Devices descending from K033878
10 later devices reach Ace Antegrade Retrograde Humeral Nail System through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +1 | K253749 | Affixus® Natural Nail® Proximal Humeral System | Zimmer Switzerland Manufacturing GmbH | 2025 | 0 | — |
| +1 | K181827 | Affixus Natural Nail System Humeral Nail | Zimmer GmbH | 2018 | 6 | — |
| +1 | K172189 | Ins Hilden Humeral Arzzt, Ins Hilden Cannulated Tibial Arzzt, Ins Hilden Femoral Arzzt &… | Truemed Group, LLC | 2018 | 0 | — |
| +1 | K111663 | Trauma Internal Fixation Systems | DePuy Orthopaedics, Inc. | 2012 | 1 | 17 |
| +2 | K243761 | A.L.P.S. Small Fragment Plating System | Biomet Orthopedics | 2025 | 0 | — |
| +2 | K231114 | Zimmer® Natural Nail® System Cephalomedullary Nails; Affixus® Natural Nail® Humeral Nail… | Zimmer Switzerland Manufacturing GmbH | 2023 | 4 | — |
| +2 | K200814 | Affixus (R) Natural Nail (R) System Humeral Nail | Zimmer GmbH | 2020 | 1 | — |
| +3 | K241651 | Affixus Tibial and Antegrade Femoral Nailing System | Zimmer, Inc. | 2024 | 2 | 17 |
| +4 | K253566 | Affixus Retrograde Femoral Nailing System | Zimmer, Inc. | 2026 | 0 | — |
| +4 | K243907 | Affixus Tibial Nailing System - 4mm screws | Zimmer, Inc. | 2025 | 0 | — |