510(k) Report

510(k) · Cleared

Cleared

Trigen Retrograde Femoral, Supracondylar and Tibial Nails

K051557510(k) SpecialCleared Jun 30, 200517-day reviewClass II21 CFR 888.3030

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Smith & Nephew, Inc. · JDS Nail, Fixation, Bone

Cleared on Jun 30, 2005 as substantially equivalent to K981529 (Smith & Nephew, Inc., 1998) and 3 other predicates after a 17-day review. Its family tree reaches back 2 generations to 1995. 69 later devices descend from it.

Decided
Jun 30, 2005
Review
17 days
Class
Class II
Product code
JDS
Recalls
None
Predicates
4

Its longest line of descent runs back 2 generations to K951740 (1995). 8 ancestors in all. 69 later devices descend from it, 6 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2004: 1 other ancestor1998: 2 other ancestors2001: 2 other ancestors1999: 1 other ancestor2020: 4 descendants cleared2008: 1 descendant cleared2006: 1 descendant cleared2023: 5 descendants cleared2014: 3 descendants cleared2022: 5 descendants cleared2017: 3 descendants cleared2024: 5 descendants cleared2012: 2 descendants cleared2011: 4 descendants cleared2015: 4 descendants cleared2010: 1 descendant cleared2007: 1 descendant cleared2025: 7 descendants cleared2009: 1 descendant cleared2018: 1 descendant cleared2021: 3 descendants cleared2026: 9 descendants cleared2013: 6 descendants cleared2016: 1 descendant cleared2019: 2 descendants clearedK951740 · Intramedulary Fixation Rod · Acu Med, Inc. · 1995 · recalledK032722 · Trigen Straight Humeral Nail System · Smith & Nephew, Inc. · 20031995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors2 generations back: 3 other ancestors 1 generation forward: 6 descendants2 generations forward: 15 descendants3 generations forward: 18 descendants4 generations forward: 8 descendants5 generations forward: 9 descendants6 generations forward: 7 descendants7 generations forward: 5 descendants8 generations forward: 1 descendant K032722 · Trigen Straight Humeral Nail System · Smith & Nephew, Inc. · 2003K951740 · Intramedulary Fixation Rod · Acu Med, Inc. · 1995 · recalled0+5
  1. Root · 2 generations backK951740 Intramedulary Fixation RodAcu Med, Inc. · 1995 · Recalled
  2. 1 generation backK032722 Trigen Straight Humeral Nail SystemSmith & Nephew, Inc. · 2003
  3. This deviceK051557 Trigen Retrograde Femoral, Supracondylar and Tibial NailsSmith & Nephew, Inc. · 2005
  4. Descendant · cites it directly · 60 of its ownK061019 Trigen Meta-Nail Retrograde Femoral and Tibial NailsSmith & Nephew, Inc. · 2006 · Recalled
  5. Descendant · 2 generations on · 18 of its ownK111667 Synthes Suprapatellar Insertion InstrumentsSynthes (Usa) · 2011 · Recalled
  6. Descendant · 3 generations on · 17 of its ownK131365 T2 Tibial Nailing SystemStryker Trauma AG · 2013 · Recalled
  7. Descendant · 2 generations on · 16 of its ownK102369 Piccolo Composite Nailing SystemN.M.B. Medical Applications, Ltd. · 2011 · Recalled
  8. Descendant · 3 generations on · 15 of its ownK111056 Piccolo Composite Nailing SystemCarboFix Orthopedics, Ltd. · 2011 · Recalled

Showing 5 of 69 descendants. See all descendants

Descendants cleared per year

2006: 12007: 12008: 12009: 12010: 12011: 42012: 22013: 62014: 32015: 42016: 12017: 32018: 12019: 22020: 42021: 32022: 52023: 52024: 52025: 72026: 9
2006high 9 (2026) · low 1 (2006)2026

Most influential descendants

Showing 5 of 69 · See all
  • K061019Trigen Meta-Nail Retrograde Femoral and Tibial NailsSmith & Nephew, Inc. · 2006 · cites it directly60descendants
  • K111667Synthes Suprapatellar Insertion InstrumentsSynthes (Usa) · 2011 · 2 generations on18descendants
  • K131365T2 Tibial Nailing SystemStryker Trauma AG · 2013 · 3 generations on17descendants
  • K102369Piccolo Composite Nailing SystemN.M.B. Medical Applications, Ltd. · 2011 · 2 generations on16descendants
  • K111056Piccolo Composite Nailing SystemCarboFix Orthopedics, Ltd. · 2011 · 3 generations on15descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K951740Intramedulary Fixation RodAcu Med, Inc.19951
−1K032722Trigen Straight Humeral Nail SystemSmith & Nephew, Inc.2003—
0 (this device)K051557Trigen Retrograde Femoral, Supracondylar and Tibial NailsSmith & Nephew, Inc.2005—
+1K061019Trigen Meta-Nail Retrograde Femoral and Tibial NailsSmith & Nephew, Inc.20061
+2K111667Synthes Suprapatellar Insertion InstrumentsSynthes (Usa)20111
+3K131365T2 Tibial Nailing SystemStryker Trauma AG20134
+2K102369Piccolo Composite Nailing SystemN.M.B. Medical Applications, Ltd.20111
+3K111056Piccolo Composite Nailing SystemCarboFix Orthopedics, Ltd.20111

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199820
199910
200120
200410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200610
200710
200810
200910
201010
201140
201220
201360
201430
201540
201610
201730
201810
201920
202040
202130
202250
202350
202450
202570
202690
FIG. 1 — Lineage of K051557, 1995–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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 JDS? 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 JDS device

  1. #1 K230761 TRIGEN META-NAIL Nail Systemscore 12.4 · 4 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? (4)

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
*K981529Titanium Intramedullary Nail, Titanium Locking Screw
Summary page 1
…in indications for use, design features, operational principles, and material composition when compared to the predicate devices cleared under the following submissions: K981529, Smith & Nephew Titanium (TdrGen®) Intramedullary Hip System; K983942, Smith & Nephew Intramedullary Nail System; K032722, TriGen…
Smith & Nephew, Inc.19982
*K983942Intramedullary Nail System, Locking Screw, Nail Cap
Summary page 1
…aterial composition when compared to the predicate devices cleared under the following submissions: K981529, Smith & Nephew Titanium (TdrGen®) Intramedullary Hip System; K983942, Smith & Nephew Intramedullary Nail System; K032722, TriGen® Straight Humeral Nail; and K040212, TdGen® InterTAN Nails.…
Smith & Nephew, Inc.1998—
*K032722Trigen Straight Humeral Nail System
Summary page 1
…evices cleared under the following submissions: K981529, Smith & Nephew Titanium (TdrGen®) Intramedullary Hip System; K983942, Smith & Nephew Intramedullary Nail System; K032722, TriGen® Straight Humeral Nail; and K040212, TdGen® InterTAN Nails.…
Smith & Nephew, Inc.2003—
*K040212Trigen Intertan
Summary page 1
…ns: K981529, Smith & Nephew Titanium (TdrGen®) Intramedullary Hip System; K983942, Smith & Nephew Intramedullary Nail System; K032722, TriGen® Straight Humeral Nail; and K040212, TdGen® InterTAN Nails. Page 1of 1…
Smith & Nephew, Inc.20046

Also cleared against K981529: 15 other devices →

What descends from it? (69)

See all 69

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

NumberDeviceApplicantDecidedDescendants
K061019Trigen Meta-Nail Retrograde Femoral and Tibial NailsSmith & Nephew, Inc.200660
K070761Sanatmetal Nails and PinsSanatmetal Mfr. of Orthopaedic/Traumatologic Prod.20083
K230761TRIGEN META-NAIL Nail SystemSmith & Nephew, Inc.20232
K192003Auxein Nailing SystemAuxein Medical Private Limited20202
K210980Smith & Nephew Intramedullary Nail SystemsSmith & Nephew, Inc.20220
K132830Distalock Tibial IM Nail SystemDgimed Ortho, Inc.20140

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 10 years and passes through 2 companies; a new generation was cleared every 8.1 years on median.
  • 4 of the 8 ancestors have a recall of any class.
  • Of its descendants, K061019 (Smith & Nephew, Inc., 2006) has gone furthest, with 60 descendants of its own.
  • 15 other devices also cite its predicate K981529.

How does its category compare?

All JDS devices

JDS Nail, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · JDS

1in 2025

2007: 22008: 12011: 12013: 12015: 12020: 32023: 12024: 32025: 1
2007high 3 (2020) · low 0 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JDS

146in 2024

2020: 106 days median2024: 146 days median
2007high 146 (2024) · low 106 (2020)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · JDS

2in 2025

2009: 32010: 22013: 42017: 12020: 12025: 2
2007high 4 (2013) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · JDS

497in 2025

2007: 1612008: 1692009: 1602010: 702011: 1042012: 1952013: 2842014: 3882015: 3162016: 5062017: 2872018: 3202019: 4902020: 6432021: 6302022: 5892023: 3572024: 4662025: 497
2007high 643 (2020) · low 70 (2010)2025

MAUDE reports naming product code JDS, 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
20072—0161
20081—0169
20090—3160
20100—270
20111—0104
20120—0195
20131—4284
20140—0388
20151—0316
20160—0506
20170—1287
20180—0320
20190—0490
202031061643
20210—0630
20220—0589
20231—0357
202431460466
20251—2497
20260—0—

What is it indicated for?

Indications for interlocking intramedullary nails include simple long bone fractures; severely comminuted, spiral, large oblique and segmental fractures; nonunions and malunions; polytrauma and multiple fractures; prophylactic nailing of impending pathotogic fractures; reconstruction, following tumor resection and grafting; supracondylar fractures; bone lengthening and shortening. Interlocking intramedultary nails are indicated for fixation of fractures…

Read the full statement (179 words)

Indications for interlocking intramedullary nails include simple long bone fractures; severely comminuted, spiral, large oblique and segmental fractures; nonunions and malunions; polytrauma and multiple fractures; prophylactic nailing of impending pathotogic fractures; reconstruction, following tumor resection and grafting; supracondylar fractures; bone lengthening and shortening. Interlocking intramedultary nails are indicated for fixation of fractures that occur inand between the proximal and distal third of tong bones being treated.

Inaddition to the indications for interlocking intramedultary nails, devices that contain hotes/slots proximally to accept screws that thread into the femoral head for compression and rotational stability (i.e. Femoral/Recon Antegrade Nail) are indicated for the following: subtrochanteric fractures with lesser trochanteric involvement; ipsilaterat femoral shaft/neck fractures; and intertrochanteric fractures.

Inaddition to indications for interlocking intramedullary nails, devices that utilize a retrograde femoral surgical approach (i.e. Retrograde/Tibial and Supracondylar Nails) are indicated for the following: severely comminuted supracondylar fractures with or without difficult intra-articular extension; fractures that require opening the knee joint to stabilize the femoral condylar segment; fractures above total knee implants.

Intramedultary locking nails (i.e. TriGen® Nails) are for single use only.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K051557: Trigen Retrograde Femoral, Supracondylar and Tibial Nails.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K051557

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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