510(k) Report

510(k) · Cleared

Recalled · Class II · 2021

Ellipse Intramedullary Limb Lengthening System

K101997510(k) TraditionalCleared Jul 12, 2011362-day reviewClass II21 CFR 888.3020Recalls 2

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

Ellipse Technologies, Inc. · HSB Rod, Fixation, Intramedullary And Accessories

Cleared on Jul 12, 2011 as substantially equivalent to K010322 (Orthodyne, Inc., 2001) and 1 other predicate after a 362-day review. Its family tree reaches back 4 generations to 1983. 29 later devices descend from it. It has been recalled 2 times.

Decided
Jul 12, 2011
Review
362 days
Class
Class II
Product code
HSB
Recalls
2
Predicates
2

Its longest line of descent runs back 4 generations to K831576 (1983). 5 ancestors in all. 29 later devices descend from it, 6 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1998: 1 other ancestor2012: 2 descendants cleared2013: 2 descendants cleared2017: 4 descendants cleared2014: 4 descendants cleared2020: 1 descendant cleared2021: 1 descendant cleared2015: 4 descendants cleared2019: 1 descendant cleared2016: 1 descendant cleared2024: 2 descendants cleared2023: 3 descendants cleared2026: 3 descendants cleared2025: 1 descendant clearedK831576 · Orthofix · Electro-Biology, Inc. · 1983K955848 · Orthofix Modulsystem · Orthofix, Inc. · 1996 · recalledK010322 · Iskd (Intramedullary Skeletal Kinetic Distractor) · Orthodyne, Inc. · 2001 · recalledK031219 · Modification to Iskd (Intramedullary Skeletal Kinetic Distractor) · Orthofix, Inc. · 2003 · recalled19801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor 1 generation forward: 6 descendants2 generations forward: 9 descendants3 generations forward: 7 descendants4 generations forward: 7 descendants K031219 · Modification to Iskd (Intramedullary Skeletal Kinetic Distractor) · Orthofix, Inc. · 2003 · recalledK010322 · Iskd (Intramedullary Skeletal Kinetic Distractor) · Orthodyne, Inc. · 2001 · recalledK955848 · Orthofix Modulsystem · Orthofix, Inc. · 1996 · recalledK831576 · Orthofix · Electro-Biology, Inc. · 19830
  1. Root · 4 generations backK831576 OrthofixElectro-Biology, Inc. · 1983
  2. 3 generations backK955848 Orthofix ModulsystemOrthofix, Inc. · 1996 · Recalled
  3. 2 generations backK010322 Iskd (Intramedullary Skeletal Kinetic Distractor)Orthodyne, Inc. · 2001 · Recalled
  4. 1 generation backK031219 Modification to Iskd (Intramedullary Skeletal Kinetic Distractor)Orthofix, Inc. · 2003 · Recalled
  5. This deviceK101997 Ellipse Intramedullary Limb Lengthening SystemEllipse Technologies, Inc. · 2011
  6. Descendant · cites it directly · 21 of its ownK131677 Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc. · 2013
  7. Descendant · 2 generations on · 19 of its ownK133289 Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc. · 2013
  8. Descendant · cites it directly · 15 of its ownK113219 Ellipse Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc. · 2012
  9. Descendant · cites it directly · 14 of its ownK131490 Ellipse Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc. · 2014
  10. Descendant · 2 generations on · 10 of its ownK163368 Fitbone TaaWittenstein Intens GmbH · 2017

Showing 5 of 29 descendants. See all descendants

Descendants cleared per year

2012: 22013: 22014: 42015: 42016: 12017: 42019: 12020: 12021: 12023: 32024: 22025: 12026: 3
2012high 4 (2014) · low 0 (2018)2026

Most influential descendants

Showing 5 of 29 · See all
  • K131677Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc. · 2013 · cites it directly21descendants
  • K133289Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc. · 2013 · 2 generations on19descendants
  • K113219Ellipse Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc. · 2012 · cites it directly15descendants
  • K131490Ellipse Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc. · 2014 · cites it directly14descendants
  • K163368Fitbone TaaWittenstein Intens GmbH · 2017 · 2 generations on10descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K831576OrthofixElectro-Biology, Inc.1983—
−3K955848Orthofix ModulsystemOrthofix, Inc.199623
−2K010322Iskd (Intramedullary Skeletal Kinetic Distractor)Orthodyne, Inc.20011
−1K031219Modification to Iskd (Intramedullary Skeletal Kinetic Distractor)Orthofix, Inc.20031
0 (this device)K101997Ellipse Intramedullary Limb Lengthening SystemEllipse Technologies, Inc.2011—
+1K131677Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc.2013—
+2K133289Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc.2013—
+1K113219Ellipse Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc.2012—
+1K131490Ellipse Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc.2014—
+2K163368Fitbone TaaWittenstein Intens GmbH2017—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201220
201320
201440
201540
201610
201740
201910
202010
202110
202330
202420
202510
202630
FIG. 1 — Lineage of K101997, 1983–2026Source: 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 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
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
*K010322Iskd (Intramedullary Skeletal Kinetic Distractor)Orthodyne, Inc.20011
*K031219Modification to Iskd (Intramedullary Skeletal Kinetic Distractor)
Summary page 2
…the predicate device demonstrates that the Ellipse Intramedullary Limb Lengthening System is substantially equivalent to the Orthodyne/Orthofix ISKD device (KO 10322 and K03 1219). Substantial equivalence is based on similar indications for use, designs, and on in vitro testing performied. The Ellipse IML…
Orthofix, Inc.20031

Also cleared against K010322: 3 other devices →

What descends from it? (29)

See all 29

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

NumberDeviceApplicantDecidedDescendants
K131677Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc.201321
K113219Ellipse Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc.201215
K131490Ellipse Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc.201414
K113695Ellipse Precice Trauma Nail SystemEllipse Technologies, Inc.20123
K170169PRECICE Intramedullary Limb Lengthening SystemNuvasive Specialized Orthopedics, Inc.20172
K163653NOVOS-NAIL Limb Lengthening System (LLS)Smith & Nephew20170

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Oct 29, 2021Class IIZ-0319-2022Device DesignThe Instructions for Use have been updated to include: (1) Clarification that the device is intended for use only in patients 18 years and older, (2) That patients should weigh 50 lbs. or more while undergoing treatment, and (3) That no…
Feb 12, 2021Class IIZ-1349-2021Device DesignDue to not having the full complement of biological assessments for all potential patients and as a result the devices are not indicated for use in individuals under the age of 18 years old.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 28 years and passes through 4 companies; a new generation was cleared every 8.1 years on median.
  • 3 of the 5 ancestors have a recall of any class.
  • Of its descendants, K131677 (Ellipse Technologies, Inc., 2013) has gone furthest, with 21 descendants of its own.
  • 3 other devices also cite its predicate K010322.

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. 2011, this device’s year, is highlighted.

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 Ellipse Intramedullary Limb Lengthening System is indicated for limb lengthening of the tibia and femurs.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K101997: Ellipse Intramedullary Limb Lengthening System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K101997

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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