510(k) Report

510(k) · Cleared

Cleared

IP-XS Compression Nail System

K032548510(k) TraditionalCleared Sep 10, 200323-day reviewClass II21 CFR 888.3020

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Plus Orthopedics · HSB Rod, Fixation, Intramedullary And Accessories

Cleared on Sep 10, 2003 as substantially equivalent to K031438 (Acumed, LLC, 2003) after a 23-day review. Its family tree reaches back 2 generations to 1992. 5 later devices descend from it.

Decided
Sep 10, 2003
Review
23 days
Class
Class II
Product code
HSB
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to K913949 (1992). 4 ancestors in all. 5 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1998: 1 other ancestor1995: 1 other ancestor2017: 1 descendant cleared2012: 1 descendant cleared2008: 1 descendant cleared2009: 1 descendant cleared2011: 1 descendant clearedK913949 · True/Flex Humerus, Ulna & Radius Intramed Rods Sys · Applied Osteo Systems, Inc. · 1992K031438 · Acumed Small Bone Locking Rod System II · Acumed, LLC · 2003 · recalled1990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 2 other ancestors 1 generation forward: 3 descendants2 generations forward: 1 descendant3 generations forward: 1 descendant K031438 · Acumed Small Bone Locking Rod System II · Acumed, LLC · 2003 · recalledK913949 · True/Flex Humerus, Ulna & Radius Intramed Rods Sys · Applied Osteo Systems, Inc. · 19920
  1. Root · 2 generations backK913949 True/Flex Humerus, Ulna & Radius Intramed Rods SysApplied Osteo Systems, Inc. · 1992
  2. 1 generation backK031438 Acumed Small Bone Locking Rod System IIAcumed, LLC · 2003 · Recalled
  3. This deviceK032548 IP-XS Compression Nail SystemPlus Orthopedics · 2003
  4. Descendant · cites it directly · 2 of its ownK081356 Olecranail Intramedullary Fixation SystemMylad Orthopedic Solutions, LLC · 2008
  5. Descendant · 2 generations on · 1 of its ownK090091 Olecranail Intramedullary Fixation SystemMylad Orthopedic Solutions, LLC · 2009
  6. Descendant · cites it directly · 0 of its ownK161371 Sonoma Fifth Metatarsal Repair SystemSonoma Orthopedic Products, Inc. · 2017
  7. Descendant · cites it directly · 0 of its ownK122170 Smith & Nephew, Inc. Intramedullary Nail System InstrumentationSmith & Nephew, Inc. · 2012 · Recalled
  8. Descendant · 3 generations on · 0 of its ownK110322 Olecra Intramedullary Fixation SystemMylad Orthopedic Solutions · 2011

Most influential descendants

Showing 5 of 5 · See all
  • K081356Olecranail Intramedullary Fixation SystemMylad Orthopedic Solutions, LLC · 2008 · cites it directly2descendants
  • K090091Olecranail Intramedullary Fixation SystemMylad Orthopedic Solutions, LLC · 2009 · 2 generations on1descendant
  • K161371Sonoma Fifth Metatarsal Repair SystemSonoma Orthopedic Products, Inc. · 2017 · cites it directly0descendants
  • K122170Smith & Nephew, Inc. Intramedullary Nail System InstrumentationSmith & Nephew, Inc. · 2012 · cites it directly0descendants
  • K110322Olecra Intramedullary Fixation SystemMylad Orthopedic Solutions · 2011 · 3 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K913949True/Flex Humerus, Ulna & Radius Intramed Rods SysApplied Osteo Systems, Inc.1992—
−1K031438Acumed Small Bone Locking Rod System IIAcumed, LLC20031
0 (this device)K032548IP-XS Compression Nail SystemPlus Orthopedics2003—
+1K081356Olecranail Intramedullary Fixation SystemMylad Orthopedic Solutions, LLC2008—
+2K090091Olecranail Intramedullary Fixation SystemMylad Orthopedic Solutions, LLC2009—
+1K161371Sonoma Fifth Metatarsal Repair SystemSonoma Orthopedic Products, Inc.2017—
+1K122170Smith & Nephew, Inc. Intramedullary Nail System InstrumentationSmith & Nephew, Inc.20121
+3K110322Olecra Intramedullary Fixation SystemMylad Orthopedic Solutions2011—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199510
199810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200810
200910
201110
201210
201710
FIG. 1 — Lineage of K032548, 1992–2017Source: 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 HSB? 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 HSB device

  1. #1 K200869 Gamma3 Systemscore 19.8 · 8 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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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
*K031438Acumed Small Bone Locking Rod System IIAcumed, LLC20031
*—SST Small Bone Locking Nail
Named without a submission number
—

Also cleared against K031438: 8 other devices →

What descends from it? (5)

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

NumberDeviceApplicantDecidedDescendants
K081356Olecranail Intramedullary Fixation SystemMylad Orthopedic Solutions, LLC20082
K161371Sonoma Fifth Metatarsal Repair SystemSonoma Orthopedic Products, Inc.20170
K122170Smith & Nephew, Inc. Intramedullary Nail System InstrumentationSmith & Nephew, Inc.20120

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 11 years and passes through 3 companies; a new generation was cleared every 11.5 years on median.
  • 2 of the 4 ancestors have a recall of any class.
  • Of its descendants, K081356 (Mylad Orthopedic Solutions, LLC, 2008) has gone furthest, with 2 descendants of its own.
  • 8 other devices also cite its predicate K031438.

How does its category compare?

All HSB devices

HSB Rod, Fixation, Intramedullary And Accessories: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · HSB

15in 2025

2007: 82008: 112009: 182010: 142011: 162012: 172013: 182014: 192015: 222016: 82017: 232018: 172019: 132020: 172021: 102022: 122023: 112024: 132025: 152026 (partial year): 18
2007high 23 (2017) · low 8 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HSB

106in 2025

2007: 68 days median2008: 57 days median2009: 86 days median2010: 117 days median2011: 78 days median2012: 112 days median2013: 105 days median2014: 147 days median2015: 111 days median2016: 124 days median2017: 119 days median2018: 134 days median2019: 132 days median2020: 112 days median2021: 94 days median2022: 172 days median2023: 162 days median2024: 195 days median2025: 106 days median2026 (partial year): 151 days median
2007high 195 (2024) · low 57 (2008)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · HSB

18in 2025

2008: 92009: 812010: 182011: 22012: 72013: 142014: 32015: 32016: 62017: 662018: 562019: 62020: 62021: 22022: 12023: 12024: 12025: 182026 (partial year): 1
2007high 81 (2009) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · HSB

2,911in 2025

2007: 1622008: 1842009: 3342010: 4542011: 6622012: 1,0792013: 1,7732014: 1,4742015: 1,6712016: 1,9202017: 1,4472018: 3,5262019: 2,5172020: 3,2992021: 4,1112022: 2,7332023: 2,2192024: 2,8692025: 2,911
2007high 4,111 (2021) · low 162 (2007)2025

MAUDE reports naming product code HSB, 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
20078680162
200811579184
2009188681334
20101411718454
201116782662
20121711271,079
201318105141,773
20141914731,474
20152211131,671
2016812461,920
201723119661,447
201817134563,526
20191313262,517
20201711263,299
2021109424,111
20221217212,733
20231116212,219
20241319512,869
202515106182,911
2026181511—

What is it indicated for?

The IP-XS Compression Nail System is inserted into the medullary canal of long bones for the alignment, stabilization and fixation of fractures caused by disease or trauma; the fixation of long bones that have been surgically prepared (osteotomy) for correction of defonnitr, and for arthordesis.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K032548: IP-XS Compression Nail System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K032548

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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