510(k) Report

510(k) · Cleared

Cleared

AOS Small Bone Nailing System

K163014510(k) TraditionalCleared Jan 24, 201788-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

Advanced Orthopaedic Solutions, Inc. (Aos) · HSB Rod, Fixation, Intramedullary And Accessories

Cleared on Jan 24, 2017 as substantially equivalent to K971783 (Synthes (Usa), 1997) and 3 other predicates after an 88-day review. Its family tree reaches back 5 generations to 1996. 1 later device descends from it.

Decided
Jan 24, 2017
Review
88 days
Class
Class II
Product code
HSB
Recalls
None
Predicates
4

Its longest line of descent runs back 5 generations to K960642 (1996). 13 ancestors in all, the oldest K913949 (1992). 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2003: 1 other ancestor1998: 2 other ancestors1995: 1 other ancestor1992: 1 other ancestor2005: 1 other ancestor2006: 1 other ancestor2004: 1 other ancestor2024: 1 descendant clearedK960642 · Nancy Nail · Landos, Inc. · 1996K971783 · Synthes Elastic Intramedullary Nail (Ein) System · Synthes (Usa) · 1997×2: 2 generations cleared close together, K081452 (2008), K082148 (2008) K143276 · Acumed Small Bone IM Nail System · Acumed, LLC · 20151990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 3 other ancestors3 generations back: 1 other ancestor4 generations back: 2 other ancestors 1 generation forward: 1 descendant K143276 · Acumed Small Bone IM Nail System · Acumed, LLC · 2015K082148 · Synthes (Usa) Elastic Intramedullary Nail (Ein) End Cap, Line Extension · Synthes (Usa) · 2008K081452 · Synthes (Usa) Stainless Steel Elastic Intramedullary Nail System · Synthes (Usa) · 2008K971783 · Synthes Elastic Intramedullary Nail (Ein) System · Synthes (Usa) · 1997K960642 · Nancy Nail · Landos, Inc. · 1996−50
  1. Root · 5 generations backK960642 Nancy NailLandos, Inc. · 1996
  2. 4 generations backK971783 Synthes Elastic Intramedullary Nail (Ein) SystemSynthes (Usa) · 1997
  3. 3 generations backK081452 Synthes (Usa) Stainless Steel Elastic Intramedullary Nail SystemSynthes (Usa) · 2008
  4. 2 generations backK082148 Synthes (Usa) Elastic Intramedullary Nail (Ein) End Cap, Line…Synthes (Usa) · 2008
  5. 1 generation backK143276 Acumed Small Bone IM Nail SystemAcumed, LLC · 2015
  6. This deviceK163014 AOS Small Bone Nailing SystemAdvanced Orthopaedic Solutions, Inc. (Aos) · 2017
  7. Descendant · cites it directly · 0 of its ownK234128 Phantom Fibula Nail SystemParagon 28, Inc. · 2024 · Recalled

Most influential descendants

Showing 1 of 1 · See all
  • K234128Phantom Fibula Nail SystemParagon 28, Inc. · 2024 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K960642Nancy NailLandos, Inc.1996—
−4K971783Synthes Elastic Intramedullary Nail (Ein) SystemSynthes (Usa)1997—
−3K081452Synthes (Usa) Stainless Steel Elastic Intramedullary Nail SystemSynthes (Usa)2008—
−2K082148Synthes (Usa) Elastic Intramedullary Nail (Ein) End Cap, Line ExtensionSynthes (Usa)2008—
−1K143276Acumed Small Bone IM Nail SystemAcumed, LLC2015—
0 (this device)K163014AOS Small Bone Nailing SystemAdvanced Orthopaedic Solutions, Inc. (Aos)2017—
+1K234128Phantom Fibula Nail SystemParagon 28, Inc.20241

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199210
199510
199820
200310
200410
200510
200610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
FIG. 1 — Lineage of K163014, 1996–2024Source: 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? (4)

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
*K971783Synthes Elastic Intramedullary Nail (Ein) System
Summary page 4
…n Rod/Pin DEVICE CODE: HSB SUBSTANTIALLY EQUIVALENT DEVICES: Synthes Elastic Intramedullary Nail (EIN) K971783 Acumed Small Bone Locking Rod System II K031438 Acumed Small…
Synthes (Usa)1997—
*K031438Acumed Small Bone Locking Rod System II
Summary page 4
…IALLY EQUIVALENT DEVICES: Synthes Elastic Intramedullary Nail (EIN) K971783 Acumed Small Bone Locking Rod System II K031438 Acumed Small Bone IM Nail System K143276 Smith & Neph…
Acumed, LLC20031
*K143276Acumed Small Bone IM Nail System
Summary page 4
…71783 Acumed Small Bone Locking Rod System II K031438 Acumed Small Bone IM Nail System K143276 Smith & Nephew Intramedullary Nail System K983942 DEVICE DESCRIPTION: The AOS Sm…
Acumed, LLC2015—
*K983942Intramedullary Nail System, Locking Screw, Nail Cap
Summary page 4
…31438 Acumed Small Bone IM Nail System K143276 Smith & Nephew Intramedullary Nail System K983942 DEVICE DESCRIPTION: The AOS Small Bone Nail is a titanium alloy (Ti-6Al- 4V) intramed…
Smith & Nephew, Inc.1998—

Also cleared against K971783: 12 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
K234128Phantom Fibula Nail SystemParagon 28, Inc.20240

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 21 years and passes through 4 companies; a new generation was cleared every 2.0 years on median.
  • 3 of the 13 ancestors have a recall of any class.
  • Of its descendants, K234128 (Paragon 28, Inc., 2024) has gone furthest, with 0 descendants of its own.
  • 12 other devices also cite its predicate K971783.

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. 2017, 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 AOS Small Bone Nail System is intended for fixation of fractures and osteotomies of the fibula, radius and ulna,

including fractures where the medullary canal is narrow or flexibility of the implant is paramount.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K163014: AOS Small Bone Nailing System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K163014

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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