510(k) Report

510(k) · Cleared

Cleared

Internal Locking Plate and Screw Fixation System

K232394510(k) TraditionalCleared Dec 15, 2023128-day reviewClass II21 CFR 888.3030

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

Changzhou Geasure Medical Apparatus and Instruments Co., Ltd. · HRS Plate, Fixation, Bone

Cleared on Dec 15, 2023 as substantially equivalent to K063049 (Synthes (Usa), 2006) and 9 other predicates after a 128-day review. Its family tree reaches back 4 generations to 1998.

Decided
Dec 15, 2023
Review
128 days
Class
Class II
Product code
HRS
Recalls
None
Predicates
10

Its longest line of descent runs back 4 generations to K981372 (1998). 29 ancestors in all, the oldest K882831 (1988). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2010: 1 other ancestor2009: 1 other ancestor2008: 2 other ancestors2007: 2 other ancestors2006: 2 other ancestors2004: 2 other ancestors2003: 1 other ancestor2001: 3 other ancestors2002: 1 other ancestor2000: 4 other ancestors1999: 2 other ancestors1998: 2 other ancestors1991: 1 other ancestor1988: 1 other ancestorReference device: K222031 · Spinal Inner Fixation System · Changzhou Geasure Medical Apparatus and Instruments Co., Ltd. · 2022K981372 · Synthes 3.0 MM PC-Fix System · Synthes (Usa) · 1998K991407 · Synthes Locking Calcaneal Plates · Synthes (Usa) · 1999K033669 · Smith & Nephew Locking Bone Plate System (Locking Bone Plates and Screws) · Smith & Nephew, Inc. · 2003 · recalledK082807 · Synthes (Usa) 3.5 and 4.5 MM Locking Compression Plate System with Expanded Indications · Synthes (Usa) · 20081990200020102020
  1. Root · 4 generations backK981372 Synthes 3.0 MM PC-Fix SystemSynthes (Usa) · 1998
  2. 3 generations backK991407 Synthes Locking Calcaneal PlatesSynthes (Usa) · 1999
  3. 2 generations backK033669 Smith & Nephew Locking Bone Plate System (Locking Bone Plates and…Smith & Nephew, Inc. · 2003 · Recalled
  4. 1 generation backK082807 Synthes (Usa) 3.5 and 4.5 MM Locking Compression Plate System with…Synthes (Usa) · 2008
  5. This deviceK232394 Internal Locking Plate and Screw Fixation SystemChangzhou Geasure Medical Apparatus and Instruments Co., Ltd. · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K981372Synthes 3.0 MM PC-Fix SystemSynthes (Usa)1998—
−3K991407Synthes Locking Calcaneal PlatesSynthes (Usa)1999—
−2K033669Smith & Nephew Locking Bone Plate System (Locking Bone Plates and Screws)Smith & Nephew, Inc.20031
−1K082807Synthes (Usa) 3.5 and 4.5 MM Locking Compression Plate System with Expanded…Synthes (Usa)2008—
0 (this device)K232394Internal Locking Plate and Screw Fixation SystemChangzhou Geasure Medical Apparatus and Instruments Co., Ltd.2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198810
199110
199820
199920
200040
200130
200210
200310
200420
200620
200720
200820
200910
201010
FIG. 1 — Lineage of K232394, 1998–2023Source: 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 HRS? 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 HRS device

  1. #1 K222465 Tyber Medical Anatomical Plating Systemscore 27.5 · 16 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? (10)

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
*K063049Synthes (Usa) Modular Mini Fragment LCP System
Summary page 5
…Synthes (USA) Modular Mini Fragment LCP Trade name System; 510(K) number K063049 Regulatory Class II Regulation Number 21 CFR 888.3030, 21 CFR 888.3040 Primary Predi…
Synthes (Usa)20064
*K073186Synthes 3.5MM LCP Clavicle Plate System
Summary page 6
…product codes HWC: Screw, Fixation, Bone Manufacturer DePuy Synthes K073186, Synthes 3.5mm LCP Clavicle Plate System;…
Synthes (Usa)2007—
*K011815Synthes LCP Proximal Humerus Plates
Summary page 6
…K073186, Synthes 3.5mm LCP Clavicle Plate System; K011815, Synthes LCP Proximal Humerus Plate; K033995, 3.5mm LCP Distal Humerus System;…
Synthes (Usa)2001—
*K0339953.5 MM LCP Distal Humerus System
Summary page 6
…System; K011815, Synthes LCP Proximal Humerus Plate; K033995, 3.5mm LCP Distal Humerus System; K083694, Synthes 2.4mm VA-LCP…
Synthes (Usa)20041
*K083694Synthes (Usa) 2.4 MM VA-LCP Two Column Volar Distal Radius Plates
Summary page 6
…Synthes LCP Proximal Humerus Plate; K033995, 3.5mm LCP Distal Humerus System; K083694, Synthes 2.4mm VA-LCP Two-Column Volar Distal Radius Plate;…
Synthes (Usa)20092
*K062564Synthes LCP Distal Femur Plates
Summary page 6
…K083694, Synthes 2.4mm VA-LCP Two-Column Volar Distal Radius Plate; K062564, Synthes LCP Distal Femur Plate; Trade name /510(K) K032269, Synthes (USA) 3.5/4.5mm LCP…
Synthes (Usa)2006—
*K032269Synthes (Usa) 3.5/4.5MM LCP Medial Proximal Tibia Plates
Summary page 6
…wo-Column Volar Distal Radius Plate; K062564, Synthes LCP Distal Femur Plate; Trade name /510(K) K032269, Synthes (USA) 3.5/4.5mm LCP number Medial Proximal Tibia Plates;…
Synthes (Usa)2003—
*K092812Synthes (Usa) 2.7MM/ 3.5MM LCP Anterolateral Distal Tibia Plates
Summary page 6
…510(K) K032269, Synthes (USA) 3.5/4.5mm LCP number Medial Proximal Tibia Plates; K092812, Synthes (USA) 2.7mm /3.5mm LCP Anterolateral Distal Tibia Plates; Additional Predi…
Synthes (Usa)2010—
*K083213Synthes 2.7 MM/3.5 MM LCP Distal Fibula Plates
Summary page 6
…USA) 2.7mm /3.5mm LCP Anterolateral Distal Tibia Plates; Additional Predicate K083213, Synthes 2.7mm/3.5mm LCP Distal Devices Fibula Plates-Modification;…
Synthes (Usa)2008—
*K082807Synthes (Usa) 3.5 and 4.5 MM Locking Compression Plate System with Expanded Indications
Summary page 6
…K083213, Synthes 2.7mm/3.5mm LCP Distal Devices Fibula Plates-Modification; K082807, Synthes (USA) 3.5 mm and 4.5 mm Locking Compression Plate (LCP) System with…
Synthes (Usa)2008—
†K222031Spinal Inner Fixation SystemChangzhou Geasure Medical Apparatus and Instruments Co., Ltd.2022—

Also cleared against K063049: 39 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 25 years and passes through 3 companies; a new generation was cleared every 5.0 years on median.
  • 7 of the 29 ancestors have a recall of any class.
  • 39 other devices also cite its predicate K063049.

How does its category compare?

All HRS devices

HRS Plate, 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 · HRS

54in 2025

2007: 352008: 352009: 472010: 492011: 432012: 592013: 562014: 762015: 562016: 442017: 572018: 402019: 462020: 482021: 402022: 472023: 402024: 542025: 542026 (partial year): 51
2007high 76 (2014) · low 35 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HRS

90in 2025

2007: 63 days median2008: 87 days median2009: 85 days median2010: 100 days median2011: 88 days median2012: 106 days median2013: 89 days median2014: 57 days median2015: 97 days median2016: 109 days median2017: 122 days median2018: 116 days median2019: 89 days median2020: 88 days median2021: 87 days median2022: 144 days median2023: 120 days median2024: 96 days median2025: 90 days median2026 (partial year): 82 days median
2007high 144 (2022) · low 57 (2014)2026

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

Recalls per year · HRS

1in 2025

2007: 22008: 112009: 32010: 162011: 52012: 42013: 112015: 72016: 52017: 32018: 22019: 252020: 12021: 92022: 32023: 12025: 12026 (partial year): 3
2007high 25 (2019) · low 0 (2014)2026

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

Adverse event reports per year · HRS

2,306in 2025

2007: 3392008: 3112009: 4352010: 4912011: 7732012: 1,6632013: 2,6432014: 2,4132015: 3,0952016: 2,2762017: 2,2202018: 2,6632019: 3,3592020: 2,7902021: 2,4422022: 1,7002023: 2,0492024: 1,8492025: 2,306
2007high 3,359 (2019) · low 311 (2008)2025

MAUDE reports naming product code HRS, 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
200735632339
2008358711311
200947853435
20104910016491
201143885773
20125910641,663
20135689112,643
2014765702,413
2015569773,095
20164410952,276
20175712232,220
20184011622,663
20194689253,359
2020488812,790
2021408792,442
20224714431,700
20234012012,049
2024549601,849
2025549012,306
202651823—

What is it indicated for?

Internal Locking Plate and Screw Fixation System is intended for temporary fixation, correction or stabilization of bones in various anatomical regions. 3.5mm LCP Clavicle Plate 3.5mm LCP Clavicle Plate is indicated for fixation of fractures, malunions, non-unions, and osteotomies of the clavicle. 3.5mm LCP Proximal Humeral Plate LCP Proximal Humerus Plate is indicated for fractures and fracture dislocations, osteotomies, and non-unions of the proximal…

Read the full statement (374 words)

Internal Locking Plate and Screw Fixation System is intended for temporary fixation, correction or stabilization of bones in various anatomical regions.

3.5mm LCP Clavicle Plate

3.5mm LCP Clavicle Plate is indicated for fixation of fractures, malunions, non-unions, and osteotomies of the clavicle.

3.5mm LCP Proximal Humeral Plate

LCP Proximal Humerus Plate is indicated for fractures and fracture dislocations, osteotomies, and non-unions of the proximal humerus, particularly in osteopenic bone.

3.5mm LCP Distal Humerus plate

3.5mm LCP Distal Humerus plate is indicated for intraarticular fractures of the distal humerus, comminuted supracondylar fractures, osteotomies, and non-unions of the distal humerus.

2.4mm LCP Volar Distal Radius Plate

2.4 mm LCP Volar Distal Radius Plate is indicated for fixation of complex intra- and extra-articular fractures and osteotomies of the distal radius and other small bones.

5.0mm LCP Distal Femur Plate

5.0 LCP Distal Femur Plate is indicated for buttressing multifragmentary distal femur fractures including: supracondylar, intra-articular and extra-articular condylar, periprosthetic fractures and fractures in normal or osteopenic bone, nonunions and malunions, and osteotomies of the femur.

3.5mm LCP Medial Proximal Tibial Plate

3.5mm LCP Medial Proximal Tibia Plate is indicated to buttress metaphyseal fractures of the medial tibia plateau, split-type fractures of the medial tibia plateau, medial split fractures with associated depressions and split or depression fractures of the medial tibia plateau. Also, for use in the fixation of osteopenic bone and fixation of nonunions and malunions of the medial proximal tibia and tibia shaft.

3.5mm LCP Anterolateral Distal Tibia Plate

3.5mm LCP Anterolateral Distal Tibia Plate is indicated for fractures, osteotomies, and non-unions of the distal tibia, especially in osteopenic bone.

2.7mm/3.5mm LCP Distal Fibula Plate

2.7mm/3.5mm LCP Distal Fibula Plate is indicated for fractures, osteotomies, and non-unions of the metaphyseal and diaphyseal region of the distal fibula, especially in osteopenic bone.

2.0mm LCP Condylar Plate

2.0mm LCP condylar Plate is indicated for fixation of fractures, osteotomies, nonunions, replantations, and fusions of small bones and small bone fragments, particularly in osteopenic bone. Examples include, but are not limited to, the hand, wrist, foot, and ankle.

3.5mm Round Hole Reconstruction Locking Plate

The 3.5mm Round Hole Reconstruction Locking Plates is indicated for fixation of fractures, osteotomies and non-unions of the pelvis, particularly in osteopenic bone for adult patients.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K232394: Internal Locking Plate and Screw Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K232394

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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