510(k) Report

510(k) · Cleared

Cleared

APTUS Cannulated Compression Screws Line Extension, APTUS K-Wire System Line Extension

K232251510(k) TraditionalCleared Nov 3, 202398-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

Medartis AG · HWC Screw, Fixation, Bone

Cleared on Nov 3, 2023 as substantially equivalent to K202589 (Medartis AG, 2020) and 5 other predicates after a 98-day review. Its family tree reaches back 9 generations to 1996. 1 later device descends from it.

Decided
Nov 3, 2023
Review
98 days
Class
Class II
Product code
HWC
Recalls
None
Predicates
6

Its longest line of descent runs back 9 generations to K962823 (1996). 80 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 2023: 1 other ancestor2009: 2 other ancestors1996: 4 other ancestors2020: 2 other ancestors2011: 1 other ancestor2008: 5 other ancestors2007: 3 other ancestors2005: 5 other ancestors2002: 8 other ancestors2001: 5 other ancestors2010: 1 other ancestor2006: 1 other ancestor2004: 2 other ancestors2003: 1 other ancestor2000: 6 other ancestors1999: 9 other ancestors1998: 4 other ancestors1995: 2 other ancestors1979: 1 other ancestor1994: 2 other ancestors1980: 1 other ancestor1992: 1 other ancestor1991: 2 other ancestors1989: 1 other ancestor1988: 1 other ancestor2026: 1 descendant clearedK962823 · Synthes Sterile 3.0 MM Cannulated Screw and Threaded Washer · Synthes (Usa) · 1996K993762 · I.CO.S Screw · New Deal, S.A. · 2000K024233 · Kompressor Screw System · Kinetikos Medical, Inc. · 2003K040356 · Kompressor Screw System · Kinetikos Medical, Inc. · 2004K060071 · Nexa Compression Screw · Nexa Orthopedics, Inc. · 2006K063298 · Osteomed Headless Cannulated Screw System · Osteomed LP · 2007K110658 · Aptus Cannulated Compression Screws · Medartis AG · 2011K133460 · Aptus Cannulated Compression Screws · Medartis AG · 2013K202589 · APTUS Cannulated Compression Screws, APTUS headed Cannulated Compression Screws, APTUS K-Wire System · Medartis AG · 2020 · recalled19801990200020102020
  1. Root · 9 generations backK962823 Synthes Sterile 3.0 MM Cannulated Screw and Threaded WasherSynthes (Usa) · 1996
  2. 5 generations between
  3. 3 generations backK110658 Aptus Cannulated Compression ScrewsMedartis AG · 2011
  4. 2 generations backK133460 Aptus Cannulated Compression ScrewsMedartis AG · 2013
  5. 1 generation backK202589 APTUS Cannulated Compression Screws, APTUS headed Cannulated…Medartis AG · 2020 · Recalled
  6. This deviceK232251 APTUS Cannulated Compression Screws Line Extension, APTUS K-Wire…Medartis AG · 2023
  7. Descendant · cites it directly · 0 of its ownK260934 TITAN Nail; APTUS K-Wire SystemMedartis AG · 2026
Show all 9 generations
  1. Root · 9 generations backK962823 Synthes Sterile 3.0 MM Cannulated Screw and Threaded WasherSynthes (Usa) · 1996
  2. 8 generations backK993762 I.CO.S ScrewNew Deal, S.A. · 2000
  3. 7 generations backK024233 Kompressor Screw SystemKinetikos Medical, Inc. · 2003
  4. 6 generations backK040356 Kompressor Screw SystemKinetikos Medical, Inc. · 2004
  5. 5 generations backK060071 Nexa Compression ScrewNexa Orthopedics, Inc. · 2006
  6. 4 generations backK063298 Osteomed Headless Cannulated Screw SystemOsteomed LP · 2007
  7. 3 generations backK110658 Aptus Cannulated Compression ScrewsMedartis AG · 2011
  8. 2 generations backK133460 Aptus Cannulated Compression ScrewsMedartis AG · 2013
  9. 1 generation backK202589 APTUS Cannulated Compression Screws, APTUS headed Cannulated…Medartis AG · 2020 · Recalled
  10. This deviceK232251 APTUS Cannulated Compression Screws Line Extension, APTUS K-Wire…Medartis AG · 2023

Most influential descendants

Showing 1 of 1 · See all
  • K260934TITAN Nail; APTUS K-Wire SystemMedartis AG · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K962823Synthes Sterile 3.0 MM Cannulated Screw and Threaded WasherSynthes (Usa)1996—
−8K993762I.CO.S ScrewNew Deal, S.A.2000—
−7K024233Kompressor Screw SystemKinetikos Medical, Inc.2003—
−6K040356Kompressor Screw SystemKinetikos Medical, Inc.2004—
−5K060071Nexa Compression ScrewNexa Orthopedics, Inc.2006—
−4K063298Osteomed Headless Cannulated Screw SystemOsteomed LP2007—
−3K110658Aptus Cannulated Compression ScrewsMedartis AG2011—
−2K133460Aptus Cannulated Compression ScrewsMedartis AG2013—
−1K202589APTUS Cannulated Compression Screws, APTUS headed Cannulated Compression…Medartis AG20201
0 (this device)K232251APTUS Cannulated Compression Screws Line Extension, APTUS K-Wire System Line…Medartis AG2023—
+1K260934TITAN Nail; APTUS K-Wire SystemMedartis AG2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
198810
198910
199120
199210
199420
199520
199640
199840
199990
200060
200150
200280
200310
200420
200550
200610
200730
200850
200920
201010
201110
202020
202310

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K232251, 1996–2026Source: 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? (6)

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
*K202589APTUS Cannulated Compression Screws, APTUS headed Cannulated Compression Screws, APTUS…
Summary page 6
…2.5Molybdenum Stainless Steel Bar and Wire for Surgical Implants (UNS S31673) PREDICATE DEVICE INFORMATION Primary Predicate Device K202589, APTUS® headed Cannulated Compression Screws, APTUS® Cannulated Compression Screws, APTUS® K-Wire System, Medartis AG Additional…
Medartis AG20201
*K133460Aptus Cannulated Compression Screws
Summary page 6
…dicate Device K202589, APTUS® headed Cannulated Compression Screws, APTUS® Cannulated Compression Screws, APTUS® K-Wire System, Medartis AG Additional Predicate Devices K133460, APTUS Cannulated Compression Screws 5.0,7.0, Medartis AG K110658, APTUS® Cannulated Compression Screws, Medartis AG K092038, APT…
Medartis AG2013—
*K110658Aptus Cannulated Compression Screws
Summary page 6
…, APTUS® Cannulated Compression Screws, APTUS® K-Wire System, Medartis AG Additional Predicate Devices K133460, APTUS Cannulated Compression Screws 5.0,7.0, Medartis AG K110658, APTUS® Cannulated Compression Screws, Medartis AG K092038, APTUS® K-Wire System, Medartis AG K230971, APTUS 3.5 TriLock Straight…
Medartis AG2011—
*K092038Aptus K-Wire System
Summary page 6
…m, Medartis AG Additional Predicate Devices K133460, APTUS Cannulated Compression Screws 5.0,7.0, Medartis AG K110658, APTUS® Cannulated Compression Screws, Medartis AG K092038, APTUS® K-Wire System, Medartis AG K230971, APTUS 3.5 TriLock Straight Plates, Medartis AG K963192, Synthes Sterile 3.5 mm and 4.…
Medartis AG2009—
*K230971APTUS® 3.5 TriLock Straight Plates
Summary page 6
…s K133460, APTUS Cannulated Compression Screws 5.0,7.0, Medartis AG K110658, APTUS® Cannulated Compression Screws, Medartis AG K092038, APTUS® K-Wire System, Medartis AG K230971, APTUS 3.5 TriLock Straight Plates, Medartis AG K963192, Synthes Sterile 3.5 mm and 4.0 mm Cannulated Screws, Synthese (USA) IND…
Medartis AG2023—
*K963192Synthes Sterile 3.5 MM and 4.0 MM Cannulated Screws
Summary page 6
…Medartis AG K110658, APTUS® Cannulated Compression Screws, Medartis AG K092038, APTUS® K-Wire System, Medartis AG K230971, APTUS 3.5 TriLock Straight Plates, Medartis AG K963192, Synthes Sterile 3.5 mm and 4.0 mm Cannulated Screws, Synthese (USA) INDICATIONS FOR USE STATEMENT APTUS® Cannulated Compression…
Synthes (Usa)1996—

Also cleared against K202589: 3 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
K260934TITAN Nail; APTUS K-Wire SystemMedartis AG20260

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 6 companies; a new generation was cleared every 3.0 years on median.
  • 15 of the 80 ancestors have a recall of any class.
  • Of its descendants, K260934 (Medartis AG, 2026) has gone furthest, with 0 descendants of its own.
  • 3 other devices also cite its predicate K202589.

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?

APTUS® Cannulated Compression Screws and headed Cannulated Compression Screws are indicated for the treatment of fractures, osteotomies and arthrodesis of bones with the appropriate screw size in the shoulder, elbow, wrist, hand, knee, and the foot and ankle.

APTUS® K-Wire System is intended for use in fixation of bone fractures, for bone reconstruction, and as guide pins for insertion of other implants.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K232251: APTUS Cannulated Compression Screws Line Extension, APTUS K-Wire System Line Extension.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K232251

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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