{
  "code": "HRS",
  "deviceName": "Plate, Fixation, Bone",
  "deviceClass": "II",
  "regulationNumber": "888.3030",
  "panel": "Orthopedic",
  "definition": null,
  "submissionTypeId": "1",
  "submissionType": "510(k)",
  "clearances": {
    "total": 1319,
    "last12Months": 59
  },
  "adverseEvents": {
    "total": 6192,
    "last12Months": 1502
  },
  "reviewDays": {
    "median": 86,
    "sampleSize": 1319
  },
  "recalls": {
    "total": 286,
    "recent": [
      {
        "resNumber": "Z-2532-2026",
        "status": "Open, Classified",
        "recallClass": "Class II",
        "firm": "Acumed LLC",
        "firmAsPublished": "Acumed LLC",
        "reason": "Due to manufacturing error, hexalobe screws used with wrist fixation system may break during use.",
        "initiated": "2026-05-28"
      },
      {
        "resNumber": "Z-1592-2026",
        "status": "Open, Classified",
        "recallClass": "Class II",
        "firm": "I.T.S. GmbH",
        "firmAsPublished": "I.T.S. GmbH",
        "reason": "Updated MRI safety testing demonstrates higher RF-induced temperature increases under certain MRI conditions than previously reflected in the Instructions for Use (IFU).",
        "initiated": "2026-01-23"
      },
      {
        "resNumber": "Z-1593-2026",
        "status": "Open, Classified",
        "recallClass": "Class II",
        "firm": "I.T.S. GmbH",
        "firmAsPublished": "I.T.S. GmbH",
        "reason": "Updated MRI safety testing demonstrates higher RF-induced temperature increases under certain MRI conditions than previously reflected in the Instructions for Use (IFU).",
        "initiated": "2026-01-23"
      },
      {
        "resNumber": "Z-1594-2026",
        "status": "Open, Classified",
        "recallClass": "Class II",
        "firm": "I.T.S. GmbH",
        "firmAsPublished": "I.T.S. GmbH",
        "reason": "Updated MRI safety testing demonstrates higher RF-induced temperature increases under certain MRI conditions than previously reflected in the Instructions for Use (IFU).",
        "initiated": "2026-01-23"
      },
      {
        "resNumber": "Z-1595-2026",
        "status": "Open, Classified",
        "recallClass": "Class II",
        "firm": "I.T.S. GmbH",
        "firmAsPublished": "I.T.S. GmbH",
        "reason": "Updated MRI safety testing demonstrates higher RF-induced temperature increases under certain MRI conditions than previously reflected in the Instructions for Use (IFU).",
        "initiated": "2026-01-23"
      }
    ]
  },
  "recentClearances": [
    {
      "kNumber": "K261406",
      "deviceName": "Versalock Proximal Tibial Plating System",
      "applicant": "GM Dos Reis Industria e Comercio Ltda.",
      "company": "GM Dos Reis Industria e Comercio Ltda.",
      "decisionDate": "2026-07-21",
      "dateReceived": "2026-04-29"
    },
    {
      "kNumber": "K262032",
      "deviceName": "TriMed Non-Spanning Wrist Fusion Plates (NSFL-STD);TriMed Non-Spanning Wrist Fusion Plates (NSFR-STD);TriMed Non-Spanning Wrist Fusion Plates (NSFL-SHB );TriMed Non-Spanning Wrist Fusion Plates (NSFR-SHB )",
      "applicant": "TriMed, Inc.",
      "company": "TriMed Inc.",
      "decisionDate": "2026-07-16",
      "dateReceived": "2026-06-17"
    },
    {
      "kNumber": "K261191",
      "deviceName": "Alians Elbow S",
      "applicant": "Newclip Technics",
      "company": "NEWCLIP TECHNICS SAS",
      "decisionDate": "2026-07-08",
      "dateReceived": "2026-04-13"
    },
    {
      "kNumber": "K261054",
      "deviceName": "RibPlate System",
      "applicant": "Stryker Leibinger GmbH & Co KG",
      "company": "Stryker Leibinger GmbH & Co. KG",
      "decisionDate": "2026-07-01",
      "dateReceived": "2026-03-31"
    },
    {
      "kNumber": "K261351",
      "deviceName": "SALGINA 2.5mm Distal Radius System",
      "applicant": "Bonebridge AG",
      "company": "Bonebridge AG",
      "decisionDate": "2026-06-26",
      "dateReceived": "2026-04-24"
    },
    {
      "kNumber": "K260958",
      "deviceName": "I.T.S. Clavicle Plates with Angular Stability; I.T.S. Volar Radius Plate with Angular Stability; I.T.S. Humeral Head Plate with Angular Stability; I.T.S. FR.O.H. Calcaneus Repair System; I.T.S. Pilonplate with Angular Stability; I.T.S. Olecranonplate with Angular Stability; I.T.S. Straight Plate with Angular Stability; I.T.S. Screw System; I.T.S. PRS Sacral Rod System; I.T.S. Fibula Plate PROlock with Angular Stability; I.T.S. Distal Humeral Plates with Angular Stability; I.T.S. LRS (L",
      "applicant": "I.T.S. GmbH",
      "company": "I.T.S. GmbH",
      "decisionDate": "2026-06-16",
      "dateReceived": "2026-03-23"
    },
    {
      "kNumber": "K261207",
      "deviceName": "Exalta Proximal Tibia Plating System",
      "applicant": "Tyber Medical, LLC",
      "company": "Tyber Medical",
      "decisionDate": "2026-06-12",
      "dateReceived": "2026-04-13"
    },
    {
      "kNumber": "K260761",
      "deviceName": "APTUS Clavicle System 2.8",
      "applicant": "Medartis AG",
      "company": "Medartis, Inc.",
      "decisionDate": "2026-06-05",
      "dateReceived": "2026-03-09"
    },
    {
      "kNumber": "K261002",
      "deviceName": "Pectus Blu System",
      "applicant": "Biomet Microfixation",
      "company": "Biomet Microfixation, Inc.",
      "decisionDate": "2026-06-02",
      "dateReceived": "2026-03-26"
    },
    {
      "kNumber": "K261038",
      "deviceName": "Xpert PFP",
      "applicant": "Newclip Technics",
      "company": "NEWCLIP TECHNICS SAS",
      "decisionDate": "2026-05-29",
      "dateReceived": "2026-03-30"
    }
  ],
  "topApplicants": [
    {
      "name": "Synthes (Usa)",
      "count": 87
    },
    {
      "name": "Wrightmedicaltechnologyinc",
      "count": 45
    },
    {
      "name": "Arthrex, Inc.",
      "count": 39
    },
    {
      "name": "Smith & Nephew, Inc.",
      "count": 34
    },
    {
      "name": "Medartis AG",
      "count": 31
    }
  ],
  "topCompanies": [
    {
      "name": "Synthes USA",
      "count": 95,
      "spellings": 3
    },
    {
      "name": "Wrightmedicaltechnologyinc",
      "count": 45,
      "spellings": 1
    },
    {
      "name": "Arthrex, Inc.",
      "count": 39,
      "spellings": 1
    },
    {
      "name": "Smith & Nephew, Inc.",
      "count": 37,
      "spellings": 2
    },
    {
      "name": "Medartis, Inc.",
      "count": 32,
      "spellings": 2
    }
  ],
  "newEntrants": [
    {
      "name": "Chest Wall Innovations, Inc.",
      "since": "2026-04-24",
      "kNumber": "K260411"
    },
    {
      "name": "Actis Medical Pty., Ltd.",
      "since": "2026-04-10",
      "kNumber": "K260090"
    },
    {
      "name": "Met One Technologies, LLC",
      "since": "2026-02-12",
      "kNumber": "K251732"
    },
    {
      "name": "Gm Dos Reis Industria E Comercio",
      "since": "2025-12-19",
      "kNumber": "K251050"
    },
    {
      "name": "HyperFlex Medical Inc",
      "since": "2025-12-11",
      "kNumber": "K252997"
    },
    {
      "name": "Maxxos Medical GmbH",
      "since": "2025-09-08",
      "kNumber": "K251892"
    }
  ],
  "baseline": {
    "months": [
      {
        "month": "2023-01-01",
        "observed": 103,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2023-02-01",
        "observed": 100,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2023-03-01",
        "observed": 212,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2023-04-01",
        "observed": 170,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2023-05-01",
        "observed": 294,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2023-06-01",
        "observed": 161,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2023-07-01",
        "observed": 132,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2023-08-01",
        "observed": 165,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2023-09-01",
        "observed": 121,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-01-01",
        "observed": 188,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-02-01",
        "observed": 138,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-03-01",
        "observed": 181,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-04-01",
        "observed": 223,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-05-01",
        "observed": 167,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-06-01",
        "observed": 145,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-07-01",
        "observed": 111,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-08-01",
        "observed": 120,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-09-01",
        "observed": 177,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-10-01",
        "observed": 164,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-11-01",
        "observed": 119,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2024-12-01",
        "observed": 116,
        "expectedLow": null,
        "expectedHigh": null,
        "isSufficient": false
      },
      {
        "month": "2025-01-01",
        "observed": 185,
        "expectedLow": 46.050851654841345,
        "expectedHigh": 203.30086646990785,
        "isSufficient": true
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      {
        "month": "2025-02-01",
        "observed": 170,
        "expectedLow": 54.8530194054254,
        "expectedHigh": 192.74910976462886,
        "isSufficient": true
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        "month": "2025-03-01",
        "observed": 136,
        "expectedLow": 73.38684104234471,
        "expectedHigh": 235.9682270573594,
        "isSufficient": true
      },
      {
        "month": "2025-04-01",
        "observed": 210,
        "expectedLow": 72.88682929567581,
        "expectedHigh": 236.49540728844616,
        "isSufficient": true
      },
      {
        "month": "2025-05-01",
        "observed": 133,
        "expectedLow": 88.99118736384762,
        "expectedHigh": 230.43206328070292,
        "isSufficient": true
      },
      {
        "month": "2025-06-01",
        "observed": 216,
        "expectedLow": 84.09401517818675,
        "expectedHigh": 230.33207763282263,
        "isSufficient": true
      },
      {
        "month": "2025-07-01",
        "observed": 230,
        "expectedLow": 140.68198447188172,
        "expectedHigh": 406.81306997675165,
        "isSufficient": true
      },
      {
        "month": "2025-08-01",
        "observed": 246,
        "expectedLow": 104.4617757465605,
        "expectedHigh": 289.76770948889305,
        "isSufficient": true
      },
      {
        "month": "2025-09-01",
        "observed": 129,
        "expectedLow": 126.85571523007665,
        "expectedHigh": 320.8229871591673,
        "isSufficient": true
      },
      {
        "month": "2025-10-01",
        "observed": 173,
        "expectedLow": 88.89551674190571,
        "expectedHigh": 298.5534698375625,
        "isSufficient": true
      },
      {
        "month": "2025-11-01",
        "observed": 209,
        "expectedLow": 74.10960999001388,
        "expectedHigh": 262.90858730860367,
        "isSufficient": true
      },
      {
        "month": "2025-12-01",
        "observed": 246,
        "expectedLow": 100.69472737806535,
        "expectedHigh": 299.48081206321376,
        "isSufficient": true
      },
      {
        "month": "2026-01-01",
        "observed": 117,
        "expectedLow": 144.67892579218434,
        "expectedHigh": 351.9875673759656,
        "isSufficient": true
      },
      {
        "month": "2026-02-01",
        "observed": 166,
        "expectedLow": 70.11355167938203,
        "expectedHigh": 283.70360913806144,
        "isSufficient": true
      },
      {
        "month": "2026-03-01",
        "observed": 256,
        "expectedLow": 73.47165904411922,
        "expectedHigh": 305.2413851203473,
        "isSufficient": true
      }
    ],
    "sufficientMonths": 15,
    "method": "ewma_alpha_0.3_sd_2 corpus_adjusted"
  },
  "signal": {
    "summary": "HRS (Plate, Fixation, Bone) has three findings, most consequential first. 5 recalls opened in the last 12 months and not yet terminated (Class II) (Z-2532-2026, Z-1592-2026, Z-1593-2026, Z-1594-2026, Z-1595-2026). 6 first-time filers in the last 12 months, including Chest Wall Innovations, Inc. and Actis Medical Pty., Ltd (K260411, K260090, K251732, K251050, K252997). The code is crowded, scoring 100 of 100 — 301 companies hold a clearance here and 59 arrived in the last 12 months (HRS:crowding).",
    "severity": 75,
    "factors": [
      {
        "kind": "recall",
        "detail": "5 recalls opened in the last 12 months and not yet terminated (Class II)",
        "recordIds": [
          "Z-2532-2026",
          "Z-1592-2026",
          "Z-1593-2026",
          "Z-1594-2026",
          "Z-1595-2026"
        ],
        "severity": 75
      },
      {
        "kind": "new_entrant",
        "detail": "6 first-time filers in the last 12 months, including Chest Wall Innovations, Inc. and Actis Medical Pty., Ltd.",
        "recordIds": [
          "K260411",
          "K260090",
          "K251732",
          "K251050",
          "K252997"
        ],
        "severity": 46
      },
      {
        "kind": "crowding",
        "detail": "the code is crowded, scoring 100 of 100 — 301 companies hold a clearance here and 59 arrived in the last 12 months",
        "recordIds": [
          "HRS:crowding"
        ],
        "severity": 20
      }
    ],
    "sourcesChecked": [
      "predicate ancestry",
      "recalls",
      "adverse events",
      "new entrants",
      "review time",
      "crowding"
    ]
  },
  "predicatePreview": {
    "edges": [],
    "note": "FDA publishes no machine-readable predicate field, so no predicate chain is recorded for this code yet."
  },
  "sources": [
    {
      "label": "classification",
      "url": "https://api.fda.gov/device/classification.json?search=product_code%3AHRS"
    },
    {
      "label": "510k total",
      "url": "https://api.fda.gov/device/510k.json?search=product_code%3AHRS"
    },
    {
      "label": "510k recent decisions",
      "url": "https://api.fda.gov/device/510k.json?search=product_code%3AHRS"
    },
    {
      "label": "recalls",
      "url": "https://api.fda.gov/device/recall.json?search=product_code%3AHRS"
    },
    {
      "label": "enforcement",
      "url": "https://api.fda.gov/device/enforcement.json?search=openfda.product_code%3AHRS"
    },
    {
      "label": "adverse events total",
      "url": "https://api.fda.gov/device/event.json?search=device.device_report_product_code%3AHRS"
    },
    {
      "label": "registrations",
      "url": "https://api.fda.gov/device/registrationlisting.json?search=products.product_code%3AHRS"
    }
  ],
  "provenance": [
    {
      "dataset": "device/510k",
      "loadedAt": "2026-08-10T19:40:09Z",
      "ingestRun": 51,
      "exportDate": "2026-08-08"
    },
    {
      "dataset": "device/classification",
      "loadedAt": "2026-08-10T06:54:18Z",
      "ingestRun": 2,
      "exportDate": "2026-08-08"
    },
    {
      "dataset": "device/enforcement",
      "loadedAt": "2026-08-10T19:40:12Z",
      "ingestRun": 53,
      "exportDate": "2026-08-04"
    },
    {
      "dataset": "device/event",
      "loadedAt": "2026-08-11T13:49:57Z",
      "ingestRun": 73,
      "exportDate": "2026-08-11"
    },
    {
      "dataset": "device/recall",
      "loadedAt": "2026-08-10T19:40:11Z",
      "ingestRun": 52,
      "exportDate": "2026-08-08"
    },
    {
      "dataset": "device/registrationlisting",
      "loadedAt": "2026-08-10T07:06:24Z",
      "ingestRun": 10,
      "exportDate": "2026-08-08"
    }
  ],
  "retrievedAt": "2026-08-11T13:51:45.709Z"
}
