510(k) Report

510(k) · Cleared

Cleared

InCore Subtalar System

K213301510(k) TraditionalCleared Dec 21, 202181-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

Nextremity Solutions, Inc. · HWC Screw, Fixation, Bone

Cleared on Dec 21, 2021 as substantially equivalent to K140891 (Biomet, Inc., 2014) and 1 other predicate after an 81-day review. Its family tree reaches back 5 generations to 1992.

Decided
Dec 21, 2021
Review
81 days
Class
Class II
Product code
HWC
Recalls
None
Predicates
2

Its longest line of descent runs back 5 generations to K922322 (1992). 29 ancestors in all, the oldest K872859 (1987). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2018: 1 other ancestor2014: 1 other ancestor2013: 1 other ancestor2010: 2 other ancestors2006: 2 other ancestors2002: 2 other ancestors1996: 4 other ancestors1993: 1 other ancestor1990: 1 other ancestor1987: 1 other ancestor2009: 1 other ancestor2007: 1 other ancestor2005: 1 other ancestor2004: 2 other ancestors2001: 1 other ancestor2000: 1 other ancestor1992: 1 other ancestorK922322 · Alphatec 3.5MM Znnulated Cortical Lag Screw · Alphatec Mfg., Inc. · 1992K013534 · Self-Countersinking Bone Screw · Biomet Orthopedics, Inc. · 2001K024086 · Propeller Head Small Cannulated Screw System · Biomet Orthopedics, Inc. · 2003K082874 · Biodrive Cannulated Screw System · Biomet Trauma · 2009K140891 · Biomet Cannulated Screw System · Biomet, Inc. · 2014 · recalled1990200020102020
Other ancestors, by generation 1 generation back: 1 other ancestor2 generations back: 10 other ancestors3 generations back: 9 other ancestors4 generations back: 3 other ancestors5 generations back: 1 other ancestor K140891 · Biomet Cannulated Screw System · Biomet, Inc. · 2014 · recalledK082874 · Biodrive Cannulated Screw System · Biomet Trauma · 2009K024086 · Propeller Head Small Cannulated Screw System · Biomet Orthopedics, Inc. · 2003K013534 · Self-Countersinking Bone Screw · Biomet Orthopedics, Inc. · 2001K922322 · Alphatec 3.5MM Znnulated Cortical Lag Screw · Alphatec Mfg., Inc. · 1992−50
  1. Root · 5 generations backK922322 Alphatec 3.5MM Znnulated Cortical Lag ScrewAlphatec Mfg., Inc. · 1992
  2. 4 generations backK013534 Self-Countersinking Bone ScrewBiomet Orthopedics, Inc. · 2001
  3. 3 generations backK024086 Propeller Head Small Cannulated Screw SystemBiomet Orthopedics, Inc. · 2003
  4. 2 generations backK082874 Biodrive Cannulated Screw SystemBiomet Trauma · 2009
  5. 1 generation backK140891 Biomet Cannulated Screw SystemBiomet, Inc. · 2014 · Recalled
  6. This deviceK213301 InCore Subtalar SystemNextremity Solutions, Inc. · 2021
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K922322Alphatec 3.5MM Znnulated Cortical Lag ScrewAlphatec Mfg., Inc.1992—
−4K013534Self-Countersinking Bone ScrewBiomet Orthopedics, Inc.2001—
−3K024086Propeller Head Small Cannulated Screw SystemBiomet Orthopedics, Inc.2003—
−2K082874Biodrive Cannulated Screw SystemBiomet Trauma2009—
−1K140891Biomet Cannulated Screw SystemBiomet, Inc.20145
0 (this device)K213301InCore Subtalar SystemNextremity Solutions, Inc.2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198710
199010
199210
199310
199640
200010
200110
200220
200420
200510
200620
200710
200910
201020
201310
201410
201810
FIG. 1 — Lineage of K213301, 1992–2021Source: 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
*K140891Biomet Cannulated Screw System
Summary page 4
…Product Code: HWC Substantially Equivalent Devices: • Zimmer Biomet, TiMAX™ Cannulated Screw System (Cleared as Biomet Cannulated Screw System), K140891-Primary Predicate • Nextremity Solutions, Stratum Foot Plating System, K182201-Additional Predicate Device Description: The…
Biomet, Inc.20145
*K182201Stratum™ Foot Plating System
Summary page 4
…t, TiMAX™ Cannulated Screw System (Cleared as Biomet Cannulated Screw System), K140891-Primary Predicate • Nextremity Solutions, Stratum Foot Plating System, K182201-Additional Predicate Device Description: The InCore® Subtalar System consists of a post and two headless compression screws. Post…
Nextremity Solutions, Inc.20185

Also cleared against K140891: 5 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 29 years and passes through 5 companies; a new generation was cleared every 6.1 years on median.
  • 7 of the 29 ancestors have a recall of any class.
  • 5 other devices also cite its predicate K140891.

How does its category compare?

All HWC devices

HWC Screw, 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 · 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?

The Nextremity Solutions InCore® Subtalar System is intended for reduction and internal fixation of arthrodeses, osteotomies, and nonunions of the bones and joints of the foot. The three-part construct is specifically intended for internal fixation for Subtalar Joint Arthodesis (also known as Subtalar Joint Fusion).

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K213301: InCore Subtalar System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K213301

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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