Extension includes implantable devices used for the tibia…
Medacta International S.A.2019—

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 28 years and passes through 7 companies; a new generation was cleared every 1.4 years on median.
  • 9 of the 61 ancestors have a recall of any class.

How does its category compare?

All HWC devices

HWC Screw, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, 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?

Reconstructive treatment of ruptured anterior and posterior cruciate ligaments by means of auto- and allografts.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K203335: MectaScrew Extension.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K203335

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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