510(k) Report

510(k) · Cleared

Cleared

Treace Medical Concepts (TMC) Implant Fixation System

K222645510(k) TraditionalCleared Nov 21, 202281-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

Treace Medical Concepts · JDR Staple, Fixation, Bone

Cleared on Nov 21, 2022 as substantially equivalent to K121277 (Z-Medical GmbH & Co. KG, 2012) and 1 other predicate after an 81-day review. Its family tree reaches back 5 generations to 1990. 6 later devices descend from it.

Decided
Nov 21, 2022
Review
81 days
Class
Class II
Product code
JDR
Recalls
None
Predicates
2

Its longest line of descent runs back 5 generations to K902307 (1990). 18 ancestors in all, the oldest K894929 (1989). 6 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2012: 1 other ancestor2010: 1 other ancestor2009: 1 other ancestor2005: 4 other ancestors1996: 2 other ancestors2007: 1 other ancestor2003: 1 other ancestor1989: 1 other ancestor1997: 1 other ancestor2024: 3 descendants cleared2023: 1 descendant cleared2025: 1 descendant cleared2026: 1 descendant clearedReference device: K220136 · Treace Medical Concepts (TMC) Plating System · Treace Medical Concepts, Inc. · 2022K902307 · Shaw II Hemostatic Surgery System · Hemostatic Surgery Corp. · 1990 · recalledK993714 · Memograph Staple, Warm System · Biomedical Ent., Inc. · 2000K070031 · Memometal Memory Staples · Memometal Technologies · 2007K124045 · Fuseforce Implant System · Solana Surgical, LLC · 2013K203832 · FuseForce™ Flex Dynamic Compression System · Wright Medical · 2021 · recalled1990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 6 other ancestors3 generations back: 4 other ancestors4 generations back: 2 other ancestors 1 generation forward: 2 descendants2 generations forward: 1 descendant3 generations forward: 1 descendant4 generations forward: 1 descendant5 generations forward: 1 descendant K203832 · FuseForce™ Flex Dynamic Compression System · Wright Medical · 2021 · recalledK124045 · Fuseforce Implant System · Solana Surgical, LLC · 2013K070031 · Memometal Memory Staples · Memometal Technologies · 2007K993714 · Memograph Staple, Warm System · Biomedical Ent., Inc. · 2000K902307 · Shaw II Hemostatic Surgery System · Hemostatic Surgery Corp. · 1990 · recalled−50+5
  1. Root · 5 generations backK902307 Shaw II Hemostatic Surgery SystemHemostatic Surgery Corp. · 1990 · Recalled
  2. 4 generations backK993714 Memograph Staple, Warm SystemBiomedical Ent., Inc. · 2000
  3. 3 generations backK070031 Memometal Memory StaplesMemometal Technologies · 2007
  4. 2 generations backK124045 Fuseforce Implant SystemSolana Surgical, LLC · 2013
  5. 1 generation backK203832 FuseForce™ Flex Dynamic Compression SystemWright Medical · 2021 · Recalled
  6. This deviceK222645 Treace Medical Concepts (TMC) Implant Fixation SystemTreace Medical Concepts · 2022
  7. Descendant · cites it directly · 4 of its ownK232387 Treace Medical Concepts (TMC) Compression Implant SystemTreace Medical Concepts · 2023
  8. Descendant · 2 generations on · 3 of its ownK242415 TMC Compression Implant SystemTreace Medical Concepts · 2024
  9. Descendant · 3 generations on · 2 of its ownK243658 TMC Compression Implant SystemTreace Medical Concepts · 2024
  10. Descendant · 4 generations on · 1 of its ownK251135 Treace Medical Concepts (TMC) Implant Fixation SystemTreace Medical Concepts · 2025
  11. Descendant · 5 generations on · 0 of its ownK262963 TMC Implant Fixation SystemTreace Medical Concepts, Inc. · 2026

Showing 5 of 6 descendants. See all descendants

Descendants cleared per year

2023: 12024: 32025: 12026: 1
2023high 3 (2024) · low 1 (2023)2026

Most influential descendants

Showing 5 of 6 · See all
  • K232387Treace Medical Concepts (TMC) Compression Implant SystemTreace Medical Concepts · 2023 · cites it directly4descendants
  • K242415TMC Compression Implant SystemTreace Medical Concepts · 2024 · 2 generations on3descendants
  • K243658TMC Compression Implant SystemTreace Medical Concepts · 2024 · 3 generations on2descendants
  • K251135Treace Medical Concepts (TMC) Implant Fixation SystemTreace Medical Concepts · 2025 · 4 generations on1descendant
  • K262963TMC Implant Fixation SystemTreace Medical Concepts, Inc. · 2026 · 5 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K902307Shaw II Hemostatic Surgery SystemHemostatic Surgery Corp.19902
−4K993714Memograph Staple, Warm SystemBiomedical Ent., Inc.2000—
−3K070031Memometal Memory StaplesMemometal Technologies2007—
−2K124045Fuseforce Implant SystemSolana Surgical, LLC2013—
−1K203832FuseForce™ Flex Dynamic Compression SystemWright Medical20211
0 (this device)K222645Treace Medical Concepts (TMC) Implant Fixation SystemTreace Medical Concepts2022—
+1K232387Treace Medical Concepts (TMC) Compression Implant SystemTreace Medical Concepts2023—
+2K242415TMC Compression Implant SystemTreace Medical Concepts2024—
+3K243658TMC Compression Implant SystemTreace Medical Concepts2024—
+4K251135Treace Medical Concepts (TMC) Implant Fixation SystemTreace Medical Concepts2025—
+5K262963TMC Implant Fixation SystemTreace Medical Concepts, Inc.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198910
199620
199710
200310
200540
200710
200910
201010
201210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
202430
202510
202610
FIG. 1 — Lineage of K222645, 1990–2026Source: 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 JDR? 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 JDR device

  1. #1 K243658 TMC Compression Implant Systemscore 16.7 · 18 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
*K121277Z-Snap Off Screw, Z-Double Thread Compression Screw, Z-Guide Wire, Z-Staple
Summary page 5
…87- Orthopedic Product Code(s): JDR Staple, Fixation, Bone Predicate Device(s): Primary Predicate: • Z-Medical Z-Staple (K121277, S.E. 11/07/2012) Additional Predicate: • Wright Medical FuseForce™ Flex Dynamic Compression System (K203832, S.E. 05…
Z-Medical GmbH & Co. KG2012—
*K203832FuseForce™ Flex Dynamic Compression System
Summary page 5
…evice(s): Primary Predicate: • Z-Medical Z-Staple (K121277, S.E. 11/07/2012) Additional Predicate: • Wright Medical FuseForce™ Flex Dynamic Compression System (K203832, S.E. 05/07/2021) Reference Device: • Treace Medical Concepts (TMC) Plating System (K220136, S.E. 02/16/2022) Device…
Wright Medical20211
†K220136Treace Medical Concepts (TMC) Plating SystemTreace Medical Concepts, Inc.2022—

Also cleared against K121277: 6 other devices →

What descends from it? (6)

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

NumberDeviceApplicantDecidedDescendants
K232387Treace Medical Concepts (TMC) Compression Implant SystemTreace Medical Concepts20234
K233089NeoSpan® Compression Implant SystemIn2bones USA, LLC20240

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 32 years and passes through 6 companies; a new generation was cleared every 7.1 years on median.
  • 3 of the 18 ancestors have a recall of any class.
  • Of its descendants, K232387 (Treace Medical Concepts, 2023) has gone furthest, with 4 descendants of its own.
  • 6 other devices also cite its predicate K121277.

How does its category compare?

All JDR devices

JDR Staple, 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 · JDR

3in 2025

2007: 82008: 52010: 22011: 12012: 12013: 92014: 112015: 72016: 62017: 92018: 82019: 52020: 42021: 32022: 52023: 92024: 42025: 32026 (partial year): 2
2007high 11 (2014) · low 0 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JDR

65in 2025

2007: 70 days median2008: 89 days median2013: 137 days median2014: 97 days median2015: 111 days median2016: 101 days median2017: 172 days median2018: 107 days median2019: 149 days median2020: 161 days median2021: 62 days median2022: 107 days median2023: 72 days median2024: 29 days median2025: 65 days median
2007high 172 (2017) · low 29 (2024)2026

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

Recalls per year · JDR

11in 2022

2008: 12015: 12018: 12020: 12022: 112026 (partial year): 2
2007high 11 (2022) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · JDR

314in 2025

2007: 32008: 142009: 102010: 352011: 622012: 342013: 272014: 492015: 482016: 762017: 1162018: 2392019: 2422020: 2342021: 2102022: 2022023: 1752024: 2062025: 314
2007high 314 (2025) · low 3 (2007)2025

MAUDE reports naming product code JDR, 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
200787003
2008589114
20090—010
20102—035
20111—062
20121—034
20139137027
20141197049
20157111148
20166101076
201791720116
201881071239
201951490242
202041611234
20213620210
2022510711202
20239720175
20244290206
20253650314
20262—2—

What is it indicated for?

The system is intended to be used for fracture fixation, osteotomy fixation, and joint arthrodesis of the foot and ankle.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K222645: Treace Medical Concepts (TMC) Implant Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K222645

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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