510(k) Report

510(k) · Cleared

Recalled · Class II · 2013

Trigen Low Profile Bone Screw

K111025510(k) TraditionalCleared Jul 1, 201179-day reviewClass II21 CFR 888.3020Recalls 1

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

Smith & Nephew, Inc. · HSB Rod, Fixation, Intramedullary And Accessories

Cleared on Jul 1, 2011 as substantially equivalent to K981529 (Smith & Nephew, Inc., 1998) and 1 other predicate after a 79-day review. Its family tree reaches back 1 generation to 1998. 5 later devices descend from it. It has been recalled once.

Decided
Jul 1, 2011
Review
79 days
Class
Class II
Product code
HSB
Recalls
1
Predicates
2

Its longest line of descent runs back 1 generation to K981529 (1998). 2 ancestors in all. 5 later devices descend from it, 5 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1998: 1 other ancestor2016: 1 descendant cleared2012: 1 descendant cleared2013: 1 descendant cleared2025: 1 descendant cleared2022: 1 descendant clearedK981529 · Titanium Intramedullary Nail, Titanium Locking Screw · Smith & Nephew, Inc. · 1998 · recalled1995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 5 descendants K981529 · Titanium Intramedullary Nail, Titanium Locking Screw · Smith & Nephew, Inc. · 1998 · recalled0
  1. Root · 1 generation backK981529 Titanium Intramedullary Nail, Titanium Locking ScrewSmith & Nephew, Inc. · 1998 · Recalled
  2. This deviceK111025 Trigen Low Profile Bone ScrewSmith & Nephew, Inc. · 2011
  3. Descendant · cites it directly · 0 of its ownK243608 TRIGEN Stable Lock Nut & WasherSmith & Nephew, Inc. · 2025
  4. Descendant · cites it directly · 0 of its ownK210980 Smith & Nephew Intramedullary Nail SystemsSmith & Nephew, Inc. · 2022 · Recalled
  5. Descendant · cites it directly · 0 of its ownK161264 TRIGEN Low Profile Bone ScrewsSmith & Nephew, Inc. · 2016
  6. Descendant · cites it directly · 0 of its ownK123948 China Nails and AccessoriesSmith & Nephew, Inc. · 2013
  7. Descendant · cites it directly · 0 of its ownK122170 Smith & Nephew, Inc. Intramedullary Nail System InstrumentationSmith & Nephew, Inc. · 2012 · Recalled

Most influential descendants

Showing 5 of 5 · See all
  • K243608TRIGEN Stable Lock Nut & WasherSmith & Nephew, Inc. · 2025 · cites it directly0descendants
  • K210980Smith & Nephew Intramedullary Nail SystemsSmith & Nephew, Inc. · 2022 · cites it directly0descendants
  • K161264TRIGEN Low Profile Bone ScrewsSmith & Nephew, Inc. · 2016 · cites it directly0descendants
  • K123948China Nails and AccessoriesSmith & Nephew, Inc. · 2013 · cites it directly0descendants
  • K122170Smith & Nephew, Inc. Intramedullary Nail System InstrumentationSmith & Nephew, Inc. · 2012 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K981529Titanium Intramedullary Nail, Titanium Locking ScrewSmith & Nephew, Inc.19982
0 (this device)K111025Trigen Low Profile Bone ScrewSmith & Nephew, Inc.2011—
+1K243608TRIGEN Stable Lock Nut & WasherSmith & Nephew, Inc.2025—
+1K210980Smith & Nephew Intramedullary Nail SystemsSmith & Nephew, Inc.20224
+1K161264TRIGEN Low Profile Bone ScrewsSmith & Nephew, Inc.2016—
+1K123948China Nails and AccessoriesSmith & Nephew, Inc.2013—
+1K122170Smith & Nephew, Inc. Intramedullary Nail System InstrumentationSmith & Nephew, Inc.20121

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201210
201310
201610
202210
202510
FIG. 1 — Lineage of K111025, 1998–2025Source: 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
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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
*K981529Titanium Intramedullary Nail, Titanium Locking Screw
Summary page 1
…Bone Screw. The subject device is a modification of the bone screws included in the ITRIGEN 0I Titanium Intramedullary IMN Nail System cleared by premarket notification K981529. The TRIGEN 0 Low Profile Bone Screw ismanufactured from titanium alloy (T-6A1-41V), contains an internal hex drive feature in th…
Smith & Nephew, Inc.19982
*K983942Intramedullary Nail System, Locking Screw, Nail Cap
Summary page 2
…tification K(981529. The indications and intended use of the subject device isalso similar to the bone screws included in the (Russell-Tayloro) IMNail System cleared via K983942- Design features of the TRIGEN 0 Low Profile Bone Screw have been compared to the previously cleared devices inTable 2 below. ==…
Smith & Nephew, Inc.1998—

Also cleared against K981529: 15 other devices →

What descends from it? (5)

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

NumberDeviceApplicantDecidedDescendants
K243608TRIGEN Stable Lock Nut & WasherSmith & Nephew, Inc.20250
K210980Smith & Nephew Intramedullary Nail SystemsSmith & Nephew, Inc.20220
K161264TRIGEN Low Profile Bone ScrewsSmith & Nephew, Inc.20160
K123948China Nails and AccessoriesSmith & Nephew, Inc.20130
K122170Smith & Nephew, Inc. Intramedullary Nail System InstrumentationSmith & Nephew, Inc.20120

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Mar 6, 2013Class IIZ-1132-2013Process controlOne batch of 4.5 mm diameter Trigen Low-Profile Bone Screws were incorrectly anodized with a gold coating (indicating a 5 mm diameter) instead of a gray coating (indicating a 4.5 mm diameter).

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • 1 of the 2 ancestors has a recall of any class.
  • Of its descendants, K243608 (Smith & Nephew, Inc., 2025) has gone furthest, with 0 descendants of its own.
  • 15 other devices also cite its predicate K981529.

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. 2011, this device’s year, is highlighted.

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 TRIGEN 0 Low Profile Bone Screw can be used with several types of nails in Smith & Nephew's (TRIGENI Titanium Nail System. The TRIGEN 0 Low Profile Bone Screw therefore has the following indications: 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…

Read the full statement (395 words)

The TRIGEN 0 Low Profile Bone Screw can be used with several types of nails in Smith & Nephew's (TRIGENI Titanium Nail System. The TRIGEN 0 Low Profile Bone Screw therefore has the following indications:

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 pathologic fractures; reconstruction following tumor resection and grafting; supracondylar fractures; bone lengthening and shortening. Interlocking intramedullary nails are indicated for fixation of fractures that occur in and between the proximal and distal third of the long bones being treated.

In addition to the indications for interlocking intramedullary nails, devices that contain holes/slots proximally to accept screws that thread into the femoral head for compression and rotational stability (e.g. Femoral Antegrade Nail, Trochanteric Antegrade Nail and Femoral/Recon Antegradle Nail) are indicated for the following: subtrochanteric fractures, intertrochanteric fractures, and ipsilateral femoral shaft/neck fractures.

In addition to the indications for interlocking intramedullary nails, devices that use a retrograde femoral surgical approach (e.g. Knee Nail; Retrograde and Supracondylar Nails) are indicated for the following: comminuted supracondylar fractures with or without intra-articular extension; fractures that require opening the knee joint to stabilize the femoral condylar segment; fractures above total knee implants (pen-prosthetic fractures).

The TRIGEN 0 InterTAN nails are indicated for fractures of the femur including: simple shaft fractures, comminuted shaft fractures, spiral shaft fractures, long oblique shaft fractures and segmental shaft fractures; subtrochanteric fractures; intertrochanteric fractures; ipsilateral femoral shaft/neck fractures; intracapsular fractures; nonunions and malunions; polytrauma and multiple fractures; prophylactic nailing of impending pathotdgic fractures; reconstruction, following tumor resection and grafting; bone lengthening and shortening.

SURESHOT* TAN Nails are indicated for fractures of the femur including simple long bone fractures, severely comminuted, spiral, large oblique and segmental fractures; nonunions and malunions; polytrauma and multiple fractures; prophylactic nailing of impending pathologic fractures; reconstruction, following tumor resection and grafting; supracondylar fractures; bone lengthening and shortening; and for fixation of fractures that occur in and between the proximal third and distal fourth of the femur.

In addition, SURESHOT 0TAN Nails contain holes/slots proximally to accept screws that thread into the femoral head for compression and rotational stability and are indicated for the following: subtrochanteric fractures; intertrochanteric fractures; ipsilateral femoral shaft/neck fractures; and intracapsutar fractures.

The IRIGEN 0 Low Profile Bone Screw is intended for single use only.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K111025: Trigen Low Profile Bone Screw.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K111025

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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