510(k) Report

510(k) · Cleared

Cleared

Fixion Intramedullary Nailing System

K990717510(k) TraditionalCleared Jun 2, 199990-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

Disco-O-Tech Medical Technologies, Ltd. · HSB Rod, Fixation, Intramedullary And Accessories

Cleared on Jun 2, 1999 as substantially equivalent to K803106 (Cintor Orthopaedic Div., 1981) and 9 other predicates after a 90-day review. Its family tree reaches back 1 generation to 1981. 56 later devices descend from it.

Decided
Jun 2, 1999
Review
90 days
Class
Class II
Product code
HSB
Recalls
None
Predicates
10

Its longest line of descent runs back 1 generation to K803106 (1981). 10 ancestors in all. 56 later devices descend from it, 5 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1996: 1 other ancestor1994: 1 other ancestor1993: 3 other ancestors1992: 3 other ancestors1989: 1 other ancestor2001: 1 descendant cleared2003: 3 descendants cleared2007: 2 descendants cleared2002: 2 descendants cleared2011: 3 descendants cleared2010: 2 descendants cleared2004: 4 descendants cleared2015: 2 descendants cleared2013: 4 descendants cleared2016: 3 descendants cleared2006: 1 descendant cleared2012: 1 descendant cleared2017: 3 descendants cleared2020: 5 descendants cleared2018: 2 descendants cleared2019: 3 descendants cleared2009: 1 descendant cleared2022: 2 descendants cleared2023: 2 descendants cleared2014: 2 descendants cleared2026: 2 descendants cleared2025: 2 descendants cleared2024: 2 descendants cleared2021: 2 descendants clearedK803106 · Aginsky Nail · Cintor Orthopaedic Div. · 198119801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 9 other ancestors 1 generation forward: 5 descendants2 generations forward: 6 descendants3 generations forward: 9 descendants4 generations forward: 13 descendants5 generations forward: 7 descendants6 generations forward: 5 descendants7 generations forward: 5 descendants8 generations forward: 3 descendants9 generations forward: 1 descendant10 generations forward: 1 descendant11 generations forward: 1 descendant K803106 · Aginsky Nail · Cintor Orthopaedic Div. · 19810+5+10
  1. Root · 1 generation backK803106 Aginsky NailCintor Orthopaedic Div. · 1981
  2. This deviceK990717 Fixion Intramedullary Nailing SystemDisco-O-Tech Medical Technologies, Ltd. · 1999
  3. Descendant · cites it directly · 54 of its ownK021324 Fixion Intramedullary Nailing System (Fixion IM Nailing System)Disco-O-Tech Medical Technologies, Ltd. · 2002 · Recalled
  4. Descendant · cites it directly · 54 of its ownK013449 Modification to Fixion Interlocking Intramedullary Nailing SystemDisc-O-Tech Medical Technologies, Ltd. · 2001
  5. Descendant · cites it directly · 53 of its ownK023437 Fixion Interlocking Proximal Femur Intramedullary Nailing System…Disco-O-Tech Medical Technologies, Ltd. · 2002
  6. Descendant · cites it directly · 32 of its ownK032588 Modification to Fixion Intramedullary Nailing System (Fixion IM)Disco-O-Tech Medical Technologies, Ltd. · 2003
  7. Descendant · 2 generations on · 32 of its ownK031401 Fixion Dynamic Hip Screw System (Fixion DHS)Disco-O-Tech Medical Technologies, Ltd. · 2003

Showing 5 of 56 descendants. See all descendants

Descendants cleared per year

2001: 12002: 22003: 32004: 42006: 12007: 22009: 12010: 22011: 32012: 12013: 42014: 22015: 22016: 32017: 32018: 22019: 32020: 52021: 22022: 22023: 22024: 22025: 22026: 2
2001high 5 (2020) · low 0 (2005)2026

Most influential descendants

Showing 5 of 56 · See all
  • K021324Fixion Intramedullary Nailing System (Fixion IM Nailing System)Disco-O-Tech Medical Technologies, Ltd. · 2002 · cites it directly54descendants
  • K013449Modification to Fixion Interlocking Intramedullary Nailing SystemDisc-O-Tech Medical Technologies, Ltd. · 2001 · cites it directly54descendants
  • K023437Fixion Interlocking Proximal Femur Intramedullary Nailing System (Fixion PF Nailing…Disco-O-Tech Medical Technologies, Ltd. · 2002 · cites it directly53descendants
  • K032588Modification to Fixion Intramedullary Nailing System (Fixion IM)Disco-O-Tech Medical Technologies, Ltd. · 2003 · cites it directly32descendants
  • K031401Fixion Dynamic Hip Screw System (Fixion DHS)Disco-O-Tech Medical Technologies, Ltd. · 2003 · 2 generations on32descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K803106Aginsky NailCintor Orthopaedic Div.1981—
0 (this device)K990717Fixion Intramedullary Nailing SystemDisco-O-Tech Medical Technologies, Ltd.1999—
+1K021324Fixion Intramedullary Nailing System (Fixion IM Nailing System)Disco-O-Tech Medical Technologies, Ltd.20021
+1K013449Modification to Fixion Interlocking Intramedullary Nailing SystemDisc-O-Tech Medical Technologies, Ltd.2001—
+1K023437Fixion Interlocking Proximal Femur Intramedullary Nailing System (Fixion PF…Disco-O-Tech Medical Technologies, Ltd.2002—
+1K032588Modification to Fixion Intramedullary Nailing System (Fixion IM)Disco-O-Tech Medical Technologies, Ltd.2003—
+2K031401Fixion Dynamic Hip Screw System (Fixion DHS)Disco-O-Tech Medical Technologies, Ltd.2003—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198910
199230
199330
199410
199610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200110
200220
200330
200440
200610
200720
200910
201020
201130
201210
201340
201420
201520
201630
201730
201820
201930
202050
202120
202220
202320
202420
202520
202620
FIG. 1 — Lineage of K990717, 1981–2026Source: 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? (10)

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
*K803106Aginsky Nail
Summary page 2
…Page 71 Of 77 Disc-O-Tech Medical Tecnologies, Ltd. Fixion Intramedullary Nailing System 510K Predicate Devices e CINTOR Orthopedic Div’s Aginsky Nail (K803106 ¢ HOWMEDICA’s Seidel Humeral Locking Nail (K883882, K924004, K925544, K931256) o SYNTHES’s AO Universal Tibial and Femoral Nail…
Cintor Orthopaedic Div.1981—
*K883882Humeral Locking Nail System
Summary page 2
…cnologies, Ltd. Fixion Intramedullary Nailing System 510K Predicate Devices e CINTOR Orthopedic Div’s Aginsky Nail (K803106 ¢ HOWMEDICA’s Seidel Humeral Locking Nail (K883882, K924004, K925544, K931256) o SYNTHES’s AO Universal Tibial and Femoral Nails (K914453, and K914371 ¢ SYNTHES’s AO Unreamed Hum…
Howmedica Corp.1989—
*K924004Seidel Humeral Locking Nail -- Additional Lengths
Summary page 2
…, Ltd. Fixion Intramedullary Nailing System 510K Predicate Devices e CINTOR Orthopedic Div’s Aginsky Nail (K803106 ¢ HOWMEDICA’s Seidel Humeral Locking Nail (K883882, K924004, K925544, K931256) o SYNTHES’s AO Universal Tibial and Femoral Nails (K914453, and K914371 ¢ SYNTHES’s AO Unreamed Humeral (UHN…
Howmedica Corp.1992—
*K925544Seidel Humeral Locking Nail & Additional Lengths
Summary page 2
…xion Intramedullary Nailing System 510K Predicate Devices e CINTOR Orthopedic Div’s Aginsky Nail (K803106 ¢ HOWMEDICA’s Seidel Humeral Locking Nail (K883882, K924004, K925544, K931256) o SYNTHES’s AO Universal Tibial and Femoral Nails (K914453, and K914371 ¢ SYNTHES’s AO Unreamed Humeral (UHN) Tibial…
Howmedica Corp.1993—
*K931256Seidel Humeral Locking Nail
Summary page 2
…amedullary Nailing System 510K Predicate Devices e CINTOR Orthopedic Div’s Aginsky Nail (K803106 ¢ HOWMEDICA’s Seidel Humeral Locking Nail (K883882, K924004, K925544, K931256) o SYNTHES’s AO Universal Tibial and Femoral Nails (K914453, and K914371 ¢ SYNTHES’s AO Unreamed Humeral (UHN) Tibial (TNN) and…
Howmedica Corp.1993—
*K914453Universal Tibial Nail and Unreamed Tibial Nail
Summary page 2
…rthopedic Div’s Aginsky Nail (K803106 ¢ HOWMEDICA’s Seidel Humeral Locking Nail (K883882, K924004, K925544, K931256) o SYNTHES’s AO Universal Tibial and Femoral Nails (K914453, and K914371 ¢ SYNTHES’s AO Unreamed Humeral (UHN) Tibial (TNN) and Femoral (UFN) Nails (K933518, K932330, and K923580, respecti…
Synthes (Usa)1992—
*K914371Universal Femoral Nail
Summary page 2
…’s Aginsky Nail (K803106 ¢ HOWMEDICA’s Seidel Humeral Locking Nail (K883882, K924004, K925544, K931256) o SYNTHES’s AO Universal Tibial and Femoral Nails (K914453, and K914371 ¢ SYNTHES’s AO Unreamed Humeral (UHN) Tibial (TNN) and Femoral (UFN) Nails (K933518, K932330, and K923580, respectively). Perfo…
Synthes (Usa)1992—
*K933518Synthes Unreamed Humeral Nail (Urhn)
Summary page 2
…, K925544, K931256) o SYNTHES’s AO Universal Tibial and Femoral Nails (K914453, and K914371 ¢ SYNTHES’s AO Unreamed Humeral (UHN) Tibial (TNN) and Femoral (UFN) Nails (K933518, K932330, and K923580, respectively). Performance Standards No performance standards applicable to Intramedullary Nails have be…
Synthes (Usa)1994—
*K932330TI-6AL-7NB Urtn
Summary page 2
…, K931256) o SYNTHES’s AO Universal Tibial and Femoral Nails (K914453, and K914371 ¢ SYNTHES’s AO Unreamed Humeral (UHN) Tibial (TNN) and Femoral (UFN) Nails (K933518, K932330, and K923580, respectively). Performance Standards No performance standards applicable to Intramedullary Nails have been establ…
Synthes (Usa)1996—
*K923580Synthes TI-6AI-7NB Unreamed Femoral Nail
Summary page 2
…SYNTHES’s AO Universal Tibial and Femoral Nails (K914453, and K914371 ¢ SYNTHES’s AO Unreamed Humeral (UHN) Tibial (TNN) and Femoral (UFN) Nails (K933518, K932330, and K923580, respectively). Performance Standards No performance standards applicable to Intramedullary Nails have been established by the…
Synthes (Usa)1993—

What descends from it? (56)

See all 56

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

NumberDeviceApplicantDecidedDescendants
K021324Fixion Intramedullary Nailing System (Fixion IM Nailing System)Disco-O-Tech Medical Technologies, Ltd.200254
K013449Modification to Fixion Interlocking Intramedullary Nailing SystemDisc-O-Tech Medical Technologies, Ltd.200154
K023437Fixion Interlocking Proximal Femur Intramedullary Nailing System (Fixion PF Nailing…Disco-O-Tech Medical Technologies, Ltd.200253
K032588Modification to Fixion Intramedullary Nailing System (Fixion IM)Disco-O-Tech Medical Technologies, Ltd.200332
K071679Metafix and Fixion FA Intramedullary Nailing SystemsDisc-O-Tech Medical Technologies, Ltd.20070

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?

  • None of the 10 ancestors has a recall.
  • Of its descendants, K021324 (Disco-O-Tech Medical Technologies, Ltd., 2002) has gone furthest, with 54 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.

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 Fixion™ Intramedullary Nailing system is intended for use in the fixation of long bone fractures, including diaphyseal fractures in the humerus, femur and the tibia. It is indicated for use in shaft fractures 5cm below the surgical neck to 5cm proximal to the distal end of the medullary canal.

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. “K990717: Fixion Intramedullary Nailing System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K990717

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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