510(k) Report

510(k) · Cleared

Cleared

NCB Plating System Distal Femur and Proximal Tibia

K192217510(k) SpecialCleared Sep 13, 201929-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

Zimmer GmbH · HRS Plate, Fixation, Bone

Cleared on Sep 13, 2019 as substantially equivalent to K042695 (Zimmer GmbH, 2004) and 1 other predicate after a 29-day review. Its family tree reaches back 3 generations to 1996. 11 later devices descend from it.

Decided
Sep 13, 2019
Review
29 days
Class
Class II
Product code
HRS
Recalls
None
Predicates
2

Its longest line of descent runs back 3 generations to K961413 (1996). 7 ancestors in all. 11 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2003: 2 other ancestors2001: 1 other ancestor2000: 1 other ancestor2021: 1 descendant cleared2023: 4 descendants cleared2024: 2 descendants cleared2026: 3 descendants cleared2025: 1 descendant clearedK961413 · Synthes Anatomical Locking Plate System · Synthes (Usa) · 1996K042695 · NCB Plating System · Zimmer GmbH · 2004 · recalledK061211 · NCB Plating System, Proximal Tibia Plates · Zimmer GmbH · 2006 · recalled1995200020052010201520202025
Other ancestors, by generationDescendants, by generation 2 generations back: 4 other ancestors 1 generation forward: 3 descendants2 generations forward: 4 descendants3 generations forward: 4 descendants K061211 · NCB Plating System, Proximal Tibia Plates · Zimmer GmbH · 2006 · recalledK042695 · NCB Plating System · Zimmer GmbH · 2004 · recalledK961413 · Synthes Anatomical Locking Plate System · Synthes (Usa) · 19960
  1. Root · 3 generations backK961413 Synthes Anatomical Locking Plate SystemSynthes (Usa) · 1996
  2. 2 generations backK042695 NCB Plating SystemZimmer GmbH · 2004 · Recalled
  3. 1 generation backK061211 NCB Plating System, Proximal Tibia PlatesZimmer GmbH · 2006 · Recalled
  4. This deviceK192217 NCB Plating System Distal Femur and Proximal TibiaZimmer GmbH · 2019
  5. Descendant · cites it directly · 8 of its ownK222381 PeriPRO™ Femur System, Variable Angle Fixation System, AxSOS 3Ti…Stryker GmbH · 2023
  6. Descendant · 2 generations on · 4 of its ownK231262 Pangea Femur Plating System, Pangea Fibula Plating System, Pangea…Stryker GmbH · 2023
  7. Descendant · 3 generations on · 2 of its ownK250163 T2 Alpha Femur Retrograde Nailing SystemStryker GmbH · 2025
  8. Descendant · 3 generations on · 1 of its ownK253640 T2 Alpha Femur Retrograde Nailing System; Pangea Femur…Stryker GmbH · 2026
  9. Descendant · 2 generations on · 1 of its ownK233017 TM Plating SystemTyber Medical, LLC · 2023

Showing 5 of 11 descendants. See all descendants

Descendants cleared per year

2021: 12023: 42024: 22025: 12026: 3
2021high 4 (2023) · low 0 (2022)2026

Most influential descendants

Showing 5 of 11 · See all
  • K222381PeriPRO™ Femur System, Variable Angle Fixation System, AxSOS 3Ti, Stryker Plating SystemStryker GmbH · 2023 · cites it directly8descendants
  • K231262Pangea Femur Plating System, Pangea Fibula Plating System, Pangea Tibia Plating System…Stryker GmbH · 2023 · 2 generations on4descendants
  • K250163T2 Alpha Femur Retrograde Nailing SystemStryker GmbH · 2025 · 3 generations on2descendants
  • K253640T2 Alpha Femur Retrograde Nailing System; Pangea Femur Reconstruction SystemStryker GmbH · 2026 · 3 generations on1descendant
  • K233017TM Plating SystemTyber Medical, LLC · 2023 · 2 generations on1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K961413Synthes Anatomical Locking Plate SystemSynthes (Usa)1996—
−2K042695NCB Plating SystemZimmer GmbH20041
−1K061211NCB Plating System, Proximal Tibia PlatesZimmer GmbH20064
0 (this device)K192217NCB Plating System Distal Femur and Proximal TibiaZimmer GmbH2019—
+1K222381PeriPRO™ Femur System, Variable Angle Fixation System, AxSOS 3Ti, Stryker…Stryker GmbH2023—
+2K231262Pangea Femur Plating System, Pangea Fibula Plating System, Pangea Tibia…Stryker GmbH2023—
+3K250163T2 Alpha Femur Retrograde Nailing SystemStryker GmbH2025—
+3K253640T2 Alpha Femur Retrograde Nailing System; Pangea Femur Reconstruction SystemStryker GmbH2026—
+2K233017TM Plating SystemTyber Medical, LLC2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200010
200110
200320

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202110
202340
202420
202510
202630
FIG. 1 — Lineage of K192217, 1996–2026Source: 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 HRS? 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 HRS device

  1. #1 K222465 Tyber Medical Anatomical Plating Systemscore 27.5 · 16 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
*K042695NCB Plating System
Summary page 4
…fastener Predicate Device: NCB® Plating System, Distal Femur, manufactured by Zimmer GmbH, K042695, cleared in October 2004 (primary predicate) NCB® Plating System, Proximal Tibia, manufactured…
Zimmer GmbH20041
*K061211NCB Plating System, Proximal Tibia Plates
Summary page 4
…October 2004 (primary predicate) NCB® Plating System, Proximal Tibia, manufactured by Zimmer GmbH, K061211, cleared in June 2006 (line extension of K042695) Device Description: The NCB P…
Zimmer GmbH20064

Also cleared against K042695: 9 other devices →

What descends from it? (11)

See all 11

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

NumberDeviceApplicantDecidedDescendants
K222381PeriPRO™ Femur System, Variable Angle Fixation System, AxSOS 3Ti, Stryker Plating SystemStryker GmbH20238
K241754NCB® Polyaxial Locking Plate System; NCB® Periprosthetic Femur Plate System; NCB® Cable…Zimmer Switzerland Manufacturing GmbH20240
K201259ORTHOLOC 2 with 3Di Technology Pilon Fracture Plating SystemWrightmedicaltechnologyinc20210

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 23 years and passes through 2 companies; a new generation was cleared every 8.2 years on median.
  • 2 of the 7 ancestors have a recall of any class.
  • Of its descendants, K222381 (Stryker GmbH, 2023) has gone furthest, with 8 descendants of its own.
  • 9 other devices also cite its predicate K042695.

How does its category compare?

All HRS devices

HRS Plate, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · HRS

54in 2025

2007: 352008: 352009: 472010: 492011: 432012: 592013: 562014: 762015: 562016: 442017: 572018: 402019: 462020: 482021: 402022: 472023: 402024: 542025: 542026 (partial year): 51
2007high 76 (2014) · low 35 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HRS

90in 2025

2007: 63 days median2008: 87 days median2009: 85 days median2010: 100 days median2011: 88 days median2012: 106 days median2013: 89 days median2014: 57 days median2015: 97 days median2016: 109 days median2017: 122 days median2018: 116 days median2019: 89 days median2020: 88 days median2021: 87 days median2022: 144 days median2023: 120 days median2024: 96 days median2025: 90 days median2026 (partial year): 82 days median
2007high 144 (2022) · low 57 (2014)2026

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

Recalls per year · HRS

1in 2025

2007: 22008: 112009: 32010: 162011: 52012: 42013: 112015: 72016: 52017: 32018: 22019: 252020: 12021: 92022: 32023: 12025: 12026 (partial year): 3
2007high 25 (2019) · low 0 (2014)2026

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

Adverse event reports per year · HRS

2,306in 2025

2007: 3392008: 3112009: 4352010: 4912011: 7732012: 1,6632013: 2,6432014: 2,4132015: 3,0952016: 2,2762017: 2,2202018: 2,6632019: 3,3592020: 2,7902021: 2,4422022: 1,7002023: 2,0492024: 1,8492025: 2,306
2007high 3,359 (2019) · low 311 (2008)2025

MAUDE reports naming product code HRS, 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
200735632339
2008358711311
200947853435
20104910016491
201143885773
20125910641,663
20135689112,643
2014765702,413
2015569773,095
20164410952,276
20175712232,220
20184011622,663
20194689253,359
2020488812,790
2021408792,442
20224714431,700
20234012012,049
2024549601,849
2025549012,306
202651823—

What is it indicated for?

The NCB Plating System is indicated for temporary internal fixation and stabilization of fractures and osteotomies of long bones.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K192217: NCB Plating System Distal Femur and Proximal Tibia.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K192217

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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