| Device Type ID | 4489 | 
| Device Name | Screw, Fixation, Bone | 
| Regulation Description | Smooth Or Threaded Metallic Bone Fixation Fastener. | 
| Regulation Medical Specialty | Orthopedic | 
| Review Panel | Orthopedic | 
| Premarket Review |   Office Of Device Evaluation  (ODE) Division Of Orthopedic Devices (DOD) Joint And Fixation Devices Branch Two ¿ Hips/Wrists/Fingers (JFDB2)  | 
| Submission Type | 510(k) | 
| CFR Regulation Number | 888.3040 [🔎] | 
| FDA Device Classification | Class 2 Medical Device | 
| Product Code | HWC | 
| GMP Exempt | No | 
| Summary MR | Eligible | 
| Implanted Device | Yes | 
| Life Support Device | No | 
| Third Party Review | Not Third Party Eligible | 
| Device Type ID | 4489 | 
| Device | Screw, Fixation, Bone | 
| Product Code | HWC | 
| FDA Device Classification | Class 2 Medical Device | 
| Regulation Description | Smooth Or Threaded Metallic Bone Fixation Fastener. | 
| CFR Regulation Number | 888.3040 [🔎] | 
| Premarket Reviews | ||
|---|---|---|
| Manufacturer | Decision | |
AAP IMPLANTATE AG  |  ||
SUBSTANTIALLY EQUIVALENT   |  2 | |
AESCULAP IMPLANT SYSTEM, INC.  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
AGENT MEDICAL, LLC  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
ARTHREX, INC.  |  ||
SUBSTANTIALLY EQUIVALENT   |  5 | |
ARTHROCARE CORP.  |  ||
SUBSTANTIALLY EQUIVALENT   |  3 | |
ARTHROSURFACE, INC.  |  ||
SUBSTANTIALLY EQUIVALENT   |  3 | |
ASCENSION ORTHOPEDICS, INC.  |  ||
SUBSTANTIALLY EQUIVALENT   |  2 | |
ASCENT MEDICAL, LLC  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
BIEDERMANN MEDTECH, INC.  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
BIOMET  |  ||
SUBSTANTIALLY EQUIVALENT   |  6 | |
BIOMET INC  |  ||
SUBSTANTIALLY EQUIVALENT   |  2 | |
BIOMET MICROFIXATION  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
CARTIVA, INC.  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
COMPETITIVE ENGINEERING INC.  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
CONMED  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
CONMED CORPORATION  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
CROSSROADS EXTREMITY SYSTEMS LLC  |  ||
SUBSTANTIALLY EQUIVALENT   |  3 | |
ENGINEERING CONSULTING SERVICES, INC.  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
EXSOMED HOLDING COMPANY, LLC  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
EXTREMITY MEDICAL LLC  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
EXTREMITY MEDICAL, LLC  |  ||
SUBSTANTIALLY EQUIVALENT   |  2 | |
EXTREMITY MEDICAL, LLC.  |  ||
SUBSTANTIALLY EQUIVALENT   |  2 | |
FEET FOR LIFE PODIATRY CENTER  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
FIRST RAY LLC  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
FLOWER ORTHOPEDICS CORPORATION  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
FLOW-FX, LLC  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
FOURNITURES HOSPITALIERES  |  ||
SUBSTANTIALLY EQUIVALENT   |  3 | |
FOURNITURES HOSPITALIERES INDUSTRIE  |  ||
SUBSTANTIALLY EQUIVALENT   |  3 | |
FUSION ORTHOPEDICS, LLC.  |  ||
SUBSTANTIALLY EQUIVALENT   |  4 | |
GLOBUS  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
GLOBUS MEDICAL, INC.  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
ICONN ORTHOPEDICS, LLC  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
IN2BONES SAS  |  ||
SUBSTANTIALLY EQUIVALENT   |  6 | |
IN2BONES USA, LLC  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
INFIX MEDICAL LLC  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
KARL LEIBINGER MEDIZINTECHNIK GMBH & CO. KG  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
KLS MARTIN GMBH And CO. KG  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
LAURA CATTABRIGA  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
LIFE SPINE  |  ||
SUBSTANTIALLY EQUIVALENT   |  4 | |
MEDLINE  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
MEDLINE INDUSTRIES, INC.  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
MEDSHAPE, INC  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
MEDSHAPE, INCORPORATED  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
MEMPHIS ORTHOPAEDIC DESIGN, INC.  |  ||
SUBSTANTIALLY EQUIVALENT   |  2 | |
MERETE MEDICAL GMBH  |  ||
SUBSTANTIALLY EQUIVALENT   |  3 | |
MTP SOLUTIONS LLC  |  ||
SUBSTANTIALLY EQUIVALENT   |  2 | |
MX ORTHOPEDICS CORP.  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
NEOORTHO PRODUTOS ORTOPEDICOS S/A  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
NEOSTEO  |  ||
SUBSTANTIALLY EQUIVALENT   |  2 | |
NEWCLIP TECHNICS  |  ||
SUBSTANTIALLY EQUIVALENT   |  3 | |
NEXTREMITY SOLUTIONS, INC.  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
NORMED NEDIZIN TECHNIK GMBH  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
NOVASTEP  |  ||
SUBSTANTIALLY EQUIVALENT   |  2 | |
NVISION BIOMEDICAL TECHNOLOGIES, LLC  |  ||
SUBSTANTIALLY EQUIVALENT   |  2 | |
ORTHOFIX  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
ORTHOFIX SRL  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
OSTEOMED  |  ||
SUBSTANTIALLY EQUIVALENT   |  2 | |
OVERMED SRL.  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
PARAGON 28  |  ||
SUBSTANTIALLY EQUIVALENT   |  2 | |
PROVIDENCE MEDICAL TECHNOLOGY, INC.  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
SAFETYFIX MEDICAL TECHNOLOGIES, INC.  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
SIGN FRACTURE CARE INTERNATIONAL  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
SKELETAL DYNAMICS, LLC  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
SMITH & NEPHEW, INC.  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
SMV SCIENTIFIC  |  ||
SUBSTANTIALLY EQUIVALENT   |  4 | |
STRYKER CORP.  |  ||
SUBSTANTIALLY EQUIVALENT   |  4 | |
STRYKER TRAUMA AG  |  ||
SUBSTANTIALLY EQUIVALENT   |  2 | |
STUCKENBROCK GMBH  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
SYNCHRO MEDICAL  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
SYNTHES USA PRODUCTS, LLC  |  ||
SUBSTANTIALLY EQUIVALENT   |  2 | |
TORNIER  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
TORNIER INC.  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
TREACE MEDICAL CONCEPTS, INC.  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
TYBER MEDICAL LLC  |  ||
SUBSTANTIALLY EQUIVALENT   |  4 | |
TYBER MEDICAL, LLC  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
VILEX IN TENNESSEE, INC.  |  ||
SUBSTANTIALLY EQUIVALENT   |  2 | |
WRIGHT MEDICAL TECHNOLOGY, INC.  |  ||
SUBSTANTIALLY EQUIVALENT   |  15 | |
ZIMMER BIOMET  |  ||
SUBSTANTIALLY EQUIVALENT   |  1 | |
ZIMMER GMBH  |  ||
SUBSTANTIALLY EQUIVALENT   |  2 | |
ZIMMER, INC.  |  ||
SUBSTANTIALLY EQUIVALENT   |  3 | |
| Device Problems | |
|---|---|
Adverse Event Without Identified Device Or Use Problem  |  3511 | 
Break  |  2147 | 
Fracture  |  432 | 
Insufficient Information  |  408 | 
Migration Or Expulsion Of Device   |  342 | 
Unintended Movement  |  303 | 
Material Fragmentation  |  282 | 
Migration  |  202 | 
Device-Device Incompatibility  |  143 | 
Appropriate Term/Code Not Available  |  142 | 
Device Operates Differently Than Expected  |  140 | 
Material Twisted / Bent  |  128 | 
Corroded   |  107 | 
Loose Or Intermittent Connection  |  104 | 
Loss Of Osseointegration  |  81 | 
Difficult To Remove   |  74 | 
Device Dislodged Or Dislocated  |  68 | 
Screw  |  65 | 
Bent  |  64 | 
Failure To Align  |  63 | 
Material Deformation  |  59 | 
Fitting Problem  |  53 | 
Malposition Of Device   |  50 | 
Use Of Device Problem  |  48 | 
Improper Or Incorrect Procedure Or Method  |  41 | 
Mechanical Problem  |  41 | 
Device Slipped  |  37 | 
Failure To Adhere Or Bond  |  37 | 
Crack  |  33 | 
Detachment Of Device Or Device Component  |  32 | 
Mechanical Jam  |  32 | 
Dull, Blunt  |  30 | 
No Apparent Adverse Event  |  30 | 
Difficult To Insert  |  29 | 
Packaging Problem  |  26 | 
Detachment Of Device Component  |  26 | 
Material Frayed  |  25 | 
Component Missing   |  23 | 
Device Markings / Labelling Problem  |  22 | 
Positioning Problem  |  21 | 
Separation Failure   |  20 | 
Noise, Audible  |  18 | 
Material Discolored  |  18 | 
Patient-Device Incompatibility  |  18 | 
Manufacturing, Packaging Or Shipping Problem  |  17 | 
Component Incompatible  |  17 | 
Metal Shedding Debris  |  16 | 
Difficult To Advance  |  14 | 
Naturally Worn  |  14 | 
Biocompatibility   |  13 | 
Peeled / Delaminated  |  13 | 
Sticking  |  13 | 
Failure To Advance  |  13 | 
Inadequacy Of Device Shape And/or Size  |  12 | 
Difficult To Position  |  11 | 
Activation, Positioning Or Separation Problem  |  11 | 
Tip  |  10 | 
Positioning Failure   |  10 | 
Material Separation  |  10 | 
Loosening Of Implant Not Related To Bone-Ingrowth  |  10 | 
Entrapment Of Device  |  9 | 
Flaked  |  9 | 
Degraded  |  9 | 
Material Split, Cut Or Torn  |  8 | 
Material Integrity Problem  |  8 | 
Defective Device  |  8 | 
Plate  |  7 | 
Incomplete Or Missing Packaging  |  7 | 
Unstable  |  7 | 
Unknown (for Use When The Device Problem Is Not Known)  |  7 | 
Component Or Accessory Incompatibility   |  6 | 
Device Packaging Compromised  |  6 | 
Device Contamination With Chemical Or Other Material  |  6 | 
Loss Of Or Failure To Bond  |  5 | 
Extrusion  |  5 | 
Device Inoperable  |  5 | 
Failure To Osseointegrate  |  5 | 
Device Operational Issue  |  4 | 
Screw Head  |  4 | 
Biofilm Coating In Device   |  4 | 
Retraction Problem  |  4 | 
Disassembly  |  4 | 
Failure To Cut  |  4 | 
Device Expiration Issue  |  4 | 
Collapse  |  4 | 
Missing Value Reason  |  4 | 
Material Erosion  |  4 | 
Material Distortion  |  4 | 
Mechanics Altered  |  3 | 
Material Rupture  |  3 | 
Device Damaged Prior To Use   |  3 | 
Shelf Life Exceeded  |  3 | 
Device Damaged By Another Device  |  3 | 
Patient Device Interaction Problem  |  3 | 
Out-Of-Box Failure  |  3 | 
Unsealed Device Packaging  |  3 | 
Unintended Ejection   |  3 | 
Unraveled Material  |  3 | 
Bolt  |  3 | 
Suture  |  2 | 
| Total Device Problems | 9975 | 
| Recalls | |||
|---|---|---|---|
| Manufacturer | Recall Class | Date Posted | |
| 1 | Biomet, Inc.  |  II | May-26-2016 | 
| 2 | Biomet, Inc.  |  II | Jul-01-2015 | 
| 3 | Cayenne Medical Inc.  |  II | Jul-10-2018 | 
| 4 | DePuy Mitek, Inc., A Johnson & Johnson Co.  |  II | Jun-20-2017 | 
| 5 | Flower Orthopedics Corporation  |  II | Mar-24-2015 | 
| 6 | In2Bones, SAS  |  II | Dec-09-2015 | 
| 7 | In2Bones, SAS  |  II | Mar-25-2015 | 
| 8 | In2bones USA, LLC  |  II | Aug-21-2018 | 
| 9 | Instratek, Incorporated  |  II | Sep-22-2014 | 
| 10 | Integra LifeSciences Corp.  |  II | Aug-19-2016 | 
| 11 | Integra LifeSciences Corporation  |  II | Jun-02-2014 | 
| 12 | Medartis, Inc.  |  II | Oct-30-2014 | 
| 13 | MicroAire Surgical Instruments, LLC  |  II | Jul-27-2016 | 
| 14 | MicroPort Orthopedics Inc.  |  II | Oct-11-2018 | 
| 15 | ORTHO SOLUTIONS, LTD.  |  II | Mar-09-2018 | 
| 16 | Ortho Solutions Inc  |  II | Sep-16-2016 | 
| 17 | Ortho Solutions Inc  |  II | Oct-06-2015 | 
| 18 | OrthoPediatrics Corp  |  II | Sep-19-2016 | 
| 19 | OrthoPediatrics Corp  |  II | Feb-06-2014 | 
| 20 | Pega Medical Inc.  |  II | Nov-20-2015 | 
| 21 | Pega Medical Inc.  |  II | Jun-26-2015 | 
| 22 | Small Bone Innovations  |  II | Jul-30-2014 | 
| 23 | Smith & Nephew, Inc.  |  II | Mar-20-2018 | 
| 24 | Smith & Nephew, Inc.  |  II | Apr-18-2017 | 
| 25 | Stryker Corporation  |  II | Mar-02-2018 | 
| 26 | Stryker Howmedica Osteonics Corp.  |  II | Apr-18-2016 | 
| 27 | Synthes (USA) Products LLC  |  II | Oct-24-2018 | 
| 28 | Synthes (USA) Products LLC  |  II | Jul-11-2016 | 
| 29 | Synthes (USA) Products LLC  |  II | Apr-27-2016 | 
| 30 | Synthes (USA) Products LLC  |  II | Nov-20-2015 | 
| 31 | Synthes (USA) Products LLC  |  II | Sep-18-2015 | 
| 32 | Synthes, Inc.  |  II | Jun-15-2015 | 
| 33 | Synthes, Inc.  |  II | Aug-19-2014 | 
| 34 | Synthes, Inc.  |  II | Jul-02-2014 | 
| 35 | Trilliant Surgical Ltd.  |  II | Jan-06-2017 | 
| 36 | Trilliant Surgical Ltd.  |  II | Nov-17-2016 | 
| 37 | Trilliant Surgical Ltd.  |  II | Aug-26-2015 | 
| 38 | Trilliant Surgical Ltd.  |  II | Aug-19-2015 | 
| 39 | Wright Medical Technology, Inc.  |  II | May-18-2015 | 
| 40 | Zimmer Biomet, Inc.  |  II | Sep-14-2018 | 
| 41 | Zimmer Biomet, Inc.  |  II | May-08-2018 | 
| 42 | Zimmer Biomet, Inc.  |  II | Mar-15-2018 | 
| 43 | Zimmer Biomet, Inc.  |  II | Feb-16-2017 | 
| 44 | Zimmer Biomet, Inc.  |  II | Jan-13-2016 | 
| 45 | Zimmer Manufacturing B.V.  |  II | May-16-2016 | 
| 46 | Zimmer Manufacturing B.V.  |  II | Mar-12-2016 | 
| 47 | Zimmer Manufacturing B.V.  |  II | Jul-10-2014 | 
| 48 | Zimmer, Inc.  |  II | Aug-26-2014 | 
| 49 | Zimmer, Inc.  |  II | Aug-16-2014 | 
| 50 | Zimmer, Inc.  |  II | Feb-20-2014 |