510(k) Report

510(k) · Cleared

Cleared

BRM TOOL Screws, BIOPLAN Subtalar Implant

K222820510(k) TraditionalCleared Dec 16, 202288-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

Brm Extremities · HWC Screw, Fixation, Bone

Cleared on Dec 16, 2022 as substantially equivalent to K203773 (Brm Extremities Srl, 2022) and 1 other predicate after an 88-day review. Its family tree reaches back 14 generations to 1996.

Decided
Dec 16, 2022
Review
88 days
Class
Class II
Product code
HWC
Recalls
None
Predicates
2

Its longest line of descent runs back 14 generations to K962616 (1996). 224 ancestors in all, the oldest K792022 (1979). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2017: 1 other ancestor2016: 1 other ancestor2012: 3 other ancestors2006: 14 other ancestors2015: 1 other ancestor2013: 2 other ancestors2011: 3 other ancestors2010: 7 other ancestors2008: 7 other ancestors2007: 9 other ancestors2005: 19 other ancestors2002: 12 other ancestors1999: 10 other ancestors2009: 8 other ancestors2004: 8 other ancestors2003: 11 other ancestors2001: 12 other ancestors2000: 14 other ancestors1998: 8 other ancestors1997: 3 other ancestors1996: 19 other ancestors1993: 4 other ancestors1990: 4 other ancestors1980: 2 other ancestors1995: 7 other ancestors1992: 6 other ancestors1989: 3 other ancestors1981: 1 other ancestor1979: 2 other ancestors1994: 8 other ancestors1991: 1 other ancestorK962616 · Synthes Dorsal Distal Radius Plate (DDRP) System · Synthes (Usa) · 1996K982732 · Synthes (Usa) Distal Radius Plate System (DRPS) · Synthes · 1998×2: 2 generations cleared close together, K023007 (2002), K030198 (2003) K032705 · Distal Radius Fracture Repair System · Hand Innovations, Inc. · 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. · 2009K111994 · Smith & Nephew Cannulated Screws and Washers · Smith & Nephew, Inc. · 2011K142442 · Magna-FX and Mini Magna-FX Cannulated Screw Fixation System · Zimmer, Inc. · 2014 · recalledK150693 · PHIN-FX Cannulated Lag Screw System · Ascent Medical, LLC · 2015K163489 · OrthoSolutions 'System26' Bone Screws · Ortho Solutions UK Limited · 2017 · recalledK203773 · BRM TOOL Screws · Brm Extremities Srl · 202219801990200020102020
Other ancestors, by generation 1 generation back: 1 other ancestor2 generations back: 3 other ancestors3 generations back: 12 other ancestors4 generations back: 61 other ancestors5 generations back: 52 other ancestors6 generations back: 48 other ancestors7 generations back: 14 other ancestors8 generations back: 6 other ancestors9 generations back: 6 other ancestors10 generations back: 5 other ancestors11 generations back: 2 other ancestors K203773 · BRM TOOL Screws · Brm Extremities Srl · 2022K163489 · OrthoSolutions 'System26' Bone Screws · Ortho Solutions UK Limited · 2017 · recalledK150693 · PHIN-FX Cannulated Lag Screw System · Ascent Medical, LLC · 2015K142442 · Magna-FX and Mini Magna-FX Cannulated Screw Fixation System · Zimmer, Inc. · 2014 · recalledK111994 · Smith & Nephew Cannulated Screws and Washers · Smith & Nephew, Inc. · 2011K090675 · 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 · 14 generations backK962616 Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa) · 1996
  2. 10 generations between
  3. 3 generations backK150693 PHIN-FX Cannulated Lag Screw SystemAscent Medical, LLC · 2015
  4. 2 generations backK163489 OrthoSolutions 'System26' Bone ScrewsOrtho Solutions UK Limited · 2017 · Recalled
  5. 1 generation backK203773 BRM TOOL ScrewsBrm Extremities Srl · 2022
  6. This deviceK222820 BRM TOOL Screws, BIOPLAN Subtalar ImplantBrm Extremities · 2022
Show all 14 generations
  1. Root · 14 generations backK962616 Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa) · 1996
  2. 13 generations backK982732 Synthes (Usa) Distal Radius Plate System (DRPS)Synthes · 1998
  3. 12 generations backK023007 Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2002
  4. 11 generations backK030198 Hand Innovations, Inc. Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2003
  5. 10 generations backK032705 Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2003
  6. 9 generations backK050932 Distal Volar Radius Anatomical Plate SystemHand Innovations, Inc. · 2005 · Recalled
  7. 8 generations backK051735 Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper…Smith & Nephew, Inc. · 2005
  8. 7 generations backK071563 Peri-Loc Periarticular Locked Plating SystemSmith & Nephew, Inc. · 2007
  9. 6 generations backK090675 Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSmith & Nephew, Inc. · 2009
  10. 5 generations backK111994 Smith & Nephew Cannulated Screws and WashersSmith & Nephew, Inc. · 2011
  11. 4 generations backK142442 Magna-FX and Mini Magna-FX Cannulated Screw Fixation SystemZimmer, Inc. · 2014 · Recalled
  12. 3 generations backK150693 PHIN-FX Cannulated Lag Screw SystemAscent Medical, LLC · 2015
  13. 2 generations backK163489 OrthoSolutions 'System26' Bone ScrewsOrtho Solutions UK Limited · 2017 · Recalled
  14. 1 generation backK203773 BRM TOOL ScrewsBrm Extremities Srl · 2022
  15. This deviceK222820 BRM TOOL Screws, BIOPLAN Subtalar ImplantBrm Extremities · 2022
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−14K962616Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa)1996—
−13K982732Synthes (Usa) Distal Radius Plate System (DRPS)Synthes1998—
−12K023007Distal Radius Fracture Repair SystemHand Innovations, Inc.2002—
−11K030198Hand Innovations, Inc. Distal Radius Fracture Repair SystemHand Innovations, Inc.2003—
−10K032705Distal Radius Fracture Repair SystemHand Innovations, Inc.2003—
−9K050932Distal Volar Radius Anatomical Plate SystemHand Innovations, Inc.20051
−8K051735Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper ExtremitySmith & Nephew, Inc.2005—
−7K071563Peri-Loc Periarticular Locked Plating SystemSmith & Nephew, Inc.2007—
−6K090675Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSmith & Nephew, Inc.2009—
−5K111994Smith & Nephew Cannulated Screws and WashersSmith & Nephew, Inc.2011—
−4K142442Magna-FX and Mini Magna-FX Cannulated Screw Fixation SystemZimmer, Inc.20143
−3K150693PHIN-FX Cannulated Lag Screw SystemAscent Medical, LLC2015—
−2K163489OrthoSolutions 'System26' Bone ScrewsOrtho Solutions UK Limited20171
−1K203773BRM TOOL ScrewsBrm Extremities Srl2022—
0 (this device)K222820BRM TOOL Screws, BIOPLAN Subtalar ImplantBrm Extremities2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197920
198020
198110
198930
199040
199110
199260
199340
199480
199570
1996190
199730
199880
1999100
2000140
2001120
2002120
2003110
200480
2005190
2006140
200790
200870
200980
201070
201130
201230
201320
201510
201610
201710
FIG. 1 — Lineage of K222820, 1996–2022Source: 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 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
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
*K203773BRM TOOL Screws
Summary page 5
…and PEEK options. Predicate Devices and Technological Comparison: The BRM Screw Family of devices are substantially equivalent to the primary predicate BRM TOOL Screws (K203773) and additional predicate In2Bone PIT’Stop Subtalar Implant (K170688) with respect to intended use, indications for use, design a…
Brm Extremities Srl2022—
*K170688PIT’Stop® implant
Summary page 5
…e BRM Screw Family of devices are substantially equivalent to the primary predicate BRM TOOL Screws (K203773) and additional predicate In2Bone PIT’Stop Subtalar Implant (K170688) with respect to intended use, indications for use, design and materials (Titanium Alloy and PEEK). Performance Testing: Testing…
In2bones Sas2017—

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 26 years and passes through 9 companies; a new generation was cleared every 1.8 years on median.
  • 37 of the 224 ancestors have a recall of any class.

How does its category compare?

All HWC devices

HWC Screw, 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 · 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 BRM TOOL Screws are indicated for use for aligned bone fracture repair and arthrodesis, osteotomy, joint fusion, and bone fragment fixation appropriate with the size of the screw. The BIOPLAN Implant is indicated for use in the treatment of the hyperpronated foot and stabilization of the subtalar joint. It is designed to block forward, downward and medial displacement of the talus, thus allowing normal subtalar joint motion but blocking excessive…

Read the full statement (120 words)

The BRM TOOL Screws are indicated for use for aligned bone fracture repair and arthrodesis, osteotomy, joint fusion, and bone fragment fixation appropriate with the size of the screw.

The BIOPLAN Implant is indicated for use in the treatment of the hyperpronated foot and stabilization of the subtalar joint. It is designed to block forward, downward and medial displacement of the talus, thus allowing normal subtalar joint motion but blocking excessive pronation and the resulting sequela.

• Flat foot treatment in children and adolescents

• Congenital flat foot

• Non successful long term orthopaedic treatment (shoes, insoles ...)

• Tarsal coalitions

• Painfully flat foot

• Supple deformity in posterior tibial tendon dysfunction

• Paralytic flat foot

• Subtalar instability

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K222820: BRM TOOL Screws, BIOPLAN Subtalar Implant.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K222820

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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