510(k) Report

510(k) · Cleared

Cleared

Precice Ankle Salvage System

K230765510(k) TraditionalCleared Aug 29, 2023162-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

Nuvasive Specialized Orthopedics, Inc. · HSB Rod, Fixation, Intramedullary And Accessories

Cleared on Aug 29, 2023 as substantially equivalent to K200430 (Nuvasive Specialized Orthopedics, Inc., 2020) and 1 other predicate after a 162-day review. Its family tree reaches back 10 generations to 1983. 1 later device descends from it.

Decided
Aug 29, 2023
Review
162 days
Class
Class II
Product code
HSB
Recalls
None
Predicates
2

Its longest line of descent runs back 10 generations to K831576 (1983). 27 ancestors in all. 1 later device descends from it, 1 citing it directly.

  1. Root · 10 generations backK831576 OrthofixElectro-Biology, Inc. · 1983
  2. 6 generations between
  3. 3 generations backK163368 Fitbone TaaWittenstein Intens GmbH · 2017
  4. 2 generations backK203399 Fitbone (R) TaaWittenstein Intens GmbH · 2021
  5. 1 generation backK220234 Precice Intramedullary Limb Lengthening SystemNuvasive Specialized Orthopedics, Inc. · 2023
  6. This deviceK230765 Precice Ankle Salvage SystemNuvasive Specialized Orthopedics, Inc. · 2023
  7. Descendant · cites it directly · 0 of its ownK261651 Precice™ Max System and Precice™ Ankle Salvage SystemNuVasive Specialized Orthopedics · 2026
Show all 10 generations
  1. Root · 10 generations backK831576 OrthofixElectro-Biology, Inc. · 1983
  2. 9 generations backK955848 Orthofix ModulsystemOrthofix, Inc. · 1996 · Recalled
  3. 8 generations backK010322 Iskd (Intramedullary Skeletal Kinetic Distractor)Orthodyne, Inc. · 2001 · Recalled
  4. 7 generations backK031219 Modification to Iskd (Intramedullary Skeletal Kinetic Distractor)Orthofix, Inc. · 2003 · Recalled
  5. 6 generations backK101997 Ellipse Intramedullary Limb Lengthening SystemEllipse Technologies, Inc. · 2011 · Recalled
  6. 5 generations backK113219 Ellipse Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc. · 2012
  7. 4 generations backK131490 Ellipse Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc. · 2014
  8. 3 generations backK163368 Fitbone TaaWittenstein Intens GmbH · 2017
  9. 2 generations backK203399 Fitbone (R) TaaWittenstein Intens GmbH · 2021
  10. 1 generation backK220234 Precice Intramedullary Limb Lengthening SystemNuvasive Specialized Orthopedics, Inc. · 2023
  11. This deviceK230765 Precice Ankle Salvage SystemNuvasive Specialized Orthopedics, Inc. · 2023

Most influential descendants

Showing 1 of 1 · See all
  • K261651Precice™ Max System and Precice™ Ankle Salvage SystemNuVasive Specialized Orthopedics · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K831576OrthofixElectro-Biology, Inc.1983—
−9K955848Orthofix ModulsystemOrthofix, Inc.199623
−8K010322Iskd (Intramedullary Skeletal Kinetic Distractor)Orthodyne, Inc.20011
−7K031219Modification to Iskd (Intramedullary Skeletal Kinetic Distractor)Orthofix, Inc.20031
−6K101997Ellipse Intramedullary Limb Lengthening SystemEllipse Technologies, Inc.20112
−5K113219Ellipse Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc.2012—
−4K131490Ellipse Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc.2014—
−3K163368Fitbone TaaWittenstein Intens GmbH2017—
−2K203399Fitbone (R) TaaWittenstein Intens GmbH2021—
−1K220234Precice Intramedullary Limb Lengthening SystemNuvasive Specialized Orthopedics, Inc.2023—
0 (this device)K230765Precice Ankle Salvage SystemNuvasive Specialized Orthopedics, Inc.2023—
+1K261651Precice™ Max System and Precice™ Ankle Salvage SystemNuVasive Specialized Orthopedics2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199840
199910
200010
200210
201110
201210
201320
201740
201810
202010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K230765, 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
*K200430Precice® Ankle Salvage System
Summary page 4
…HWC C. Predicate Devices The subject Precice Ankle Salvage System is substantially equivalent to the primary predicate device Precice Ankle Salvage System (K200430). The Precice Intramedullary Limb Lengthening System (K220234) served as an additional predicate. D. Device Description…
Nuvasive Specialized Orthopedics, Inc.2020—
*K220234Precice Intramedullary Limb Lengthening System
Summary page 4
…System is substantially equivalent to the primary predicate device Precice Ankle Salvage System (K200430). The Precice Intramedullary Limb Lengthening System (K220234) served as an additional predicate. D. Device Description The Precice Ankle Salvage System is a tibio-talo-calcaneal fusi…
Nuvasive Specialized Orthopedics, Inc.2023—

Also cleared against K200430: 1 other device →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K261651Precice™ Max System and Precice™ Ankle Salvage SystemNuVasive Specialized Orthopedics20260

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 40 years and passes through 6 companies; a new generation was cleared every 3.0 years on median.
  • 6 of the 27 ancestors have a recall of any class.
  • Of its descendants, K261651 (NuVasive Specialized Orthopedics, 2026) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K200430.

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. 2023, 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 Precice Ankle Salvage System is indicated for tibio-talo-calcaneal fusions in adults. When used for tibio-talo-calcaneal fusion, the Precice Ankle Salvage System may be used for open and closed fracture fixation, pseudarthrosis, mal-unions, non-unions, or bone transport of long bones adjacent to the fusion site. The device may be used for subsequent limb lengthening once tibio-talo-calcaneal fusion has been achieved.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K230765: Precice Ankle Salvage System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K230765

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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