510(k) Report

510(k) · Cleared

Recalled · Class II · 2013

Synthes Tomofix Osteotomy System

K023941510(k) TraditionalCleared Jan 23, 200358-day reviewClass II21 CFR 888.3030Recalls 1

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

Synthes (Usa) · KTT Appliance, Fixation, Nail/Blade/Plate Combination, Multiple Component

Cleared on Jan 23, 2003 after a 58-day review. The FDA summary names its predicate without a number. 39 later devices descend from it. It has been recalled once.

Decided
Jan 23, 2003
Review
58 days
Class
Class II
Product code
KTT
Recalls
1
Predicates
0

39 later devices descend from it, 9 citing it directly.

Descendants, by year cleared 2020: 1 descendant cleared2014: 2 descendants cleared2004: 1 descendant cleared2013: 1 descendant cleared2018: 3 descendants cleared2012: 1 descendant cleared2025: 8 descendants cleared2022: 1 descendant cleared2015: 1 descendant cleared2024: 9 descendants cleared2026: 6 descendants cleared2019: 2 descendants cleared2021: 2 descendants cleared2023: 1 descendant cleared200020052010201520202025
  1. This deviceK023941 Synthes Tomofix Osteotomy SystemSynthes (Usa) · 2003
  2. Descendant · cites it directly · 14 of its ownK141796 Depuy Synthes Tomofix Osteotomy SystemSynthes (USA) Products, LLC · 2014
  3. Descendant · cites it directly · 11 of its ownK113733 Small and Large Fragments Osteosynthesis System NeofixNeoortho Produtos Ortopedicos S/A · 2012
  4. Descendant · 2 generations on · 8 of its ownK142419 Mini and Micro Fragments Reconstruction System-NEOFIXNeoortho Productos Orthopedicos S/A · 2014
  5. Descendant · cites it directly · 5 of its ownK041601 Surfix Knee Osteotomy SystemSurfix Technologies · 2004
  6. Descendant · cites it directly · 4 of its ownK193614 FINE Osteotomy around the kneeBodycad Laboratories, Inc. · 2020

Showing 5 of 39 descendants. See all descendants

Descendants cleared per year

2004: 12012: 12013: 12014: 22015: 12018: 32019: 22020: 12021: 22022: 12023: 12024: 92025: 82026: 6
2004high 9 (2024) · low 0 (2005)2026

Most influential descendants

Showing 5 of 39 · See all
  • K141796Depuy Synthes Tomofix Osteotomy SystemSynthes (USA) Products, LLC · 2014 · cites it directly14descendants
  • K113733Small and Large Fragments Osteosynthesis System NeofixNeoortho Produtos Ortopedicos S/A · 2012 · cites it directly11descendants
  • K142419Mini and Micro Fragments Reconstruction System-NEOFIXNeoortho Productos Orthopedicos S/A · 2014 · 2 generations on8descendants
  • K041601Surfix Knee Osteotomy SystemSurfix Technologies · 2004 · cites it directly5descendants
  • K193614FINE Osteotomy around the kneeBodycad Laboratories, Inc. · 2020 · cites it directly4descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K023941Synthes Tomofix Osteotomy SystemSynthes (Usa)2003—
+1K141796Depuy Synthes Tomofix Osteotomy SystemSynthes (USA) Products, LLC2014—
+1K113733Small and Large Fragments Osteosynthesis System NeofixNeoortho Produtos Ortopedicos S/A2012—
+2K142419Mini and Micro Fragments Reconstruction System-NEOFIXNeoortho Productos Orthopedicos S/A2014—
+1K041601Surfix Knee Osteotomy SystemSurfix Technologies2004—
+1K193614FINE Osteotomy around the kneeBodycad Laboratories, Inc.2020—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200410
201210
201310
201420
201510
201830
201920
202010
202120
202210
202310
202490
202580
202660
FIG. 1 — Lineage of K023941, 2003–2026Source: 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 KTT? 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 KTT device

  1. #1 K242861 TrueLok Elevatescore 21.3 · 14 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? (4)

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
*—Anatomical Locking Plate System
Named without a submission number
—
*—Synthes Locking Condylar Plates
Named without a submission number
—
*—Synthes Large Fragment LCP System
Named without a submission number
—
*—Synthes LCP Proximal Tibia Plate
Named without a submission number
—

What descends from it? (39)

See all 39

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

NumberDeviceApplicantDecidedDescendants
K141796Depuy Synthes Tomofix Osteotomy SystemSynthes (USA) Products, LLC201414
K113733Small and Large Fragments Osteosynthesis System NeofixNeoortho Produtos Ortopedicos S/A201211
K041601Surfix Knee Osteotomy SystemSurfix Technologies20045
K193614FINE Osteotomy around the kneeBodycad Laboratories, Inc.20204
K180310DePuy Synthes Trauma Orthopedic Plates and ScrewsSynthes (Usa) Products, LLC / Depuy Orthopaedics, Inc.20184
K252897APS Osteotomy Fixation System (0945-1302-xx /4.5mm Cortex Screw); APS Osteotomy Fixation…A Plus Biotechnology Co., Ltd.20250
K212545FlexitSystem Knee osteotomy systemNeosteo20220
K180213Titanium TomoFix Medial High Tibia Plate AnatomicalSynthes (USA) Products, LLC20180
K131782Loqteq High Tibia Osteotomy Plate 4.5Aap Implantate AG20130

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

Recalls of this device

DateClassRecallRoot causeReason
Oct 9, 2013Class IIZ-0473-2014Labeling False and MisleadingA labeling correction was initiated related to the Surgical Technique Guide J5606-C "TomoFix Osteotomy System" due to the potential for a surgical delay if the surgeon inserts the superior screws at a lesser angle (4 or 6 degrees) and is…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Of its descendants, K141796 (Synthes (USA) Products, LLC, 2014) has gone furthest, with 14 descendants of its own.

How does its category compare?

All KTT devices

KTT Appliance, Fixation, Nail/Blade/Plate Combination, Multiple Component: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · KTT

10in 2025

2007: 92008: 112009: 112010: 122011: 102012: 92013: 72014: 142015: 122016: 102017: 112018: 62019: 82020: 92021: 102022: 32023: 72024: 52025: 102026 (partial year): 5
2007high 14 (2014) · low 3 (2022)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KTT

88in 2025

2007: 55 days median2008: 73 days median2009: 94 days median2010: 148 days median2011: 157 days median2012: 140 days median2013: 87 days median2014: 129 days median2015: 60 days median2016: 142 days median2017: 184 days median2018: 149 days median2019: 110 days median2020: 200 days median2021: 83 days median2022: 25 days median2023: 29 days median2024: 90 days median2025: 88 days median2026 (partial year): 68 days median
2007high 200 (2020) · low 25 (2022)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · KTT

2in 2021

2007: 22008: 12009: 22010: 12012: 42013: 72017: 12018: 142019: 32021: 22026 (partial year): 11
2007high 14 (2018) · low 0 (2011)2026

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

Adverse event reports per year · KTT

673in 2025

2007: 452008: 662009: 452010: 1212011: 1962012: 5272013: 8982014: 4452015: 4012016: 4002017: 4852018: 5972019: 8002020: 9422021: 9612022: 6272023: 5542024: 5232025: 673
2007high 961 (2021) · low 45 (2007)2025

MAUDE reports naming product code KTT, 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
2007955245
20081173166
20091194245
2010121481121
2011101570196
201291404527
20137877898
2014141290445
201512600401
2016101420400
2017111841485
2018614914597
201981103800
202092000942
202110832961
20223250627
20237290554
20245900523
202510880673
202656811—

What is it indicated for?

Synthes TomoFixTMOsteotomy System is intended for open and closed wedge osteotomies of the medial proximal tibia, lateral proximal tibia and lateral distal femur, treatment of bone and joint deformities, and malalignment caused by injury or disease such as osteoarthritis.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K023941: Synthes Tomofix Osteotomy System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K023941

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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