510(k) Report

510(k) · Cleared

Cleared

Xtrafix External Fixation System

K111155510(k) TraditionalCleared Oct 20, 2011178-day reviewClass II21 CFR 888.3030

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

Extraortho, Inc. · KTT Appliance, Fixation, Nail/Blade/Plate Combination, Multiple Component

Cleared on Oct 20, 2011 as substantially equivalent to K091258 (Qfx Technologies, Inc., 2009) and 3 other predicates after a 178-day review. Its family tree reaches back 2 generations to 2000. 9 later devices descend from it.

Decided
Oct 20, 2011
Review
178 days
Class
Class II
Product code
KTT
Recalls
None
Predicates
4

Its longest line of descent runs back 2 generations to K994143 (2000). 6 ancestors in all. 9 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2008: 2 other ancestors2006: 1 other ancestor2003: 1 other ancestor2012: 1 descendant cleared2015: 3 descendants cleared2014: 2 descendants cleared2019: 1 descendant cleared2022: 2 descendants clearedK994143 · Smith & Nephew External Fixation System [Unilateral (Linear) & Multilateral (Circular) Fixators and Accessories] · Smith & Nephew, Inc. · 2000 · recalledK091258 · Extrafix External Fixation System · Qfx Technologies, Inc. · 2009200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors2 generations back: 1 other ancestor 1 generation forward: 1 descendant2 generations forward: 5 descendants3 generations forward: 2 descendants4 generations forward: 1 descendant K091258 · Extrafix External Fixation System · Qfx Technologies, Inc. · 2009K994143 · Smith & Nephew External Fixation System [Unilateral (Linear) & Multilateral (Circular) Fixators and Accessories] · Smith & Nephew, Inc. · 2000 · recalled0
  1. Root · 2 generations backK994143 Smith & Nephew External Fixation System [Unilateral (Linear) &…Smith & Nephew, Inc. · 2000 · Recalled
  2. 1 generation backK091258 Extrafix External Fixation SystemQfx Technologies, Inc. · 2009
  3. This deviceK111155 Xtrafix External Fixation SystemExtraortho, Inc. · 2011
  4. Descendant · cites it directly · 8 of its ownK113383 Xtrafix External Fixation SystemExtraortho, Inc. · 2012
  5. Descendant · 2 generations on · 2 of its ownK181528 Austin Miller Large External Fixation SystemAustin Miller Trauma, LLC · 2019
  6. Descendant · 2 generations on · 2 of its ownK131413 Xtrafix Small External Fixation SystemZimmer, Inc. · 2014
  7. Descendant · 3 generations on · 1 of its ownK213874 MAVERICK External Fixation SystemSmith & Nephew, Inc. · 2022
  8. Descendant · 2 generations on · 1 of its ownK141697 Xtrafix External Fixation System, Xtrafix Small External Fixation…Zimmer, Inc. · 2014

Showing 5 of 9 descendants. See all descendants

Descendants cleared per year

2012: 12014: 22015: 32019: 12022: 2
2012high 3 (2015) · low 0 (2013)2026

Most influential descendants

Showing 5 of 9 · See all
  • K113383Xtrafix External Fixation SystemExtraortho, Inc. · 2012 · cites it directly8descendants
  • K181528Austin Miller Large External Fixation SystemAustin Miller Trauma, LLC · 2019 · 2 generations on2descendants
  • K131413Xtrafix Small External Fixation SystemZimmer, Inc. · 2014 · 2 generations on2descendants
  • K213874MAVERICK External Fixation SystemSmith & Nephew, Inc. · 2022 · 3 generations on1descendant
  • K141697Xtrafix External Fixation System, Xtrafix Small External Fixation SystemZimmer, Inc. · 2014 · 2 generations on1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K994143Smith & Nephew External Fixation System [Unilateral (Linear) & Multilateral…Smith & Nephew, Inc.200019
−1K091258Extrafix External Fixation SystemQfx Technologies, Inc.2009—
0 (this device)K111155Xtrafix External Fixation SystemExtraortho, Inc.2011—
+1K113383Xtrafix External Fixation SystemExtraortho, Inc.2012—
+2K181528Austin Miller Large External Fixation SystemAustin Miller Trauma, LLC2019—
+2K131413Xtrafix Small External Fixation SystemZimmer, Inc.2014—
+3K213874MAVERICK External Fixation SystemSmith & Nephew, Inc.2022—
+2K141697Xtrafix External Fixation System, Xtrafix Small External Fixation SystemZimmer, Inc.2014—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200310
200610
200820

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201210
201420
201530
201910
202220
FIG. 1 — Lineage of K111155, 2000–2022Source: 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
*K091258Extrafix External Fixation System
Summary page 2
…ary Predicate Devices: The XtraFix External Fixation System is similar to several predicates including the following: *ExtraOrtho XtraFix External Fixation System (K091258); *Stryker Hoffmann 11MRI External Fixation System (1(053472); *Synthes Large External Fixation Clamps- MR S(K082650); an…
Qfx Technologies, Inc.2009—
*K053472Hoffmann II Mri External Fixation System
Summary page 2
…imilar to several predicates including the following: *ExtraOrtho XtraFix External Fixation System (K091258); *Stryker Hoffmann 11MRI External Fixation System (1(053472); *Synthes Large External Fixation Clamps- MR S(K082650); and *Smith & Nephew Jet-X Unilateral Fixator (K(072212). Techn…
Howmedica Osteonics Corp.2006—
*K082650Synthes Large External Fixation, MR Conditional
Summary page 2
…ExtraOrtho XtraFix External Fixation System (K091258); *Stryker Hoffmann 11MRI External Fixation System (1(053472); *Synthes Large External Fixation Clamps- MR S(K082650); and *Smith & Nephew Jet-X Unilateral Fixator (K(072212). Technological Characteristics The principles of operation of the…
Synthes (Usa)20085
*K072212Jet-X Bar System Clamps, Bars and Posts-MR Safe
Summary page 2
…ryker Hoffmann 11MRI External Fixation System (1(053472); *Synthes Large External Fixation Clamps- MR S(K082650); and *Smith & Nephew Jet-X Unilateral Fixator (K(072212). Technological Characteristics The principles of operation of the XtraFix External Fixation System are the same as for the pred…
Smith & Nephew, Inc.2008—

Also cleared against K091258: 2 other devices →

What descends from it? (9)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K113383Xtrafix External Fixation SystemExtraortho, Inc.20128

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

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 11 years and passes through 3 companies; a new generation was cleared every 9.4 years on median.
  • 3 of the 6 ancestors have a recall of any class.
  • Of its descendants, K113383 (Extraortho, Inc., 2012) has gone furthest, with 8 descendants of its own.
  • 2 other devices also cite its predicate K091258.

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. 2011, 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?

The Xtrafix External Fixation System includes various elements designed to build a fixator construct. The system includes clamps, posts, bars, and fixation pins. The XtraFix External Fixation System is indicated for use in construction of an external fixation frame for treatment of long bone (foot, femur, and tibia) and pelvic fractures that require external fixation. Specifically, the system is intended for: Temporary stabilization of open or closed…

Read the full statement (157 words)

The Xtrafix External Fixation System includes various elements designed to build a fixator construct. The system includes clamps, posts, bars, and fixation pins.

The XtraFix External Fixation System is indicated for use in construction of an external fixation frame for treatment of long bone (foot, femur, and tibia) and pelvic fractures that require external fixation. Specifically, the system is intended for:

Temporary stabilization of open or closed acute fractures with soft tissue injuries;

Definitive stabilization of open or closed fractures where open or alternative closed treatment is undesirable or otherwise contraindicated;

Stabilization of fractures in the context of polytrauma;

Temporary or definitive stabilization of certain pelvic fractures or pelvic ring injuries;

Arthrodesis and osteotomies with associated soft tissue problems;

Stabilization of limbs after removal of total joint (knee and ankle) arthroplasty for infection or other failure;

Neutralization of fractures stabilized with limited internal fixation;

Stabilization of non-unions; and

Intraoiperative temporary stabilization tool to assist with indirect reduction.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K111155: Xtrafix External Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K111155

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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