510(k) Report

510(k) · Cleared

Cleared

Biomet Microfixation RibFix Advantage System

K203474510(k) TraditionalCleared Jan 28, 202164-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

Biomet Micofixation · HRS Plate, Fixation, Bone

Cleared on Jan 28, 2021 as substantially equivalent to K183317 (Sig Medical Corporation, 2019) after a 64-day review. Its family tree reaches back 7 generations to 2000. 3 later devices descend from it.

Decided
Jan 28, 2021
Review
64 days
Class
Class II
Product code
HRS
Recalls
None
Predicates
1

Its longest line of descent runs back 7 generations to K000684 (2000). 28 ancestors in all, the oldest K890939 (1989). 3 later devices descend from it, 3 citing it directly.

  1. Root · 7 generations backK000684 Small Fragment Dynamic Compression Locking (DCL) SystemSynthes (Usa) · 2000 · Recalled
  2. 6 generations backK011335 Synths One-Third Tubular DCL PlateSynthes (Usa) · 2001 · Recalled
  3. 5 generations backK012655 Congruent Bone Plate SystemAcu Med, Inc. · 2001 · Recalled
  4. 4 generations backK051410 Acumed Rib Congrient Bone Plate SystemAcumed, LLC · 2005 · Recalled
  5. 3 generations backK113318 Acute Innovations Modular Ribloc SystemAcute Innovations, LLC · 2012 · Recalled
  6. 2 generations backK141241 Matrixrib Endo Thoracoscopic Rib Plating SystemSynthes (USA) Products, LLC · 2014
  7. 1 generation backK183317 AdvantageRib SystemSig Medical Corporation · 2019
  8. This deviceK203474 Biomet Microfixation RibFix Advantage SystemBiomet Micofixation · 2021
  9. Descendant · cites it directly · 0 of its ownK261892 ProRib Fixation SystemCosta Surgical, Inc. · 2026
  10. Descendant · cites it directly · 0 of its ownK260411 PC Fix SystemChest Wall Innovations, Inc. · 2026
  11. Descendant · cites it directly · 0 of its ownK241282 RibFix Titan™ Fixation SystemRiverpoint Medical · 2024

Most influential descendants

Showing 3 of 3 · See all
  • K261892ProRib Fixation SystemCosta Surgical, Inc. · 2026 · cites it directly0descendants
  • K260411PC Fix SystemChest Wall Innovations, Inc. · 2026 · cites it directly0descendants
  • K241282RibFix Titan™ Fixation SystemRiverpoint Medical · 2024 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K000684Small Fragment Dynamic Compression Locking (DCL) SystemSynthes (Usa)20001
−6K011335Synths One-Third Tubular DCL PlateSynthes (Usa)20012
−5K012655Congruent Bone Plate SystemAcu Med, Inc.200116
−4K051410Acumed Rib Congrient Bone Plate SystemAcumed, LLC20051
−3K113318Acute Innovations Modular Ribloc SystemAcute Innovations, LLC20121
−2K141241Matrixrib Endo Thoracoscopic Rib Plating SystemSynthes (USA) Products, LLC2014—
−1K183317AdvantageRib SystemSig Medical Corporation2019—
0 (this device)K203474Biomet Microfixation RibFix Advantage SystemBiomet Micofixation2021—
+1K261892ProRib Fixation SystemCosta Surgical, Inc.2026—
+1K260411PC Fix SystemChest Wall Innovations, Inc.2026—
+1K241282RibFix Titan™ Fixation SystemRiverpoint Medical2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198910
199110
199420
199510
199710
199810
200010
200120
200330
200510
200620
200820
201020
201110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
202620
FIG. 1 — Lineage of K203474, 2000–2026Source: 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 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? (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
*K183317AdvantageRib System
Summary page 5
…als, sterilization method, and indications for use are identical between the subject device and the predicate device. Substantial Equivalence: Primary Predicate Device: K183317, AdvantageRib System The similarities of the subject devices to the predicate devices are as follows:  The indications for u…
Sig Medical Corporation2019—
†K162974Biomet Microfixation RibFix Blu Thoracic Fixation SystemBiomet Microfixation2016—
†K163007Biomet Microfixation SternaLock 360 Sternal Closure SystemBiomet Microfixation2016—

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K261892ProRib Fixation SystemCosta Surgical, Inc.20260
K260411PC Fix SystemChest Wall Innovations, Inc.20260
K241282RibFix Titan™ Fixation SystemRiverpoint Medical20240

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 21 years and passes through 7 companies; a new generation was cleared every 2.6 years on median.
  • 7 of the 28 ancestors have a recall of any class.
  • Of its descendants, K261892 (Costa Surgical, Inc., 2026) has gone furthest, with 0 descendants of its own.

How does its category compare?

All HRS devices

HRS Plate, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2021, 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 RibFix Advantage System is indicated for the fixation, stabilization, and fusion of rib fractures and osteotomies of normal and osteoporotic bone.

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. “K203474: Biomet Microfixation RibFix Advantage System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K203474

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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