510(k) Report

510(k) · Cleared

Cleared

Gamma3 System

K200869510(k) TraditionalCleared Jul 22, 2020112-day reviewClass II21 CFR 888.3020

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

Stryker Trauma GmbH · HSB Rod, Fixation, Intramedullary And Accessories

Cleared on Jul 22, 2020 as substantially equivalent to K123401 (Stryker Trauma AG, 2013) and 5 other predicates after a 112-day review. Its family tree reaches back 8 generations to 1997. 9 later devices descend from it.

Decided
Jul 22, 2020
Review
112 days
Class
Class II
Product code
HSB
Recalls
None
Predicates
6

Its longest line of descent runs back 8 generations to K970097 (1997). 41 ancestors in all, the oldest K871539 (1987). 9 later devices descend from it, 6 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2017: 1 other ancestor2013: 1 other ancestor2005: 2 other ancestors2004: 4 other ancestors2010: 3 other ancestors2003: 2 other ancestors2001: 6 other ancestors1999: 1 other ancestor1998: 3 other ancestors2008: 1 other ancestor2000: 1 other ancestor1997: 2 other ancestors1996: 2 other ancestors2002: 2 other ancestors1987: 1 other ancestor1992: 1 other ancestor2022: 3 descendants cleared2025: 3 descendants cleared2024: 1 descendant cleared2026: 1 descendant cleared2023: 1 descendant clearedK970097 · Proximal Femoral Nail (PFN) System · Synthes (Usa) · 1997K973240 · Synthes Proximal Femoral Nail (PFN) System Modification · Synthes (Usa) · 1997K013563 · Long Trochanteric Nail System · DePuy Orthopaedics, Inc. · 2001 · recalledK033329 · Depuy Ace Universal and Troch Entry Femoral Nail Systems · Depuy, Inc. · 2003K083497 · Zimmer Natural Nail System Piriformis Fossa and Greater Trochanter Antegrade Femoral Nails · Zimmer, Inc. · 2009 · recalled×2: 2 generations cleared close together, K172774 (2018), K180436 (2018) K191271 · T2 Alpha Femur Antegrade GT/PF Nailing System, T2 Alpha Tibia Nailing System, IMN Screws System, IMN Instruments System · Stryker Trauma GmbH · 20191990200020102020
  1. Root · 8 generations backK970097 Proximal Femoral Nail (PFN) SystemSynthes (Usa) · 1997
  2. 7 generations backK973240 Synthes Proximal Femoral Nail (PFN) System ModificationSynthes (Usa) · 1997
  3. 6 generations backK013563 Long Trochanteric Nail SystemDePuy Orthopaedics, Inc. · 2001 · Recalled
  4. 5 generations backK033329 Depuy Ace Universal and Troch Entry Femoral Nail SystemsDepuy, Inc. · 2003
  5. 4 generations backK083497 Zimmer Natural Nail System Piriformis Fossa and Greater Trochanter…Zimmer, Inc. · 2009 · Recalled
  6. 3 generations backK172774 T2 Alpha Femur Antegrade GT/PF Nailing System, IMN Screws System…Stryker Trauma GmbH · 2018
  7. 2 generations backK180436 T2 Alpha Tibia Nailing System, T2 Alpha Femur Antegrade GT/PF…Stryker Trauma GmbH · 2018
  8. 1 generation backK191271 T2 Alpha Femur Antegrade GT/PF Nailing System, T2 Alpha Tibia…Stryker Trauma GmbH · 2019
  9. This deviceK200869 Gamma3 SystemStryker Trauma GmbH · 2020
  10. Descendant · cites it directly · 3 of its ownK213328 Gamma4 System, Gamma3 System, IMN Screws System, T2 Tibial Nailing…Stryker GmbH · 2022 · Recalled
  11. Descendant · cites it directly · 1 of its ownK242247 ARIX Femur Nail SystemJeil Medical Corporation · 2025
  12. Descendant · cites it directly · 0 of its ownK261043 AUTOBAHN™ Nailing SystemGlobus Medical, Inc. · 2026
  13. Descendant · cites it directly · 0 of its ownK252826 ARIX Femur Nail SystemJeil Medical Corporation · 2025
  14. Descendant · 2 generations on · 0 of its ownK251400 T2 Alpha Humerus Nailing System; IMN Screws System; T2 Nailing SystemStryker GmbH · 2025

Showing 5 of 9 descendants. See all descendants

Descendants cleared per year

2022: 32023: 12024: 12025: 32026: 1
2022high 3 (2022) · low 1 (2023)2026

Most influential descendants

Showing 5 of 9 · See all
  • K213328Gamma4 System, Gamma3 System, IMN Screws System, T2 Tibial Nailing SystemStryker GmbH · 2022 · cites it directly3descendants
  • K242247ARIX Femur Nail SystemJeil Medical Corporation · 2025 · cites it directly1descendant
  • K261043AUTOBAHN™ Nailing SystemGlobus Medical, Inc. · 2026 · cites it directly0descendants
  • K252826ARIX Femur Nail SystemJeil Medical Corporation · 2025 · cites it directly0descendants
  • K251400T2 Alpha Humerus Nailing System; IMN Screws System; T2 Nailing SystemStryker GmbH · 2025 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K970097Proximal Femoral Nail (PFN) SystemSynthes (Usa)1997—
−7K973240Synthes Proximal Femoral Nail (PFN) System ModificationSynthes (Usa)1997—
−6K013563Long Trochanteric Nail SystemDePuy Orthopaedics, Inc.200154
−5K033329Depuy Ace Universal and Troch Entry Femoral Nail SystemsDepuy, Inc.2003—
−4K083497Zimmer Natural Nail System Piriformis Fossa and Greater Trochanter Antegrade…Zimmer, Inc.200916
−3K172774T2 Alpha Femur Antegrade GT/PF Nailing System, IMN Screws System, IMN…Stryker Trauma GmbH2018—
−2K180436T2 Alpha Tibia Nailing System, T2 Alpha Femur Antegrade GT/PF Nailing System…Stryker Trauma GmbH2018—
−1K191271T2 Alpha Femur Antegrade GT/PF Nailing System, T2 Alpha Tibia Nailing System…Stryker Trauma GmbH2019—
0 (this device)K200869Gamma3 SystemStryker Trauma GmbH2020—
+1K213328Gamma4 System, Gamma3 System, IMN Screws System, T2 Tibial Nailing SystemStryker GmbH20221
+1K242247ARIX Femur Nail SystemJeil Medical Corporation2025—
+1K261043AUTOBAHN™ Nailing SystemGlobus Medical, Inc.2026—
+1K252826ARIX Femur Nail SystemJeil Medical Corporation2025—
+2K251400T2 Alpha Humerus Nailing System; IMN Screws System; T2 Nailing SystemStryker GmbH2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198710
199210
199620
199720
199830
199910
200010
200160
200220
200320
200440
200520
200810
201030
201310
201710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202230
202310
202410
202530
202610
FIG. 1 — Lineage of K200869, 1997–2026Source: 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 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 K253640 T2 Alpha Femur Retrograde Nailing System…score 19.8 · 21 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? (6)

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
*K123401GAMMA3 and T2 Recon Targeting Devices
Summary page 4
…Fax: 201-831-6020 Date Prepared: March 31, 2020 Primary Predicate: Gamma3 and T2 Recon Targeting Devices (K123401) Additional Predicates: T2 Alpha Femur Antegrade GT/PF Nailing System, T2 Alpha…
Stryker Trauma AG20131
*K191271T2 Alpha Femur Antegrade GT/PF Nailing System, T2 Alpha Tibia Nailing System, IMN Screws…
Summary page 4
…/PF Nailing System, T2 Alpha Tibia Nailing System, IMN Screws System, IMN Instruments System (K191271) Zimmer Natural Nail System (K172114) Trigen InterT…
Stryker Trauma GmbH2019—
*K172114Zimmer Natural Nail System
Summary page 4
…ling System, IMN Screws System, IMN Instruments System (K191271) Zimmer Natural Nail System (K172114) Trigen InterTAN (K040212) Howmedica Gamma3 Nail Sy…
Zimmer, Inc.2017—
*K040212Trigen Intertan
Summary page 4
…System (K191271) Zimmer Natural Nail System (K172114) Trigen InterTAN (K040212) Howmedica Gamma3 Nail System (K043431 and K034002) Description The Gamma3 System consis…
Smith & Nephew, Inc.20046
*K043431GAMMA3 Nail System
Summary page 4
…immer Natural Nail System (K172114) Trigen InterTAN (K040212) Howmedica Gamma3 Nail System (K043431 and K034002) Description The Gamma3 System consists of Trochanteric Nails, Long Nails, standard Lag Screws, U-Blade Lag Screws,…
Howmedica Osteonics Corp.2005—
*K034002GAMMA3 Nail System
Summary page 4
…l Nail System (K172114) Trigen InterTAN (K040212) Howmedica Gamma3 Nail System (K043431 and K034002) Description The Gamma3 System consists of Trochanteric Nails, Long Nails, standard Lag Screws, U-Blade Lag Screws, end caps, s…
Howmedica Osteonics Corp.20042

Also cleared against K123401: 2 other devices →

What descends from it? (9)

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

NumberDeviceApplicantDecidedDescendants
K213328Gamma4 System, Gamma3 System, IMN Screws System, T2 Tibial Nailing SystemStryker GmbH20223
K242247ARIX Femur Nail SystemJeil Medical Corporation20251
K261043AUTOBAHN™ Nailing SystemGlobus Medical, Inc.20260
K252826ARIX Femur Nail SystemJeil Medical Corporation20250
K233134I.T.S. INS Proximal Femur NailI.T.S. GmbH20240
K221021Femoral Trochanteric Nail System – NeonailNeoortho Produtos Ortopédicos S/A20220

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 5 companies; a new generation was cleared every 1.9 years on median.
  • 21 of the 41 ancestors have a recall of any class.
  • Of its descendants, K213328 (Stryker GmbH, 2022) has gone furthest, with 3 descendants of its own.
  • 2 other devices also cite its predicate K123401.

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. 2020, 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 Gamma3 System is indicated for the treatment of stable and unstable fractures as well as for stabilization of bones and correction of bone deformities in the intracapsular, trochanteric, subtrochanteric and shaft regions of the femur (including osteoporotic and osteopenic bone).

The U-Blade Lag Screw is also indicated for rotationally unstable fractures.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K200869: Gamma3 System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K200869

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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