510(k) Report

510(k) · Cleared

Cleared

Aap Cannulated Screw, 7.5MM, 4.5MM, 4.0MM, 3.5MM, 7.0MM

K990776510(k) TraditionalCleared Apr 29, 199951-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

Aap Implantate AG · HWC Screw, Fixation, Bone

Cleared on Apr 29, 1999 after a 51-day review. The FDA summary names its predicate without a number. 1 of the 369 devices in its family, counting itself, has a Class I recall. 368 later devices descend from it.

Decided
Apr 29, 1999
Review
51 days
Class
Class II
Product code
HWC
Recalls
None
Predicates
0

368 later devices descend from it, 7 citing it directly. 1 of the 369 devices in this family, counting this one, has a Class I recall.

Descendants, by year cleared 2003: 2 descendants cleared2002: 1 descendant cleared2016: 14 descendants cleared2001: 1 descendant cleared2006: 2 descendants cleared2000: 1 descendant cleared2008: 3 descendants cleared2005: 1 descendant cleared2011: 9 descendants cleared2014: 12 descendants cleared2007: 4 descendants cleared2010: 4 descendants cleared2004: 1 descendant cleared2009: 4 descendants cleared2013: 12 descendants cleared2022: 24 descendants cleared2017: 26 descendants cleared2015: 22 descendants cleared2012: 7 descendants cleared2021: 27 descendants cleared, 1 with a Class I recall12024: 33 descendants cleared2025: 33 descendants cleared2019: 18 descendants cleared2020: 21 descendants cleared2023: 30 descendants cleared2026: 46 descendants cleared2018: 10 descendants cleared1995200020052010201520202025
  1. This deviceK990776 Aap Cannulated Screw, 7.5MM, 4.5MM, 4.0MM, 3.5MM, 7.0MMAap Implantate AG · 1999
  2. Descendant · cites it directly · 338 of its ownK993762 I.CO.S ScrewNew Deal, S.A. · 2000
  3. Descendant · 2 generations on · 299 of its ownK024233 Kompressor Screw SystemKinetikos Medical, Inc. · 2003
  4. Descendant · 3 generations on · 255 of its ownK040356 Kompressor Screw SystemKinetikos Medical, Inc. · 2004
  5. Descendant · 4 generations on · 251 of its ownK060071 Nexa Compression ScrewNexa Orthopedics, Inc. · 2006
  6. Descendant · 5 generations on · 246 of its ownK063298 Osteomed Headless Cannulated Screw SystemOsteomed LP · 2007

Showing 5 of 368 descendants. See all descendants

Descendants cleared per year

2000: 12001: 12002: 12003: 22004: 12005: 12006: 22007: 42008: 32009: 42010: 42011: 92012: 72013: 122014: 122015: 222016: 142017: 262018: 102019: 182020: 212021: 272022: 242023: 302024: 332025: 332026: 46
2000high 46 (2026) · low 1 (2000)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 368 · See all
  • K993762I.CO.S ScrewNew Deal, S.A. · 2000 · cites it directly338descendants
  • K024233Kompressor Screw SystemKinetikos Medical, Inc. · 2003 · 2 generations on299descendants
  • K040356Kompressor Screw SystemKinetikos Medical, Inc. · 2004 · 3 generations on255descendants
  • K060071Nexa Compression ScrewNexa Orthopedics, Inc. · 2006 · 4 generations on251descendants
  • K063298Osteomed Headless Cannulated Screw SystemOsteomed LP · 2007 · 5 generations on246descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K990776Aap Cannulated Screw, 7.5MM, 4.5MM, 4.0MM, 3.5MM, 7.0MMAap Implantate AG1999—
+1K993762I.CO.S ScrewNew Deal, S.A.2000—
+2K024233Kompressor Screw SystemKinetikos Medical, Inc.2003—
+3K040356Kompressor Screw SystemKinetikos Medical, Inc.2004—
+4K060071Nexa Compression ScrewNexa Orthopedics, Inc.2006—
+5K063298Osteomed Headless Cannulated Screw SystemOsteomed LP2007—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200010
200110
200210
200320
200410
200510
200620
200740
200830
200940
201040
201190
201270
2013120
2014120
2015220
2016140
2017260
2018100
2019180
2020210
2021271
2022240
2023300
2024330
2025330
2026460
FIG. 1 — Lineage of K990776, 1999–2026Source: 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.

1 device in this family has a Class I recall. 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
Get a 510(k) Report

What was it cleared against? (8)

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
*—aap Bone Screws (Stainless Steel & Titanium)
Named without a submission number
—
*—OSTEOTECH Cannulated Screws (including Navicular and Cancellous Cannulated Screws)…
Named without a submission number
—
*—SYNTHES Small and Large Cannulated Screw System (Stainless Steel 316L)
Named without a submission number
—
*—HOWMEDICA ASNIS II Guided Bone Screws (Stainless Steel 316L)
Named without a submission number
—
*—BIODYNAMIC TECHNOLOGIES EZ-Fix™ Cannulated Screw System (Ti 6 Al4 V E.L.1)
Named without a submission number
—
*—DePuy Cannulated Bone Screw (Stainless Steel 316 LVM)
Named without a submission number
—
*—MECRON Cannulated Bone Screws (Stainless Steel 316L)
Named without a submission number
—
*—ZIMMER Magna-Fx & Mini Magna-Fx Cannulated Screw Fixation System (Stainless Steel)
Named without a submission number
—

What descends from it? (368)

See all 368

7 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K993762I.CO.S ScrewNew Deal, S.A.2000338
K021233Aap Cannulated ScrewsAap Implantate AG2002181
K080101Aap Cannulated Screw and Darco Headed ScrewAap Implantate AG2008180
K011821Modification to the I.C.O.S ScrewNew Deal, S.A.200156
K061620Ifs Cannulated Bone ScrewInternal Fixation Systems, Inc.20065
K161703LOQTEQ Distal Fibula Plate 3.5, Cancellous Screw 4.0, WasherAap Implantate AG20160
K030619Odi 7.0MM Cannulated Screw SystemOrthopedic Designs, Inc.20030

Has anything in its family been recalled? (1 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K211616ExcelsiusHubGlobus Medical, Inc. · 2021 · 6 generations on · ◆ in the 2021 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • Of its descendants, K993762 (New Deal, S.A., 2000) has gone furthest, with 338 descendants of its own.

How does its category compare?

All HWC devices

HWC Screw, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years.

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?

aap's Cannulated Screws are intended for use over a guide pin or wire for bone fracture fixation and bone fragment fixation. aap's washers may be used with the screws in certain applications.

Specific Indications may include:

- scaphoid fractures and other fractures of the hand

- metatarsal fractures and other fractures of the foot

- malleolar fractures

- ligament fixation of the proximal humerus

- wrist, ankle, shoulder and elbow fractures

- condylar fractures

- fractures of the pelvis and acetabulum

- femoral neck and femoral head fractures

- femoral supracondylar fractures

- tibial plateau fractures

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. “K990776: Aap Cannulated Screw, 7.5MM, 4.5MM, 4.0MM, 3.5MM, 7.0MM.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K990776

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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