510(k) Report

510(k) · Cleared

Cleared

T2 Alpha Femur Retrograde Nailing System; Pangea Femur Reconstruction System

K253640510(k) TraditionalCleared Feb 3, 202676-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 GmbH · HSB Rod, Fixation, Intramedullary And Accessories

Cleared on Feb 3, 2026 as substantially equivalent to K250163 (Stryker GmbH, 2025) and 1 other predicate after a 76-day review. Its family tree reaches back 21 generations to 1996. 1 later device descends from it.

Decided
Feb 3, 2026
Review
76 days
Class
Class II
Product code
HSB
Recalls
None
Predicates
2

Its longest line of descent runs back 21 generations to K954385 (1996). 332 ancestors in all, the oldest K792022 (1979). 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2021: 1 other ancestor2020: 2 other ancestors2016: 2 other ancestors2015: 3 other ancestors2013: 5 other ancestors2008: 14 other ancestors2006: 26 other ancestors2019: 3 other ancestors2017: 4 other ancestors2014: 5 other ancestors2012: 4 other ancestors2010: 11 other ancestors2005: 21 other ancestors2004: 14 other ancestors2003: 14 other ancestors2002: 22 other ancestors2001: 26 other ancestors2000: 16 other ancestors1997: 8 other ancestors2018: 2 other ancestors2009: 11 other ancestors2007: 9 other ancestors1999: 10 other ancestors1998: 14 other ancestors1996: 19 other ancestors1993: 3 other ancestors1982: 1 other ancestor2011: 6 other ancestors1995: 10 other ancestors1994: 8 other ancestors1988: 1 other ancestor1987: 2 other ancestors1990: 1 other ancestor1992: 5 other ancestors1991: 1 other ancestor1989: 4 other ancestors1981: 1 other ancestor1979: 2 other ancestors2026: 1 descendant clearedK954385 · Synthes Mandibular Modular Fixation System · Synthes (Usa) · 1996K974555 · Synthes 2.0 MM Locking Plate System (2.0 LPS) · Synthes (Usa) · 1998×2: 2 generations cleared close together, K030448 (2003), K032442 (2003) K040598 · KLS Martin Hand Plating System · KLS-Martin L.P. · 2004K050868 · Maxlock · Orthohelix Surgical Designs, Inc. · 2005K073624 · Modular Foot System · Orthohelix Surgical Designs, Inc. · 2008 · recalled×2: 2 generations cleared close together, K100618 (2010), K102156 (2010) K113048 · Maxlock Extreme System · Orthohelix Surgical Designs, Inc. · 2012×2: 2 generations cleared close together, K122005 (2012), K123203 (2012) K132591 · Maxlock Extreme System · Orthohelix Surgical Designs, Inc. · 2013K153379 · AxSOS 3Ti · Stryker GmbH · 2016K162439 · AxSOS 3 Ti; Stryker Plating System · Stryker GmbH · 2017K172350 · AxSOS 3 Ti · Stryker GmbH · 2017K181091 · AxSOS 3 Ti · Stryker GmbH · 2018K200398 · AxSOS 3 AF System and AxSOS 3 Ti System · Stryker GmbH · 2020×2: 2 generations cleared close together, K222381 (2023), K231262 (2023) K250163 · T2 Alpha Femur Retrograde Nailing System · Stryker GmbH · 202519801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 7 other ancestors3 generations back: 23 other ancestors4 generations back: 45 other ancestors5 generations back: 69 other ancestors6 generations back: 63 other ancestors7 generations back: 47 other ancestors8 generations back: 20 other ancestors9 generations back: 12 other ancestors10 generations back: 13 other ancestors11 generations back: 9 other ancestors12 generations back: 2 other ancestors13 generations back: 1 other ancestor 1 generation forward: 1 descendant K250163 · T2 Alpha Femur Retrograde Nailing System · Stryker GmbH · 2025K231262 · Pangea Femur Plating System, Pangea Fibula Plating System, Pangea Tibia Plating System, Pangea Humerus Plating System · Stryker GmbH · 2023K222381 · PeriPRO™ Femur System, Variable Angle Fixation System, AxSOS 3Ti, Stryker Plating System · Stryker GmbH · 2023K200398 · AxSOS 3 AF System and AxSOS 3 Ti System · Stryker GmbH · 2020K181091 · AxSOS 3 Ti · Stryker GmbH · 2018K172350 · AxSOS 3 Ti · Stryker GmbH · 2017K162439 · AxSOS 3 Ti; Stryker Plating System · Stryker GmbH · 2017K153379 · AxSOS 3Ti · Stryker GmbH · 2016K132591 · Maxlock Extreme System · Orthohelix Surgical Designs, Inc. · 2013K123203 · Maxlock Extreme System Model MXL · Orthohelix Surgical Designs, Inc. · 2012K122005 · Maxlock Extreme System · Orthohelix Surgical Designs, Inc. · 2012K113048 · Maxlock Extreme System · Orthohelix Surgical Designs, Inc. · 2012K102156 · Maxlock Extreme Extremity Plating System Distal Radius Plates and Screws · Orthohelix Surgical Designs, Inc. · 2010 · recalledK100618 · Maxlock Extreme Extremity Plating System with Variable Angle Technology · Orthohelix Surgical Designs, Inc. · 2010K073624 · Modular Foot System · Orthohelix Surgical Designs, Inc. · 2008 · recalledK050868 · Maxlock · Orthohelix Surgical Designs, Inc. · 2005K040598 · KLS Martin Hand Plating System · KLS-Martin L.P. · 2004K032442 · KLS-Martin Mandibular/Reconstruction System II · KLS-Martin L.P. · 2003K030448 · Osteomed 2.0 Locking Plates and Screws · Osteomed LP · 2003K974555 · Synthes 2.0 MM Locking Plate System (2.0 LPS) · Synthes (Usa) · 1998K954385 · Synthes Mandibular Modular Fixation System · Synthes (Usa) · 1996−20−15−10−50
  1. Root · 21 generations backK954385 Synthes Mandibular Modular Fixation SystemSynthes (Usa) · 1996
  2. 17 generations between
  3. 3 generations backK222381 PeriPRO™ Femur System, Variable Angle Fixation System, AxSOS 3Ti…Stryker GmbH · 2023
  4. 2 generations backK231262 Pangea Femur Plating System, Pangea Fibula Plating System, Pangea…Stryker GmbH · 2023
  5. 1 generation backK250163 T2 Alpha Femur Retrograde Nailing SystemStryker GmbH · 2025
  6. This deviceK253640 T2 Alpha Femur Retrograde Nailing System; Pangea Femur…Stryker GmbH · 2026
  7. Descendant · cites it directly · 0 of its ownK261481 Pangea Femur Reconstruction SystemStryker GmbH · 2026
Show all 21 generations
  1. Root · 21 generations backK954385 Synthes Mandibular Modular Fixation SystemSynthes (Usa) · 1996
  2. 20 generations backK974555 Synthes 2.0 MM Locking Plate System (2.0 LPS)Synthes (Usa) · 1998
  3. 19 generations backK030448 Osteomed 2.0 Locking Plates and ScrewsOsteomed LP · 2003
  4. 18 generations backK032442 KLS-Martin Mandibular/Reconstruction System IIKLS-Martin L.P. · 2003
  5. 17 generations backK040598 KLS Martin Hand Plating SystemKLS-Martin L.P. · 2004
  6. 16 generations backK050868 MaxlockOrthohelix Surgical Designs, Inc. · 2005
  7. 15 generations backK073624 Modular Foot SystemOrthohelix Surgical Designs, Inc. · 2008 · Recalled
  8. 14 generations backK100618 Maxlock Extreme Extremity Plating System with Variable Angle…Orthohelix Surgical Designs, Inc. · 2010
  9. 13 generations backK102156 Maxlock Extreme Extremity Plating System Distal Radius Plates and…Orthohelix Surgical Designs, Inc. · 2010 · Recalled
  10. 12 generations backK113048 Maxlock Extreme SystemOrthohelix Surgical Designs, Inc. · 2012
  11. 11 generations backK122005 Maxlock Extreme SystemOrthohelix Surgical Designs, Inc. · 2012
  12. 10 generations backK123203 Maxlock Extreme System Model MXLOrthohelix Surgical Designs, Inc. · 2012
  13. 9 generations backK132591 Maxlock Extreme SystemOrthohelix Surgical Designs, Inc. · 2013
  14. 8 generations backK153379 AxSOS 3TiStryker GmbH · 2016
  15. 7 generations backK162439 AxSOS 3 Ti; Stryker Plating SystemStryker GmbH · 2017
  16. 6 generations backK172350 AxSOS 3 TiStryker GmbH · 2017
  17. 5 generations backK181091 AxSOS 3 TiStryker GmbH · 2018
  18. 4 generations backK200398 AxSOS 3 AF System and AxSOS 3 Ti SystemStryker GmbH · 2020
  19. 3 generations backK222381 PeriPRO™ Femur System, Variable Angle Fixation System, AxSOS 3Ti…Stryker GmbH · 2023
  20. 2 generations backK231262 Pangea Femur Plating System, Pangea Fibula Plating System, Pangea…Stryker GmbH · 2023
  21. 1 generation backK250163 T2 Alpha Femur Retrograde Nailing SystemStryker GmbH · 2025
  22. This deviceK253640 T2 Alpha Femur Retrograde Nailing System; Pangea Femur…Stryker GmbH · 2026

Most influential descendants

Showing 1 of 1 · See all
  • K261481Pangea Femur Reconstruction SystemStryker GmbH · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−21K954385Synthes Mandibular Modular Fixation SystemSynthes (Usa)1996—
−20K974555Synthes 2.0 MM Locking Plate System (2.0 LPS)Synthes (Usa)1998—
−19K030448Osteomed 2.0 Locking Plates and ScrewsOsteomed LP2003—
−18K032442KLS-Martin Mandibular/Reconstruction System IIKLS-Martin L.P.2003—
−17K040598KLS Martin Hand Plating SystemKLS-Martin L.P.2004—
−16K050868MaxlockOrthohelix Surgical Designs, Inc.2005—
−15K073624Modular Foot SystemOrthohelix Surgical Designs, Inc.20081
−14K100618Maxlock Extreme Extremity Plating System with Variable Angle TechnologyOrthohelix Surgical Designs, Inc.2010—
−13K102156Maxlock Extreme Extremity Plating System Distal Radius Plates and ScrewsOrthohelix Surgical Designs, Inc.20101
−12K113048Maxlock Extreme SystemOrthohelix Surgical Designs, Inc.2012—
−11K122005Maxlock Extreme SystemOrthohelix Surgical Designs, Inc.2012—
−10K123203Maxlock Extreme System Model MXLOrthohelix Surgical Designs, Inc.2012—
−9K132591Maxlock Extreme SystemOrthohelix Surgical Designs, Inc.2013—
−8K153379AxSOS 3TiStryker GmbH2016—
−7K162439AxSOS 3 Ti; Stryker Plating SystemStryker GmbH2017—
−6K172350AxSOS 3 TiStryker GmbH2017—
−5K181091AxSOS 3 TiStryker GmbH2018—
−4K200398AxSOS 3 AF System and AxSOS 3 Ti SystemStryker GmbH2020—
−3K222381PeriPRO™ Femur System, Variable Angle Fixation System, AxSOS 3Ti, Stryker…Stryker GmbH2023—
−2K231262Pangea Femur Plating System, Pangea Fibula Plating System, Pangea Tibia…Stryker GmbH2023—
−1K250163T2 Alpha Femur Retrograde Nailing SystemStryker GmbH2025—
0 (this device)K253640T2 Alpha Femur Retrograde Nailing System; Pangea Femur Reconstruction SystemStryker GmbH2026—
+1K261481Pangea Femur Reconstruction SystemStryker GmbH2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197920
198110
198210
198720
198810
198940
199010
199110
199250
199330
199480
1995100
1996190
199780
1998140
1999100
2000160
2001260
2002220
2003140
2004140
2005210
2006260
200790
2008140
2009110
2010110
201160
201240
201350
201450
201530
201620
201740
201820
201930
202020
202110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K253640, 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 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 K200869 Gamma3 Systemscore 19.8 · 8 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
*K250163T2 Alpha Femur Retrograde Nailing System
Summary page 5
…[email protected] Date Prepared: November 19, 2025 Predicate Device: T2 Alpha Femur Retrograde Nailing System (K250163) Pangea Femur Plating System (K231262) Device Description: T2 Alpha Femu…
Stryker GmbH2025—
*K231262Pangea Femur Plating System, Pangea Fibula Plating System, Pangea Tibia Plating System…
Summary page 5
…ber 19, 2025 Predicate Device: T2 Alpha Femur Retrograde Nailing System (K250163) Pangea Femur Plating System (K231262) Device Description: T2 Alpha Femur Retrograde Nailing System, previously cleared in…
Stryker GmbH2023—

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K261481Pangea Femur Reconstruction SystemStryker GmbH20260

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 30 years and passes through 5 companies; a new generation was cleared every 10 months on median.
  • 85 of the 332 ancestors have a recall of any class.
  • Of its descendants, K261481 (Stryker GmbH, 2026) has gone furthest, with 0 descendants of its own.

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. 2026, 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 T2 Alpha Femur Retrograde Nailing System is intended for temporary stabilization of bone segments or fragments until bone consolidation has been achieved. The indications for use of these internal fixation devices include: - Open and closed femoral fractures - Pseudoarthrosis and correction osteotomy - Pathologic fractures, impending pathologic fractures and tumor resections - Supracondylar fractures, including those with intraarticular extension -…

Read the full statement (152 words)

The T2 Alpha Femur Retrograde Nailing System is intended for temporary stabilization of bone segments or fragments until bone consolidation has been achieved. The indications for use of these internal fixation devices include:

- Open and closed femoral fractures

- Pseudoarthrosis and correction osteotomy

- Pathologic fractures, impending pathologic fractures and tumor resections

- Supracondylar fractures, including those with intraarticular extension

- Fractures involving osteopenic and osteoporotic bone

- Fractures distal to a total hip prosthesis

- Periprosthetic fractures

- Nonunions and malunions

The Pangea Femur Reconstruction System is indicated for the internal fixation and stabilization of femur bone fractures and osteotomies in normal and osteopenic bone, including:

• Diaphyseal, metaphyseal, epiphyseal, extra- and intra-articular fractures.

• Non-unions, malunions, and deformities.

• Peri-implant fractures.

When used with the T2 Alpha Femur Retrograde Nailing System, the Pangea Femur Reconstruction System is used for the indications of the T2 Alpha Femur Retrograde Nailing System.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K253640: T2 Alpha Femur Retrograde Nailing System; Pangea Femur Reconstruction System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K253640

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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