510(k) Report

510(k) · Cleared

Cleared

STRETTO™ Cable System

K231333510(k) TraditionalCleared Aug 4, 202388-day reviewClass II21 CFR 888.3010

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

Globus Medical, Inc. · JDQ Cerclage, Fixation

Cleared on Aug 4, 2023 as substantially equivalent to K992616 (Pioneer Surgical Technology, 1999) and 2 other predicates after an 88-day review. Its family tree reaches back 10 generations to 1996.

Decided
Aug 4, 2023
Review
88 days
Class
Class II
Product code
JDQ
Recalls
None
Predicates
3

Its longest line of descent runs back 10 generations to K962616 (1996). 50 ancestors in all, the oldest K844068 (1985). No later device cites it as a predicate yet.

Other ancestors, by year cleared 1999: 4 other ancestors2011: 1 other ancestor1997: 1 other ancestor1990: 1 other ancestor1987: 1 other ancestor1985: 1 other ancestor2009: 1 other ancestor2006: 1 other ancestor2005: 2 other ancestors2004: 5 other ancestors2001: 4 other ancestors2000: 7 other ancestors2008: 3 other ancestors2003: 2 other ancestors1998: 2 other ancestors1995: 1 other ancestor1991: 1 other ancestor1989: 1 other ancestor1996: 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) K083286 · Orthopediatrics Pediloc Locking Plate System · OrthoPediatrics Corp. · 2009 · recalledK120689 · Synthes 3.5 MM VA-LCP Proximal Tibia Plate System · Synthes (USA) Products, LLC · 2012K162124 · Synthes 4.5mm VA-LCP Curved Condylar Plate System Line Extension, Variable Angle Positioning Pins · DePuy Synthes · 20171990200020102020
  1. Root · 10 generations backK962616 Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa) · 1996
  2. 6 generations between
  3. 3 generations backK083286 Orthopediatrics Pediloc Locking Plate SystemOrthoPediatrics Corp. · 2009 · Recalled
  4. 2 generations backK120689 Synthes 3.5 MM VA-LCP Proximal Tibia Plate SystemSynthes (USA) Products, LLC · 2012
  5. 1 generation backK162124 Synthes 4.5mm VA-LCP Curved Condylar Plate System Line Extension…DePuy Synthes · 2017
  6. This deviceK231333 STRETTO™ Cable SystemGlobus Medical, Inc. · 2023
Show all 10 generations
  1. Root · 10 generations backK962616 Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa) · 1996
  2. 9 generations backK982732 Synthes (Usa) Distal Radius Plate System (DRPS)Synthes · 1998
  3. 8 generations backK023007 Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2002
  4. 7 generations backK030198 Hand Innovations, Inc. Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2003
  5. 6 generations backK032705 Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2003
  6. 5 generations backK050932 Distal Volar Radius Anatomical Plate SystemHand Innovations, Inc. · 2005 · Recalled
  7. 4 generations backK051735 Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper…Smith & Nephew, Inc. · 2005
  8. 3 generations backK083286 Orthopediatrics Pediloc Locking Plate SystemOrthoPediatrics Corp. · 2009 · Recalled
  9. 2 generations backK120689 Synthes 3.5 MM VA-LCP Proximal Tibia Plate SystemSynthes (USA) Products, LLC · 2012
  10. 1 generation backK162124 Synthes 4.5mm VA-LCP Curved Condylar Plate System Line Extension…DePuy Synthes · 2017
  11. This deviceK231333 STRETTO™ Cable SystemGlobus Medical, Inc. · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K962616Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa)1996—
−9K982732Synthes (Usa) Distal Radius Plate System (DRPS)Synthes1998—
−8K023007Distal Radius Fracture Repair SystemHand Innovations, Inc.2002—
−7K030198Hand Innovations, Inc. Distal Radius Fracture Repair SystemHand Innovations, Inc.2003—
−6K032705Distal Radius Fracture Repair SystemHand Innovations, Inc.2003—
−5K050932Distal Volar Radius Anatomical Plate SystemHand Innovations, Inc.20051
−4K051735Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper ExtremitySmith & Nephew, Inc.2005—
−3K083286Orthopediatrics Pediloc Locking Plate SystemOrthoPediatrics Corp.20095
−2K120689Synthes 3.5 MM VA-LCP Proximal Tibia Plate SystemSynthes (USA) Products, LLC2012—
−1K162124Synthes 4.5mm VA-LCP Curved Condylar Plate System Line Extension, Variable…DePuy Synthes2017—
0 (this device)K231333STRETTO™ Cable SystemGlobus Medical, Inc.2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198510
198710
198910
199010
199110
199510
199610
199710
199820
199940
200070
200140
200320
200450
200520
200610
200830
200910
201110
FIG. 1 — Lineage of K231333, 1996–2023Source: 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 JDQ? 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 JDQ device

  1. #1 K261271 Cable-Ready® Cable Grip Systemscore 14.7 · 11 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? (3)

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
*K992616SDB Cerclage System
Summary page 4
…astener Product Code: JDQ (primary), HWC, HRS Regulatory Class: II Primary Predicate: Pioneer Laboratories SDB Cerclage System (K992616) Additional Predicates: Pioneer Laboratories Hex Button Device (K992617) Synthes Variable Angle Posi…
Pioneer Surgical Technology1999—
*K992617Hex Button
Summary page 4
…Regulatory Class: II Primary Predicate: Pioneer Laboratories SDB Cerclage System (K992616) Additional Predicates: Pioneer Laboratories Hex Button Device (K992617) Synthes Variable Angle Positioning Pins (K162124) Purpose: The purpose of this submission is to request cle…
Pioneer Surgical Technology1999—
*K162124Synthes 4.5mm VA-LCP Curved Condylar Plate System Line Extension, Variable Angle…
Summary page 4
…B Cerclage System (K992616) Additional Predicates: Pioneer Laboratories Hex Button Device (K992617) Synthes Variable Angle Positioning Pins (K162124) Purpose: The purpose of this submission is to request clearance for the STRETTO™ Cable System. Device Description: The STRETTO…
DePuy Synthes2017—

Also cleared against K992616: 5 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 27 years and passes through 8 companies; a new generation was cleared every 3.3 years on median.
  • 12 of the 50 ancestors have a recall of any class.
  • 5 other devices also cite its predicate K992616.

How does its category compare?

All JDQ devices

JDQ Cerclage, Fixation: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · JDQ

2in 2025

2007: 12008: 22009: 22011: 62012: 32013: 12014: 22015: 52016: 42017: 12018: 62020: 42022: 22023: 32024: 32025: 22026 (partial year): 1
2007high 6 (2011) · low 0 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JDQ

130in 2024

2011: 130 days median2012: 134 days median2015: 92 days median2016: 129 days median2018: 101 days median2020: 93 days median2023: 141 days median2024: 130 days median
2007high 141 (2023) · low 92 (2015)2026

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

Recalls per year · JDQ

5in 2019

2008: 22010: 22013: 12015: 12019: 5
2007high 5 (2019) · low 0 (2007)2026

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

Adverse event reports per year · JDQ

84in 2025

2007: 52008: 252009: 192010: 282011: 302012: 1302013: 3212014: 2232015: 2052016: 2242017: 1382018: 1822019: 1582020: 1252021: 1412022: 1342023: 982024: 1152025: 84
2007high 321 (2013) · low 5 (2007)2025

MAUDE reports naming product code JDQ, 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
20071—05
20082—225
20092—019
20100—228
20116130030
201231340130
20131—1321
20142—0223
20155921205
201641290224
20171—0138
201861010182
20190—5158
20204930125
20210—0141
20222—0134
20233141098
202431300115
20252—084
20261—0—

What is it indicated for?

The STRETTOTM Cable System is indicated for use in: general orthopedic trauma surgery (e.g., fractures of the olecranon, patella, femur - including periprosthetic, pelvis, acetabulum, humerus and ankle, and acromioclavicular dislocations); prophylactic banding during total joint procedures; and, temporary reduction techniques for ORIF (Open Reduction Internal Fixation) procedures. STRETTOTM Screw Anchors are indicated for fractures that may not be…

Read the full statement (124 words)

The STRETTOTM Cable System is indicated for use in: general orthopedic trauma surgery (e.g., fractures of the olecranon, patella, femur - including periprosthetic, pelvis, acetabulum, humerus and ankle, and acromioclavicular dislocations); prophylactic banding during total joint procedures; and, temporary reduction techniques for ORIF (Open Reduction Internal Fixation) procedures.

STRETTOTM Screw Anchors are indicated for fractures that may not be securely held by either a screw or a cerclage device alone, and where cerclage is used in combination with bone screws and/or plates to provide internal fixation of fractured bone.

STRETTOTM Press-In Anchors are indicated for use with a cerclage cable and plate to augment long bone fracture fixation, particularly when the use of screws would be inhibited, as in the presence of intramedullary implants.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K231333: STRETTO™ Cable System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K231333

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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