510(k) Report

510(k) · Cleared

Recalled · Class II · 2015

Synthes Large External Fixation, MR Conditional

K082650510(k) TraditionalCleared Nov 18, 200867-day reviewClass II21 CFR 888.3030Recalls 5

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 Nov 18, 2008 after a 67-day review. The FDA summary names its predicate without a number. 23 later devices descend from it. It has been recalled 5 times.

Decided
Nov 18, 2008
Review
67 days
Class
Class II
Product code
KTT
Recalls
5
Predicates
0

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

Descendants, by year cleared 2017: 2 descendants cleared2012: 2 descendants cleared2014: 6 descendants cleared2019: 1 descendant cleared2016: 1 descendant cleared2013: 1 descendant cleared2011: 1 descendant cleared2021: 1 descendant cleared2024: 1 descendant cleared2015: 4 descendants cleared2022: 2 descendants cleared2023: 1 descendant cleared20052010201520202025
  1. This deviceK082650 Synthes Large External Fixation, MR ConditionalSynthes (Usa) · 2008
  2. Descendant · cites it directly · 9 of its ownK111155 Xtrafix External Fixation SystemExtraortho, Inc. · 2011
  3. Descendant · 2 generations on · 8 of its ownK113383 Xtrafix External Fixation SystemExtraortho, Inc. · 2012
  4. Descendant · cites it directly · 6 of its ownK113770 Orthofix Galaxy Fixation SystemOrthofix Srl · 2012 · Recalled
  5. Descendant · cites it directly · 3 of its ownK122455 Synthes Small External Fixation System, Synthes Large External…Synthes · 2013 · Recalled
  6. Descendant · cites it directly · 2 of its ownK181528 Austin Miller Large External Fixation SystemAustin Miller Trauma, LLC · 2019

Showing 5 of 23 descendants. See all descendants

Descendants cleared per year

2011: 12012: 22013: 12014: 62015: 42016: 12017: 22019: 12021: 12022: 22023: 12024: 1
2011high 6 (2014) · low 0 (2018)2026

Most influential descendants

Showing 5 of 23 · See all
  • K111155Xtrafix External Fixation SystemExtraortho, Inc. · 2011 · cites it directly9descendants
  • K113383Xtrafix External Fixation SystemExtraortho, Inc. · 2012 · 2 generations on8descendants
  • K113770Orthofix Galaxy Fixation SystemOrthofix Srl · 2012 · cites it directly6descendants
  • K122455Synthes Small External Fixation System, Synthes Large External Fixation SystemSynthes · 2013 · cites it directly3descendants
  • K181528Austin Miller Large External Fixation SystemAustin Miller Trauma, LLC · 2019 · cites it directly2descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K082650Synthes Large External Fixation, MR ConditionalSynthes (Usa)2008—
+1K111155Xtrafix External Fixation SystemExtraortho, Inc.2011—
+2K113383Xtrafix External Fixation SystemExtraortho, Inc.2012—
+1K113770Orthofix Galaxy Fixation SystemOrthofix Srl201213
+1K122455Synthes Small External Fixation System, Synthes Large External Fixation SystemSynthes20132
+1K181528Austin Miller Large External Fixation SystemAustin Miller Trauma, LLC2019—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201110
201220
201310
201460
201540
201610
201720
201910
202110
202220
202310
202410
FIG. 1 — Lineage of K082650, 2008–2024Source: 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 21.4 · 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? (1)

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
*—Synthes External Fixation Devices
Named without a submission number
—

What descends from it? (23)

See all 23

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

NumberDeviceApplicantDecidedDescendants
K111155Xtrafix External Fixation SystemExtraortho, Inc.20119
K113770Orthofix Galaxy Fixation SystemOrthofix Srl20126
K122455Synthes Small External Fixation System, Synthes Large External Fixation SystemSynthes20133
K181528Austin Miller Large External Fixation SystemAustin Miller Trauma, LLC20192
K142052Orthofix Galaxy Unyco Diaphyseal Tibia KitOrthofix Srl20142
K131413Xtrafix Small External Fixation SystemZimmer, Inc.20142
K153233Galaxy UNYCO SystemOrthofix Srl20161
K140675Emerge External Fixation SystemEmerge Medical, Inc.20141
K170146Galaxy UNYCO SystemOrthofix Srl20170

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

Recalls of this device

DateClassRecallRoot causeReason
Jul 29, 2015Class IIZ-2451-2015Labeling designLabeling changes were made related to MR conditions that align with standard definitions for MR Safe, MR Conditional, and MR Unsafe. This recall identifies additional Trauma External Fixation System part numbers that should be considered…
Apr 10, 2014Class IIZ-1833-2014Labeling Change ControlLabeling changes have been made related to MR (Magnetic Resonance imaging) conditions as a result of changes in required protocols to designate a product MR Safe, MR Conditional, or MR Unsafe.
Jan 11, 2013Class IIZ-0941-2013Nonconforming Material/ComponentThe L1 hex nuts, used to tighten the Large Combination Clamp, were oversized and the 11 mm sockets and wrenches will not fit on the hex nuts.
Oct 12, 2012Class IIZ-1816-2013PackagingIt was discovered internally that there was a discrepancy between the insert provided with the Tube to Tube Clamp and what was called for in the Bill of Materials. Following a detailed investigation, it was determined that the incorrect…
Sep 28, 2012Class IIZ-0277-2013Labeling mix-upsThe insert provided with the product for the specific lot number indicates that this product is MR safe. This product is MR Conditional and is etched as MR Conditional. The insert is incorrect.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Of its descendants, K111155 (Extraortho, Inc., 2011) has gone furthest, with 9 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. 2008, this device’s year, is highlighted.

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 Large External Fixation is intended for use to provide treatment for long bone and pelvic fractures that require external fixation. Specifically, the components can be used for: - Stabilization of soft tissues and fractures - Polytrauma/multiple orthopedic trauma - Vertically stable pelvic fractures, or as a treatment adjunct for vertically unstable pelvic fractures - Arthrodeses and osteotomies with soft tissue problems; failures of total joints…

Read the full statement (96 words)

Synthes Large External Fixation is intended for use to provide treatment for long bone and pelvic fractures that require external fixation. Specifically, the components can be used for:

- Stabilization of soft tissues and fractures

- Polytrauma/multiple orthopedic trauma

- Vertically stable pelvic fractures, or as a treatment adjunct for vertically unstable pelvic fractures

- Arthrodeses and osteotomies with soft tissue problems; failures of total joints

- Neutralization of fractures stabilized with limited internal fixation

- Non-unions/septic non-unions

- Intra-operative reductions/stabilization tool to assist with indirect reduction

- Unilateral rectilinear bone segment transport or leg lengthening

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K082650: Synthes Large External Fixation, MR Conditional.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K082650

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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