510(k) Report

510(k) · Cleared

Recalled · 2012

Smith & Nephew External Fixation System [Unilateral (Linear) & Multilateral (Circular) Fixators and Accessories]

K994143510(k) TraditionalCleared Feb 18, 200072-day reviewClass II21 CFR 888.3040Recalls 19

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

Smith & Nephew, Inc. · JDW Pin, Fixation, Threaded

Cleared on Feb 18, 2000 after a 72-day review. The FDA summary names its predicate without a number. 127 later devices descend from it. It has been recalled 19 times.

Decided
Feb 18, 2000
Review
72 days
Class
Class II
Product code
JDW
Recalls
19
Predicates
0

127 later devices descend from it, 19 citing it directly.

Descendants, by year cleared 2009: 3 descendants cleared2012: 5 descendants cleared2020: 7 descendants cleared2021: 13 descendants cleared2022: 5 descendants cleared2010: 4 descendants cleared2013: 4 descendants cleared2004: 2 descendants cleared2003: 1 descendant cleared2011: 4 descendants cleared2007: 1 descendant cleared2002: 2 descendants cleared2014: 8 descendants cleared2017: 5 descendants cleared2016: 5 descendants cleared2019: 7 descendants cleared2018: 5 descendants cleared2015: 9 descendants cleared2025: 14 descendants cleared2026: 10 descendants cleared2024: 6 descendants cleared2023: 7 descendants cleared200020052010201520202025
  1. This deviceK994143 Smith & Nephew External Fixation System [Unilateral (Linear) &…Smith & Nephew, Inc. · 2000
  2. Descendant · cites it directly · 51 of its ownK093047 Smith & Nephew Circular Fixation SystemSmith & Nephew, Inc. · 2010 · Recalled
  3. Descendant · cites it directly · 37 of its ownK070555 Orthopro Steinman Pins and Kirschner WiresOrthopro, LLC · 2007
  4. Descendant · 2 generations on · 32 of its ownK141078 Orthofix TL-Hex True Lok Hexalobe System (TL-Hex)Orthofix Srl · 2014
  5. Descendant · 2 generations on · 27 of its ownK113006 I-Fuse Hammer Toe SystemsOrthopro, LLC · 2012
  6. Descendant · 3 generations on · 26 of its ownK143125 Orthofix True Lok Hexapod System VI.3Orthofix Srl · 2014

Showing 5 of 127 descendants. See all descendants

Descendants cleared per year

2002: 22003: 12004: 22007: 12009: 32010: 42011: 42012: 52013: 42014: 82015: 92016: 52017: 52018: 52019: 72020: 72021: 132022: 52023: 72024: 62025: 142026: 10
2002high 14 (2025) · low 0 (2005)2026

Most influential descendants

Showing 5 of 127 · See all
  • K093047Smith & Nephew Circular Fixation SystemSmith & Nephew, Inc. · 2010 · cites it directly51descendants
  • K070555Orthopro Steinman Pins and Kirschner WiresOrthopro, LLC · 2007 · cites it directly37descendants
  • K141078Orthofix TL-Hex True Lok Hexalobe System (TL-Hex)Orthofix Srl · 2014 · 2 generations on32descendants
  • K113006I-Fuse Hammer Toe SystemsOrthopro, LLC · 2012 · 2 generations on27descendants
  • K143125Orthofix True Lok Hexapod System VI.3Orthofix Srl · 2014 · 3 generations on26descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K994143Smith & Nephew External Fixation System [Unilateral (Linear) & Multilateral…Smith & Nephew, Inc.2000—
+1K093047Smith & Nephew Circular Fixation SystemSmith & Nephew, Inc.20101
+1K070555Orthopro Steinman Pins and Kirschner WiresOrthopro, LLC2007—
+2K141078Orthofix TL-Hex True Lok Hexalobe System (TL-Hex)Orthofix Srl2014—
+2K113006I-Fuse Hammer Toe SystemsOrthopro, LLC2012—
+3K143125Orthofix True Lok Hexapod System VI.3Orthofix Srl2014—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200220
200310
200420
200710
200930
201040
201140
201250
201340
201480
201590
201650
201750
201850
201970
202070
2021130
202250
202370
202460
2025140
2026100
FIG. 1 — Lineage of K994143, 2000–2026Source: 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 JDW? 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 JDW device

  1. #1 K260073 XT3 System; XT3 System, Mini; XT3 System…score 15.0 · 15 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
*—Hex-Fix® Field Fixator — Smith & Nephew
Named without a submission number
—
*—Richards Colles Fracture Frame — Smith & Nephew
Named without a submission number
—
*—Simple Small External Fixator — Synthes
Named without a submission number
—
*—Compass® Universal Hinge — Smith & Nephew
Named without a submission number
—
*—Richards External Fixation System — Smith & Nephew
Named without a submission number
—
*—Taylor Spatial Frame External Fixation System - Smith & Nephew
Named without a submission number
—

What descends from it? (127)

See all 127

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

NumberDeviceApplicantDecidedDescendants
K093047Smith & Nephew Circular Fixation SystemSmith & Nephew, Inc.201051
K070555Orthopro Steinman Pins and Kirschner WiresOrthopro, LLC200737
K031181External Fixation SystemsSmith & Nephew, Inc.200324
K091258Extrafix External Fixation SystemQfx Technologies, Inc.200911
K090926Smith & Nephew Rail SystemSmith & Nephew, Inc.200910
K113383Xtrafix External Fixation SystemExtraortho, Inc.20128
K042436Iiizarov Pulley SystemSmith & Nephew, Inc.20048
K130479Ilizarov Drill Tip WiresSmith & Nephew, Inc.20136
K120871Smith & Nephew, Inc. External Fixation System InstrumentationSmith & Nephew, Inc.20126
K102215Kirschner Wires, Steinman PinsEvergreen Orthopedic Research Lab20106

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Apr 13, 2012Not classifiedZ-1762-2012PackagingPlastic trays which encase these products have burrs on the hinged packaging which can puncture the single barrier sterile pouch, voiding sterility.
Apr 13, 2012Not classifiedZ-1761-2012PackagingPlastic trays which encase these products have burrs on the hinged packaging which can puncture the single barrier sterile pouch, voiding sterility.
Apr 13, 2012Not classifiedZ-1747-2012PackagingPlastic trays which encase these products have burrs on the hinged packaging which can puncture the single barrier sterile pouch, voiding sterility.
Apr 13, 2012Not classifiedZ-1752-2012PackagingPlastic trays which encase these products have burrs on the hinged packaging which can puncture the single barrier sterile pouch, voiding sterility.
Apr 13, 2012Not classifiedZ-1757-2012PackagingPlastic trays which encase these products have burrs on the hinged packaging which can puncture the single barrier sterile pouch, voiding sterility.
Apr 13, 2012Not classifiedZ-1760-2012PackagingPlastic trays which encase these products have burrs on the hinged packaging which can puncture the single barrier sterile pouch, voiding sterility.
Apr 13, 2012Not classifiedZ-1748-2012PackagingPlastic trays which encase these products have burrs on the hinged packaging which can puncture the single barrier sterile pouch, voiding sterility.
Apr 13, 2012Not classifiedZ-1754-2012PackagingPlastic trays which encase these products have burrs on the hinged packaging which can puncture the single barrier sterile pouch, voiding sterility.
Apr 13, 2012Not classifiedZ-1759-2012PackagingPlastic trays which encase these products have burrs on the hinged packaging which can puncture the single barrier sterile pouch, voiding sterility.
Apr 13, 2012Not classifiedZ-1753-2012PackagingPlastic trays which encase these products have burrs on the hinged packaging which can puncture the single barrier sterile pouch, voiding sterility.
Apr 13, 2012Not classifiedZ-1763-2012PackagingPlastic trays which encase these products have burrs on the hinged packaging which can puncture the single barrier sterile pouch, voiding sterility.
Apr 13, 2012Not classifiedZ-1756-2012PackagingPlastic trays which encase these products have burrs on the hinged packaging which can puncture the single barrier sterile pouch, voiding sterility.
Apr 13, 2012Not classifiedZ-1750-2012PackagingPlastic trays which encase these products have burrs on the hinged packaging which can puncture the single barrier sterile pouch, voiding sterility.
Apr 13, 2012Not classifiedZ-1755-2012PackagingPlastic trays which encase these products have burrs on the hinged packaging which can puncture the single barrier sterile pouch, voiding sterility.
Apr 13, 2012Not classifiedZ-1758-2012PackagingPlastic trays which encase these products have burrs on the hinged packaging which can puncture the single barrier sterile pouch, voiding sterility.
Apr 13, 2012Not classifiedZ-1751-2012PackagingPlastic trays which encase these products have burrs on the hinged packaging which can puncture the single barrier sterile pouch, voiding sterility.
Apr 13, 2012Not classifiedZ-1765-2012PackagingPlastic trays which encase these products have burrs on the hinged packaging which can puncture the single barrier sterile pouch, voiding sterility.
Apr 13, 2012Not classifiedZ-1749-2012PackagingPlastic trays which encase these products have burrs on the hinged packaging which can puncture the single barrier sterile pouch, voiding sterility.
Jan 23, 2009Not classifiedZ-2027-2009Nonconforming Material/ComponentHinge failure: The product is cracking or breaking during use.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Of its descendants, K093047 (Smith & Nephew, Inc., 2010) has gone furthest, with 51 descendants of its own.

How does its category compare?

All JDW devices

JDW Pin, Fixation, Threaded: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · JDW

2in 2025

2007: 22009: 12010: 22011: 12012: 12013: 22014: 22015: 12017: 12018: 12019: 12020: 22021: 22022: 22025: 22026 (partial year): 1
2007high 2 (2007) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JDW

Too few JDW 510(k)s in any year since 2007 to give a median.

Recalls per year · JDW

21in 2018

2009: 22010: 22012: 522017: 22018: 21
2007high 52 (2012) · low 0 (2007)2026

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

Adverse event reports per year · JDW

29in 2025

2007: 252008: 262009: 292010: 292011: 552012: 752013: 692014: 272015: 702016: 462017: 432018: 942019: 5752020: 4022021: 1682022: 1212023: 722024: 652025: 29
2007high 575 (2019) · low 25 (2007)2025

MAUDE reports naming product code JDW, 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—025
20080—026
20091—229
20102—229
20111—055
20121—5275
20132—069
20142—027
20151—070
20160—046
20171—243
20181—2194
20191—0575
20202—0402
20212—0168
20222—0121
20230—072
20240—065
20252—029
20261—0—

What is it indicated for?

Post-traumatic joint contracture which has resulted in loss of range of motion.

Fractures and disease which generally may result in joint contractures or loss of range of motion and fractures requiring distraction.

Open and closed fracture fixation.

Pseudoarthrosis of long bones.

Limb lengthening by epiphyseal or metaphyseal distraction.

Correction of bony or soft tissue deformities.

Correction of segmental bony or soft tissue defects.

Joint arthrodesis.

Infected fractures or nonunions.

Management of comminuted intra-articular fractures of the distal radius.

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. “K994143: Smith & Nephew External Fixation System [Unilateral (Linear) & Multilateral (Circular) Fixators and Accessories].” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K994143

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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