510(k) Report

510(k) · Cleared

Cleared

Intramedullary Nail and Screws-Neonail

K141103510(k) TraditionalCleared Sep 23, 2014147-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

Neoortho Produtos Ortopedicos S/A · HSB Rod, Fixation, Intramedullary And Accessories

Cleared on Sep 23, 2014 as substantially equivalent to K010801 (Howmedica Osteonics Corp., 2001) and 4 other predicates after a 147-day review. Its family tree reaches back 6 generations to 1995. 1 later device descends from it.

Decided
Sep 23, 2014
Review
147 days
Class
Class II
Product code
HSB
Recalls
None
Predicates
5

Its longest line of descent runs back 6 generations to K951740 (1995). 21 ancestors in all. 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2011: 1 other ancestor2004: 3 other ancestors2003: 1 other ancestor2001: 3 other ancestors2008: 1 other ancestor2002: 2 other ancestors2000: 1 other ancestor1998: 2 other ancestors1999: 1 other ancestor2022: 1 descendant clearedK951740 · Intramedulary Fixation Rod · Acu Med, Inc. · 1995 · recalledK032722 · Trigen Straight Humeral Nail System · Smith & Nephew, Inc. · 2003K051557 · Trigen Retrograde Femoral, Supracondylar and Tibial Nails · Smith & Nephew, Inc. · 2005K061019 · Trigen Meta-Nail Retrograde Femoral and Tibial Nails · Smith & Nephew, Inc. · 2006 · recalledK111667 · Synthes Suprapatellar Insertion Instruments · Synthes (Usa) · 2011 · recalledK131365 · T2 Tibial Nailing System · Stryker Trauma AG · 2013 · recalled1995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 4 other ancestors2 generations back: 4 other ancestors3 generations back: 1 other ancestor4 generations back: 1 other ancestor5 generations back: 2 other ancestors6 generations back: 3 other ancestors 1 generation forward: 1 descendant K131365 · T2 Tibial Nailing System · Stryker Trauma AG · 2013 · recalledK111667 · Synthes Suprapatellar Insertion Instruments · Synthes (Usa) · 2011 · recalledK061019 · Trigen Meta-Nail Retrograde Femoral and Tibial Nails · Smith & Nephew, Inc. · 2006 · recalledK051557 · Trigen Retrograde Femoral, Supracondylar and Tibial Nails · Smith & Nephew, Inc. · 2005K032722 · Trigen Straight Humeral Nail System · Smith & Nephew, Inc. · 2003K951740 · Intramedulary Fixation Rod · Acu Med, Inc. · 1995 · recalled−50
  1. Root · 6 generations backK951740 Intramedulary Fixation RodAcu Med, Inc. · 1995 · Recalled
  2. 5 generations backK032722 Trigen Straight Humeral Nail SystemSmith & Nephew, Inc. · 2003
  3. 4 generations backK051557 Trigen Retrograde Femoral, Supracondylar and Tibial NailsSmith & Nephew, Inc. · 2005
  4. 3 generations backK061019 Trigen Meta-Nail Retrograde Femoral and Tibial NailsSmith & Nephew, Inc. · 2006 · Recalled
  5. 2 generations backK111667 Synthes Suprapatellar Insertion InstrumentsSynthes (Usa) · 2011 · Recalled
  6. 1 generation backK131365 T2 Tibial Nailing SystemStryker Trauma AG · 2013 · Recalled
  7. This deviceK141103 Intramedullary Nail and Screws-NeonailNeoortho Produtos Ortopedicos S/A · 2014
  8. Descendant · cites it directly · 0 of its ownK221021 Femoral Trochanteric Nail System – NeonailNeoortho Produtos Ortopédicos S/A · 2022

Most influential descendants

Showing 1 of 1 · See all
  • K221021Femoral Trochanteric Nail System – NeonailNeoortho Produtos Ortopédicos S/A · 2022 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K951740Intramedulary Fixation RodAcu Med, Inc.19951
−5K032722Trigen Straight Humeral Nail SystemSmith & Nephew, Inc.2003—
−4K051557Trigen Retrograde Femoral, Supracondylar and Tibial NailsSmith & Nephew, Inc.2005—
−3K061019Trigen Meta-Nail Retrograde Femoral and Tibial NailsSmith & Nephew, Inc.20061
−2K111667Synthes Suprapatellar Insertion InstrumentsSynthes (Usa)20111
−1K131365T2 Tibial Nailing SystemStryker Trauma AG20134
0 (this device)K141103Intramedullary Nail and Screws-NeonailNeoortho Produtos Ortopedicos S/A2014—
+1K221021Femoral Trochanteric Nail System – NeonailNeoortho Produtos Ortopédicos S/A2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199820
199910
200010
200130
200220
200310
200430
200810
201110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202210
FIG. 1 — Lineage of K141103, 1995–2022Source: 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? (5)

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
*K010801T2 Femoral Nail
Summary page 6
…d Screws – NEONAIL is substantially equivalent in indications and design principles to the following predicate devices:  Howmedica Osteonics Corp., T2 Femoral Nail, K010801  Stryker, T2 Femoral Nail Model 1825-XXXXCP, 1828-XXXXCP, K112059  Stryker Trauma AG, T2 Tibial Nailing System, K131365…
Howmedica Osteonics Corp.20012
*K112059T2 Femoral Nail Model 1825-Xxxxcp, 1828-Xxxxcp
Summary page 6
…n principles to the following predicate devices:  Howmedica Osteonics Corp., T2 Femoral Nail, K010801  Stryker, T2 Femoral Nail Model 1825-XXXXCP, 1828-XXXXCP, K112059  Stryker Trauma AG, T2 Tibial Nailing System, K131365  Howmedica Osteonics Corp., T2 Proximal Humeral Nail, K042396…
Stryker2011—
*K131365T2 Tibial Nailing System
Summary page 6
…edica Osteonics Corp., T2 Femoral Nail, K010801  Stryker, T2 Femoral Nail Model 1825-XXXXCP, 1828-XXXXCP, K112059  Stryker Trauma AG, T2 Tibial Nailing System, K131365  Howmedica Osteonics Corp., T2 Proximal Humeral Nail, K042396  Howmedica Osteonics Corp., T2 Nailing System, K032523 I…
Stryker Trauma AG20134
*K042396T2 Proximal Humeral Nail
Summary page 6
…emoral Nail Model 1825-XXXXCP, 1828-XXXXCP, K112059  Stryker Trauma AG, T2 Tibial Nailing System, K131365  Howmedica Osteonics Corp., T2 Proximal Humeral Nail, K042396  Howmedica Osteonics Corp., T2 Nailing System, K032523 Intramedullary Nail and Screws – NEONAIL components have similar des…
Howmedica Osteonics Corp.20041
*K032523T2 Nailing System
Summary page 6
…ryker Trauma AG, T2 Tibial Nailing System, K131365  Howmedica Osteonics Corp., T2 Proximal Humeral Nail, K042396  Howmedica Osteonics Corp., T2 Nailing System, K032523 Intramedullary Nail and Screws – NEONAIL components have similar designs and identical materials as those cleared under K010801,…
Howmedica Osteonics Corp.2003—

Also cleared against K010801: 11 other devices →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K221021Femoral Trochanteric Nail System – NeonailNeoortho Produtos Ortopédicos S/A20220

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 19 years and passes through 5 companies; a new generation was cleared every 1.8 years on median.
  • 11 of the 21 ancestors have a recall of any class.
  • Of its descendants, K221021 (Neoortho Produtos Ortopédicos S/A, 2022) has gone furthest, with 0 descendants of its own.
  • 11 other devices also cite its predicate K010801.

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. 2014, 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?

Intramedullary Nail and Screws for Femur – NEONAIL is indicated for femoral fracture fixation including: • Open and closed femoral fractures; • Pseudoarthrosis and correction osteotomy; • Pathologic fractures, impending pathologic fractures, and tumor resections; • Ipsilateral femur fractures; • Fractures distal to the hip joint; and • Nonunions and malunions. Intramedullary Nail and Screws for Tibia – NEONAIL is intended to provide temporary…

Read the full statement (190 words)

Intramedullary Nail and Screws for Femur – NEONAIL is indicated for femoral fracture fixation including:

• Open and closed femoral fractures;

• Pseudoarthrosis and correction osteotomy;

• Pathologic fractures, impending pathologic fractures, and tumor resections;

• Ipsilateral femur fractures;

• Fractures distal to the hip joint; and

• Nonunions and malunions.

Intramedullary Nail and Screws for Tibia – NEONAIL is intended to provide temporary stabilization of various types of fractures, malunions or nonunions of the tibia. Intramedullary Nail and Screws for Tibia – NEONAIL is indicated for tibial fracture fixation, which may include:

• Open and closed tibial fractures;

• Pseudoarthodlosis and correction osteotomy;

• Pathologic fractures, impending pathologic fractures and tumor resections; and

• Nonunions and malunions.

The Intramedullary Nail and Screws for Humerus – NEONAIL is intended to provide temporary stabilization of various types of proximal and/or diaphyseal fractures of the humerus. Types of fractures include nonunions, malunions, malalignments, pathological fractures, and impending pathological fractures. Examples of specific indications include: AO classification Type A fractures, dislocated; AO classification Type B fractures, dislocated; AO classification Type C fractures with intact calotte; and humeral fractures according to the Neer Classification.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K141103: Intramedullary Nail and Screws-Neonail.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K141103

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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