510(k) Report

510(k) · Cleared

Cleared

Xtrafix External Fixation System

K113383510(k) TraditionalCleared Jun 26, 2012223-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 Jun 26, 2012 as substantially equivalent to K091258 (Qfx Technologies, Inc., 2009) and 3 other predicates after a 223-day review. Its family tree reaches back 3 generations to 2000. 8 later devices descend from it.

Decided
Jun 26, 2012
Review
223 days
Class
Class II
Product code
KTT
Recalls
None
Predicates
4

Its longest line of descent runs back 3 generations to K994143 (2000). 7 ancestors in all. 8 later devices descend from it, 5 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2003: 1 other ancestor2008: 2 other ancestors2006: 1 other ancestor2015: 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. · 2009K111155 · Xtrafix External Fixation System · Extraortho, Inc. · 2011200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 3 other ancestors 1 generation forward: 5 descendants2 generations forward: 2 descendants3 generations forward: 1 descendant K111155 · Xtrafix External Fixation System · Extraortho, Inc. · 2011K091258 · 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 · 3 generations backK994143 Smith & Nephew External Fixation System [Unilateral (Linear) &…Smith & Nephew, Inc. · 2000 · Recalled
  2. 2 generations backK091258 Extrafix External Fixation SystemQfx Technologies, Inc. · 2009
  3. 1 generation backK111155 Xtrafix External Fixation SystemExtraortho, Inc. · 2011
  4. This deviceK113383 Xtrafix External Fixation SystemExtraortho, Inc. · 2012
  5. Descendant · cites it directly · 2 of its ownK181528 Austin Miller Large External Fixation SystemAustin Miller Trauma, LLC · 2019
  6. Descendant · cites it directly · 2 of its ownK131413 Xtrafix Small External Fixation SystemZimmer, Inc. · 2014
  7. Descendant · 2 generations on · 1 of its ownK213874 MAVERICK External Fixation SystemSmith & Nephew, Inc. · 2022
  8. Descendant · cites it directly · 1 of its ownK141697 Xtrafix External Fixation System, Xtrafix Small External Fixation…Zimmer, Inc. · 2014
  9. Descendant · 3 generations on · 0 of its ownK223112 MAVERICK Mini External Fixation SystemSmith & Nephew, Inc. · 2022

Showing 5 of 8 descendants. See all descendants

Descendants cleared per year

2014: 22015: 32019: 12022: 2
2014high 3 (2015) · low 0 (2016)2026

Most influential descendants

Showing 5 of 8 · See all
  • K181528Austin Miller Large External Fixation SystemAustin Miller Trauma, LLC · 2019 · cites it directly2descendants
  • K131413Xtrafix Small External Fixation SystemZimmer, Inc. · 2014 · cites it directly2descendants
  • K213874MAVERICK External Fixation SystemSmith & Nephew, Inc. · 2022 · 2 generations on1descendant
  • K141697Xtrafix External Fixation System, Xtrafix Small External Fixation SystemZimmer, Inc. · 2014 · cites it directly1descendant
  • K223112MAVERICK Mini External Fixation SystemSmith & Nephew, Inc. · 2022 · 3 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K994143Smith & Nephew External Fixation System [Unilateral (Linear) & Multilateral…Smith & Nephew, Inc.200019
−2K091258Extrafix External Fixation SystemQfx Technologies, Inc.2009—
−1K111155Xtrafix External Fixation SystemExtraortho, Inc.2011—
0 (this device)K113383Xtrafix External Fixation SystemExtraortho, Inc.2012—
+1K181528Austin Miller Large External Fixation SystemAustin Miller Trauma, LLC2019—
+1K131413Xtrafix Small External Fixation SystemZimmer, Inc.2014—
+2K213874MAVERICK External Fixation SystemSmith & Nephew, Inc.2022—
+1K141697Xtrafix External Fixation System, Xtrafix Small External Fixation SystemZimmer, Inc.2014—
+3K223112MAVERICK Mini External Fixation SystemSmith & Nephew, Inc.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200310
200610
200820

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201420
201530
201910
202220
FIG. 1 — Lineage of K113383, 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 21.4 · 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? (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 1
…Predicate Devices: The XtraFix External Fixation System Line Additions are similar to several predicates including the following: *XtraFix External Fixation System (K(091258 and K(111155); YKI' ' 33 XtraFix External Fixation System Line Additions…
Qfx Technologies, Inc.2009—
*K111155Xtrafix External Fixation System
Summary page 1
…ices: The XtraFix External Fixation System Line Additions are similar to several predicates including the following: *XtraFix External Fixation System (K(091258 and K(111155); YKI' ' 33 XtraFix External Fixation System Line Additions…
Extraortho, Inc.2011—
*K031428Synthes (Usa) Large External Fixation Clamps-MR Safe
Summary page 2
…YKI' ' 33 XtraFix External Fixation System Line Additions 510(k) Summary *Synthes Large External Fixation Clamps- MR S(K(031428); and *Smith & Nephew Jet-X Unilateral Fixator (K(994143). Technological Characteristics The principles of operation of the Xt…
Synthes (Usa)20031
*K994143Smith & Nephew External Fixation System [Unilateral (Linear) & Multilateral (Circular)…
Summary page 2
…e Additions 510(k) Summary *Synthes Large External Fixation Clamps- MR S(K(031428); and *Smith & Nephew Jet-X Unilateral Fixator (K(994143). Technological Characteristics The principles of operation of the XtraFix External Fixation System Line Additions are the same…
Smith & Nephew, Inc.200019

Also cleared against K091258: 2 other devices →

What descends from it? (8)

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

NumberDeviceApplicantDecidedDescendants
K181528Austin Miller Large External Fixation SystemAustin Miller Trauma, LLC20192
K131413Xtrafix Small External Fixation SystemZimmer, Inc.20142
K141697Xtrafix External Fixation System, Xtrafix Small External Fixation SystemZimmer, Inc.20141
K152755FastFrame External Fixation System-Ankle SpanningZimmer, Inc.20150
K151992FastFrame External Fixation System - Knee Spanning, FastFrame External Fixation System -…Zimmer, Inc.20150

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 12 years and passes through 3 companies; a new generation was cleared every 2.2 years on median.
  • 3 of the 7 ancestors have a recall of any class.
  • Of its descendants, K181528 (Austin Miller Trauma, LLC, 2019) has gone furthest, with 2 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. 2012, 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 is indicated for use in construction of an external fixation frame for treatment of long bone (femur, tibia, foot and humerus) and pelvic fractures that require external fixation. Specifically, the system is intended for: o Stabilization of open or closed fractures, typically in the context of polytrauma or where open or alternative closed treatment is undesirable or otherwise contraindicated; o Arthrodesis and…

Read the full statement (103 words)

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

o Stabilization of open or closed fractures, typically in the context of polytrauma or where open or alternative closed treatment is undesirable or otherwise contraindicated;

o Arthrodesis and osteotomies with associated soft tissue problems;

o Stabilization of limbs after removal of total joint arthroplasty for infection or other failure;

o Stabilization of non-unions; and

o Intraoperative temporary stabilization tool to assist with indirect reduction.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K113383: Xtrafix External Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K113383

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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