510(k) Report

510(k) · Cleared

Recalled · Class II · 2014

Synthes External Fixation Devices, MR Conditional

K090658510(k) TraditionalCleared Mar 3, 2010356-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 Mar 3, 2010 after a 356-day review. The FDA summary names its predicate without a number. 15 later devices descend from it. It has been recalled once.

Decided
Mar 3, 2010
Review
356 days
Class
Class II
Product code
KTT
Recalls
1
Predicates
0

15 later devices descend from it, 5 citing it directly.

Descendants, by year cleared 2012: 1 descendant cleared2019: 1 descendant cleared2011: 1 descendant cleared2017: 2 descendants cleared2013: 1 descendant cleared2014: 3 descendants cleared2021: 1 descendant cleared2024: 1 descendant cleared2022: 2 descendants cleared2023: 1 descendant cleared2016: 1 descendant cleared2010201520202025
  1. This deviceK090658 Synthes External Fixation Devices, MR ConditionalSynthes (Usa) · 2010
  2. Descendant · cites it directly · 6 of its ownK113770 Orthofix Galaxy Fixation SystemOrthofix Srl · 2012 · Recalled
  3. Descendant · cites it directly · 3 of its ownK122455 Synthes Small External Fixation System, Synthes Large External…Synthes · 2013 · Recalled
  4. Descendant · cites it directly · 2 of its ownK181528 Austin Miller Large External Fixation SystemAustin Miller Trauma, LLC · 2019
  5. Descendant · 2 generations on · 2 of its ownK142052 Orthofix Galaxy Unyco Diaphyseal Tibia KitOrthofix Srl · 2014 · Recalled
  6. Descendant · 2 generations on · 1 of its ownK213874 MAVERICK External Fixation SystemSmith & Nephew, Inc. · 2022

Showing 5 of 15 descendants. See all descendants

Descendants cleared per year

2011: 12012: 12013: 12014: 32016: 12017: 22019: 12021: 12022: 22023: 12024: 1
2011high 3 (2014) · low 0 (2015)2026

Most influential descendants

Showing 5 of 15 · See all
  • 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
  • K142052Orthofix Galaxy Unyco Diaphyseal Tibia KitOrthofix Srl · 2014 · 2 generations on2descendants
  • K213874MAVERICK External Fixation SystemSmith & Nephew, Inc. · 2022 · 2 generations on1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K090658Synthes External Fixation Devices, MR ConditionalSynthes (Usa)2010—
+1K113770Orthofix Galaxy Fixation SystemOrthofix Srl201213
+1K122455Synthes Small External Fixation System, Synthes Large External Fixation SystemSynthes20132
+1K181528Austin Miller Large External Fixation SystemAustin Miller Trauma, LLC2019—
+2K142052Orthofix Galaxy Unyco Diaphyseal Tibia KitOrthofix Srl20141
+2K213874MAVERICK External Fixation SystemSmith & Nephew, Inc.2022—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201110
201210
201310
201430
201610
201720
201910
202110
202220
202310
202410
FIG. 1 — Lineage of K090658, 2010–2024Source: 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

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  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? (5)

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 Medium External Fixation
Named without a submission number
—
*—Synthes Distal Radius Fixator
Named without a submission number
—
*—Synthes Low Profile Wrist Fixator
Named without a submission number
—
*—Synthes Elbow Hinge Fixator
Named without a submission number
—
*—Synthes Large External Fixation, MR Conditional
Named without a submission number
—

What descends from it? (15)

See all 15

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

NumberDeviceApplicantDecidedDescendants
K113770Orthofix Galaxy Fixation SystemOrthofix Srl20126
K122455Synthes Small External Fixation System, Synthes Large External Fixation SystemSynthes20133
K181528Austin Miller Large External Fixation SystemAustin Miller Trauma, LLC20192
K171911Medline ReNewal Reprocessed Synthes External Fixation SystemsSurgical Instrument Service and Savings, Inc.20170
K101338Newfix External Fixation SystemTechnologia Y Diseno Industrial, S.A DE C.V20110

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

Recalls of this device

DateClassRecallRoot causeReason
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.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Of its descendants, K113770 (Orthofix Srl, 2012) has gone furthest, with 6 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. 2010, 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 External Fixation Devices, MR Conditional are intended for use in the construction of an external fixation frame for treatment of various fracture types that require external fixation. Synthes Medium External Fixation is intended for the construction of an external fixation frame for the treatment of pediatric and adult fractures- Synthes Distal Radius Fixator is intended for the fixation of the distal radius. Synthes Low-Profile Wrist Fixator is…

Read the full statement (185 words)

Synthes External Fixation Devices, MR Conditional are intended for use in the construction of an external fixation frame for treatment of various fracture types that require external fixation.

Synthes Medium External Fixation is intended for the construction of an external fixation frame for the treatment of pediatric and adult fractures-

Synthes Distal Radius Fixator is intended for the fixation of the distal radius.

Synthes Low-Profile Wrist Fixator is intended for stabilization of fractures of the distal radius.

Synthes Elbow Hinge Fixator is intended for supplementary treatment of complex, unstable elbow injuries when early functional stress musi be limited due to persistent ligament instability. The indications for guided joint bridging with external fixators are:

* Delayed treatment of dislocated and stiff elbows

* Chronic, persistent joint instability

* Acute joint instability after complex ligament injuries

* Unstable elbow fractures

* Additional stabilization of post-operative unstable internal fixation

The Elbow Hinge Fixator is compatible with the components of the Synthes Large External Fixator System for adults (rod diameter: 011Imm), and with components of the Synthes Medium External Fixator System (rod diameter: 08mm) for children and.small stature adults.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K090658: Synthes External Fixation Devices, MR Conditional.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K090658

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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