510(k) Report

510(k) · Cleared

Cleared

Baby Gorilla/Gorilla Plating System; Monster Screw System

K241262510(k) SpecialCleared Jun 5, 202430-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

Paragon 28, Inc. · HRS Plate, Fixation, Bone

Cleared on Jun 5, 2024 as substantially equivalent to K231231 (Paragon 28, Inc., 2023) and 1 other predicate after a 30-day review. Its family tree reaches back 19 generations to 1996.

Decided
Jun 5, 2024
Review
30 days
Class
Class II
Product code
HRS
Recalls
None
Predicates
2

Its longest line of descent runs back 19 generations to K954385 (1996). 412 ancestors in all, the oldest K791619 (1979). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2020: 4 other ancestors2022: 2 other ancestors2021: 1 other ancestor2019: 2 other ancestors2018: 1 other ancestor2017: 4 other ancestors2015: 5 other ancestors2014: 4 other ancestors2013: 8 other ancestors2012: 8 other ancestors2010: 17 other ancestors2016: 2 other ancestors2011: 12 other ancestors2009: 17 other ancestors2008: 14 other ancestors2007: 11 other ancestors2006: 25 other ancestors2005: 27 other ancestors2003: 17 other ancestors2002: 32 other ancestors2001: 29 other ancestors1999: 17 other ancestors1998: 14 other ancestors1997: 8 other ancestors1996: 21 other ancestors1993: 5 other ancestors1986: 2 other ancestors2004: 15 other ancestors2000: 22 other ancestors1995: 11 other ancestors1992: 8 other ancestors1990: 5 other ancestors1994: 9 other ancestors1989: 5 other ancestors1987: 1 other ancestor1981: 2 other ancestors1979: 3 other ancestors1991: 2 other ancestors1984: 1 other ancestorK954385 · Synthes Mandibular Modular Fixation System · Synthes (Usa) · 1996K974555 · Synthes 2.0 MM Locking Plate System (2.0 LPS) · Synthes (Usa) · 1998×2: 2 generations cleared close together, K030448 (2003), K032442 (2003) K040598 · KLS Martin Hand Plating System · KLS-Martin L.P. · 2004K050868 · Maxlock · Orthohelix Surgical Designs, Inc. · 2005K073624 · Modular Foot System · Orthohelix Surgical Designs, Inc. · 2008 · recalled×2: 2 generations cleared close together, K100618 (2010), K102156 (2010) K111041 · Mini Variable System · Orthohelix Surgical Designs, Inc. · 2011×2: 2 generations cleared close together, K120157 (2012), K121437 (2012) K140397 · Paralock Plating System / Tuffnek Screw · Paragon 28 · 2014K170693 · Phantom Small Bone Intramedullary Nail System · Paragon 28, Inc. · 2017K182307 · Small Bone Phantom® Intramedullary Nail System; TTC Phantom® Intramedullary Nail System · Paragon 28, Inc. · 2019K191782 · TTC Phantom Intramedullary Nail System · Paragon 28, Inc. · 2019K201227 · Phantom® Hindfoot TTC/TC Nail System · Paragon 28, Inc. · 2020K210869 · Phantom Hindfoot TTC/TC Nail System · Paragon 28, Inc. · 2021 · recalledK231231 · MR Safety and Compatibility Testing and Labeling for Paragon 28 Orthopedic Fixation Devices · Paragon 28, Inc. · 202319801990200020102020
Other ancestors, by generation 1 generation back: 1 other ancestor2 generations back: 4 other ancestors3 generations back: 15 other ancestors4 generations back: 47 other ancestors5 generations back: 85 other ancestors6 generations back: 94 other ancestors7 generations back: 63 other ancestors8 generations back: 28 other ancestors9 generations back: 14 other ancestors10 generations back: 11 other ancestors11 generations back: 18 other ancestors12 generations back: 10 other ancestors13 generations back: 2 other ancestors14 generations back: 1 other ancestor K231231 · MR Safety and Compatibility Testing and Labeling for Paragon 28 Orthopedic Fixation Devices · Paragon 28, Inc. · 2023K210869 · Phantom Hindfoot TTC/TC Nail System · Paragon 28, Inc. · 2021 · recalledK201227 · Phantom® Hindfoot TTC/TC Nail System · Paragon 28, Inc. · 2020K191782 · TTC Phantom Intramedullary Nail System · Paragon 28, Inc. · 2019K182307 · Small Bone Phantom® Intramedullary Nail System; TTC Phantom® Intramedullary Nail System · Paragon 28, Inc. · 2019K170693 · Phantom Small Bone Intramedullary Nail System · Paragon 28, Inc. · 2017K140397 · Paralock Plating System / Tuffnek Screw · Paragon 28 · 2014K121437 · Mini Maxlock Extreme Plating System · Orthohelix Surgical Designs, Inc. · 2012K120157 · Mini Maxlock Extreme Plating System · Orthohelix Surgical Designs, Inc. · 2012K111041 · Mini Variable System · Orthohelix Surgical Designs, Inc. · 2011K102156 · Maxlock Extreme Extremity Plating System Distal Radius Plates and Screws · Orthohelix Surgical Designs, Inc. · 2010 · recalledK100618 · Maxlock Extreme Extremity Plating System with Variable Angle Technology · Orthohelix Surgical Designs, Inc. · 2010K073624 · Modular Foot System · Orthohelix Surgical Designs, Inc. · 2008 · recalledK050868 · Maxlock · Orthohelix Surgical Designs, Inc. · 2005K040598 · KLS Martin Hand Plating System · KLS-Martin L.P. · 2004K032442 · KLS-Martin Mandibular/Reconstruction System II · KLS-Martin L.P. · 2003K030448 · Osteomed 2.0 Locking Plates and Screws · Osteomed LP · 2003K974555 · Synthes 2.0 MM Locking Plate System (2.0 LPS) · Synthes (Usa) · 1998K954385 · Synthes Mandibular Modular Fixation System · Synthes (Usa) · 1996−15−10−50
  1. Root · 19 generations backK954385 Synthes Mandibular Modular Fixation SystemSynthes (Usa) · 1996
  2. 15 generations between
  3. 3 generations backK201227 Phantom® Hindfoot TTC/TC Nail SystemParagon 28, Inc. · 2020
  4. 2 generations backK210869 Phantom Hindfoot TTC/TC Nail SystemParagon 28, Inc. · 2021 · Recalled
  5. 1 generation backK231231 MR Safety and Compatibility Testing and Labeling for Paragon 28…Paragon 28, Inc. · 2023
  6. This deviceK241262 Baby Gorilla/Gorilla Plating System; Monster Screw SystemParagon 28, Inc. · 2024
Show all 19 generations
  1. Root · 19 generations backK954385 Synthes Mandibular Modular Fixation SystemSynthes (Usa) · 1996
  2. 18 generations backK974555 Synthes 2.0 MM Locking Plate System (2.0 LPS)Synthes (Usa) · 1998
  3. 17 generations backK030448 Osteomed 2.0 Locking Plates and ScrewsOsteomed LP · 2003
  4. 16 generations backK032442 KLS-Martin Mandibular/Reconstruction System IIKLS-Martin L.P. · 2003
  5. 15 generations backK040598 KLS Martin Hand Plating SystemKLS-Martin L.P. · 2004
  6. 14 generations backK050868 MaxlockOrthohelix Surgical Designs, Inc. · 2005
  7. 13 generations backK073624 Modular Foot SystemOrthohelix Surgical Designs, Inc. · 2008 · Recalled
  8. 12 generations backK100618 Maxlock Extreme Extremity Plating System with Variable Angle…Orthohelix Surgical Designs, Inc. · 2010
  9. 11 generations backK102156 Maxlock Extreme Extremity Plating System Distal Radius Plates and…Orthohelix Surgical Designs, Inc. · 2010 · Recalled
  10. 10 generations backK111041 Mini Variable SystemOrthohelix Surgical Designs, Inc. · 2011
  11. 9 generations backK120157 Mini Maxlock Extreme Plating SystemOrthohelix Surgical Designs, Inc. · 2012
  12. 8 generations backK121437 Mini Maxlock Extreme Plating SystemOrthohelix Surgical Designs, Inc. · 2012
  13. 7 generations backK140397 Paralock Plating System / Tuffnek ScrewParagon 28 · 2014
  14. 6 generations backK170693 Phantom Small Bone Intramedullary Nail SystemParagon 28, Inc. · 2017
  15. 5 generations backK182307 Small Bone Phantom® Intramedullary Nail System; TTC Phantom®…Paragon 28, Inc. · 2019
  16. 4 generations backK191782 TTC Phantom Intramedullary Nail SystemParagon 28, Inc. · 2019
  17. 3 generations backK201227 Phantom® Hindfoot TTC/TC Nail SystemParagon 28, Inc. · 2020
  18. 2 generations backK210869 Phantom Hindfoot TTC/TC Nail SystemParagon 28, Inc. · 2021 · Recalled
  19. 1 generation backK231231 MR Safety and Compatibility Testing and Labeling for Paragon 28…Paragon 28, Inc. · 2023
  20. This deviceK241262 Baby Gorilla/Gorilla Plating System; Monster Screw SystemParagon 28, Inc. · 2024
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−19K954385Synthes Mandibular Modular Fixation SystemSynthes (Usa)1996—
−18K974555Synthes 2.0 MM Locking Plate System (2.0 LPS)Synthes (Usa)1998—
−17K030448Osteomed 2.0 Locking Plates and ScrewsOsteomed LP2003—
−16K032442KLS-Martin Mandibular/Reconstruction System IIKLS-Martin L.P.2003—
−15K040598KLS Martin Hand Plating SystemKLS-Martin L.P.2004—
−14K050868MaxlockOrthohelix Surgical Designs, Inc.2005—
−13K073624Modular Foot SystemOrthohelix Surgical Designs, Inc.20081
−12K100618Maxlock Extreme Extremity Plating System with Variable Angle TechnologyOrthohelix Surgical Designs, Inc.2010—
−11K102156Maxlock Extreme Extremity Plating System Distal Radius Plates and ScrewsOrthohelix Surgical Designs, Inc.20101
−10K111041Mini Variable SystemOrthohelix Surgical Designs, Inc.2011—
−9K120157Mini Maxlock Extreme Plating SystemOrthohelix Surgical Designs, Inc.2012—
−8K121437Mini Maxlock Extreme Plating SystemOrthohelix Surgical Designs, Inc.2012—
−7K140397Paralock Plating System / Tuffnek ScrewParagon 282014—
−6K170693Phantom Small Bone Intramedullary Nail SystemParagon 28, Inc.2017—
−5K182307Small Bone Phantom® Intramedullary Nail System; TTC Phantom® Intramedullary…Paragon 28, Inc.2019—
−4K191782TTC Phantom Intramedullary Nail SystemParagon 28, Inc.2019—
−3K201227Phantom® Hindfoot TTC/TC Nail SystemParagon 28, Inc.2020—
−2K210869Phantom Hindfoot TTC/TC Nail SystemParagon 28, Inc.20213
−1K231231MR Safety and Compatibility Testing and Labeling for Paragon 28 Orthopedic…Paragon 28, Inc.2023—
0 (this device)K241262Baby Gorilla/Gorilla Plating System; Monster Screw SystemParagon 28, Inc.2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197930
198120
198410
198620
198710
198950
199050
199120
199280
199350
199490
1995110
1996210
199780
1998140
1999170
2000220
2001290
2002320
2003170
2004150
2005270
2006250
2007110
2008140
2009170
2010170
2011120
201280
201380
201440
201550
201620
201740
201810
201920
202040
202110
202220
FIG. 1 — Lineage of K241262, 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
Get a 510(k) Report

What was it cleared against? (2)

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
*K231231MR Safety and Compatibility Testing and Labeling for Paragon 28 Orthopedic Fixation…
Summary page 6
…by Gorilla/Gorilla Plating System Device Class: Class II Primary Baby Gorilla/Gorilla Plating System, Monster Screw System Predicate(s): (K231231) Additional Predicate(s): Monster Screw System (K203011) Device Baby Gorilla/ Gorilla Plating System Descri…
Paragon 28, Inc.2023—
*K203011Monster Screw System
Summary page 6
…Primary Baby Gorilla/Gorilla Plating System, Monster Screw System Predicate(s): (K231231) Additional Predicate(s): Monster Screw System (K203011) Device Baby Gorilla/ Gorilla Plating System Description: The Baby Gorilla/Gorilla Plating System is comprise…
Paragon 28, Inc.2020—

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 11 months on median.
  • 105 of the 412 ancestors have a recall of any class.

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 Baby Gorilla/Gorilla Bone Plates and Bone Screws of the Baby Gorilla/Gorilla Plating System are indicated for use in stabilization and fixation of fractures or osteotomies; intra and extra articular fractures, joint depression, and multi-fragmentary fractures; revision procedures, joint fusion and reconstruction of small bones of the toes, feet and ankles including the distal tibia, talus, and calcaneus, as well as the fingers, hands, and wrists. The…

Read the full statement (560 words)

The Baby Gorilla/Gorilla Bone Plates and Bone Screws of the Baby Gorilla/Gorilla Plating System are indicated for use in stabilization and fixation of fractures or osteotomies; intra and extra articular fractures, joint depression, and multi-fragmentary fractures; revision procedures, joint fusion and reconstruction of small bones of the toes, feet and ankles including the distal tibia, talus, and calcaneus, as well as the fingers, hands, and wrists. The system can be used in both adult and pediatric patients. Specific examples include:

Forefoot:

* Arthrodesis of the first metatarsalcuneiform joint (Lapidus Fusion)

* Metatarsal or phalangeal fractures and osteotomies

* Lesser metatarsal shortening osteotomies (e.g. Weil)

* Fifth metatarsal fractures (e.g. Jones Fracture)

Mid/Hindfoot:

* LisFranc Arthrodesis and/or Stabilization

* 1st (Lapidus), 2nd, 3rd, 4th, and 5th Tarsometatarsal (TMT) Fusions

* Intercuneiform Fusions

* Navicular-Cuneiform (NC) Fusion

* Talo-Navicular (TN) Fusion

* Calcaneo-Cuboid (CC) Fusion

* Subtalar Fusion

* Medial Column Fusion

* Cuneiform Fracture

* Cuboid Fracture

* Navicular Fracture

Ankle:

* Lateral Malleolar Fractures

* Syndesmosis Injuries

* Medial Malleolar Fractures and Osteotomies

* Bi-Malleolar Fractures

* Tri-Malleolar Fractures

* Posterior Malleolar Fractures

* Distal Anterior Tibia Fractures

*Vertical Shear Fractures of the Medial Malleolus

* Pilon Fractures

* Distal Tibia Shaft Fractures

* Distal Fibula Shaft Fractures

* Distal Tibia Periarticular Fractures

* Medial Malleolar Avulsion Fractures

* Lateral MalleolarAvulsion Fractures

* Tibiotalocalcaneal Joint Arthrodesis

* Tibiotalar Joint Arthrodesis

* Tibiocalcaneal Arthrodesis

* Supramalleolar Osteotomy

* Fibular Osteotomy

First metatarsal osteotomies for hallux valgus correction including:

* Opening base wedge osteotomy

* Closing base wedge osteotomy

* Crescentic Osteotomy

* Proximal Osteotomy (Chevron and Rotational Oblique)

* Distal Osteotomy (Chevron/Austin)

Arthrodesis of the first metatarsophalangeal joint (MTP) including:

* Primary MTP Fusion due to hallux ridgidus and/or hallux valgus

* Revision MTP Fusion

* Revision of failed first MTP Arthroplasty implant

Flatfoot:

* Lateral Column Lengthening (Evans Osteotomy)

* Plantar Flexion Opening Wedge Osteotomy of the Medial Cuneiform (Cotton Osteotomy)

* Calcaneal Slide Osteotomy

Charcot:

* Medial column fusion (talus, navicular, cuneiform, metatarsal) for neuropathic osteoarthropathy (Charcot)

* Lateral column fusion (calcaneus, cuboid, metatarsal) for neuropathic osteoarthropathy (Charcot)

In addition, the non-locking, titanium screws and washers are indicated for use in bone reconstruction, osteotomy, arthrodesis, joint fusion, fracture repair and fracture fixation, appropriate for the size of the device.

The Monster Screw System is indicated for use in bone reconstruction, osteotomy, arthrodesis, joint fusion, ligament fixation, fracture repair and fracture fixation, appropriate for the size of the device. Specific examples include:

Fractures and Osteotomies

* Fractures of the tarsals, metatarsals and other fractures of the foot (i.e. LisFranc)

* Avulsion fractures and fractures of the 5th metatarsal (i.e. Jones Fracture)

* Talar fractures

* Ankle fractures

* Navicular fractures

* Fractures of the fibula, malleolus, and calcaneus

* Metatarsal and phalangeal osteotomies

* Weil osteotomy

* Calcaneal osteotomy

Hallux Valgus Correction

* Fixation of osteotomies (i.e. Akin, Scarf, Chevron)

* Interphalangeal (IP) arthrodesis

* Proximal, midshaft, or distal osteotomy

* Lapidus arthrodesis

Arthrodesis/Deformity Correction

* 1st MTP arthrodesis

* Metatarsal deformity correction

* Tarsometatarsal joint arthrodesis

* Naviculocuneiform joint arthrodesis

* Talonavicular arthrodesis

* Subtalar joint arthrodesis

* Triple arthrodesis

* Medial column arthrodesis

* Subtalar joint distraction arthrodesis

*Ankle arthrodesis

* Lateralizing calcaneal osteotomy

* Lateral column lengthening

* Hammertoe

Fusion resulting from neuropathic osteoarthropathy (Charcot) such as:

* Medial and lateral column

* Subtalar, talonavicular, and calcaneocuboid

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K241262: Baby Gorilla/Gorilla Plating System; Monster Screw System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K241262

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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