510(k) Report

510(k) · Cleared

Cleared

FITBONE® Transport and Lengthening System

K232169510(k) TraditionalCleared Mar 22, 2024245-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

Orthofix Srl · HSB Rod, Fixation, Intramedullary And Accessories

Cleared on Mar 22, 2024 as substantially equivalent to K201567 (Nuvasive Specialized Orthopedics, Inc., 2020) and 1 other predicate after a 245-day review. Its family tree reaches back 9 generations to 1983. 2 later devices descend from it.

Decided
Mar 22, 2024
Review
245 days
Class
Class II
Product code
HSB
Recalls
None
Predicates
2

Its longest line of descent runs back 9 generations to K831576 (1983). 19 ancestors in all. 2 later devices descend from it, 2 citing it directly.

  1. Root · 9 generations backK831576 OrthofixElectro-Biology, Inc. · 1983
  2. 5 generations between
  3. 3 generations backK131490 Ellipse Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc. · 2014
  4. 2 generations backK163368 Fitbone TaaWittenstein Intens GmbH · 2017
  5. 1 generation backK203399 Fitbone (R) TaaWittenstein Intens GmbH · 2021
  6. This deviceK232169 FITBONE® Transport and Lengthening SystemOrthofix Srl · 2024
  7. Descendant · cites it directly · 0 of its ownK260146 Fitbone® Transport and Lengthening SystemOrthofix Srl · 2026
  8. Descendant · cites it directly · 0 of its ownK253991 Fitbone™ Trochanteric, FITBONE® Transport and Lengthening System…Orthofix Srl · 2026
Show all 9 generations
  1. Root · 9 generations backK831576 OrthofixElectro-Biology, Inc. · 1983
  2. 8 generations backK955848 Orthofix ModulsystemOrthofix, Inc. · 1996 · Recalled
  3. 7 generations backK010322 Iskd (Intramedullary Skeletal Kinetic Distractor)Orthodyne, Inc. · 2001 · Recalled
  4. 6 generations backK031219 Modification to Iskd (Intramedullary Skeletal Kinetic Distractor)Orthofix, Inc. · 2003 · Recalled
  5. 5 generations backK101997 Ellipse Intramedullary Limb Lengthening SystemEllipse Technologies, Inc. · 2011 · Recalled
  6. 4 generations backK113219 Ellipse Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc. · 2012
  7. 3 generations backK131490 Ellipse Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc. · 2014
  8. 2 generations backK163368 Fitbone TaaWittenstein Intens GmbH · 2017
  9. 1 generation backK203399 Fitbone (R) TaaWittenstein Intens GmbH · 2021
  10. This deviceK232169 FITBONE® Transport and Lengthening SystemOrthofix Srl · 2024

Most influential descendants

Showing 2 of 2 · See all
  • K260146Fitbone® Transport and Lengthening SystemOrthofix Srl · 2026 · cites it directly0descendants
  • K253991Fitbone™ Trochanteric, FITBONE® Transport and Lengthening System, FITBONE® TAAOrthofix Srl · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K831576OrthofixElectro-Biology, Inc.1983—
−8K955848Orthofix ModulsystemOrthofix, Inc.199623
−7K010322Iskd (Intramedullary Skeletal Kinetic Distractor)Orthodyne, Inc.20011
−6K031219Modification to Iskd (Intramedullary Skeletal Kinetic Distractor)Orthofix, Inc.20031
−5K101997Ellipse Intramedullary Limb Lengthening SystemEllipse Technologies, Inc.20112
−4K113219Ellipse Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc.2012—
−3K131490Ellipse Precice Intramedullary Limb Lengthening SystemEllipse Technologies, Inc.2014—
−2K163368Fitbone TaaWittenstein Intens GmbH2017—
−1K203399Fitbone (R) TaaWittenstein Intens GmbH2021—
0 (this device)K232169FITBONE® Transport and Lengthening SystemOrthofix Srl2024—
+1K260146Fitbone® Transport and Lengthening SystemOrthofix Srl2026—
+1K253991Fitbone™ Trochanteric, FITBONE® Transport and Lengthening System, FITBONE® TAAOrthofix Srl2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199810
201320
201730
201810
201910
202020

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202620
FIG. 1 — Lineage of K232169, 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
*K201567Precice® Bone Transport System
Summary page 4
…Primary Predicate and additional predicate device Primary Predicate 510(k) Number Manufacturer Precice® Bone Transport System K201567 NuVasive Specialized Orthopedics Inc. Additional p…
Nuvasive Specialized Orthopedics, Inc.20202
*K203399Fitbone (R) Taa
Summary page 4
…Orthopedics Inc. Additional predicate 510(k) Number Manufacturer FITBONE® TAA K203399 Orthofix s.r.l. Reference devices Reference Devices 510(k) Number Manufacture…
Wittenstein Intens GmbH2021—
†K973944Orthofix Femoral Nailing SytemOrthofix Srl1997—
†K961027Orthofix Tibial Nailing SystemOrthofix, Inc.1996—

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K260146Fitbone® Transport and Lengthening SystemOrthofix Srl20260
K253991Fitbone™ Trochanteric, FITBONE® Transport and Lengthening System, FITBONE® TAAOrthofix Srl20260

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 41 years and passes through 6 companies; a new generation was cleared every 3.1 years on median.
  • 8 of the 19 ancestors have a recall of any class.
  • Of its descendants, K260146 (Orthofix Srl, 2026) has gone furthest, with 0 descendants of its own.

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. 2024, 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?

"FITBONE Transport and Lengthening system" is indicated for limb lengthening, open and closed fracture fixation, pseudoarthrosis, malunions, non-unions, or bone transport of the long bones.

The "FITBONE Transport and Lengthening system" is indicated for adult only.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K232169: FITBONE® Transport and 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/K232169

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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