510(k) Report

510(k) · Cleared

Cleared

ALIGN Radial Head System

K231188510(k) TraditionalCleared Sep 28, 2023155-day reviewClass II21 CFR 888.3170

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Skeletal Dynamics, Inc. · KWI Prosthesis, Elbow, Hemi-, Radial, Polymer

Cleared on Sep 28, 2023 as substantially equivalent to K172688 (Skeletal Dynamics, LLC, 2017) after a 155-day review. Its family tree reaches back 1 generation to 2017.

Decided
Sep 28, 2023
Review
155 days
Class
Class II
Product code
KWI
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to K172688 (2017). No later device cites it as a predicate yet.

K172688 · Align Radial Head System · Skeletal Dynamics, LLC · 20170
  1. Root · 1 generation backK172688 Align Radial Head SystemSkeletal Dynamics, LLC · 2017
  2. This deviceK231188 ALIGN Radial Head SystemSkeletal Dynamics, Inc. · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K172688Align Radial Head SystemSkeletal Dynamics, LLC2017—
0 (this device)K231188ALIGN Radial Head SystemSkeletal Dynamics, Inc.2023—
FIG. 1 — Lineage of K231188, 2017–2023Source: 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 KWI? 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 KWI device

  1. #1 K260624 Arthrex Radial Head Replacement Systemscore 12.1 · 2 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? (1)

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
*K172688Align Radial Head System
Summary page 4
…radial (hemi-elbow) polymer prosthesis Classification Number: 21 CFR §888.3170 Regulatory Class: Class II Product Code: KWI Predicate Devices Align Radial Head System (K172688) Reference Devices Align Radial Head System (K092721) Device Description The subject Align Radial Head System and the predicate…
Skeletal Dynamics, LLC2017—
†K092721Align Radial Head SystemSkeletal Dynamics, LLC20101

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?

  • Its one ancestor has no recall.

How does its category compare?

All KWI devices

KWI Prosthesis, Elbow, Hemi-, Radial, Polymer: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · KWI

1in 2024

2010: 12012: 12013: 12014: 12017: 12019: 12020: 12021: 12022: 12023: 12024: 12026 (partial year): 1
2007high 1 (2010) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KWI

Too few KWI 510(k)s in any year since 2007 to give a median.

Recalls per year · KWI

2in 2022

2013: 12014: 12017: 12022: 2
2007high 2 (2022) · low 0 (2007)2026

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

Adverse event reports per year · KWI

118in 2025

2007: 152008: 162009: 142010: 132011: 102012: 162013: 312014: 292015: 1032016: 1382017: 3602018: 2022019: 2142020: 1182021: 442022: 442023: 772024: 1242025: 118
2007high 360 (2017) · low 10 (2011)2025

MAUDE reports naming product code KWI, 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
20070—015
20080—016
20090—014
20101—013
20110—010
20121—016
20131—131
20141—129
20150—0103
20160—0138
20171—1360
20180—0202
20191—0214
20201—0118
20211—044
20221—244
20231—077
20241—0124
20250—0118
20261—0—

What is it indicated for?

The Align Radial Head System and accessories are designed specifically for:

* Replacement of the radial head for degenerative or post-traumatic disabilities presenting pain, crepitation, and decreased motion at the radio-humeral and/or proximal radio-ulnar joint with:

o Joint destruction and/or subluxation,

o Resistance to conservative treatment.

* Primary replacement after fracture of the radial head.

* Symptomatic sequelae after radial head resection.

* Revision following failed radial head arthroplasty.

The system is intended for press fit use.

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. “K231188: ALIGN Radial Head System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K231188

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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