510(k) Report

510(k) · Cleared

Cleared

GAMMA3 Nail System

K043431510(k) TraditionalCleared Feb 16, 200565-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

Howmedica Osteonics Corp. · HSB Rod, Fixation, Intramedullary And Accessories

Cleared on Feb 16, 2005 as substantially equivalent to K034002 (Howmedica Osteonics Corp., 2004) and 1 other predicate after a 65-day review. Its family tree reaches back 2 generations to 2001. 48 later devices descend from it.

Decided
Feb 16, 2005
Review
65 days
Class
Class II
Product code
HSB
Recalls
None
Predicates
2

Its longest line of descent runs back 2 generations to K013468 (2001). 3 ancestors in all. 48 later devices descend from it, 16 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2003: 1 other ancestor2009: 1 descendant cleared2017: 4 descendants cleared2020: 4 descendants cleared2015: 2 descendants cleared2021: 4 descendants cleared2022: 6 descendants cleared2011: 2 descendants cleared2018: 6 descendants cleared2010: 1 descendant cleared2013: 1 descendant cleared2016: 1 descendant cleared2023: 3 descendants cleared2026: 5 descendants cleared2025: 4 descendants cleared2024: 3 descendants cleared2019: 1 descendant clearedK013468 · Long Length Dyax Nail · Howmedica Osteonics Corp. · 2001 · recalledK034002 · GAMMA3 Nail System · Howmedica Osteonics Corp. · 2004 · recalled200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 16 descendants2 generations forward: 17 descendants3 generations forward: 9 descendants4 generations forward: 1 descendant5 generations forward: 2 descendants6 generations forward: 1 descendant7 generations forward: 1 descendant8 generations forward: 1 descendant K034002 · GAMMA3 Nail System · Howmedica Osteonics Corp. · 2004 · recalledK013468 · Long Length Dyax Nail · Howmedica Osteonics Corp. · 2001 · recalled0+5
  1. Root · 2 generations backK013468 Long Length Dyax NailHowmedica Osteonics Corp. · 2001 · Recalled
  2. 1 generation backK034002 GAMMA3 Nail SystemHowmedica Osteonics Corp. · 2004 · Recalled
  3. This deviceK043431 GAMMA3 Nail SystemHowmedica Osteonics Corp. · 2005
  4. Descendant · cites it directly · 20 of its ownK123401 GAMMA3 and T2 Recon Targeting DevicesStryker Trauma AG · 2013 · Recalled
  5. Descendant · 2 generations on · 17 of its ownK172774 T2 Alpha Femur Antegrade GT/PF Nailing System, IMN Screws System…Stryker Trauma GmbH · 2018
  6. Descendant · 3 generations on · 16 of its ownK180436 T2 Alpha Tibia Nailing System, T2 Alpha Femur Antegrade GT/PF…Stryker Trauma GmbH · 2018
  7. Descendant · 4 generations on · 15 of its ownK191271 T2 Alpha Femur Antegrade GT/PF Nailing System, T2 Alpha Tibia…Stryker Trauma GmbH · 2019
  8. Descendant · cites it directly · 9 of its ownK200869 Gamma3 SystemStryker Trauma GmbH · 2020

Showing 5 of 48 descendants. See all descendants

Descendants cleared per year

2009: 12010: 12011: 22013: 12015: 22016: 12017: 42018: 62019: 12020: 42021: 42022: 62023: 32024: 32025: 42026: 5
2009high 6 (2018) · low 0 (2012)2026

Most influential descendants

Showing 5 of 48 · See all
  • K123401GAMMA3 and T2 Recon Targeting DevicesStryker Trauma AG · 2013 · cites it directly20descendants
  • K172774T2 Alpha Femur Antegrade GT/PF Nailing System, IMN Screws System, IMN Instruments SystemStryker Trauma GmbH · 2018 · 2 generations on17descendants
  • K180436T2 Alpha Tibia Nailing System, T2 Alpha Femur Antegrade GT/PF Nailing System, IMN Screws…Stryker Trauma GmbH · 2018 · 3 generations on16descendants
  • K191271T2 Alpha Femur Antegrade GT/PF Nailing System, T2 Alpha Tibia Nailing System, IMN Screws…Stryker Trauma GmbH · 2019 · 4 generations on15descendants
  • K200869Gamma3 SystemStryker Trauma GmbH · 2020 · cites it directly9descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K013468Long Length Dyax NailHowmedica Osteonics Corp.20011
−1K034002GAMMA3 Nail SystemHowmedica Osteonics Corp.20042
0 (this device)K043431GAMMA3 Nail SystemHowmedica Osteonics Corp.2005—
+1K123401GAMMA3 and T2 Recon Targeting DevicesStryker Trauma AG20131
+2K172774T2 Alpha Femur Antegrade GT/PF Nailing System, IMN Screws System, IMN…Stryker Trauma GmbH2018—
+3K180436T2 Alpha Tibia Nailing System, T2 Alpha Femur Antegrade GT/PF Nailing System…Stryker Trauma GmbH2018—
+4K191271T2 Alpha Femur Antegrade GT/PF Nailing System, T2 Alpha Tibia Nailing System…Stryker Trauma GmbH2019—
+1K200869Gamma3 SystemStryker Trauma GmbH2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200310

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200910
201010
201120
201310
201520
201610
201740
201860
201910
202040
202140
202260
202330
202430
202540
202650
FIG. 1 — Lineage of K043431, 2001–2026Source: 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
*K034002GAMMA3 Nail System
Summary page 1
…21 CFR §888.3020 Device Product Code: 87 HSB Predicate Device: Gamnma3®gNail System, K034002 and K032244 Description The Gamma3® Nail System is a family of intramedullary nails for basilar neck, intertrochanteric, subtroc…
Howmedica Osteonics Corp.20042
*K032244Gamma 3 Nail System
Summary page 1
…21 CFR §888.3020 Device Product Code: 87 HSB Predicate Device: Gamnma3®gNail System, K034002 and K032244 Description The Gamma3® Nail System is a family of intramedullary nails for basilar neck, intertrochanteric, subtrochanteric and…
Howmedica Osteonics Corp.20037

Also cleared against K034002: 6 other devices →

What descends from it? (48)

See all 48

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

NumberDeviceApplicantDecidedDescendants
K123401GAMMA3 and T2 Recon Targeting DevicesStryker Trauma AG201320
K200869Gamma3 SystemStryker Trauma GmbH20209
K100238HFN 125 Degree 9-13 MM, 180MM, HFN 130 Degree 9-13 MM, HFN RH 125 Degree 9-13MMDePuy Orthopaedics, Inc.20107
K172830Double Medical Femoral Nail SystemDouble Medical Technology, Inc.20182
K171108AUTOBAHN Nailing SystemGlobus Medical, Inc.20172
K151010Piccolo Composite Nailing SystemCarboFix Orthopedics, Ltd.20152
K150655OIC Intramedullary Nail SystemOrthopaedic Implant Company20152
K201379Artemis Proximal Femoral Nail SystemGlw, Inc.20211
K161466ORTHOFIX CHIMAERA Hip Fracture System - Trochanteric Nailing SystemOrthofix Srl20171
K153536Piccolo Composite® Nailing SystemCarboFix Orthopedics, Ltd.20161

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 4 years and passes through 1 company; a new generation was cleared every 2.2 years on median.
  • 3 of the 3 ancestors have a recall of any class.
  • Of its descendants, K123401 (Stryker Trauma AG, 2013) has gone furthest, with 20 descendants of its own.
  • 6 other devices also cite its predicate K034002.

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 Trochanteric Gamma3® Nail is indicated for fixation of stable and unstable intertrochanteric fractures, including but not limited to nonunion, malunion and tumor resections, while the Long Length Gamma3® Nail indications may include fractures resulting from trauma, nonunion, malunion, pathological fractures, impending pathological fractures, tumor resections and revision procedures. The Gamma3® U-Blade Lag Screw may be used with either the Gamma3®…

Read the full statement (96 words)

The Trochanteric Gamma3® Nail is indicated for fixation of stable and unstable intertrochanteric fractures, including but not limited to nonunion, malunion and tumor resections, while the Long Length Gamma3® Nail indications may include fractures resulting from trauma, nonunion, malunion, pathological fractures, impending pathological fractures, tumor resections and revision procedures.

The Gamma3® U-Blade Lag Screw may be used with either the Gamma3® Trochanteric Nail or the Long Length Gamma3® Nail to treat patients with highly osteoporotic bone or metastatic disease in the femoral head, short femoral head/neck fragments, or unstable intertrochanteric fractures with missing medial-caudal bone support.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K043431: GAMMA3 Nail System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K043431

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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