Devices descending from K142281
10 later devices reach Zimmer M/DN Intramedullary Fixation System through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +1 | K243907 | Affixus Tibial Nailing System - 4mm screws | Zimmer, Inc. | 2025 | 0 | — |
| +1 | K210285 | Adaptable Ortho Innovations Intramedullary Nail System | Adaptable Ortho Innovations, LLC | 2021 | 0 | — |
| +1 | K191238 | Zimmer Guide Wire Devices | Zimmer, Inc. | 2019 | 0 | — |
| +1 | K181827 | Affixus Natural Nail System Humeral Nail | Zimmer GmbH | 2018 | 6 | — |
| +1 | K143321 | ITST Intertrochanteric/Subtrochanteric Fixation System | Zimmer, Inc. | 2015 | 0 | 2 |
| +2 | K253749 | Affixus® Natural Nail® Proximal Humeral System | Zimmer Switzerland Manufacturing GmbH | 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 | — |