510(k) Report

510(k) · Cleared

Cleared

MetaFore Small Screw System

K250536510(k) TraditionalCleared Oct 8, 2025226-day reviewClass II21 CFR 888.3040

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

Extremity Medical, LLC · HWC Screw, Fixation, Bone

Cleared on Oct 8, 2025 as substantially equivalent to K153182 (Neosteo, 2015) and 1 other predicate after a 226-day review. Its family tree reaches back 3 generations to 2009.

Decided
Oct 8, 2025
Review
226 days
Class
Class II
Product code
HWC
Recalls
None
Predicates
2

Its longest line of descent runs back 3 generations to K091118 (2009). 5 ancestors in all, the oldest K991477 (1999). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2015: 1 other ancestor1999: 1 other ancestorK091118 · Foot and Hand Motion System · Newclip Technics · 2009K131471 · Self-Compressive Screw · Neosteo · 2013K150772 · Snap-Off Self-Compressive Screw · Neosteo · 20151995200020052010201520202025
Other ancestors, by generation 1 generation back: 1 other ancestor2 generations back: 1 other ancestor K150772 · Snap-Off Self-Compressive Screw · Neosteo · 2015K131471 · Self-Compressive Screw · Neosteo · 2013K091118 · Foot and Hand Motion System · Newclip Technics · 20090
  1. Root · 3 generations backK091118 Foot and Hand Motion SystemNewclip Technics · 2009
  2. 2 generations backK131471 Self-Compressive ScrewNeosteo · 2013
  3. 1 generation backK150772 Snap-Off Self-Compressive ScrewNeosteo · 2015
  4. This deviceK250536 MetaFore Small Screw SystemExtremity Medical, LLC · 2025
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K091118Foot and Hand Motion SystemNewclip Technics2009—
−2K131471Self-Compressive ScrewNeosteo2013—
−1K150772Snap-Off Self-Compressive ScrewNeosteo2015—
0 (this device)K250536MetaFore Small Screw SystemExtremity Medical, LLC2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199910
201510
FIG. 1 — Lineage of K250536, 2009–2025Source: 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 HWC? 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 HWC device

  1. #1 K203011 Monster Screw Systemscore 22.2 · 14 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? (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
*K153182Self- Compressive Screw
Summary page 5
…ion Name and 21 CFR 888.3040 - Smooth or threaded metallic bone fixation fastener Number Product Code HWC (Screw, fixation, bone) Primary K153182– Neosteo Self-Compressive Screws Predicate Additional K150772 – Neosteo Snap-Off Self Compressive Screws Predi…
Neosteo2015—
*K150772Snap-Off Self-Compressive Screw
Summary page 5
…fastener Number Product Code HWC (Screw, fixation, bone) Primary K153182– Neosteo Self-Compressive Screws Predicate Additional K150772 – Neosteo Snap-Off Self Compressive Screws Predicates The MetaFore Small Screw System consists of implantable…
Neosteo2015—

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 16 years and passes through 3 companies; a new generation was cleared every 3.7 years on median.
  • None of the 5 ancestors has a recall.

How does its category compare?

All HWC devices

HWC Screw, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2025, this device’s year, is highlighted.

FDA decisions per year · HWC

15in 2025

2007: 352008: 332009: 272010: 232011: 352012: 202013: 252014: 312015: 412016: 262017: 402018: 202019: 302020: 282021: 262022: 262023: 242024: 172025: 152026 (partial year): 21
2007high 41 (2015) · low 15 (2025)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HWC

111in 2025

2007: 77 days median2008: 76 days median2009: 113 days median2010: 110 days median2011: 88 days median2012: 99 days median2013: 90 days median2014: 88 days median2015: 85 days median2016: 131 days median2017: 127 days median2018: 106 days median2019: 108 days median2020: 75 days median2021: 84 days median2022: 167 days median2023: 104 days median2024: 90 days median2025: 111 days median2026 (partial year): 125 days median
2007high 167 (2022) · low 75 (2020)2026

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

Recalls per year · HWC

1in 2025

2007: 252008: 332009: 292010: 72011: 122012: 302013: 142014: 22015: 52016: 42017: 42018: 12019: 52020: 42021: 22022: 132025: 12026 (partial year): 2
2007high 33 (2008) · low 0 (2023)2026

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

Adverse event reports per year · HWC

2,893in 2025

2007: 6692008: 6602009: 6512010: 7652011: 1,1042012: 3,3392013: 3,8502014: 2,5492015: 2,7112016: 2,2852017: 2,5612018: 3,6622019: 5,4632020: 4,8202021: 4,4462022: 3,9342023: 3,7182024: 3,5752025: 2,893
2007high 5,463 (2019) · low 651 (2009)2025

MAUDE reports naming product code HWC, 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
2007357725669
2008337633660
20092711329651
2010231107765
20113588121,104
20122099303,339
20132590143,850
2014318822,549
2015418552,711
20162613142,285
20174012742,561
20182010613,662
20193010855,463
2020287544,820
2021268424,446
202226167133,934
20232410403,718
2024179003,575
20251511112,893
2026211252—

What is it indicated for?

The MetaFore Small Screw System is indicated for the fixation of bone fractures and for bone reconstruction in hand and forefoot surgery.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K250536: MetaFore Small 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/K250536

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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