510(k) Report

510(k) · Cleared

Cleared

Piccolo Composite Plate System

K102597510(k) TraditionalCleared Feb 24, 2011167-day reviewClass II21 CFR 888.3030

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

N.M.B. Medical Applications, Ltd. · HRS Plate, Fixation, Bone

Cleared on Feb 24, 2011 as substantially equivalent to K082807 (Synthes (Usa), 2008) and 7 other predicates after a 167-day review. Its family tree reaches back 10 generations to 1984. 15 later devices descend from it.

Decided
Feb 24, 2011
Review
167 days
Class
Class II
Product code
HRS
Recalls
None
Predicates
8

Its longest line of descent runs back 10 generations to K841189 (1984). 87 ancestors in all, the oldest K791619 (1979). 15 later devices descend from it, 8 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2009: 1 other ancestor2008: 2 other ancestors2004: 4 other ancestors2003: 10 other ancestors2001: 10 other ancestors2000: 9 other ancestors2005: 1 other ancestor2002: 7 other ancestors1999: 5 other ancestors1998: 5 other ancestors1997: 4 other ancestors1994: 1 other ancestor1996: 4 other ancestors1995: 1 other ancestor1993: 3 other ancestors1992: 3 other ancestors1990: 2 other ancestors1986: 1 other ancestor1979: 1 other ancestor1989: 1 other ancestor1981: 1 other ancestor1991: 1 other ancestor2012: 1 descendant cleared2016: 3 descendants cleared2015: 2 descendants cleared2017: 2 descendants cleared2020: 1 descendant cleared2013: 2 descendants cleared2018: 1 descendant cleared2019: 1 descendant cleared2022: 1 descendant cleared2026: 1 descendant clearedK841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 1984K990148 · Stackable Cage System · Depuy Motech Acromed · 1999K003043 · Surgical Titanium Mesh System · Depuyacromed · 2001×2: 2 generations cleared close together, K022793 (2003), K031757 (2003) ×2: 2 generations cleared close together, K041888 (2004), K043316 (2005) K052533 · Kimba Spinal Implant · Signus Medizintechnik GmbH · 2005×2: 2 generations cleared close together, K091425 (2010), K100497 (2010) 19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 6 other ancestors2 generations back: 23 other ancestors3 generations back: 26 other ancestors4 generations back: 15 other ancestors5 generations back: 4 other ancestors6 generations back: 1 other ancestor7 generations back: 2 other ancestors 1 generation forward: 8 descendants2 generations forward: 3 descendants3 generations forward: 2 descendants4 generations forward: 2 descendants K100497 · Quantum IM Composite Nailing System (Quantum Nailing System) · N.M.B. Medical Applications, Ltd. · 2010K091425 · Quantum M Composite Nailing System · N.M.B. Medical Applications, Ltd. · 2010K052533 · Kimba Spinal Implant · Signus Medizintechnik GmbH · 2005K043316 · Rabea Spinal Implant · Signus Medizintechnik GmbH · 2005K041888 · Curved Peek Tetris Spinal Implant · Signus Medizintechnik GmbH · 2004K031757 · Peek Tetris Spinal Implant · Signus Medical, LLC · 2003K022793 · Tetris Spinal Implant · Signus Medical, LLC · 2003K003043 · Surgical Titanium Mesh System · Depuyacromed · 2001K990148 · Stackable Cage System · Depuy Motech Acromed · 1999K841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 1984−10−50
  1. Root · 10 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 6 generations between
  3. 3 generations backK052533 Kimba Spinal ImplantSignus Medizintechnik GmbH · 2005
  4. 2 generations backK091425 Quantum M Composite Nailing SystemN.M.B. Medical Applications, Ltd. · 2010
  5. 1 generation backK100497 Quantum IM Composite Nailing System (Quantum Nailing System)N.M.B. Medical Applications, Ltd. · 2010
  6. This deviceK102597 Piccolo Composite Plate SystemN.M.B. Medical Applications, Ltd. · 2011
  7. Descendant · cites it directly · 11 of its ownK120409 Piccolo Composite Plate SystemCarboFix Orthopedics, Ltd. · 2012
  8. Descendant · cites it directly · 10 of its ownK130061 Piccolo Composite Plate SystemCarboFix Orthopedics, Ltd. · 2013
  9. Descendant · cites it directly · 4 of its ownK160002 Piccolo Composite (R) Distal Volar Radius Plate SystemCarboFix Orthopedics, Ltd. · 2016
  10. Descendant · cites it directly · 4 of its ownK143496 Piccolo Composite Plate SystemCarboFix Orthopedics, Ltd. · 2015
  11. Descendant · cites it directly · 3 of its ownK170401 Piccolo Composite® Plate SystemCarboFix Orthopedics, Ltd. · 2017
Show all 10 generations
  1. Root · 10 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 9 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 8 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 7 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 6 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 5 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 4 generations backK043316 Rabea Spinal ImplantSignus Medizintechnik GmbH · 2005
  8. 3 generations backK052533 Kimba Spinal ImplantSignus Medizintechnik GmbH · 2005
  9. 2 generations backK091425 Quantum M Composite Nailing SystemN.M.B. Medical Applications, Ltd. · 2010
  10. 1 generation backK100497 Quantum IM Composite Nailing System (Quantum Nailing System)N.M.B. Medical Applications, Ltd. · 2010
  11. This deviceK102597 Piccolo Composite Plate SystemN.M.B. Medical Applications, Ltd. · 2011

Showing 5 of 15 descendants. See all descendants

Descendants cleared per year

2012: 12013: 22015: 22016: 32017: 22018: 12019: 12020: 12022: 12026: 1
2012high 3 (2016) · low 0 (2014)2026

Most influential descendants

Showing 5 of 15 · See all
  • K120409Piccolo Composite Plate SystemCarboFix Orthopedics, Ltd. · 2012 · cites it directly11descendants
  • K130061Piccolo Composite Plate SystemCarboFix Orthopedics, Ltd. · 2013 · cites it directly10descendants
  • K160002Piccolo Composite (R) Distal Volar Radius Plate SystemCarboFix Orthopedics, Ltd. · 2016 · cites it directly4descendants
  • K143496Piccolo Composite Plate SystemCarboFix Orthopedics, Ltd. · 2015 · cites it directly4descendants
  • K170401Piccolo Composite® Plate SystemCarboFix Orthopedics, Ltd. · 2017 · cites it directly3descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−9K990148Stackable Cage SystemDepuy Motech Acromed1999—
−8K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−7K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−6K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−5K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−4K043316Rabea Spinal ImplantSignus Medizintechnik GmbH2005—
−3K052533Kimba Spinal ImplantSignus Medizintechnik GmbH2005—
−2K091425Quantum M Composite Nailing SystemN.M.B. Medical Applications, Ltd.2010—
−1K100497Quantum IM Composite Nailing System (Quantum Nailing System)N.M.B. Medical Applications, Ltd.2010—
0 (this device)K102597Piccolo Composite Plate SystemN.M.B. Medical Applications, Ltd.2011—
+1K120409Piccolo Composite Plate SystemCarboFix Orthopedics, Ltd.2012—
+1K130061Piccolo Composite Plate SystemCarboFix Orthopedics, Ltd.2013—
+1K160002Piccolo Composite (R) Distal Volar Radius Plate SystemCarboFix Orthopedics, Ltd.2016—
+1K143496Piccolo Composite Plate SystemCarboFix Orthopedics, Ltd.2015—
+1K170401Piccolo Composite® Plate SystemCarboFix Orthopedics, Ltd.2017—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198110
198610
198910
199020
199110
199230
199330
199410
199510
199640
199740
199850
199950
200090
2001100
200270
2003100
200440
200510
200820
200910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201210
201320
201520
201630
201720
201810
201910
202010
202210
202610
FIG. 1 — Lineage of K102597, 1984–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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 HRS? 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 HRS device

  1. #1 K222465 Tyber Medical Anatomical Plating Systemscore 27.5 · 16 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? (8)

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
*K082807Synthes (Usa) 3.5 and 4.5 MM Locking Compression Plate System with Expanded Indications
Summary page 1
…CFR §888.3030; Class 11; Product Code HRS). Predicate Devices Intended Use/Designffechnolopv/Oneration * Synthes 4.5 mm Locking Compression Plate System (Synthes; K082807) " Synthes LCP Proximal Humerus Plate (Synthes; K01 1815) N.M.R. MEDICAL APPLICATIONS LTD..…
Synthes (Usa)2008—
*K011815Synthes LCP Proximal Humerus Plates
Summary page 1
…ces Intended Use/Designffechnolopv/Oneration * Synthes 4.5 mm Locking Compression Plate System (Synthes; K082807) " Synthes LCP Proximal Humerus Plate (Synthes; K01 1815) N.M.R. MEDICAL APPLICATIONS LTD.. PICCOLO COMPOSITE TM PLATE SYSTEM "…
Synthes (Usa)2001—
*K041860Synthes (Usa) LCP Proximal Humerus Plates, Long
Summary page 2
…=== N.M.R. MEDICAL APPLICATIONS LTD.. PICCOLO COMPOSITE TM PLATE SYSTEM " Synthes LCP Proximal Humerus Plate, Long (Synthes; K04 1860) " DVR Anatomic Plating System (DePuy Orthopaedics, Inc. (previously Hand Innovations, Inc.); e.g., K…
Synthes (Usa)2004—
*K002775Distal Volar Radius Fracture Repair System
Summary page 2
…al Humerus Plate, Long (Synthes; K04 1860) " DVR Anatomic Plating System (DePuy Orthopaedics, Inc. (previously Hand Innovations, Inc.); e.g., K002775, K0903 74) The above mentioned predicate plates are manufactured from titanium, titanium alloy and/or stainless steel. Materia…
Hand Innovations, Inc.2000—
*K090374Sterile DVR Anatomic Plates Various Configurations) Model (S) 131212001,2, 5-10 2.5MM…
Summary page 2
…s Plate, Long (Synthes; K04 1860) " DVR Anatomic Plating System (DePuy Orthopaedics, Inc. (previously Hand Innovations, Inc.); e.g., K002775, K0903 74) The above mentioned predicate plates are manufactured from titanium, titanium alloy and/or stainless steel. Material *…
DePuy Orthopaedics, Inc.2009—
*K091425Quantum M Composite Nailing System
Summary page 2
…eel. Material * Piccolo Composite TMNailing System (formerly named Quantum IM Composite Nailing System) (N.M.B. Medical Applications Ltd.; K09 1425, K100497) " Fixion®'DHS System (N.M.B. Medical Applications Ltd.; K03 140 1) The material of the Piccolo Composite P…
N.M.B. Medical Applications, Ltd.2010—
*K100497Quantum IM Composite Nailing System (Quantum Nailing System)
Summary page 2
…terial * Piccolo Composite TMNailing System (formerly named Quantum IM Composite Nailing System) (N.M.B. Medical Applications Ltd.; K09 1425, K100497) " Fixion®'DHS System (N.M.B. Medical Applications Ltd.; K03 140 1) The material of the Piccolo Composite Plate (CER…
N.M.B. Medical Applications, Ltd.2010—
*K031401Fixion Dynamic Hip Screw System (Fixion DHS)
Summary page 2
…um IM Composite Nailing System) (N.M.B. Medical Applications Ltd.; K09 1425, K100497) " Fixion®'DHS System (N.M.B. Medical Applications Ltd.; K03 140 1) The material of the Piccolo Composite Plate (CER-PEEK) was previously cleared for use in intramnedullary rods (K09 1425, K 1004…
Disco-O-Tech Medical Technologies, Ltd.2003—

Also cleared against K082807: 42 other devices →

What descends from it? (15)

See all 15

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

NumberDeviceApplicantDecidedDescendants
K120409Piccolo Composite Plate SystemCarboFix Orthopedics, Ltd.201211
K130061Piccolo Composite Plate SystemCarboFix Orthopedics, Ltd.201310
K160002Piccolo Composite (R) Distal Volar Radius Plate SystemCarboFix Orthopedics, Ltd.20164
K143496Piccolo Composite Plate SystemCarboFix Orthopedics, Ltd.20154
K170401Piccolo Composite® Plate SystemCarboFix Orthopedics, Ltd.20173
K160995NEOVIEW Plating SystemIn2bones Sas20162
K182015Piccolo Composite® Plate SystemCarboFix Orthopedics, Ltd.20181
K201917Piccolo Composite Proximal Tibia Plate SystemCarboFix Orthopedics, Ltd.20200

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 27 years and passes through 6 companies; a new generation was cleared every 1.0 years on median.
  • 14 of the 87 ancestors have a recall of any class.
  • Of its descendants, K120409 (CarboFix Orthopedics, Ltd., 2012) has gone furthest, with 11 descendants of its own.
  • 42 other devices also cite its predicate K082807.

How does its category compare?

All HRS devices

HRS Plate, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2011, this device’s year, is highlighted.

FDA decisions per year · HRS

54in 2025

2007: 352008: 352009: 472010: 492011: 432012: 592013: 562014: 762015: 562016: 442017: 572018: 402019: 462020: 482021: 402022: 472023: 402024: 542025: 542026 (partial year): 51
2007high 76 (2014) · low 35 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HRS

90in 2025

2007: 63 days median2008: 87 days median2009: 85 days median2010: 100 days median2011: 88 days median2012: 106 days median2013: 89 days median2014: 57 days median2015: 97 days median2016: 109 days median2017: 122 days median2018: 116 days median2019: 89 days median2020: 88 days median2021: 87 days median2022: 144 days median2023: 120 days median2024: 96 days median2025: 90 days median2026 (partial year): 82 days median
2007high 144 (2022) · low 57 (2014)2026

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

Recalls per year · HRS

1in 2025

2007: 22008: 112009: 32010: 162011: 52012: 42013: 112015: 72016: 52017: 32018: 22019: 252020: 12021: 92022: 32023: 12025: 12026 (partial year): 3
2007high 25 (2019) · low 0 (2014)2026

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

Adverse event reports per year · HRS

2,306in 2025

2007: 3392008: 3112009: 4352010: 4912011: 7732012: 1,6632013: 2,6432014: 2,4132015: 3,0952016: 2,2762017: 2,2202018: 2,6632019: 3,3592020: 2,7902021: 2,4422022: 1,7002023: 2,0492024: 1,8492025: 2,306
2007high 3,359 (2019) · low 311 (2008)2025

MAUDE reports naming product code HRS, 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
200735632339
2008358711311
200947853435
20104910016491
201143885773
20125910641,663
20135689112,643
2014765702,413
2015569773,095
20164410952,276
20175712232,220
20184011622,663
20194689253,359
2020488812,790
2021408792,442
20224714431,700
20234012012,049
2024549601,849
2025549012,306
202651823—

What is it indicated for?

The Piccolo Composite Diaphyseal Plate is indicated for the fixation of various long bones, such as the humerus, femur and tibia, including osteopenic bone, osteotomies, and nonunions or malunions in adult patients.

These plates are also indicated for fracture fixation of diaphyseal areas of long bones in pediatric patients.

The Piccolo Composite Proximal Humerus Plate is indicated for fractures, fracture dislocations, osteotomies, and nonunions of the proximal humerus, including in osteopenic bone.

The Piccolo Composite Distal Volar Radius Plate is indicated for fractures and osteotomies of the distal volar radius.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K102597: Piccolo Composite Plate System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K102597

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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