510(k) Report

510(k) · Cleared

Cleared

Medline UNITE® REFLEX® Nitinol Staple Kit

K232905510(k) SpecialCleared Oct 19, 202330-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

Medline Industries, LP · JDR Staple, Fixation, Bone

Cleared on Oct 19, 2023 as substantially equivalent to K231885 (Medline Industries, LP, 2023) and 2 other predicates after a 30-day review. Its family tree reaches back 6 generations to 1990.

Decided
Oct 19, 2023
Review
30 days
Class
Class II
Product code
JDR
Recalls
None
Predicates
3

Its longest line of descent runs back 6 generations to K902307 (1990). 10 ancestors in all. No later device cites it as a predicate yet.

  1. Root · 6 generations backK902307 Shaw II Hemostatic Surgery SystemHemostatic Surgery Corp. · 1990 · Recalled
  2. 5 generations backK993714 Memograph Staple, Warm SystemBiomedical Ent., Inc. · 2000
  3. 4 generations backK070031 Memometal Memory StaplesMemometal Technologies · 2007
  4. 3 generations backK124045 Fuseforce Implant SystemSolana Surgical, LLC · 2013
  5. 2 generations backK210482 Medline UNITE REFLEX Nitinol Staple SystemMedline Industries, Inc. · 2021
  6. 1 generation backK231885 Medline UNITE® REFLEX® Nitinol Staple SystemMedline Industries, LP · 2023
  7. This deviceK232905 Medline UNITE® REFLEX® Nitinol Staple KitMedline Industries, LP · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K902307Shaw II Hemostatic Surgery SystemHemostatic Surgery Corp.19902
−5K993714Memograph Staple, Warm SystemBiomedical Ent., Inc.2000—
−4K070031Memometal Memory StaplesMemometal Technologies2007—
−3K124045Fuseforce Implant SystemSolana Surgical, LLC2013—
−2K210482Medline UNITE REFLEX Nitinol Staple SystemMedline Industries, Inc.2021—
−1K231885Medline UNITE® REFLEX® Nitinol Staple SystemMedline Industries, LP2023—
0 (this device)K232905Medline UNITE® REFLEX® Nitinol Staple KitMedline Industries, LP2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199710
201320
201710
FIG. 1 — Lineage of K232905, 1990–2023Source: 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 JDR? 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 JDR device

  1. #1 K243658 TMC Compression Implant Systemscore 16.7 · 18 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? (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
*K231885Medline UNITE® REFLEX® Nitinol Staple System
Summary page 4
…DR Classification Panel: Orthopedics Regulatory Class: Class II Regulation Number: 21 CFR 888.3030 Primary Predicate Device Medline UNITE® REFLEX® Nitinol Staple System K231885 Predicate Device Medline UNITE® REFLEX® Nitinol Staple System K210482 Medline Industries, LP…
Medline Industries, LP2023—
*K210482Medline UNITE REFLEX Nitinol Staple System
Summary page 4
…ion Number: 21 CFR 888.3030 Primary Predicate Device Medline UNITE® REFLEX® Nitinol Staple System K231885 Predicate Device Medline UNITE® REFLEX® Nitinol Staple System K210482 Medline Industries, LP K23…
Medline Industries, Inc.2021—
*K162354Sniper Staple System
Summary page 5
…Northfield, IL 60093 Page 2 of 6 Predicate Device Sniper Staple System K162354 Device Description The Medline UNITE® REFLEX™ Nitinol Staples are manufactured from nickel titanium alloy (Nitinol). The s…
Trilliant Surgical, Ltd.2017—

Also cleared against K231885: 2 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 33 years and passes through 6 companies; a new generation was cleared every 7.1 years on median.
  • 1 of the 10 ancestors has a recall of any class.
  • 2 other devices also cite its predicate K231885.

How does its category compare?

All JDR devices

JDR Staple, 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 · JDR

3in 2025

2007: 82008: 52010: 22011: 12012: 12013: 92014: 112015: 72016: 62017: 92018: 82019: 52020: 42021: 32022: 52023: 92024: 42025: 32026 (partial year): 2
2007high 11 (2014) · low 0 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JDR

65in 2025

2007: 70 days median2008: 89 days median2013: 137 days median2014: 97 days median2015: 111 days median2016: 101 days median2017: 172 days median2018: 107 days median2019: 149 days median2020: 161 days median2021: 62 days median2022: 107 days median2023: 72 days median2024: 29 days median2025: 65 days median
2007high 172 (2017) · low 29 (2024)2026

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

Recalls per year · JDR

11in 2022

2008: 12015: 12018: 12020: 12022: 112026 (partial year): 2
2007high 11 (2022) · low 0 (2007)2026

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

Adverse event reports per year · JDR

314in 2025

2007: 32008: 142009: 102010: 352011: 622012: 342013: 272014: 492015: 482016: 762017: 1162018: 2392019: 2422020: 2342021: 2102022: 2022023: 1752024: 2062025: 314
2007high 314 (2025) · low 3 (2007)2025

MAUDE reports naming product code JDR, 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
200787003
2008589114
20090—010
20102—035
20111—062
20121—034
20139137027
20141197049
20157111148
20166101076
201791720116
201881071239
201951490242
202041611234
20213620210
2022510711202
20239720175
20244290206
20253650314
20262—2—

What is it indicated for?

The Medline UNITE® REFLEX® Nitinol Staples are intended to provide fixation for fractures, fusions or osteotomies of the bones of the hand and foot such as: First metatarsalcuneiform arthrodesis, First metatarsophalangeal arthrodesis, Talo-Navicular Fusion, LisFranc arthrodesis, Akin osteotomy, Scarf and Chevron osteotomies. Staples are intended for single use only.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K232905: Medline UNITE® REFLEX® Nitinol Staple Kit.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K232905

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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