Cleared Traditional

K181540 - Estremo Citieffe Nailing System

K181540 is an FDA 510(k) clearance for Estremo Citieffe Nailing System, manufactured by Citieffe S.R.L.. The device is a Class 2 Orthopedic device with product code HSB cleared through the Traditional 510(k) pathway after a 219-day FDA review.

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Jan 2019
Decision
219d
Days
Class 2
Risk

K181540 is an FDA 510(k) clearance for the Estremo Citieffe Nailing System. Classified as Rod, Fixation, Intramedullary And Accessories (product code HSB), Class II - Special Controls.

Submitted by Citieffe S.R.L. (Calderara Di Reno, IT). The FDA issued a Cleared decision on January 16, 2019 after a review of 219 days - an extended review cycle.

This device falls under the Orthopedic FDA review panel, regulated under 21 CFR 888.3020 - the FDA orthopedic device regulatory framework. The Traditional 510(k) pathway establishes clearance through substantial equivalence to a legally marketed predicate device, without requiring clinical trial data.

Device pattern: Standard predicate-based submission. Standard predicate reliance. This clearance follows a standard predicate-based equivalence path within the Orthopedic review framework, consistent with the majority of Class II 510(k) submissions.

View all Citieffe S.R.L. devices

FDA 510(k) Submission Details - K181540

510(k) Number K181540 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received June 11, 2018
Decision Date January 16, 2019
Days to Decision 219 days
Submission Type Traditional
Review Panel Orthopedic (OR)
Summary Statement
Third-party Review No - reviewed directly by FDA
Combination Product No
PCCP Authorized No
Regulatory Context
Review time vs. panel average
97d slower than avg
Panel avg: 122d · This submission: 219d
Pathway characteristics
Predicate-based equivalence. No clinical trials required.

HSB Device Classification - Class 2, Special Controls

Product Code HSB Rod, Fixation, Intramedullary And Accessories
Device Class Class 2 - Special Controls
CFR Regulation 21 CFR 888.3020
What this classification means

Class II devices require demonstration of substantial equivalence to a legally marketed predicate device. This pathway does not require clinical trials - it relies on engineering equivalence and performance data. Most Orthopedic devices follow this clearance model.

Regulatory Peers - HSB Rod, Fixation, Intramedullary And Accessories

All 365
Devices cleared under the same product code (HSB) and FDA review panel - the closest regulatory comparables to K181540.
T2 Alpha Femur Antegrade GT/PF Nailing System, T2 Alpha Tibia Nailing System, IMN Screws System, IMN Instruments System
K191271 · Stryker Trauma GmbH · Jun 2019
Syntec Femoral Nail System
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PRECICE® BONE TRANSPORT™ System
K182170 · Nuvasive Specialized Orthopedics, Inc. · Feb 2019
Small Bone Phantom® Intramedullary Nail System
K182307 · Paragon 28, Inc. · Jan 2019
Affixus Natural Nail System Humeral Nail
K181827 · Zimmer GmbH · Dec 2018
Affixus Hip Fracture Nail
K183162 · Biomet, Inc. · Dec 2018