Cleared Traditional

K220260 - Hercules Syndesmosis Implant System (FDA 510(k) Clearance)

Class II Orthopedic device cleared through predicate-based substantial equivalence - typically does not require clinical trials.

K220260 · In2bones USA, LLC · Orthopedic device
Download Printable Device Report (PDF)
Optimized for regulatory review, auditing and printing
Mar 2022
Decision
59d
Days
Class 2
Risk

K220260 is an FDA 510(k) clearance for the Hercules Syndesmosis Implant System. Classified as Washer, Bolt Nut (product code HTN), Class II - Special Controls.

Submitted by In2bones USA, LLC (Memphis, US). The FDA issued a Cleared decision on March 31, 2022 after a review of 59 days - a notably fast clearance cycle.

This device falls under the Orthopedic FDA review panel, regulated under 21 CFR 888.3030 - the FDA orthopedic device regulatory framework. The Traditional 510(k) pathway establishes clearance through substantial equivalence to a legally marketed predicate device, without requiring clinical trial data.

Device pattern: Fast-track predicate clearance. Standard predicate reliance. The short review cycle indicates strong predicate alignment - the FDA found sufficient equivalence without extended technical review.

View all In2bones USA, LLC devices

Submission Details

510(k) Number K220260 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received January 31, 2022
Decision Date March 31, 2022
Days to Decision 59 days
Submission Type Traditional
Review Panel Orthopedic (OR)
Summary Summary PDF
Third-party Review No - reviewed directly by FDA
Combination Product No
PCCP Authorized No
Regulatory Context
Review time vs. panel average
63d faster than avg
Panel avg: 122d · This submission: 59d
Pathway characteristics
Predicate-based equivalence. No clinical trials required.

Device Classification

Product Code HTN Washer, Bolt Nut
Device Class Class 2 - Special Controls
CFR Regulation 21 CFR 888.3030
What this classification means

Class II devices require demonstration of substantial equivalence to a legally marketed predicate device. This pathway does not require clinical trials - it relies on engineering equivalence and performance data. Most Orthopedic devices follow this clearance model.

Regulatory Peers - HTN Washer, Bolt Nut

All 91
Devices cleared under the same product code (HTN) and FDA review panel - the closest regulatory comparables to K220260.
SportLinc Syndesmosis Device
K252081 · Lincotek Medical · Mar 2026
Syndesmosis TightRope PRO
K253727 · Arthrex, Inc. · Dec 2025
Synchfix EVT
K251643 · Wright Medical Technology, Inc. (Stryker Corporation) · Oct 2025
RipCord
K251134 · TriMed, Inc. · Jul 2025
Acu-Sinch Knotless Mini
K243624 · Acumed, LLC · Jan 2025
Bolo Button System
K242091 · Fusion Orthopedics · Dec 2024