510(k) Report

510(k) · Cleared

Cleared

NeoSpan® Compression Implant System

K233089510(k) TraditionalCleared May 24, 2024241-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

In2bones USA, LLC · HRS Plate, Fixation, Bone

Cleared on May 24, 2024 as substantially equivalent to K161426 (In2bones USA, LLC, 2016) and 3 other predicates after a 241-day review. Its family tree reaches back 9 generations to 1996.

Decided
May 24, 2024
Review
241 days
Class
Class II
Product code
HRS
Recalls
None
Predicates
4

Its longest line of descent runs back 9 generations to K954385 (1996). 85 ancestors in all, the oldest K800806 (1980). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2022: 1 other ancestor2016: 1 other ancestor2012: 2 other ancestors2021: 1 other ancestor2013: 2 other ancestors2009: 3 other ancestors2007: 3 other ancestors2010: 2 other ancestors2006: 1 other ancestor2005: 4 other ancestors2000: 8 other ancestors1997: 2 other ancestors1996: 7 other ancestors2011: 2 other ancestors2008: 1 other ancestor2003: 2 other ancestors2002: 3 other ancestors1990: 1 other ancestor1989: 3 other ancestors2004: 3 other ancestors2001: 7 other ancestors1999: 5 other ancestors1994: 3 other ancestors1998: 4 other ancestors1995: 2 other ancestors1992: 1 other ancestor1980: 1 other ancestor1991: 1 other ancestorReference device: K201149 · CoLink Plating System · In2bones USA, LLC · 2020Reference device: K181113 · CoLink™ Afx Plating System · In2bones USA, LLC · 2018K954385 · Synthes Mandibular Modular Fixation System · Synthes (Usa) · 1996K974555 · Synthes 2.0 MM Locking Plate System (2.0 LPS) · Synthes (Usa) · 1998K030448 · Osteomed 2.0 Locking Plates and Screws · Osteomed LP · 2003K032442 · KLS-Martin Mandibular/Reconstruction System II · KLS-Martin L.P. · 2003K040598 · KLS Martin Hand Plating System · KLS-Martin L.P. · 2004×2: 2 generations cleared close together, K123562 (2013), K131657 (2013) ×2: 2 generations cleared close together, K152306 (2015), K160300 (2016) 19801990200020102020
  1. Root · 9 generations backK954385 Synthes Mandibular Modular Fixation SystemSynthes (Usa) · 1996
  2. 5 generations between
  3. 3 generations backK131657 Flower Small and Medium Implant SetFlower Orthopedics Corporation · 2013 · Recalled
  4. 2 generations backK152306 MotoBand¿ CP Implant SystemCrossroads Extremity Systems, LLC · 2015
  5. 1 generation backK160300 MotoBand (TM) CP Implant SystemCrossroads Extremity Systems, LLC · 2016
  6. This deviceK233089 NeoSpan® Compression Implant SystemIn2bones USA, LLC · 2024
Show all 9 generations
  1. Root · 9 generations backK954385 Synthes Mandibular Modular Fixation SystemSynthes (Usa) · 1996
  2. 8 generations backK974555 Synthes 2.0 MM Locking Plate System (2.0 LPS)Synthes (Usa) · 1998
  3. 7 generations backK030448 Osteomed 2.0 Locking Plates and ScrewsOsteomed LP · 2003
  4. 6 generations backK032442 KLS-Martin Mandibular/Reconstruction System IIKLS-Martin L.P. · 2003
  5. 5 generations backK040598 KLS Martin Hand Plating SystemKLS-Martin L.P. · 2004
  6. 4 generations backK123562 Flower Small and Medium Bone ImplantsFlower Orthopedics Corporation · 2013 · Recalled
  7. 3 generations backK131657 Flower Small and Medium Implant SetFlower Orthopedics Corporation · 2013 · Recalled
  8. 2 generations backK152306 MotoBand¿ CP Implant SystemCrossroads Extremity Systems, LLC · 2015
  9. 1 generation backK160300 MotoBand (TM) CP Implant SystemCrossroads Extremity Systems, LLC · 2016
  10. This deviceK233089 NeoSpan® Compression Implant SystemIn2bones USA, LLC · 2024
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K954385Synthes Mandibular Modular Fixation SystemSynthes (Usa)1996—
−8K974555Synthes 2.0 MM Locking Plate System (2.0 LPS)Synthes (Usa)1998—
−7K030448Osteomed 2.0 Locking Plates and ScrewsOsteomed LP2003—
−6K032442KLS-Martin Mandibular/Reconstruction System IIKLS-Martin L.P.2003—
−5K040598KLS Martin Hand Plating SystemKLS-Martin L.P.2004—
−4K123562Flower Small and Medium Bone ImplantsFlower Orthopedics Corporation20132
−3K131657Flower Small and Medium Implant SetFlower Orthopedics Corporation20131
−2K152306MotoBand¿ CP Implant SystemCrossroads Extremity Systems, LLC2015—
−1K160300MotoBand (TM) CP Implant SystemCrossroads Extremity Systems, LLC2016—
0 (this device)K233089NeoSpan® Compression Implant SystemIn2bones USA, LLC2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198010
198930
199010
199110
199210
199430
199520
199670
199720
199840
199950
200080
200170
200230
200320
200430
200540
200610
200730
200810
200930
201020
201120
201220
201320
201610
202110
202210
FIG. 1 — Lineage of K233089, 1996–2024Source: 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? (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
*K161426NeoSpan Compression Staple Impant w/instruments
Summary page 4
…HWC Device Description: In2Bones NeoSpan® Compression Implant System (CIS) is a product expansion of the existing NeoSpan Compression Staple Implant w/ Instruments (K161426). The NeoSpan® Compression Implant System consists of implants offered in various configurations from 2 and 3 legs with no hole o…
In2bones USA, LLC20162
*K160300MotoBand (TM) CP Implant System
Summary page 5
…nt to the following systems previously cleared by the FDA: Primary Predicate • K161426 –NeoSpan Compression Staple Implant w/ Instruments Additional Predicate • K160300 - CrossRoads Extremity Systems MotoBAND Implant System • K222645 - Treace Medical Compression Implant System • K112837 – Vi…
Crossroads Extremity Systems, LLC2016—
*K222645Treace Medical Concepts (TMC) Implant Fixation System
Summary page 5
…Predicate • K161426 –NeoSpan Compression Staple Implant w/ Instruments Additional Predicate • K160300 - CrossRoads Extremity Systems MotoBAND Implant System • K222645 - Treace Medical Compression Implant System • K112837 – Vilex eZ-Staple Superelastic Bone Fixation Staple Reference Device…
Treace Medical Concepts2022—
*K112837Vilex EZ-Staple (Memory Bone Fixation Staple)
Summary page 5
…nt w/ Instruments Additional Predicate • K160300 - CrossRoads Extremity Systems MotoBAND Implant System • K222645 - Treace Medical Compression Implant System • K112837 – Vilex eZ-Staple Superelastic Bone Fixation Staple Reference Device • K201149 – CoLink Plating System • K181113 – CoLink…
Vilex, Inc.2012—
†K201149CoLink Plating SystemIn2bones USA, LLC2020—
†K181113CoLink™ Afx Plating SystemIn2bones USA, LLC2018—

Also cleared against K161426: 1 other device →

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 28 years and passes through 6 companies; a new generation was cleared every 2.0 years on median.
  • 21 of the 85 ancestors have a recall of any class.
  • 1 other device also cites its predicate K161426.

How does its category compare?

All HRS devices

HRS Plate, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, 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?

The NeoSpan® Compression Implant System is a nitinol implant intended to provide fixation of fractures, fusions, or osteotomies of the hand and foot.

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. “K233089: NeoSpan® Compression Implant System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K233089

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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