510(k) Report

510(k) · Cleared

Cleared

OSSIOfiber Compression Screw, 3.5mm

K213596510(k) TraditionalCleared Dec 21, 202139-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

OSSIO, Ltd. · HWC Screw, Fixation, Bone

Cleared on Dec 21, 2021 as substantially equivalent to K193660 (OSSIO, Ltd., 2020) and 1 other predicate after a 39-day review. Its family tree reaches back 13 generations to 1996. 4 later devices descend from it.

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

Its longest line of descent runs back 13 generations to K962616 (1996). 117 ancestors in all, the oldest K792022 (1979). 4 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2014: 1 other ancestor2013: 1 other ancestor2008: 4 other ancestors2006: 7 other ancestors2002: 6 other ancestors1998: 6 other ancestors2009: 3 other ancestors2005: 6 other ancestors2004: 5 other ancestors2003: 6 other ancestors2001: 12 other ancestors1996: 10 other ancestors2011: 1 other ancestor2000: 10 other ancestors1999: 5 other ancestors1997: 3 other ancestors2010: 1 other ancestor2007: 2 other ancestors1995: 4 other ancestors1979: 1 other ancestor1992: 1 other ancestor1990: 1 other ancestor1994: 4 other ancestors1993: 2 other ancestors1991: 1 other ancestor1989: 1 other ancestor2024: 2 descendants cleared2023: 1 descendant cleared2026: 1 descendant clearedReference device: K203465 · OSSIOfiber Cannulated Trimmable Fixation Nail, OSSIOfiber Trimmable Fixation Nail, OSSIOfiber Trimmable Fixation Nail, Cannulated Design · OSSIO, Ltd. · 2021K962616 · Synthes Dorsal Distal Radius Plate (DDRP) System · Synthes (Usa) · 1996K982732 · Synthes (Usa) Distal Radius Plate System (DRPS) · Synthes · 1998×3: 3 generations cleared close together, K023007 (2002), K030198 (2003), K032705 (2003) ×2: 2 generations cleared close together, K050932 (2005), K051735 (2005) K071563 · Peri-Loc Periarticular Locked Plating System · Smith & Nephew, Inc. · 2007K090675 · Smith & Nephew, Inc. VLP Foot Plating, Screw System and Accessories · Smith & Nephew, Inc. · 2009K100776 · Synthes 2.4 MM/2.7 MM Variable Angle LCP Forefoot/Midfoot System · Synthes (Usa) · 2010K112583 · Synthes Cortical Screws · Synthes (USA) Products, LLC · 2011K161616 · DePuy Synthes 4.0 mm and 4.5 mm Cortex Screws, DePuy Synthes 2.4 mm Cannulated Screws, DePuy Synthes 3.5 mm and 4.0 mm Cannulated Screws, DePuy Synthes 4.5 mm Cannulated Screws, DePuy Synthes 6.5 mm Cannulated Screws, DePuy Synthes 7.0 mm and 7.3 mm Cannulated Screws, DePuy Synthes 1.5 mm Headless Compression Screws, DePuy Synthes 2.4 mm Headless Compression Screws, DePuy Synthes 3.0 mm Headless Compression Screws, DePuy Synthes 4.5 mm and 6.5 mm Headless Compression Screw · Synthes USA Products, LLC · 2017K193660 · OSSIOfiber™ Compression Screws · OSSIO, Ltd. · 202019801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 5 other ancestors3 generations back: 11 other ancestors4 generations back: 14 other ancestors5 generations back: 10 other ancestors6 generations back: 14 other ancestors7 generations back: 14 other ancestors8 generations back: 17 other ancestors9 generations back: 11 other ancestors10 generations back: 4 other ancestors11 generations back: 1 other ancestor12 generations back: 1 other ancestor13 generations back: 1 other ancestor 1 generation forward: 2 descendants2 generations forward: 2 descendants K193660 · OSSIOfiber™ Compression Screws · OSSIO, Ltd. · 2020K161616 · DePuy Synthes 4.0 mm and 4.5 mm Cortex Screws, DePuy Synthes 2.4 mm Cannulated Screws, DePuy Synthes 3.5 mm and 4.0 mm Cannulated Screws, DePuy Synthes 4.5 mm Cannulated Screws, DePuy Synthes 6.5 mm Cannulated Screws, DePuy Synthes 7.0 mm and 7.3 mm Cannulated Screws, DePuy Synthes 1.5 mm Headless Compression Screws, DePuy Synthes 2.4 mm Headless Compression Screws, DePuy Synthes 3.0 mm Headless Compression Screws, DePuy Synthes 4.5 mm and 6.5 mm Headless Compression Screw · Synthes USA Products, LLC · 2017K112583 · Synthes Cortical Screws · Synthes (USA) Products, LLC · 2011K100776 · Synthes 2.4 MM/2.7 MM Variable Angle LCP Forefoot/Midfoot System · Synthes (Usa) · 2010K090675 · Smith & Nephew, Inc. VLP Foot Plating, Screw System and Accessories · Smith & Nephew, Inc. · 2009K071563 · Peri-Loc Periarticular Locked Plating System · Smith & Nephew, Inc. · 2007K051735 · Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper Extremity · Smith & Nephew, Inc. · 2005K050932 · Distal Volar Radius Anatomical Plate System · Hand Innovations, Inc. · 2005 · recalledK032705 · Distal Radius Fracture Repair System · Hand Innovations, Inc. · 2003K030198 · Hand Innovations, Inc. Distal Radius Fracture Repair System · Hand Innovations, Inc. · 2003K023007 · Distal Radius Fracture Repair System · Hand Innovations, Inc. · 2002K982732 · Synthes (Usa) Distal Radius Plate System (DRPS) · Synthes · 1998K962616 · Synthes Dorsal Distal Radius Plate (DDRP) System · Synthes (Usa) · 1996−10−50
  1. Root · 13 generations backK962616 Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa) · 1996
  2. 9 generations between
  3. 3 generations backK112583 Synthes Cortical ScrewsSynthes (USA) Products, LLC · 2011
  4. 2 generations backK161616 DePuy Synthes 4.0 mm and 4.5 mm Cortex Screws, DePuy Synthes 2.4 mm…Synthes USA Products, LLC · 2017
  5. 1 generation backK193660 OSSIOfiber™ Compression ScrewsOSSIO, Ltd. · 2020
  6. This deviceK213596 OSSIOfiber Compression Screw, 3.5mmOSSIO, Ltd. · 2021
  7. Descendant · cites it directly · 3 of its ownK231272 OSSIOfiber® Pin Product Family, OSSIOfiber® Compression Screw…OSSIO, Ltd. · 2023
  8. Descendant · cites it directly · 2 of its ownK233198 OSSIOfiber® Threaded Trimmable Fixation NailsOSSIO, Ltd. · 2024
  9. Descendant · 2 generations on · 1 of its ownK241277 OSSIOfiber® Threaded Trimmable Fixation NailOSSIO, Ltd. · 2024
  10. Descendant · 2 generations on · 0 of its ownK254077 OSSIOfiber® Threaded Trimmable Fixation NailOSSIO, Ltd. · 2026
Show all 13 generations
  1. Root · 13 generations backK962616 Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa) · 1996
  2. 12 generations backK982732 Synthes (Usa) Distal Radius Plate System (DRPS)Synthes · 1998
  3. 11 generations backK023007 Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2002
  4. 10 generations backK030198 Hand Innovations, Inc. Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2003
  5. 9 generations backK032705 Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2003
  6. 8 generations backK050932 Distal Volar Radius Anatomical Plate SystemHand Innovations, Inc. · 2005 · Recalled
  7. 7 generations backK051735 Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper…Smith & Nephew, Inc. · 2005
  8. 6 generations backK071563 Peri-Loc Periarticular Locked Plating SystemSmith & Nephew, Inc. · 2007
  9. 5 generations backK090675 Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSmith & Nephew, Inc. · 2009
  10. 4 generations backK100776 Synthes 2.4 MM/2.7 MM Variable Angle LCP Forefoot/Midfoot SystemSynthes (Usa) · 2010
  11. 3 generations backK112583 Synthes Cortical ScrewsSynthes (USA) Products, LLC · 2011
  12. 2 generations backK161616 DePuy Synthes 4.0 mm and 4.5 mm Cortex Screws, DePuy Synthes 2.4 mm…Synthes USA Products, LLC · 2017
  13. 1 generation backK193660 OSSIOfiber™ Compression ScrewsOSSIO, Ltd. · 2020
  14. This deviceK213596 OSSIOfiber Compression Screw, 3.5mmOSSIO, Ltd. · 2021

Most influential descendants

Showing 4 of 4 · See all
  • K231272OSSIOfiber® Pin Product Family, OSSIOfiber® Compression Screw, OSSIOfiber® Trimmable…OSSIO, Ltd. · 2023 · cites it directly3descendants
  • K233198OSSIOfiber® Threaded Trimmable Fixation NailsOSSIO, Ltd. · 2024 · cites it directly2descendants
  • K241277OSSIOfiber® Threaded Trimmable Fixation NailOSSIO, Ltd. · 2024 · 2 generations on1descendant
  • K254077OSSIOfiber® Threaded Trimmable Fixation NailOSSIO, Ltd. · 2026 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K962616Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa)1996—
−12K982732Synthes (Usa) Distal Radius Plate System (DRPS)Synthes1998—
−11K023007Distal Radius Fracture Repair SystemHand Innovations, Inc.2002—
−10K030198Hand Innovations, Inc. Distal Radius Fracture Repair SystemHand Innovations, Inc.2003—
−9K032705Distal Radius Fracture Repair SystemHand Innovations, Inc.2003—
−8K050932Distal Volar Radius Anatomical Plate SystemHand Innovations, Inc.20051
−7K051735Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper ExtremitySmith & Nephew, Inc.2005—
−6K071563Peri-Loc Periarticular Locked Plating SystemSmith & Nephew, Inc.2007—
−5K090675Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSmith & Nephew, Inc.2009—
−4K100776Synthes 2.4 MM/2.7 MM Variable Angle LCP Forefoot/Midfoot SystemSynthes (Usa)2010—
−3K112583Synthes Cortical ScrewsSynthes (USA) Products, LLC2011—
−2K161616DePuy Synthes 4.0 mm and 4.5 mm Cortex Screws, DePuy Synthes 2.4 mm Cannulated…Synthes USA Products, LLC2017—
−1K193660OSSIOfiber™ Compression ScrewsOSSIO, Ltd.2020—
0 (this device)K213596OSSIOfiber Compression Screw, 3.5mmOSSIO, Ltd.2021—
+1K231272OSSIOfiber® Pin Product Family, OSSIOfiber® Compression Screw, OSSIOfiber®…OSSIO, Ltd.2023—
+1K233198OSSIOfiber® Threaded Trimmable Fixation NailsOSSIO, Ltd.2024—
+2K241277OSSIOfiber® Threaded Trimmable Fixation NailOSSIO, Ltd.2024—
+2K254077OSSIOfiber® Threaded Trimmable Fixation NailOSSIO, Ltd.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198910
199010
199110
199210
199320
199440
199540
1996100
199730
199860
199950
2000100
2001120
200260
200360
200450
200560
200670
200720
200840
200930
201010
201110
201310
201410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
202420
202610
FIG. 1 — Lineage of K213596, 1996–2026Source: 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 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 22.3 · 14 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

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
*K193660OSSIOfiber™ Compression Screws
Summary page 4
…th or threaded metallic bone fixation fastener Regulatory Class: Class II, 21 C.F.R. § 888.3040 Product Code: HWC Predicate Devices OSSIOfiber® Compression Screw (K193660) - Primary Predicate Tyber Medical Compression Screw (K133842) Reference Devices OSSIOfiber® Cannulated Trimma…
OSSIO, Ltd.2020—
*K133842Tyber Medical Trauma Screw
Summary page 4
…ss II, 21 C.F.R. § 888.3040 Product Code: HWC Predicate Devices OSSIOfiber® Compression Screw (K193660) - Primary Predicate Tyber Medical Compression Screw (K133842) Reference Devices OSSIOfiber® Cannulated Trimmable Fixation Nail (K203465) Purpose of Submission This traditional…
Tyber Medical, LLC2014—
†K203465OSSIOfiber Cannulated Trimmable Fixation Nail, OSSIOfiber Trimmable Fixation Nail…OSSIO, Ltd.2021—

Also cleared against K193660: 3 other devices →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K231272OSSIOfiber® Pin Product Family, OSSIOfiber® Compression Screw, OSSIOfiber® Trimmable…OSSIO, Ltd.20233
K233198OSSIOfiber® Threaded Trimmable Fixation NailsOSSIO, Ltd.20242

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 25 years and passes through 7 companies; a new generation was cleared every 1.6 years on median.
  • 20 of the 117 ancestors have a recall of any class.
  • Of its descendants, K231272 (OSSIO, Ltd., 2023) has gone furthest, with 3 descendants of its own.
  • 3 other devices also cite its predicate K193660.

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?

OSSIOfiber® Compression Screws are indicated for maintenance of alignment and fixation of bone fractures, comminuted fractures, fragments, osteotomies, arthrodesis, and bone grafts, of the upper extremity, fibula, knee, ankle and foot in the presence of appropriate brace and/or immobilization.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K213596: OSSIOfiber Compression Screw, 3.5mm.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K213596

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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