510(k) Report

510(k) · Cleared

Cleared

Kmi Wrist Fusion System

K991873510(k) TraditionalCleared Aug 17, 199976-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

Kinetikos Medical, Inc. · HRS Plate, Fixation, Bone

Cleared on Aug 17, 1999 as substantially equivalent to K990094 (Kinetikos Medical, Inc., 1999) and 1 other predicate after a 76-day review. Its family tree reaches back 2 generations to 1992. 117 later devices descend from it.

Decided
Aug 17, 1999
Review
76 days
Class
Class II
Product code
HRS
Recalls
None
Predicates
2

Its longest line of descent runs back 2 generations to K915818 (1992). 3 ancestors in all, the oldest K800806 (1980). 117 later devices descend from it, 7 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1980: 1 other ancestor2003: 1 descendant cleared2013: 7 descendants cleared2005: 1 descendant cleared2010: 1 descendant cleared2011: 2 descendants cleared2009: 2 descendants cleared2002: 1 descendant cleared2025: 8 descendants cleared2012: 2 descendants cleared2020: 6 descendants cleared2023: 17 descendants cleared2017: 12 descendants cleared2015: 8 descendants cleared2016: 5 descendants cleared2024: 12 descendants cleared2014: 4 descendants cleared2019: 4 descendants cleared2021: 5 descendants cleared2026: 12 descendants cleared2022: 6 descendants cleared2018: 1 descendant clearedK915818 · Synthes (R) Titanium Small Reconstruction Plate · Synthes (Usa) · 1992 · recalledK990094 · Kmi Wrist Fusion System · Kinetikos Medical, Inc. · 199919801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 7 descendants2 generations forward: 11 descendants3 generations forward: 27 descendants4 generations forward: 26 descendants5 generations forward: 24 descendants6 generations forward: 15 descendants7 generations forward: 5 descendants8 generations forward: 1 descendant9 generations forward: 1 descendant K990094 · Kmi Wrist Fusion System · Kinetikos Medical, Inc. · 1999K915818 · Synthes (R) Titanium Small Reconstruction Plate · Synthes (Usa) · 1992 · recalled0+5
  1. Root · 2 generations backK915818 Synthes (R) Titanium Small Reconstruction PlateSynthes (Usa) · 1992 · Recalled
  2. 1 generation backK990094 Kmi Wrist Fusion SystemKinetikos Medical, Inc. · 1999
  3. This deviceK991873 Kmi Wrist Fusion SystemKinetikos Medical, Inc. · 1999
  4. Descendant · cites it directly · 113 of its ownK021321 Wrist Fusion PlateAcu Med, Inc. · 2002
  5. Descendant · cites it directly · 92 of its ownK050681 Omnitech System & Easy Lock Osteosystem with Xtremities PlatesTriMed, Inc. · 2005
  6. Descendant · 2 generations on · 68 of its ownK092670 Biodrive Micro Screw SystemEbi,Llc D/B/A Biomet Trauma · 2009
  7. Descendant · 2 generations on · 58 of its ownK111678 Ortho Solutions Extremity Fixation Implants for OsteosysnthesisOrtho Solutions Limited · 2012 · Recalled
  8. Descendant · 3 generations on · 28 of its ownK141784 Ortho Solutions Ultos Plating SystemOrtho Solutions Limited · 2014 · Recalled

Showing 5 of 117 descendants. See all descendants

Descendants cleared per year

2002: 12003: 12005: 12009: 22010: 12011: 22012: 22013: 72014: 42015: 82016: 52017: 122018: 12019: 42020: 62021: 52022: 62023: 172024: 122025: 82026: 12
2002high 17 (2023) · low 0 (2004)2026

Most influential descendants

Showing 5 of 117 · See all
  • K021321Wrist Fusion PlateAcu Med, Inc. · 2002 · cites it directly113descendants
  • K050681Omnitech System & Easy Lock Osteosystem with Xtremities PlatesTriMed, Inc. · 2005 · cites it directly92descendants
  • K092670Biodrive Micro Screw SystemEbi,Llc D/B/A Biomet Trauma · 2009 · 2 generations on68descendants
  • K111678Ortho Solutions Extremity Fixation Implants for OsteosysnthesisOrtho Solutions Limited · 2012 · 2 generations on58descendants
  • K141784Ortho Solutions Ultos Plating SystemOrtho Solutions Limited · 2014 · 3 generations on28descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K915818Synthes (R) Titanium Small Reconstruction PlateSynthes (Usa)19922
−1K990094Kmi Wrist Fusion SystemKinetikos Medical, Inc.1999—
0 (this device)K991873Kmi Wrist Fusion SystemKinetikos Medical, Inc.1999—
+1K021321Wrist Fusion PlateAcu Med, Inc.2002—
+1K050681Omnitech System & Easy Lock Osteosystem with Xtremities PlatesTriMed, Inc.2005—
+2K092670Biodrive Micro Screw SystemEbi,Llc D/B/A Biomet Trauma2009—
+2K111678Ortho Solutions Extremity Fixation Implants for OsteosysnthesisOrtho Solutions Limited20121
+3K141784Ortho Solutions Ultos Plating SystemOrtho Solutions Limited20142

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200210
200310
200510
200920
201010
201120
201220
201370
201440
201580
201650
2017120
201810
201940
202060
202150
202260
2023170
2024120
202580
2026120
FIG. 1 — Lineage of K991873, 1992–2026Source: 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
*K990094Kmi Wrist Fusion System
Summary page 1
…Proprietary Name: KMI Wrist Fusion System Common/Usual Name: Plate, fixation, bone Classification Name: Plate, fixation, bone Predicate Device: KMI Wrist Fusion System-K990094, and Howmedica ICS Mini and Small Fragment Set-K800806 Description of Device: The KMI Wrist Fusion System consists of metal pla…
Kinetikos Medical, Inc.1999—
*K800806I.C.S. Mini & Small Fragment Set
Summary page 1
…ame: Plate, fixation, bone Classification Name: Plate, fixation, bone Predicate Device: KMI Wrist Fusion System-K990094, and Howmedica ICS Mini and Small Fragment Set-K800806 Description of Device: The KMI Wrist Fusion System consists of metal plates with holes to accommodate specific screws and the sc…
Howmedica Corp.1980—

Also cleared against K990094: 2 other devices →

What descends from it? (117)

See all 117

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

NumberDeviceApplicantDecidedDescendants
K021321Wrist Fusion PlateAcu Med, Inc.2002113
K050681Omnitech System & Easy Lock Osteosystem with Xtremities PlatesTriMed, Inc.200592
K1032432.4MM VA-LCP Intercarpal Fusion SystemSynthes (Usa)201118
K100123Acumed Wrist Arthrodesis Plate SystemAcumed, LLC20101
K131380Acumed Totalw Rist Fusion Plating SystemAcumed, LLC20130
K093163Integra Total Wrist Fusion SystemIntegra LifeSciences Corporation20090
K030881Avanta Carpal Fusion Plating SystemAvanta Orthopaedics, Inc.20030

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 7 years and passes through 2 companies; a new generation was cleared every 7.1 years on median.
  • 1 of the 3 ancestors has a recall of any class.
  • Of its descendants, K021321 (Acu Med, Inc., 2002) has gone furthest, with 113 descendants of its own.
  • 2 other devices also cite its predicate K990094.

How does its category compare?

All HRS devices

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

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 KMI Wrist Fusion System is comprised of the fotal wrist fusion plate which is intended for wrist arthrodesis, providing fixation of small bones such as the radius and carpal bones and indicated for use in patients suffering pain and/or loss of function due to osteoarthritis, post-traumatic arthritis, fractures, revision of failed wrist fusions, segmental bone loss, or theumatoid arthritis, and the KMI limited wrist fusion plate is intended for use in patients suffering pain and/or loss of function due to osteoarthritis, post-traumatic arthritis, fractures, revision of failed partial wrist fusions, carpal instability, or rheumatoid arthritis.

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. “K991873: Kmi Wrist Fusion System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K991873

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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