510(k) Report

510(k) · Cleared

Recalled · Class II · 2013

Synthes Suprapatellar Insertion Instruments

K111667510(k) SpecialCleared Dec 5, 2011174-day reviewClass II21 CFR 888.3030Recalls 1

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

Synthes (Usa) · JDS Nail, Fixation, Bone

Cleared on Dec 5, 2011 as substantially equivalent to K040762 (Synthes (Usa), 2004) and 1 other predicate after a 174-day review. Its family tree reaches back 4 generations to 1995. 18 later devices descend from it. It has been recalled once.

Decided
Dec 5, 2011
Review
174 days
Class
Class II
Product code
JDS
Recalls
1
Predicates
2

Its longest line of descent runs back 4 generations to K951740 (1995). 11 ancestors in all. 18 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2004: 2 other ancestors1998: 2 other ancestors2001: 2 other ancestors1999: 1 other ancestor2013: 1 descendant cleared2017: 1 descendant cleared2020: 1 descendant cleared2014: 1 descendant cleared2022: 4 descendants cleared2026: 4 descendants cleared2021: 1 descendant cleared2024: 1 descendant cleared2025: 3 descendants cleared2023: 1 descendant clearedK951740 · Intramedulary Fixation Rod · Acu Med, Inc. · 1995 · recalledK032722 · Trigen Straight Humeral Nail System · Smith & Nephew, Inc. · 2003K051557 · Trigen Retrograde Femoral, Supracondylar and Tibial Nails · Smith & Nephew, Inc. · 2005K061019 · Trigen Meta-Nail Retrograde Femoral and Tibial Nails · Smith & Nephew, Inc. · 2006 · recalled1995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 1 other ancestor3 generations back: 2 other ancestors4 generations back: 3 other ancestors 1 generation forward: 1 descendant2 generations forward: 3 descendants3 generations forward: 6 descendants4 generations forward: 4 descendants5 generations forward: 3 descendants6 generations forward: 1 descendant K061019 · Trigen Meta-Nail Retrograde Femoral and Tibial Nails · Smith & Nephew, Inc. · 2006 · recalledK051557 · Trigen Retrograde Femoral, Supracondylar and Tibial Nails · Smith & Nephew, Inc. · 2005K032722 · Trigen Straight Humeral Nail System · Smith & Nephew, Inc. · 2003K951740 · Intramedulary Fixation Rod · Acu Med, Inc. · 1995 · recalled0+5
  1. Root · 4 generations backK951740 Intramedulary Fixation RodAcu Med, Inc. · 1995 · Recalled
  2. 3 generations backK032722 Trigen Straight Humeral Nail SystemSmith & Nephew, Inc. · 2003
  3. 2 generations backK051557 Trigen Retrograde Femoral, Supracondylar and Tibial NailsSmith & Nephew, Inc. · 2005
  4. 1 generation backK061019 Trigen Meta-Nail Retrograde Femoral and Tibial NailsSmith & Nephew, Inc. · 2006 · Recalled
  5. This deviceK111667 Synthes Suprapatellar Insertion InstrumentsSynthes (Usa) · 2011
  6. Descendant · cites it directly · 17 of its ownK131365 T2 Tibial Nailing SystemStryker Trauma AG · 2013 · Recalled
  7. Descendant · 2 generations on · 11 of its ownK200880 T2 Tibial Nailing System, T2 Femoral Nail System, T2 Supracondylar…Stryker GmbH · 2020
  8. Descendant · 3 generations on · 7 of its ownK203819 T2 Alpha Femur Retrograde Nailing System, T2 Alpha Femur Antegrade…Stryker GmbH · 2021
  9. Descendant · 4 generations on · 3 of its ownK213328 Gamma4 System, Gamma3 System, IMN Screws System, T2 Tibial Nailing…Stryker GmbH · 2022 · Recalled
  10. Descendant · 4 generations on · 2 of its ownK250163 T2 Alpha Femur Retrograde Nailing SystemStryker GmbH · 2025

Showing 5 of 18 descendants. See all descendants

Descendants cleared per year

2013: 12014: 12017: 12020: 12021: 12022: 42023: 12024: 12025: 32026: 4
2013high 4 (2022) · low 0 (2015)2026

Most influential descendants

Showing 5 of 18 · See all
  • K131365T2 Tibial Nailing SystemStryker Trauma AG · 2013 · cites it directly17descendants
  • K200880T2 Tibial Nailing System, T2 Femoral Nail System, T2 Supracondylar Nail System, T2 Recon…Stryker GmbH · 2020 · 2 generations on11descendants
  • K203819T2 Alpha Femur Retrograde Nailing System, T2 Alpha Femur Antegrade GT/PF Nailing System…Stryker GmbH · 2021 · 3 generations on7descendants
  • K213328Gamma4 System, Gamma3 System, IMN Screws System, T2 Tibial Nailing SystemStryker GmbH · 2022 · 4 generations on3descendants
  • K250163T2 Alpha Femur Retrograde Nailing SystemStryker GmbH · 2025 · 4 generations on2descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K951740Intramedulary Fixation RodAcu Med, Inc.19951
−3K032722Trigen Straight Humeral Nail SystemSmith & Nephew, Inc.2003—
−2K051557Trigen Retrograde Femoral, Supracondylar and Tibial NailsSmith & Nephew, Inc.2005—
−1K061019Trigen Meta-Nail Retrograde Femoral and Tibial NailsSmith & Nephew, Inc.20061
0 (this device)K111667Synthes Suprapatellar Insertion InstrumentsSynthes (Usa)2011—
+1K131365T2 Tibial Nailing SystemStryker Trauma AG20134
+2K200880T2 Tibial Nailing System, T2 Femoral Nail System, T2 Supracondylar Nail…Stryker GmbH2020—
+3K203819T2 Alpha Femur Retrograde Nailing System, T2 Alpha Femur Antegrade GT/PF…Stryker GmbH2021—
+4K213328Gamma4 System, Gamma3 System, IMN Screws System, T2 Tibial Nailing SystemStryker GmbH20221
+4K250163T2 Alpha Femur Retrograde Nailing SystemStryker GmbH2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199820
199910
200120
200420

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201310
201410
201710
202010
202110
202240
202310
202410
202530
202640
FIG. 1 — Lineage of K111667, 1995–2026Source: 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 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? (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
*K040762Synthes (Usa) Tibial Nail System EX
Summary page 1
…fixation appliance and accessories. Product Code: JOS (Nail, Fixation, Bone) Predicate Synthes (USA) Tibial Nail System EX ( K040762 ) Devices: Smith & Nephew Trioen® Meta-Nail Retrograde Femoral and Tibial Nail System (K06…
Synthes (Usa)20042
*K061019Trigen Meta-Nail Retrograde Femoral and Tibial Nails
Summary page 1
…nthes (USA) Tibial Nail System EX ( K040762 ) Devices: Smith & Nephew Trioen® Meta-Nail Retrograde Femoral and Tibial Nail System (K061019). Device The Synthes (USA) Suprapatellar Insertion Instruments consist of Description: aiming arms,…
Smith & Nephew, Inc.20061

Also cleared against K040762: 10 other devices →

What descends from it? (18)

See all 18

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K131365T2 Tibial Nailing SystemStryker Trauma AG201317

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

Recalls of this device

DateClassRecallRoot causeReason
Oct 14, 2013Class IIZ-0404-2014Labeling mix-upsComplaints were received reporting that a product packaged as a 14.5 mm Outer Protection Sleeve for Suprapatellar contained a 12.0 mm Outer Protection Sleeve for Suprapatellar.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 16 years and passes through 3 companies; a new generation was cleared every 5.5 years on median.
  • 6 of the 11 ancestors have a recall of any class.
  • Of its descendants, K131365 (Stryker Trauma AG, 2013) has gone furthest, with 17 descendants of its own.
  • 10 other devices also cite its predicate K040762.

How does its category compare?

All JDS devices

JDS Nail, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2011, this device’s year, is highlighted.

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?

The Synthes Suprapatellar Insertion Instruments are part of the Synthes Tibial Nail System EX. The Synthes Tibial Nail System EX is intended to stabilize fractures of the proximal and distal tibia and the tibial shaft; open and closed tibial shaft fractures; certain pre- and post-isthmic fractures; and tibial malunions and non-unions.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K111667: Synthes Suprapatellar Insertion Instruments.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K111667

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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