510(k) Report

510(k) · Cleared

Cleared

TRIGEN Stable Lock Nut & Washer

K243608510(k) TraditionalCleared Jun 12, 2025202-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

Smith & Nephew, Inc. · JDS Nail, Fixation, Bone

Cleared on Jun 12, 2025 as substantially equivalent to K983942 (Smith & Nephew, Inc., 1998) and 4 other predicates after a 202-day review. Its family tree reaches back 6 generations to 1998.

Decided
Jun 12, 2025
Review
202 days
Class
Class II
Product code
JDS
Recalls
None
Predicates
5

Its longest line of descent runs back 6 generations to K981529 (1998). 20 ancestors in all, the oldest K951740 (1995). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2023: 1 other ancestor2011: 1 other ancestor2006: 1 other ancestor1998: 1 other ancestor2005: 1 other ancestor2004: 1 other ancestor2003: 1 other ancestor2001: 3 other ancestors1999: 1 other ancestor1995: 3 other ancestorsK981529 · Titanium Intramedullary Nail, Titanium Locking Screw · Smith & Nephew, Inc. · 1998 · recalled×2: 2 generations cleared close together, K040212 (2004), K040656 (2004) K050226 · Asian Intramedullary Hip Screw Nails · Smith & Nephew, Inc. · 2005K092748 · Sureshot Tan Nails and Accessories · Smith & Nephew, Inc. · 2010 · recalledK243364 · TRIGEN META-TAN Trochanteric Antegrade Nail · Smith & Nephew, Inc. · 20241995200020052010201520202025
  1. Root · 6 generations backK981529 Titanium Intramedullary Nail, Titanium Locking ScrewSmith & Nephew, Inc. · 1998 · Recalled
  2. 5 generations backK040212 Trigen IntertanSmith & Nephew, Inc. · 2004 · Recalled
  3. 4 generations backK040656 Modification to Smith & Nephew Intramedullary Hip ScrewSmith & Nephew, Inc. · 2004
  4. 3 generations backK050226 Asian Intramedullary Hip Screw NailsSmith & Nephew, Inc. · 2005
  5. 2 generations backK092748 Sureshot Tan Nails and AccessoriesSmith & Nephew, Inc. · 2010 · Recalled
  6. 1 generation backK243364 TRIGEN META-TAN Trochanteric Antegrade NailSmith & Nephew, Inc. · 2024
  7. This deviceK243608 TRIGEN Stable Lock Nut & WasherSmith & Nephew, Inc. · 2025
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K981529Titanium Intramedullary Nail, Titanium Locking ScrewSmith & Nephew, Inc.19982
−5K040212Trigen IntertanSmith & Nephew, Inc.20046
−4K040656Modification to Smith & Nephew Intramedullary Hip ScrewSmith & Nephew, Inc.2004—
−3K050226Asian Intramedullary Hip Screw NailsSmith & Nephew, Inc.2005—
−2K092748Sureshot Tan Nails and AccessoriesSmith & Nephew, Inc.20101
−1K243364TRIGEN META-TAN Trochanteric Antegrade NailSmith & Nephew, Inc.2024—
0 (this device)K243608TRIGEN Stable Lock Nut & WasherSmith & Nephew, Inc.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199530
199810
199910
200130
200310
200410
200510
200610
201110
202310
FIG. 1 — Lineage of K243608, 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 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
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What was it cleared against? (5)

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
*K983942Intramedullary Nail System, Locking Screw, Nail Cap
Summary page 6
…3030 Product Code(s) JDS, HSB I Legally Marketed Predicate Devices 21 CFR 807.92(a)(3) Predicate # Predicate Trade Name (Primary Predicate is listed first) Product Code K983942 Stainless-Steel Stable Lock Nut & Washer JDS K111025 TRIGEN Low Profile Screw HSB K061019, K230761 TRIGEN META-NAIL Retrograde Fe…
Smith & Nephew, Inc.1998—
*K111025Trigen Low Profile Bone Screw
Summary page 6
…dicate Devices 21 CFR 807.92(a)(3) Predicate # Predicate Trade Name (Primary Predicate is listed first) Product Code K983942 Stainless-Steel Stable Lock Nut & Washer JDS K111025 TRIGEN Low Profile Screw HSB K061019, K230761 TRIGEN META-NAIL Retrograde Femoral Nail JDS K243364 TRIGEN META-TAN Trochanteric A…
Smith & Nephew, Inc.20111
*K061019Trigen Meta-Nail Retrograde Femoral and Tibial Nails
Summary page 6
…edicate # Predicate Trade Name (Primary Predicate is listed first) Product Code K983942 Stainless-Steel Stable Lock Nut & Washer JDS K111025 TRIGEN Low Profile Screw HSB K061019, K230761 TRIGEN META-NAIL Retrograde Femoral Nail JDS K243364 TRIGEN META-TAN Trochanteric Antegrade Nail HSB Device Description…
Smith & Nephew, Inc.20061
*K230761TRIGEN META-NAIL Nail System
Summary page 6
…Predicate Trade Name (Primary Predicate is listed first) Product Code K983942 Stainless-Steel Stable Lock Nut & Washer JDS K111025 TRIGEN Low Profile Screw HSB K061019, K230761 TRIGEN META-NAIL Retrograde Femoral Nail JDS K243364 TRIGEN META-TAN Trochanteric Antegrade Nail HSB Device Description Summary 2…
Smith & Nephew, Inc.2023—
*K243364TRIGEN META-TAN Trochanteric Antegrade Nail
Cleared while this submission was under review
Summary page 6
…rst) Product Code K983942 Stainless-Steel Stable Lock Nut & Washer JDS K111025 TRIGEN Low Profile Screw HSB K061019, K230761 TRIGEN META-NAIL Retrograde Femoral Nail JDS K243364 TRIGEN META-TAN Trochanteric Antegrade Nail HSB Device Description Summary 21 CFR 807.92(a)(4) The device in scope of this submi…
Smith & Nephew, Inc.2024—

Also cleared against K983942: 17 other devices →

What descends from it?

No later submission names this one as a predicate yet.

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 27 years and passes through 1 company; a new generation was cleared every 5.2 years on median.
  • 9 of the 20 ancestors have a recall of any class.
  • 17 other devices also cite its predicate K983942.

How does its category compare?

All JDS devices

JDS Nail, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2025, 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 subject device can be used with the TRIGEN META-TAN Trochanteric Antegrade Nailing System, TRIGEN TAN FAN Trochanteric Antegrade and Femoral Antegrade Nailing System, and the TRIGEN META-NAIL Retrograde Femoral Nail System therefore the indications for use for all three systems are applicable to the subject TRIGEN Stable Lock Nut & Washer. TRIGEN META-TAN Trochanteric Antegrade Nailing System The TRIGEN META-TAN Trochanteric Antegrade Nail is…

Read the full statement (270 words)

The subject device can be used with the TRIGEN META-TAN Trochanteric Antegrade Nailing System, TRIGEN TAN FAN Trochanteric Antegrade and Femoral Antegrade Nailing System, and the TRIGEN META-NAIL Retrograde Femoral Nail System therefore the indications for use for all three systems are applicable to the subject TRIGEN Stable Lock Nut & Washer.

TRIGEN META-TAN Trochanteric Antegrade Nailing System

The TRIGEN META-TAN Trochanteric Antegrade Nail is indicated for fixation of fractures that occur in and between the proximal third and distal fourth of the femur including simple long bone fractures, severely comminuted, spiral, and segmental fractures, and supracondylar fractures.

In addition, TRIGEN META-TAN 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; and intracapsular fractures.

TRIGEN TAN FAN Trochanteric Antegrade and Femoral Antegrade Nailing System

Indications for interlocking intramedullary nails include simple long bone fractures; severely comminuted spiral, large oblique and segmental fractures; and nonunions. 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 Antegrade Nail) are indicated for the following: subtrochanteric fractures and intertrochanteric fractures.

TRIGEN META-NAIL Retrograde Femoral Nail System

The TRIGEN META-NAIL Retrograde Femoral Nail is indicated for fractures of the femur including stable and unstable distal metaphyseal fractures, diaphyseal fractures, intra-articular fractures, and peri-prosthetic fractures.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K243608: TRIGEN Stable Lock Nut & Washer.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K243608

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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