510(k) Report

510(k) · Cleared

Cleared

Treace Medical Concepts (TMC) Screw Fixation System

K260361510(k) SpecialCleared Mar 6, 202630-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

Treace Medical Concepts, Inc. · HWC Screw, Fixation, Bone

Cleared on Mar 6, 2026 as substantially equivalent to K242671 (Treace Medical Concepts, Inc., 2024) and 2 other predicates after a 30-day review. Its family tree reaches back 14 generations to 1996.

Decided
Mar 6, 2026
Review
30 days
Class
Class II
Product code
HWC
Recalls
None
Predicates
3

Its longest line of descent runs back 14 generations to K962616 (1996). 242 ancestors in all, the oldest K792022 (1979). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2020: 1 other ancestor2015: 3 other ancestors2017: 1 other ancestor2014: 2 other ancestors2013: 4 other ancestors2011: 6 other ancestors2010: 6 other ancestors2009: 8 other ancestors2006: 15 other ancestors2005: 17 other ancestors2004: 10 other ancestors2003: 9 other ancestors2000: 10 other ancestors2007: 9 other ancestors2002: 12 other ancestors2001: 18 other ancestors1998: 9 other ancestors1996: 20 other ancestors1995: 9 other ancestors2012: 1 other ancestor2008: 6 other ancestors1999: 13 other ancestors1993: 4 other ancestors1989: 5 other ancestors1997: 7 other ancestors1994: 8 other ancestors1991: 1 other ancestor1990: 4 other ancestors1979: 1 other ancestor1992: 6 other ancestors1987: 1 other ancestor1980: 1 other ancestor1981: 1 other ancestorReference device: K251135 · Treace Medical Concepts (TMC) Implant Fixation System · Treace Medical Concepts · 2025K962616 · Synthes Dorsal Distal Radius Plate (DDRP) System · Synthes (Usa) · 1996K982732 · Synthes (Usa) Distal Radius Plate System (DRPS) · Synthes · 1998×3: 3 generations cleared close together, K023007 (2002), K030198 (2003), K032705 (2003) ×2: 2 generations cleared close together, K050932 (2005), K051735 (2005) K071563 · Peri-Loc Periarticular Locked Plating System · Smith & Nephew, Inc. · 2007K090675 · Smith & Nephew, Inc. VLP Foot Plating, Screw System and Accessories · Smith & Nephew, Inc. · 2009K111994 · Smith & Nephew Cannulated Screws and Washers · Smith & Nephew, Inc. · 2011K124027 · Monster Screw System · Apogee Orthosolutions · 2013K172617 · Treace Medical Concepts (TMC) Compression Screw System · Treace Medical Concepts, Inc. · 2017K213036 · Treace Medical Concepts (TMC) Screw Fixation System · Treace Medical Concepts, Inc. · 2021K242671 · Treace Medical Concepts (TMC) Screw Fixation System · Treace Medical Concepts, Inc. · 202419801990200020102020
Other ancestors, by generation 1 generation back: 2 other ancestors2 generations back: 7 other ancestors3 generations back: 15 other ancestors4 generations back: 21 other ancestors5 generations back: 37 other ancestors6 generations back: 50 other ancestors7 generations back: 37 other ancestors8 generations back: 29 other ancestors9 generations back: 17 other ancestors10 generations back: 9 other ancestors11 generations back: 3 other ancestors12 generations back: 1 other ancestor K242671 · Treace Medical Concepts (TMC) Screw Fixation System · Treace Medical Concepts, Inc. · 2024K213036 · Treace Medical Concepts (TMC) Screw Fixation System · Treace Medical Concepts, Inc. · 2021K172617 · Treace Medical Concepts (TMC) Compression Screw System · Treace Medical Concepts, Inc. · 2017K124027 · Monster Screw System · Apogee Orthosolutions · 2013K111994 · Smith & Nephew Cannulated Screws and Washers · Smith & Nephew, Inc. · 2011K090675 · Smith & Nephew, Inc. VLP Foot Plating, Screw System and Accessories · Smith & Nephew, Inc. · 2009K071563 · Peri-Loc Periarticular Locked Plating System · Smith & Nephew, Inc. · 2007K051735 · Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper Extremity · Smith & Nephew, Inc. · 2005K050932 · Distal Volar Radius Anatomical Plate System · Hand Innovations, Inc. · 2005 · recalledK032705 · Distal Radius Fracture Repair System · Hand Innovations, Inc. · 2003K030198 · Hand Innovations, Inc. Distal Radius Fracture Repair System · Hand Innovations, Inc. · 2003K023007 · Distal Radius Fracture Repair System · Hand Innovations, Inc. · 2002K982732 · Synthes (Usa) Distal Radius Plate System (DRPS) · Synthes · 1998K962616 · Synthes Dorsal Distal Radius Plate (DDRP) System · Synthes (Usa) · 1996−10−50
  1. Root · 14 generations backK962616 Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa) · 1996
  2. 10 generations between
  3. 3 generations backK172617 Treace Medical Concepts (TMC) Compression Screw SystemTreace Medical Concepts, Inc. · 2017
  4. 2 generations backK213036 Treace Medical Concepts (TMC) Screw Fixation SystemTreace Medical Concepts, Inc. · 2021
  5. 1 generation backK242671 Treace Medical Concepts (TMC) Screw Fixation SystemTreace Medical Concepts, Inc. · 2024
  6. This deviceK260361 Treace Medical Concepts (TMC) Screw Fixation SystemTreace Medical Concepts, Inc. · 2026
Show all 14 generations
  1. Root · 14 generations backK962616 Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa) · 1996
  2. 13 generations backK982732 Synthes (Usa) Distal Radius Plate System (DRPS)Synthes · 1998
  3. 12 generations backK023007 Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2002
  4. 11 generations backK030198 Hand Innovations, Inc. Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2003
  5. 10 generations backK032705 Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2003
  6. 9 generations backK050932 Distal Volar Radius Anatomical Plate SystemHand Innovations, Inc. · 2005 · Recalled
  7. 8 generations backK051735 Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper…Smith & Nephew, Inc. · 2005
  8. 7 generations backK071563 Peri-Loc Periarticular Locked Plating SystemSmith & Nephew, Inc. · 2007
  9. 6 generations backK090675 Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSmith & Nephew, Inc. · 2009
  10. 5 generations backK111994 Smith & Nephew Cannulated Screws and WashersSmith & Nephew, Inc. · 2011
  11. 4 generations backK124027 Monster Screw SystemApogee Orthosolutions · 2013
  12. 3 generations backK172617 Treace Medical Concepts (TMC) Compression Screw SystemTreace Medical Concepts, Inc. · 2017
  13. 2 generations backK213036 Treace Medical Concepts (TMC) Screw Fixation SystemTreace Medical Concepts, Inc. · 2021
  14. 1 generation backK242671 Treace Medical Concepts (TMC) Screw Fixation SystemTreace Medical Concepts, Inc. · 2024
  15. This deviceK260361 Treace Medical Concepts (TMC) Screw Fixation SystemTreace Medical Concepts, Inc. · 2026
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−14K962616Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa)1996—
−13K982732Synthes (Usa) Distal Radius Plate System (DRPS)Synthes1998—
−12K023007Distal Radius Fracture Repair SystemHand Innovations, Inc.2002—
−11K030198Hand Innovations, Inc. Distal Radius Fracture Repair SystemHand Innovations, Inc.2003—
−10K032705Distal Radius Fracture Repair SystemHand Innovations, Inc.2003—
−9K050932Distal Volar Radius Anatomical Plate SystemHand Innovations, Inc.20051
−8K051735Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper ExtremitySmith & Nephew, Inc.2005—
−7K071563Peri-Loc Periarticular Locked Plating SystemSmith & Nephew, Inc.2007—
−6K090675Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSmith & Nephew, Inc.2009—
−5K111994Smith & Nephew Cannulated Screws and WashersSmith & Nephew, Inc.2011—
−4K124027Monster Screw SystemApogee Orthosolutions2013—
−3K172617Treace Medical Concepts (TMC) Compression Screw SystemTreace Medical Concepts, Inc.2017—
−2K213036Treace Medical Concepts (TMC) Screw Fixation SystemTreace Medical Concepts, Inc.2021—
−1K242671Treace Medical Concepts (TMC) Screw Fixation SystemTreace Medical Concepts, Inc.2024—
0 (this device)K260361Treace Medical Concepts (TMC) Screw Fixation SystemTreace Medical Concepts, Inc.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
198110
198710
198950
199040
199110
199260
199340
199480
199590
1996200
199770
199890
1999130
2000100
2001180
2002120
200390
2004100
2005170
2006150
200790
200860
200980
201060
201160
201210
201340
201420
201530
201710
202010
FIG. 1 — Lineage of K260361, 1996–2026Source: 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? (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
*K242671Treace Medical Concepts (TMC) Screw Fixation System
Summary page 5
…l: 87- Orthopedic Product Code(s): HWC Predicate Device(s): Primary Predicate: Treace Medical Concepts (TMC) Screw Fixation System (K242671, S.E. 10/04/2024) Additional Predicates: Arthrex Inc., Arthrex Compression FT Screws (K201132, S.E. 07/27/2020) Skeletal Dynamic…
Treace Medical Concepts, Inc.2024—
*K201132Arthrex Compression Screws
Summary page 5
…): Primary Predicate: Treace Medical Concepts (TMC) Screw Fixation System (K242671, S.E. 10/04/2024) Additional Predicates: Arthrex Inc., Arthrex Compression FT Screws (K201132, S.E. 07/27/2020) Skeletal Dynamics, REDUCT™ Headless Compression Screw System (K143624, S.E. 01/13/2015) Device Description: Tr…
Arthrex, Inc.2020—
*K143624Headless Compression Screw System
Summary page 5
…10/04/2024) Additional Predicates: Arthrex Inc., Arthrex Compression FT Screws (K201132, S.E. 07/27/2020) Skeletal Dynamics, REDUCT™ Headless Compression Screw System (K143624, S.E. 01/13/2015) Device Description: Treace Medical Concepts (TMC) Screw Fixation System includes headed and headless, cannulat…
Skeletal Dynamics, LLC2015—
†K251135Treace Medical Concepts (TMC) Implant Fixation SystemTreace Medical Concepts2025—

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 30 years and passes through 6 companies; a new generation was cleared every 2.1 years on median.
  • 40 of the 242 ancestors have a recall of any class.

How does its category compare?

All HWC devices

HWC Screw, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2026, 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 TMC Screw Fixation System is intended for primary and revision fracture fixation and repair, joint fusions (arthrodesis), bone reconstructions, osteotomies, pseudoarthroses (non-unions), and ligament fixation. The System is indicated for use in adult and pediatric patients > 12 years of age at the following anatomical sites: * Upper extremity: glenoid, humerus, ulna, radius, and hand * Lower extremity: tibia, fibula, patella, ankle, and foot.…

Read the full statement (109 words)

The TMC Screw Fixation System is intended for primary and revision fracture fixation and repair, joint fusions (arthrodesis), bone reconstructions, osteotomies, pseudoarthroses (non-unions), and ligament fixation. The System is indicated for use in adult and pediatric patients > 12 years of age at the following anatomical sites:

* Upper extremity: glenoid, humerus, ulna, radius, and hand

* Lower extremity: tibia, fibula, patella, ankle, and foot. Indicated procedures include:

o Fusions (e.g., talocalcaneal, talonavicular, naviculocuneiform, calcanealcuboid, tarsometatarsal, metatarsophalangeal, and interphalangeal)

o Mono or bi-cortical osteotomies of the tarsals, metatarsals, and phalanges (e.g., Scarf, Chevron, Akin, Weil, and Transverse osteotomies for hallux valgus, tailor's bunion, metatarsus adductus, flatfoot, and hammertoe deformities).

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. “K260361: Treace Medical Concepts (TMC) Screw Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K260361

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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