510(k) Report

510(k) · Cleared

Cleared

IBS-B MIS Beveled Screw System

K231236510(k) TraditionalCleared Jul 27, 202390-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

In2bones USA, LLC · HWC Screw, Fixation, Bone

Cleared on Jul 27, 2023 as substantially equivalent to K131920 (In2bones Sas, 2014) and 3 other predicates after a 90-day review. Its family tree reaches back 12 generations to 2000. 1 later device descends from it.

Decided
Jul 27, 2023
Review
90 days
Class
Class II
Product code
HWC
Recalls
None
Predicates
4

Its longest line of descent runs back 12 generations to K000684 (2000). 96 ancestors in all, the oldest K792022 (1979). 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2017: 1 other ancestor2014: 1 other ancestor2016: 1 other ancestor2015: 1 other ancestor2008: 1 other ancestor2007: 1 other ancestor2005: 6 other ancestors1998: 4 other ancestors1996: 13 other ancestors1995: 6 other ancestors2011: 1 other ancestor2004: 3 other ancestors2002: 5 other ancestors2001: 10 other ancestors1997: 5 other ancestors2010: 1 other ancestor2009: 1 other ancestor2006: 2 other ancestors2000: 2 other ancestors1999: 6 other ancestors2003: 3 other ancestors1991: 1 other ancestor1989: 1 other ancestor1994: 3 other ancestors1992: 1 other ancestor1990: 2 other ancestors1993: 1 other ancestor1979: 1 other ancestor2026: 1 descendant clearedK000684 · Small Fragment Dynamic Compression Locking (DCL) System · Synthes (Usa) · 2000 · recalled×2: 2 generations cleared close together, K011335 (2001), K012655 (2001) K021626 · Hallu Plates · New Deal, S.A. · 2002K040907 · Arthrex Small Fragment Plates and Screws · Arthrex, Inc. · 2004K052614 · Low Profile Plate and Screw System · Arthrex, Inc. · 2005×3: 3 generations cleared close together, K103705 (2011), K111253 (2011), K112437 (2011) K123241 · Arthrex Fracture Plates · Arthrex, Inc. · 2013K170518 · In2Bones Fracture and Correction System · In2bones USA, LLC · 2017 · recalledK180377 · Fracture and Correction System · In2bones USA, LLC · 201819801990200020102020
  1. Root · 12 generations backK000684 Small Fragment Dynamic Compression Locking (DCL) SystemSynthes (Usa) · 2000 · Recalled
  2. 8 generations between
  3. 3 generations backK123241 Arthrex Fracture PlatesArthrex, Inc. · 2013
  4. 2 generations backK170518 In2Bones Fracture and Correction SystemIn2bones USA, LLC · 2017 · Recalled
  5. 1 generation backK180377 Fracture and Correction SystemIn2bones USA, LLC · 2018
  6. This deviceK231236 IBS-B MIS Beveled Screw SystemIn2bones USA, LLC · 2023
  7. Descendant · cites it directly · 0 of its ownK254280 F.A.S.T ScrewSteps Ortho · 2026
Show all 12 generations
  1. Root · 12 generations backK000684 Small Fragment Dynamic Compression Locking (DCL) SystemSynthes (Usa) · 2000 · Recalled
  2. 11 generations backK011335 Synths One-Third Tubular DCL PlateSynthes (Usa) · 2001 · Recalled
  3. 10 generations backK012655 Congruent Bone Plate SystemAcu Med, Inc. · 2001 · Recalled
  4. 9 generations backK021626 Hallu PlatesNew Deal, S.A. · 2002
  5. 8 generations backK040907 Arthrex Small Fragment Plates and ScrewsArthrex, Inc. · 2004
  6. 7 generations backK052614 Low Profile Plate and Screw SystemArthrex, Inc. · 2005
  7. 6 generations backK103705 Low Profile ScrewsArthrex, Inc. · 2011
  8. 5 generations backK111253 Arthrex Distal Extremity Plate SystemArthrex, Inc. · 2011
  9. 4 generations backK112437 Arthrex Fracture SystemArthrex, Inc. · 2011
  10. 3 generations backK123241 Arthrex Fracture PlatesArthrex, Inc. · 2013
  11. 2 generations backK170518 In2Bones Fracture and Correction SystemIn2bones USA, LLC · 2017 · Recalled
  12. 1 generation backK180377 Fracture and Correction SystemIn2bones USA, LLC · 2018
  13. This deviceK231236 IBS-B MIS Beveled Screw SystemIn2bones USA, LLC · 2023

Most influential descendants

Showing 1 of 1 · See all
  • K254280F.A.S.T ScrewSteps Ortho · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K000684Small Fragment Dynamic Compression Locking (DCL) SystemSynthes (Usa)20001
−11K011335Synths One-Third Tubular DCL PlateSynthes (Usa)20012
−10K012655Congruent Bone Plate SystemAcu Med, Inc.200116
−9K021626Hallu PlatesNew Deal, S.A.2002—
−8K040907Arthrex Small Fragment Plates and ScrewsArthrex, Inc.2004—
−7K052614Low Profile Plate and Screw SystemArthrex, Inc.2005—
−6K103705Low Profile ScrewsArthrex, Inc.2011—
−5K111253Arthrex Distal Extremity Plate SystemArthrex, Inc.2011—
−4K112437Arthrex Fracture SystemArthrex, Inc.2011—
−3K123241Arthrex Fracture PlatesArthrex, Inc.2013—
−2K170518In2Bones Fracture and Correction SystemIn2bones USA, LLC20171
−1K180377Fracture and Correction SystemIn2bones USA, LLC2018—
0 (this device)K231236IBS-B MIS Beveled Screw SystemIn2bones USA, LLC2023—
+1K254280F.A.S.T ScrewSteps Ortho2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198910
199020
199110
199210
199310
199430
199560
1996130
199750
199840
199960
200020
2001100
200250
200330
200430
200560
200620
200710
200810
200910
201010
201110
201410
201510
201610
201710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K231236, 2000–2026Source: 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 22.2 · 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? (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
*K131920Stabilization Screw
Summary page 4
…ial Equivalence: The subject components were demonstrated to be substantially equivalent to the following systems previously cleared by the FDA: Primary Predicate • K131920 – In2Bones SAS Osteosynthesis Screws…
In2bones Sas20143
*K162353MICATM Screw System
Summary page 5
…K231236 Page 2 of 2 Additional Predicates • K162353 – MICA Screws • K170518 & K180377 – In2Bones Fracture and Correction System The subject IBS-B MIS Beveled Screw System screws…
Wrightmedicaltechnologyinc2017—
*K170518In2Bones Fracture and Correction System
Summary page 5
…6 Page 2 of 2 Additional Predicates • K162353 – MICA Screws • K170518 & K180377 – In2Bones Fracture and Correction System The subject IBS-B MIS Beveled Screw System screws are similar geometry to th…
In2bones USA, LLC20171
*K180377Fracture and Correction System
Summary page 5
…Page 2 of 2 Additional Predicates • K162353 – MICA Screws • K170518 & K180377 – In2Bones Fracture and Correction System The subject IBS-B MIS Beveled Screw System screws are similar geometry to the previous…
In2bones USA, LLC2018—

Also cleared against K131920: 4 other devices →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K254280F.A.S.T ScrewSteps Ortho20260

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 23 years and passes through 5 companies; a new generation was cleared every 1.2 years on median.
  • 17 of the 96 ancestors have a recall of any class.
  • Of its descendants, K254280 (Steps Ortho, 2026) has gone furthest, with 0 descendants of its own.
  • 4 other devices also cite its predicate K131920.

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 In2Bones IBS-B MIS Beveled Screw System is indicated for the fixation of arthrodesis, osteotomies or fractures of long or short bones of the upper and lower limbs appropriate for the size of the device.

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. “K231236: IBS-B MIS Beveled 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/K231236

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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