510(k) Report

510(k) · Cleared

Cleared

OIC Intramedullary Screw System

K223761510(k) TraditionalCleared Feb 13, 202360-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

Orthopaedic Implant Company · HWC Screw, Fixation, Bone

Cleared on Feb 13, 2023 as substantially equivalent to K183603 (Exsomed Corporation, 2019) and 3 other predicates after a 60-day review. Its family tree reaches back 8 generations to 1997.

Decided
Feb 13, 2023
Review
60 days
Class
Class II
Product code
HWC
Recalls
None
Predicates
4

Its longest line of descent runs back 8 generations to K970097 (1997). 40 ancestors in all, the oldest K871539 (1987). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2019: 1 other ancestor2012: 1 other ancestor2005: 3 other ancestors2017: 1 other ancestor2015: 1 other ancestor2011: 1 other ancestor2010: 1 other ancestor2008: 2 other ancestors2000: 2 other ancestors2004: 2 other ancestors2003: 2 other ancestors2002: 2 other ancestors2001: 5 other ancestors1997: 2 other ancestors1998: 2 other ancestors1996: 2 other ancestors1987: 1 other ancestor1992: 1 other ancestorK970097 · Proximal Femoral Nail (PFN) System · Synthes (Usa) · 1997K973240 · Synthes Proximal Femoral Nail (PFN) System Modification · Synthes (Usa) · 1997K013563 · Long Trochanteric Nail System · DePuy Orthopaedics, Inc. · 2001 · recalledK033329 · Depuy Ace Universal and Troch Entry Femoral Nail Systems · Depuy, Inc. · 2003×2: 2 generations cleared close together, K083497 (2009), K090596 (2009) K130595 · Zimmer Natural Nail System Tibial Nail and Stainless Steel Tibial Nail · Zimmer, Inc. · 2013 · recalledK181184 · OIC Intramedullary Nail System · The Orthopaedic Implant Company · 20181990200020102020
  1. Root · 8 generations backK970097 Proximal Femoral Nail (PFN) SystemSynthes (Usa) · 1997
  2. 7 generations backK973240 Synthes Proximal Femoral Nail (PFN) System ModificationSynthes (Usa) · 1997
  3. 6 generations backK013563 Long Trochanteric Nail SystemDePuy Orthopaedics, Inc. · 2001 · Recalled
  4. 5 generations backK033329 Depuy Ace Universal and Troch Entry Femoral Nail SystemsDepuy, Inc. · 2003
  5. 4 generations backK083497 Zimmer Natural Nail System Piriformis Fossa and Greater Trochanter…Zimmer, Inc. · 2009 · Recalled
  6. 3 generations backK090596 Zimmer Natural Nail System Stainless Steel Tibial Nail & Stainless…Zimmer, Inc. · 2009 · Recalled
  7. 2 generations backK130595 Zimmer Natural Nail System Tibial Nail and Stainless Steel Tibial NailZimmer, Inc. · 2013 · Recalled
  8. 1 generation backK181184 OIC Intramedullary Nail SystemThe Orthopaedic Implant Company · 2018
  9. This deviceK223761 OIC Intramedullary Screw SystemOrthopaedic Implant Company · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K970097Proximal Femoral Nail (PFN) SystemSynthes (Usa)1997—
−7K973240Synthes Proximal Femoral Nail (PFN) System ModificationSynthes (Usa)1997—
−6K013563Long Trochanteric Nail SystemDePuy Orthopaedics, Inc.200154
−5K033329Depuy Ace Universal and Troch Entry Femoral Nail SystemsDepuy, Inc.2003—
−4K083497Zimmer Natural Nail System Piriformis Fossa and Greater Trochanter Antegrade…Zimmer, Inc.200916
−3K090596Zimmer Natural Nail System Stainless Steel Tibial Nail & Stainless Piriformis…Zimmer, Inc.200916
−2K130595Zimmer Natural Nail System Tibial Nail and Stainless Steel Tibial NailZimmer, Inc.20133
−1K181184OIC Intramedullary Nail SystemThe Orthopaedic Implant Company2018—
0 (this device)K223761OIC Intramedullary Screw SystemOrthopaedic Implant Company2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198710
199210
199620
199720
199820
200020
200150
200220
200320
200420
200530
200820
201010
201110
201210
201510
201710
201910
FIG. 1 — Lineage of K223761, 1997–2023Source: 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? (4)

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
*K183603INnate Cannulated Screw System
Summary page 4
…and Wire for Surgical Implants (UNS S31673) Comparison of Technological Characteristics (Substantial Equivalence): The primary predicate device is: Exsomed Corporation K183603 Innate Cannulated Screw System Additional predicate devices: Synthes USA K050636 Synthes 3.0mm Headless Compression Screws…
Exsomed Corporation2019—
*K050636Synthes 3.0MM Headless Compression Screws
Summary page 4
…stics (Substantial Equivalence): The primary predicate device is: Exsomed Corporation K183603 Innate Cannulated Screw System Additional predicate devices: Synthes USA K050636 Synthes 3.0mm Headless Compression Screws Orthopaedic Implant Company K113123 OIC Cannulated Scr…
Synthes (Usa)20051
*K113123Oic Cannulated Screw System, Oic Sliding Hip Screw (SHS) System
Summary page 4
…Screw System Additional predicate devices: Synthes USA K050636 Synthes 3.0mm Headless Compression Screws Orthopaedic Implant Company K113123 OIC Cannulated Screw System Orthopaedic Implant Company K181184 OIC Intramedullary Nail System…
The Orthopaedic Implant Company2012—
*K181184OIC Intramedullary Nail System
Summary page 4
…sion Screws Orthopaedic Implant Company K113123 OIC Cannulated Screw System Orthopaedic Implant Company K181184 OIC Intramedullary Nail System The OIC Intramedullary Screw System has the following similarities to those which previously rece…
The Orthopaedic Implant Company2018—

Also cleared against K183603: 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?

  • The line of descent spans 26 years and passes through 6 companies; a new generation was cleared every 4.2 years on median.
  • 21 of the 40 ancestors have a recall of any class.
  • 3 other devices also cite its predicate K183603.

How does its category compare?

All HWC devices

HWC Screw, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, 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 OIC Intramedullary Screw System is indicated for the fixation of intra-articular and extra-articular fractures, malunions, non-unions or osteotomies of small bones and small bone fragments, as well as arthrodesis of small joints. The device is intended for use in adults.

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. “K223761: OIC Intramedullary Screw System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K223761

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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