510(k) Report

510(k) · Cleared

Cleared

Patient Specific Marking Guides

K211076510(k) TraditionalCleared Jun 28, 2022442-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

Additive Orthopaedics, LLC · PBF Orthopaedic Surgical Planning And Instrument Guides

Cleared on Jun 28, 2022 as substantially equivalent to K190044 (3D Systems, Inc., 2019) after a 442-day review. Its family tree reaches back 1 generation to 2019.

Decided
Jun 28, 2022
Review
442 days
Class
Class II
Product code
PBF
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to K190044 (2019). No later device cites it as a predicate yet.

K190044 · VSP Orthopedics System · 3D Systems, Inc. · 20190
  1. Root · 1 generation backK190044 VSP Orthopedics System3D Systems, Inc. · 2019
  2. This deviceK211076 Patient Specific Marking GuidesAdditive Orthopaedics, LLC · 2022
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K190044VSP Orthopedics System3D Systems, Inc.2019—
0 (this device)K211076Patient Specific Marking GuidesAdditive Orthopaedics, LLC2022—
FIG. 1 — Lineage of K211076, 2019–2022Source: 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 PBF? 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 PBF device

  1. #1 K241811 MedCAD® AccuStride™ Systemscore 17.1 · 8 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
*K190044VSP Orthopedics System
Summary page 4
…21 CFR 888.3030 Product Code: PBF 4. PREDICATE DEVICES Predicate Device: • VSP® Orthopedics System, 3D Systems, Inc. (K190044) Reference Device: • Patient Specific 3D Printed Bone Segments Additive Orthopaedics, LLC (K180239) • Vantage PSI Sys…
3D Systems, Inc.2019—
†K180239Additive Orthopaedics Patient Specific 3D Printed Bone SegmentsAdditive Orthopaedics, LLC2018—
†K193432Vantage PSI System3D Systems2020—

Also cleared against K190044: 3 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?

  • Its one ancestor has no recall.
  • 3 other devices also cite its predicate K190044.

How does its category compare?

All PBF devices

PBF Orthopaedic Surgical Planning And Instrument Guides: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · PBF

8in 2025

2012: 12014: 12017: 12019: 12020: 12021: 22022: 32023: 52024: 32025: 82026 (partial year): 1
2007high 8 (2025) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PBF

227in 2025

2022: 435 days median2023: 314 days median2024: 62 days median2025: 227 days median
2007high 435 (2022) · low 62 (2024)2026

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

Recalls per year · PBF

No recall names PBF since 2007.

Adverse event reports per year · PBF

62in 2025

2012: 22014: 12018: 22019: 12020: 22021: 122022: 532023: 452024: 342025: 62
2007high 62 (2025) · low 0 (2007)2025

MAUDE reports naming product code PBF, 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
20070—00
20080—00
20090—00
20100—00
20110—00
20121—02
20130—00
20141—01
20150—00
20160—00
20171—00
20180—02
20191—01
20201—02
20212—012
20223435053
20235314045
2024362034
20258227062
20261—0—

What is it indicated for?

The Paragon 28 Patient Specific Marking Guide is intended to be used as a surgical instrument to assist in preoperative planning and/or in guiding the marking of bone and/or in guiding surgical instruments in non-acute, non-joint replacing osteotomies for adult patients in the foot and ankle. The Patient Specific Guide is not intended to directly guide the cutting of bone. The device is single use only.

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. “K211076: Patient Specific Marking Guides.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K211076

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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