510(k) Report

510(k) · Cleared

Cleared

TMC Implant Fixation System

K262963510(k) SpecialCleared Sep 15, 202621-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

Treace Medical Concepts, Inc. · HRS Plate, Fixation, Bone

Cleared on Sep 15, 2026 as substantially equivalent to K251135 (Treace Medical Concepts, 2025) and 1 other predicate after a 21-day review. Its family tree reaches back 20 generations to 1996.

Decided
Sep 15, 2026
Review
21 days
Class
Class II
Product code
HRS
Recalls
None
Predicates
2

Its longest line of descent runs back 20 generations to K954385 (1996). 268 ancestors in all, the oldest K792022 (1979). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2019: 3 other ancestors2017: 2 other ancestors2013: 6 other ancestors2008: 9 other ancestors2021: 2 other ancestors2012: 7 other ancestors2010: 11 other ancestors2009: 13 other ancestors2002: 14 other ancestors2023: 1 other ancestor2016: 1 other ancestor2015: 2 other ancestors2007: 15 other ancestors2006: 19 other ancestors2005: 18 other ancestors1998: 6 other ancestors1996: 18 other ancestors2022: 1 other ancestor2011: 4 other ancestors2000: 13 other ancestors1997: 4 other ancestors2014: 1 other ancestor2003: 9 other ancestors2001: 16 other ancestors1999: 11 other ancestors1993: 3 other ancestors1992: 5 other ancestors1990: 4 other ancestors2004: 7 other ancestors1995: 6 other ancestors1994: 6 other ancestors1989: 5 other ancestors1979: 1 other ancestor1987: 1 other ancestor1980: 2 other ancestors1991: 1 other ancestor1981: 1 other ancestorK954385 · Synthes Mandibular Modular Fixation System · Synthes (Usa) · 1996K974555 · Synthes 2.0 MM Locking Plate System (2.0 LPS) · Synthes (Usa) · 1998×3: 3 generations cleared close together, K030448 (2003), K032442 (2003), K040598 (2004) K050868 · Maxlock · Orthohelix Surgical Designs, Inc. · 2005K073624 · Modular Foot System · Orthohelix Surgical Designs, Inc. · 2008 · recalledK100618 · Maxlock Extreme Extremity Plating System with Variable Angle Technology · Orthohelix Surgical Designs, Inc. · 2010K113014 · Claw II Polyaxial Compression System and Ortholoc 3DSI Locking Screws · Wrightmedicaltechnologyinc · 2012 · recalledK121651 · Ortholoc 3DI Midfoot/Flatfoot System · Wrightmedicaltechnologyinc · 2012K143717 · Treace Medical Concepts (TMC) Plating System · Treace Medical Concepts, Inc. · 2015K153531 · Treace Medical Concepts (TMC) Plating System · Treace Medical Concepts, Inc. · 2016×2: 2 generations cleared close together, K192504 (2019), K200961 (2020) K220136 · Treace Medical Concepts (TMC) Plating System · Treace Medical Concepts, Inc. · 2022K221181 · Treace Medical Concepts (TMC) Plating System · Treace Medical Concepts, Inc. · 2023×3: 3 generations cleared close together, K240173 (2024), K242415 (2024), K243658 (2024) K251135 · Treace Medical Concepts (TMC) Implant Fixation System · Treace Medical Concepts · 202519801990200020102020
Other ancestors, by generation 1 generation back: 1 other ancestor2 generations back: 3 other ancestors3 generations back: 8 other ancestors4 generations back: 11 other ancestors5 generations back: 13 other ancestors6 generations back: 53 other ancestors7 generations back: 58 other ancestors8 generations back: 48 other ancestors9 generations back: 31 other ancestors10 generations back: 12 other ancestors11 generations back: 2 other ancestors12 generations back: 4 other ancestors13 generations back: 2 other ancestors14 generations back: 2 other ancestors K251135 · Treace Medical Concepts (TMC) Implant Fixation System · Treace Medical Concepts · 2025K243658 · TMC Compression Implant System · Treace Medical Concepts · 2024K242415 · TMC Compression Implant System · Treace Medical Concepts · 2024K240173 · Treace Medical Systems (TMC) Plating System · Treace Medical Concepts, Inc. · 2024 · recalledK221181 · Treace Medical Concepts (TMC) Plating System · Treace Medical Concepts, Inc. · 2023K220136 · Treace Medical Concepts (TMC) Plating System · Treace Medical Concepts, Inc. · 2022K200961 · Treace Medical Concepts (TMC) Plating System · Treace Medical Concepts, Inc. · 2020K192504 · Treace Medical Concepts (TMC) Plating System · Treace Medical Concepts, Inc. · 2019K153531 · Treace Medical Concepts (TMC) Plating System · Treace Medical Concepts, Inc. · 2016K143717 · Treace Medical Concepts (TMC) Plating System · Treace Medical Concepts, Inc. · 2015K121651 · Ortholoc 3DI Midfoot/Flatfoot System · Wrightmedicaltechnologyinc · 2012K113014 · Claw II Polyaxial Compression System and Ortholoc 3DSI Locking Screws · Wrightmedicaltechnologyinc · 2012 · 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) · 1996−20−15−10−50
  1. Root · 20 generations backK954385 Synthes Mandibular Modular Fixation SystemSynthes (Usa) · 1996
  2. 16 generations between
  3. 3 generations backK242415 TMC Compression Implant SystemTreace Medical Concepts · 2024
  4. 2 generations backK243658 TMC Compression Implant SystemTreace Medical Concepts · 2024
  5. 1 generation backK251135 Treace Medical Concepts (TMC) Implant Fixation SystemTreace Medical Concepts · 2025
  6. This deviceK262963 TMC Implant Fixation SystemTreace Medical Concepts, Inc. · 2026
Show all 20 generations
  1. Root · 20 generations backK954385 Synthes Mandibular Modular Fixation SystemSynthes (Usa) · 1996
  2. 19 generations backK974555 Synthes 2.0 MM Locking Plate System (2.0 LPS)Synthes (Usa) · 1998
  3. 18 generations backK030448 Osteomed 2.0 Locking Plates and ScrewsOsteomed LP · 2003
  4. 17 generations backK032442 KLS-Martin Mandibular/Reconstruction System IIKLS-Martin L.P. · 2003
  5. 16 generations backK040598 KLS Martin Hand Plating SystemKLS-Martin L.P. · 2004
  6. 15 generations backK050868 MaxlockOrthohelix Surgical Designs, Inc. · 2005
  7. 14 generations backK073624 Modular Foot SystemOrthohelix Surgical Designs, Inc. · 2008 · Recalled
  8. 13 generations backK100618 Maxlock Extreme Extremity Plating System with Variable Angle…Orthohelix Surgical Designs, Inc. · 2010
  9. 12 generations backK113014 Claw II Polyaxial Compression System and Ortholoc 3DSI Locking ScrewsWrightmedicaltechnologyinc · 2012 · Recalled
  10. 11 generations backK121651 Ortholoc 3DI Midfoot/Flatfoot SystemWrightmedicaltechnologyinc · 2012
  11. 10 generations backK143717 Treace Medical Concepts (TMC) Plating SystemTreace Medical Concepts, Inc. · 2015
  12. 9 generations backK153531 Treace Medical Concepts (TMC) Plating SystemTreace Medical Concepts, Inc. · 2016
  13. 8 generations backK192504 Treace Medical Concepts (TMC) Plating SystemTreace Medical Concepts, Inc. · 2019
  14. 7 generations backK200961 Treace Medical Concepts (TMC) Plating SystemTreace Medical Concepts, Inc. · 2020
  15. 6 generations backK220136 Treace Medical Concepts (TMC) Plating SystemTreace Medical Concepts, Inc. · 2022
  16. 5 generations backK221181 Treace Medical Concepts (TMC) Plating SystemTreace Medical Concepts, Inc. · 2023
  17. 4 generations backK240173 Treace Medical Systems (TMC) Plating SystemTreace Medical Concepts, Inc. · 2024 · Recalled
  18. 3 generations backK242415 TMC Compression Implant SystemTreace Medical Concepts · 2024
  19. 2 generations backK243658 TMC Compression Implant SystemTreace Medical Concepts · 2024
  20. 1 generation backK251135 Treace Medical Concepts (TMC) Implant Fixation SystemTreace Medical Concepts · 2025
  21. This deviceK262963 TMC Implant Fixation SystemTreace Medical Concepts, Inc. · 2026
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−20K954385Synthes Mandibular Modular Fixation SystemSynthes (Usa)1996—
−19K974555Synthes 2.0 MM Locking Plate System (2.0 LPS)Synthes (Usa)1998—
−18K030448Osteomed 2.0 Locking Plates and ScrewsOsteomed LP2003—
−17K032442KLS-Martin Mandibular/Reconstruction System IIKLS-Martin L.P.2003—
−16K040598KLS Martin Hand Plating SystemKLS-Martin L.P.2004—
−15K050868MaxlockOrthohelix Surgical Designs, Inc.2005—
−14K073624Modular Foot SystemOrthohelix Surgical Designs, Inc.20081
−13K100618Maxlock Extreme Extremity Plating System with Variable Angle TechnologyOrthohelix Surgical Designs, Inc.2010—
−12K113014Claw II Polyaxial Compression System and Ortholoc 3DSI Locking ScrewsWrightmedicaltechnologyinc201212
−11K121651Ortholoc 3DI Midfoot/Flatfoot SystemWrightmedicaltechnologyinc2012—
−10K143717Treace Medical Concepts (TMC) Plating SystemTreace Medical Concepts, Inc.2015—
−9K153531Treace Medical Concepts (TMC) Plating SystemTreace Medical Concepts, Inc.2016—
−8K192504Treace Medical Concepts (TMC) Plating SystemTreace Medical Concepts, Inc.2019—
−7K200961Treace Medical Concepts (TMC) Plating SystemTreace Medical Concepts, Inc.2020—
−6K220136Treace Medical Concepts (TMC) Plating SystemTreace Medical Concepts, Inc.2022—
−5K221181Treace Medical Concepts (TMC) Plating SystemTreace Medical Concepts, Inc.2023—
−4K240173Treace Medical Systems (TMC) Plating SystemTreace Medical Concepts, Inc.20241
−3K242415TMC Compression Implant SystemTreace Medical Concepts2024—
−2K243658TMC Compression Implant SystemTreace Medical Concepts2024—
−1K251135Treace Medical Concepts (TMC) Implant Fixation SystemTreace Medical Concepts2025—
0 (this device)K262963TMC Implant Fixation SystemTreace Medical Concepts, Inc.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198020
198110
198710
198950
199040
199110
199250
199330
199460
199560
1996180
199740
199860
1999110
2000130
2001160
2002140
200390
200470
2005180
2006190
2007150
200890
2009130
2010110
201140
201270
201360
201410
201520
201610
201720
201930
202120
202210
202310
FIG. 1 — Lineage of K262963, 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 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
*K251135Treace Medical Concepts (TMC) Implant Fixation System
Summary page 5
…Primary: HRS Subsequent: JDR, HWC Predicate Device(s): Primary Predicate: x Treace Medical Concepts (TMC) Implant Fixation System (K251135, S.E. 08/21/2025) Additional Predicates: x Wright Medical Technology Inc., PROSTEP™ TBI™ (Tailors Bunion Implant) System…
Treace Medical Concepts2025—
*K190970PROSTEP™ TBI™ (Tailors Bunion Implant) System
Summary page 5
…MC) Implant Fixation System (K251135, S.E. 08/21/2025) Additional Predicates: x Wright Medical Technology Inc., PROSTEP™ TBI™ (Tailors Bunion Implant) System (K190970, S.E. 08/13/2019) Device Description: Treace Medical Concepts (TMC) Implant Fixation System includes straight, L-shaped, H- shap…
Wrightmedicaltechnologyinc2019—

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 7 companies; a new generation was cleared every 1.1 years on median.
  • 51 of the 268 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. 2026, 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 TMC Implant Fixation System is intended for use in stabilization of fresh fractures, revision procedures, joint fusion and reconstruction of the feet. The system can be used in pediatric (aged >12 years-21) and adult (aged 22 and over) patients. In the foot, the system can be used for the following specific examples: •Osteotomy of the 1st and/or 5th Metatarsals for the treatment of deformity (e.g., hallux valgus,hallux rigidus, hallux limitus…

Read the full statement (178 words)

The TMC Implant Fixation System is intended for use in stabilization of fresh fractures, revision procedures, joint fusion and reconstruction of the feet. The system can be used in pediatric (aged >12 years-21) and adult (aged 22 and over) patients. In the foot, the system can be used for the following specific examples:

•Osteotomy of the 1st and/or 5th Metatarsals for the treatment of deformity (e.g., hallux valgus,hallux rigidus, hallux limitus, tailor's bunion) such as:

- Opening base wedge osteotomy

- Closing base wedge osteotomy

- Crescentic osteotomy

- Proximal Chevron osteotomy

- Distal Chevron osteotomy (Austin)

- Transverse osteotomy

•Arthrodesis of the tarsometatarsal (TMT) joints or the 1st metatarsophalangeal (MTP) joint for the treatment of deformity (e.g., hallux valgus, hallux rigidus, metatarsus adductus) and/or arthritis

•First metatarsal fracture fixation

•Flatfoot Osteotomies

- Lateral Column Lengthening (Evans Osteotomy)

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

•Mid / Flatfoot Fusions

- LisFranc Arthrodesis and/or Stabilization

- lntercuneiform Fusions

- Navicular-Cuneiform (NC) Fusion

- Talo-Navicular (TN) Fusion

- Calcaneo-Cuboid (CC) Fusion

- Medial Column Fusion

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K262963: TMC Implant Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K262963

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Record history
  • FDA decision record loaded Oct 30, 2026
  • Summary read Oct 30, 2026 (extraction version 2d9447fa9ea4)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026