Devices descending from K965098
75 later devices reach Intramedullary Nail System through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +1 | K181827 | Affixus Natural Nail System Humeral Nail | Zimmer GmbH | 2018 | 6 | — |
| +1 | K142281 | Zimmer M/DN Intramedullary Fixation System | Zimmer, Inc. | 2014 | 10 | 7 |
| +1 | K120715 | Zimmer Natural Nail System Cephalomedullary Femoral Nail - Asia Short | Zimmer GmbH | 2012 | 10 | — |
| +1 | K111056 | Piccolo Composite Nailing System | CarboFix Orthopedics, Ltd. | 2011 | 15 | 1 |
| +1 | K091566 | Zimmer Natural Nail System Cephalomedullary Nails | Zimmer GmbH | 2009 | 16 | 5 |
| +1 | K090596 | Zimmer Natural Nail System Stainless Steel Tibial Nail & Stainless Piriformis Fossa and… | Zimmer, Inc. | 2009 | 3 | 16 |
| +1 | K083497 | Zimmer Natural Nail System Piriformis Fossa and Greater Trochanter Antegrade Femoral Nails | Zimmer, Inc. | 2009 | 39 | 16 |
| +1 | K082770 | Zimmer Natural Nail System Tibial Nail | Zimmer, Inc. | 2008 | 35 | 15 |
| +1 | K032367 | Itst Intertrochanteric Subtrochanteric Intramedullary Femoral Nail | Zimmer, Inc. | 2003 | 17 | 12 |
| +2 | K252025 | Active Intramedullary (AIM) Tibial Nail System | Satori Orthopaedics, Inc. | 2026 | 0 | — |
| +2 | K253749 | Affixus® Natural Nail® Proximal Humeral System | Zimmer Switzerland Manufacturing GmbH | 2025 | 0 | — |
| +2 | K243907 | Affixus Tibial Nailing System - 4mm screws | Zimmer, Inc. | 2025 | 0 | — |
| +2 | K241651 | Affixus Tibial and Antegrade Femoral Nailing System | Zimmer, Inc. | 2024 | 2 | 17 |
| +2 | K231114 | Zimmer® Natural Nail® System Cephalomedullary Nails; Affixus® Natural Nail® Humeral Nail… | Zimmer Switzerland Manufacturing GmbH | 2023 | 4 | — |
| +2 | K210285 | Adaptable Ortho Innovations Intramedullary Nail System | Adaptable Ortho Innovations, LLC | 2021 | 0 | — |
| +2 | K200814 | Affixus (R) Natural Nail (R) System Humeral Nail | Zimmer GmbH | 2020 | 1 | — |
| +2 | K192312 | Zimmer Natural Nail System Cephalomedullary Nails | Zimmer GmbH | 2019 | 4 | — |
| +2 | K191238 | Zimmer Guide Wire Devices | Zimmer, Inc. | 2019 | 0 | — |
| +2 | K181640 | X-BOLT Hip Fracture Fixation System | X-Bolt Orthopaedics | 2018 | 1 | — |
| +2 | K180436 | T2 Alpha Tibia Nailing System, T2 Alpha Femur Antegrade GT/PF Nailing System, IMN Screws… | Stryker Trauma GmbH | 2018 | 16 | — |
| +2 | K172774 | T2 Alpha Femur Antegrade GT/PF Nailing System, IMN Screws System, IMN Instruments System | Stryker Trauma GmbH | 2018 | 17 | — |
| +2 | K171108 | AUTOBAHN Nailing System | Globus Medical, Inc. | 2017 | 2 | — |
| +2 | K170972 | Apex Tibial Nailing System | Orthoxel | 2017 | 1 | — |
| +2 | K172114 | Zimmer Natural Nail System | Zimmer, Inc. | 2017 | 11 | — |
| +2 | K153536 | Piccolo Composite® Nailing System | CarboFix Orthopedics, Ltd. | 2016 | 1 | 1 |
| +2 | K151010 | Piccolo Composite Nailing System | CarboFix Orthopedics, Ltd. | 2015 | 2 | 1 |
| +2 | K143321 | ITST Intertrochanteric/Subtrochanteric Fixation System | Zimmer, Inc. | 2015 | 0 | 2 |
| +2 | K140601 | Flow-Nail | Flow-Fx, LLC | 2014 | 2 | — |
| +2 | K132945 | CFN-Cannulated Femur Nail, CTN-Cannulated Tibia Nail, CHN-Cannulated Humeral Nail | I.T.S. GmbH | 2014 | 10 | — |
| +2 | K132774 | Piccolo Composite Nailing System | CarboFix Orthopedics, Ltd. | 2013 | 3 | — |
| +2 | K130595 | Zimmer Natural Nail System Tibial Nail and Stainless Steel Tibial Nail | Zimmer, Inc. | 2013 | 2 | 3 |
| +2 | K123810 | Piccolo Composite Ankle Arthrodesis Nailing System | CarboFix Orthopedics, Ltd. | 2013 | 14 | — |
| +3 | K260958 | I.T.S. Clavicle Plates with Angular Stability; I.T.S. Volar Radius Plate with Angular… | I.T.S. GmbH | 2026 | 0 | — |
| +3 | K261043 | AUTOBAHN™ Nailing System | Globus Medical, Inc. | 2026 | 0 | — |
| +3 | K253566 | Affixus Retrograde Femoral Nailing System | Zimmer, Inc. | 2026 | 0 | — |
| +3 | K221621 | Pro-X1™ Trochanteric Nailing System | X-Bolt Orthopedics | 2023 | 0 | — |
| +3 | K220659 | AUTOBAHN (R) EVO Femoral Nails | Globus Medical, Inc. | 2022 | 1 | — |
| +3 | K221115 | Flow-Nail | Flow-Fx, LLC | 2022 | 1 | — |
| +3 | K213328 | Gamma4 System, Gamma3 System, IMN Screws System, T2 Tibial Nailing System | Stryker GmbH | 2022 | 3 | 1 |
| +3 | K200869 | Gamma3 System | Stryker Trauma GmbH | 2020 | 9 | — |
| +3 | K191271 | T2 Alpha Femur Antegrade GT/PF Nailing System, T2 Alpha Tibia Nailing System, IMN Screws… | Stryker Trauma GmbH | 2019 | 15 | — |
| +3 | K182307 | Small Bone Phantom® Intramedullary Nail System; TTC Phantom® Intramedullary Nail System | Paragon 28, Inc. | 2019 | 8 | — |
| +3 | K181184 | OIC Intramedullary Nail System | The Orthopaedic Implant Company | 2018 | 1 | — |
| +3 | K181375 | Apex Femoral Nailing System | Orthoxel | 2018 | 0 | — |
| +3 | K173652 | Piccolo Composite Nailing System | CarboFix Orthopedics, Ltd. | 2017 | 0 | — |
| +3 | K163589 | SIGN IM Nail | Sign Fracture Care International | 2017 | 0 | — |
| +3 | K161327 | Syntec Humeral Nail System | Syntec Scientific Corporation | 2017 | 3 | — |
| +3 | K141228 | Aos 6.5MM Captured, Fully Threaded Cancellous Screw | Advanced Orthopaedic Solutions, Inc. | 2014 | 2 | — |
| +4 | K252826 | ARIX Femur Nail System | Jeil Medical Corporation | 2025 | 0 | — |
| +4 | K251400 | T2 Alpha Humerus Nailing System; IMN Screws System; T2 Nailing System | Stryker GmbH | 2025 | 0 | — |
| +4 | K242247 | ARIX Femur Nail System | Jeil Medical Corporation | 2025 | 1 | — |
| +4 | K233134 | I.T.S. INS Proximal Femur Nail | I.T.S. GmbH | 2024 | 0 | — |
| +4 | K234075 | Flow-Nail | Flow-Fx, LLC | 2024 | 0 | — |
| +4 | K231231 | MR Safety and Compatibility Testing and Labeling for Paragon 28 Orthopedic Fixation… | Paragon 28, Inc. | 2023 | 1 | — |
| +4 | K230257 | Arthrex Intramedullary Nails | Arthrex, Inc. | 2023 | 1 | — |
| +4 | K230512 | Gamma4 System | Stryker GmbH | 2023 | 0 | — |
| +4 | K223761 | OIC Intramedullary Screw System | Orthopaedic Implant Company | 2023 | 0 | — |
| +4 | K221021 | Femoral Trochanteric Nail System – Neonail | Neoortho Produtos Ortopédicos S/A | 2022 | 0 | — |
| +4 | K222309 | Gamma4 System | Stryker GmbH | 2022 | 0 | — |
| +4 | K203819 | T2 Alpha Femur Retrograde Nailing System, T2 Alpha Femur Antegrade GT/PF Nailing System… | Stryker GmbH | 2021 | 7 | — |
| +4 | K193308 | T2 Alpha Tibia Nailing System, IMN Screws System | Stryker Trauma GmbH | 2020 | 4 | — |
| +4 | K192163 | TTC Phantom® Intramedullary Nail System | Paragon 28, Inc. | 2020 | 6 | — |
| +4 | K191782 | TTC Phantom Intramedullary Nail System | Paragon 28, Inc. | 2019 | 6 | — |
| +4 | K181296 | Syntec Femoral Nail System | Syntec Scientific Corporation | 2019 | 2 | — |
| +5 | K250163 | T2 Alpha Femur Retrograde Nailing System | Stryker GmbH | 2025 | 2 | — |
| +5 | K251850 | Phantom® Hindfoot TTC/TC Nail System | Paragon 28, Inc. | 2025 | 1 | — |
| +5 | K243890 | Arthrex Intramedullary Nails | Arthrex, Inc. | 2025 | 0 | — |
| +5 | K241262 | Baby Gorilla/Gorilla Plating System; Monster Screw System | Paragon 28, Inc. | 2024 | 0 | — |
| +5 | K202935 | Syntec Femoral Nail Extended System | Syntec Scientific Corporation | 2020 | 0 | — |
| +5 | K201227 | Phantom® Hindfoot TTC/TC Nail System | Paragon 28, Inc. | 2020 | 5 | — |
| +5 | K191617 | Syntec Tibial Nail System | Syntec Scientific Corporation | 2019 | 0 | — |
| +6 | K253591 | Phantom® Hindfoot TTC/TC Nail System | Paragon 28, Inc. | 2026 | 0 | — |
| +6 | K253640 | T2 Alpha Femur Retrograde Nailing System; Pangea Femur Reconstruction System | Stryker GmbH | 2026 | 1 | — |
| +6 | K210869 | Phantom Hindfoot TTC/TC Nail System | Paragon 28, Inc. | 2021 | 2 | 3 |
| +7 | K261481 | Pangea Femur Reconstruction System | Stryker GmbH | 2026 | 0 | — |