510(k) Report

510(k) · Cleared

Cleared

DePuy Synthes MatrixSTERNUM Fixation System

K233967510(k) TraditionalCleared May 9, 2024146-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

Synthes GmbH · HRS Plate, Fixation, Bone

Cleared on May 9, 2024 as substantially equivalent to K161896 (Biomet Microfixation, 2016) and 2 other predicates after a 146-day review. Its family tree reaches back 16 generations to 1976.

Decided
May 9, 2024
Review
146 days
Class
Class II
Product code
HRS
Recalls
None
Predicates
3

Its longest line of descent runs back 16 generations to K761228 (1976). 48 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 2016: 2 other ancestors2014: 1 other ancestor2011: 2 other ancestors2010: 1 other ancestor2008: 3 other ancestors2005: 1 other ancestor2001: 2 other ancestors2006: 2 other ancestors2003: 1 other ancestor1998: 2 other ancestors1997: 3 other ancestors1995: 1 other ancestor1994: 4 other ancestors1996: 3 other ancestors1991: 1 other ancestor1988: 1 other ancestor1986: 2 other ancestorsReference device: K946173 · Stainless Steel, Gut, Poly (Glycolide/L-Lactide) Polyamide, Polypropylene, Poly (Ethylene Terephthalate) and Silk · ETHICON, Inc. · 1995 · recalledK761228 · Luhr Mandibular Compression-Screw System · Howmedica Corp. · 1976K963739 · Leibinger - Luhr Small Orthopedic Bone Screws · Howmedica Leibinger, Inc. · 1997×2: 2 generations cleared close together, K970912 (1997), K974785 (1998) K013954 · Lorenz Self Drilling Screws · Walter Lorenz Surgical, Inc. · 2002×2: 2 generations cleared close together, K032228 (2003), K033740 (2003) K063506 · Lorenz Sternal Closure System · Walter Lorenz Surgical, Inc. · 2006K110574 · Biomet Microfixation Sternalock Blu Sternal Closure System · Biomet Microfixation, Inc. · 2011 · recalledK111908 · Biomet Microfixation Sternal Closure System · Biomet Microfixation, Inc. · 2011K121302 · Biomet Microfixation Sternal Closure System · Biomet Microfixation · 2012×2: 2 generations cleared close together, K142823 (2015), K151173 (2015) K152253 · Biomet Microfixation RibFix Blu Thoracic Fixation System · Biomet Microfixation · 2016K162974 · Biomet Microfixation RibFix Blu Thoracic Fixation System · Biomet Microfixation · 2016K190409 · MatrixRIB Fixation System · DePuy Synthes · 201919801990200020102020
Other ancestors, by generation 1 generation back: 2 other ancestors2 generations back: 1 other ancestor3 generations back: 8 other ancestors4 generations back: 8 other ancestors5 generations back: 1 other ancestor6 generations back: 2 other ancestors7 generations back: 2 other ancestors8 generations back: 2 other ancestors9 generations back: 6 other ancestors K190409 · MatrixRIB Fixation System · DePuy Synthes · 2019K162974 · Biomet Microfixation RibFix Blu Thoracic Fixation System · Biomet Microfixation · 2016K152253 · Biomet Microfixation RibFix Blu Thoracic Fixation System · Biomet Microfixation · 2016K151173 · Biomet Microfixation RibFix Blu Thoracic Fixation System · Biomet Microfixation · 2015K142823 · Biomet Microfixation Thoracic Fixation System · Biomet Microfixation · 2015K121302 · Biomet Microfixation Sternal Closure System · Biomet Microfixation · 2012K111908 · Biomet Microfixation Sternal Closure System · Biomet Microfixation, Inc. · 2011K110574 · Biomet Microfixation Sternalock Blu Sternal Closure System · Biomet Microfixation, Inc. · 2011 · recalledK063506 · Lorenz Sternal Closure System · Walter Lorenz Surgical, Inc. · 2006K033740 · Lorenz Sternal Closure System · Walter Lorenz Surgical, Inc. · 2003K032228 · Lorenz 2.4 Self Drilling Screws · Walter Lorenz Surgical, Inc. · 2003K013954 · Lorenz Self Drilling Screws · Walter Lorenz Surgical, Inc. · 2002K974785 · Auto-Drive Bone Screw · Osteomed Corp. · 1998K970912 · Leibinger Self-Drilling Screw · Howmedica Leibinger, Inc. · 1997K963739 · Leibinger - Luhr Small Orthopedic Bone Screws · Howmedica Leibinger, Inc. · 1997K761228 · Luhr Mandibular Compression-Screw System · Howmedica Corp. · 1976−15−10−50
  1. Root · 16 generations backK761228 Luhr Mandibular Compression-Screw SystemHowmedica Corp. · 1976
  2. 12 generations between
  3. 3 generations backK152253 Biomet Microfixation RibFix Blu Thoracic Fixation SystemBiomet Microfixation · 2016
  4. 2 generations backK162974 Biomet Microfixation RibFix Blu Thoracic Fixation SystemBiomet Microfixation · 2016
  5. 1 generation backK190409 MatrixRIB Fixation SystemDePuy Synthes · 2019
  6. This deviceK233967 DePuy Synthes MatrixSTERNUM Fixation SystemSynthes GmbH · 2024
Show all 16 generations
  1. Root · 16 generations backK761228 Luhr Mandibular Compression-Screw SystemHowmedica Corp. · 1976
  2. 15 generations backK963739 Leibinger - Luhr Small Orthopedic Bone ScrewsHowmedica Leibinger, Inc. · 1997
  3. 14 generations backK970912 Leibinger Self-Drilling ScrewHowmedica Leibinger, Inc. · 1997
  4. 13 generations backK974785 Auto-Drive Bone ScrewOsteomed Corp. · 1998
  5. 12 generations backK013954 Lorenz Self Drilling ScrewsWalter Lorenz Surgical, Inc. · 2002
  6. 11 generations backK032228 Lorenz 2.4 Self Drilling ScrewsWalter Lorenz Surgical, Inc. · 2003
  7. 10 generations backK033740 Lorenz Sternal Closure SystemWalter Lorenz Surgical, Inc. · 2003
  8. 9 generations backK063506 Lorenz Sternal Closure SystemWalter Lorenz Surgical, Inc. · 2006
  9. 8 generations backK110574 Biomet Microfixation Sternalock Blu Sternal Closure SystemBiomet Microfixation, Inc. · 2011 · Recalled
  10. 7 generations backK111908 Biomet Microfixation Sternal Closure SystemBiomet Microfixation, Inc. · 2011
  11. 6 generations backK121302 Biomet Microfixation Sternal Closure SystemBiomet Microfixation · 2012
  12. 5 generations backK142823 Biomet Microfixation Thoracic Fixation SystemBiomet Microfixation · 2015
  13. 4 generations backK151173 Biomet Microfixation RibFix Blu Thoracic Fixation SystemBiomet Microfixation · 2015
  14. 3 generations backK152253 Biomet Microfixation RibFix Blu Thoracic Fixation SystemBiomet Microfixation · 2016
  15. 2 generations backK162974 Biomet Microfixation RibFix Blu Thoracic Fixation SystemBiomet Microfixation · 2016
  16. 1 generation backK190409 MatrixRIB Fixation SystemDePuy Synthes · 2019
  17. This deviceK233967 DePuy Synthes MatrixSTERNUM Fixation SystemSynthes GmbH · 2024
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−16K761228Luhr Mandibular Compression-Screw SystemHowmedica Corp.1976—
−15K963739Leibinger - Luhr Small Orthopedic Bone ScrewsHowmedica Leibinger, Inc.1997—
−14K970912Leibinger Self-Drilling ScrewHowmedica Leibinger, Inc.1997—
−13K974785Auto-Drive Bone ScrewOsteomed Corp.1998—
−12K013954Lorenz Self Drilling ScrewsWalter Lorenz Surgical, Inc.2002—
−11K032228Lorenz 2.4 Self Drilling ScrewsWalter Lorenz Surgical, Inc.2003—
−10K033740Lorenz Sternal Closure SystemWalter Lorenz Surgical, Inc.2003—
−9K063506Lorenz Sternal Closure SystemWalter Lorenz Surgical, Inc.2006—
−8K110574Biomet Microfixation Sternalock Blu Sternal Closure SystemBiomet Microfixation, Inc.20111
−7K111908Biomet Microfixation Sternal Closure SystemBiomet Microfixation, Inc.2011—
−6K121302Biomet Microfixation Sternal Closure SystemBiomet Microfixation2012—
−5K142823Biomet Microfixation Thoracic Fixation SystemBiomet Microfixation2015—
−4K151173Biomet Microfixation RibFix Blu Thoracic Fixation SystemBiomet Microfixation2015—
−3K152253Biomet Microfixation RibFix Blu Thoracic Fixation SystemBiomet Microfixation2016—
−2K162974Biomet Microfixation RibFix Blu Thoracic Fixation SystemBiomet Microfixation2016—
−1K190409MatrixRIB Fixation SystemDePuy Synthes2019—
0 (this device)K233967DePuy Synthes MatrixSTERNUM Fixation SystemSynthes GmbH2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198620
198810
199110
199440
199510
199630
199730
199820
200120
200310
200510
200620
200830
201010
201120
201410
201620
FIG. 1 — Lineage of K233967, 1976–2024Source: 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
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
*K161896Biomet Microfixation Sternal Closure System
Summary page 4
…and MatrixSTERNUM Screws: Biomet Microfixation Sternal Closure System (SternaLock Blu Primary Closure Predicate / System), K161896 Reference Predicate for MatrixSTERNUM Thoracotomy Plates and MatrixSTERNUM devices Screws:…
Biomet Microfixation2016—
*K161590MatrixRIB Fixation System
Summary page 4
…eference Predicate for MatrixSTERNUM Thoracotomy Plates and MatrixSTERNUM devices Screws: DePuy Synthes MatrixRIB Fixation System, K161590 / K190409 Reference Device for MatrixSTERNUM Sternal Body Plates: Ethicon Cerclage Wire (K9…
Synthes (USA) Products, LLC2016—
*K190409MatrixRIB Fixation System
Summary page 4
…Predicate for MatrixSTERNUM Thoracotomy Plates and MatrixSTERNUM devices Screws: DePuy Synthes MatrixRIB Fixation System, K161590 / K190409 Reference Device for MatrixSTERNUM Sternal Body Plates: Ethicon Cerclage Wire (K946173)…
DePuy Synthes2019—
†K946173Stainless Steel, Gut, Poly (Glycolide/L-Lactide) Polyamide, Polypropylene, Poly…ETHICON, Inc.199510

Also cleared against K161896: 3 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 48 years and passes through 8 companies; a new generation was cleared every 1.4 years on median.
  • 5 of the 48 ancestors have a recall of any class.
  • 3 other devices also cite its predicate K161896.

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 DePuy Synthes MatrixSTERNUM Fixation System is indicated for use in adults with normal bone quality.

MatrixSTERNUM Sternal Body Plates are indicated for internal fixation of bone discontinuities following sternotomy.

MatrixSTERNUM Thoracotomy Plates are indicated for internal fixation of bone and/or cartilage discontinuities following thoracotomy.

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. “K233967: DePuy Synthes MatrixSTERNUM Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K233967

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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