510(k) Report

510(k) · Cleared

Cleared

Orthofix True Lok Hexapod System VI.3

K143125510(k) SpecialCleared Dec 10, 201440-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

Orthofix Srl · KTT Appliance, Fixation, Nail/Blade/Plate Combination, Multiple Component

Cleared on Dec 10, 2014 as substantially equivalent to K141078 (Orthofix Srl, 2014) after a 40-day review. Its family tree reaches back 11 generations to 1996. 26 later devices descend from it.

Decided
Dec 10, 2014
Review
40 days
Class
Class II
Product code
KTT
Recalls
None
Predicates
1

Its longest line of descent runs back 11 generations to K962616 (1996). 56 ancestors in all, the oldest K792022 (1979). 26 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1996: 5 other ancestors1994: 2 other ancestors2008: 1 other ancestor2000: 7 other ancestors1997: 1 other ancestor1987: 1 other ancestor1983: 1 other ancestor2006: 3 other ancestors2005: 2 other ancestors2003: 1 other ancestor2001: 6 other ancestors1999: 2 other ancestors1990: 1 other ancestor2004: 3 other ancestors2002: 1 other ancestor1998: 2 other ancestors1993: 2 other ancestors1979: 1 other ancestor1995: 1 other ancestor1991: 1 other ancestor1989: 1 other ancestor2015: 1 descendant cleared2017: 2 descendants cleared2020: 2 descendants cleared2018: 4 descendants cleared2019: 2 descendants cleared2021: 2 descendants cleared2022: 1 descendant cleared2025: 4 descendants cleared2023: 1 descendant cleared2024: 2 descendants cleared2026: 5 descendants clearedK962616 · Synthes Dorsal Distal Radius Plate (DDRP) System · Synthes (Usa) · 1996K982732 · Synthes (Usa) Distal Radius Plate System (DRPS) · Synthes · 1998×3: 3 generations cleared close together, K023007 (2002), K030198 (2003), K032705 (2003) ×2: 2 generations cleared close together, K050932 (2005), K051735 (2005) K071563 · Peri-Loc Periarticular Locked Plating System · Smith & Nephew, Inc. · 2007K090675 · Smith & Nephew, Inc. VLP Foot Plating, Screw System and Accessories · Smith & Nephew, Inc. · 2009K093047 · Smith & Nephew Circular Fixation System · Smith & Nephew, Inc. · 2010 · recalledK141078 · Orthofix TL-Hex True Lok Hexalobe System (TL-Hex) · Orthofix Srl · 201419801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 2 other ancestors3 generations back: 6 other ancestors4 generations back: 6 other ancestors5 generations back: 12 other ancestors6 generations back: 12 other ancestors7 generations back: 5 other ancestors10 generations back: 1 other ancestor11 generations back: 1 other ancestor 1 generation forward: 3 descendants2 generations forward: 8 descendants3 generations forward: 7 descendants4 generations forward: 8 descendants K141078 · Orthofix TL-Hex True Lok Hexalobe System (TL-Hex) · Orthofix Srl · 2014K093047 · Smith & Nephew Circular Fixation System · Smith & Nephew, Inc. · 2010 · recalledK090675 · Smith & Nephew, Inc. VLP Foot Plating, Screw System and Accessories · Smith & Nephew, Inc. · 2009K071563 · Peri-Loc Periarticular Locked Plating System · Smith & Nephew, Inc. · 2007K051735 · Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper Extremity · Smith & Nephew, Inc. · 2005K050932 · Distal Volar Radius Anatomical Plate System · Hand Innovations, Inc. · 2005 · recalledK032705 · Distal Radius Fracture Repair System · Hand Innovations, Inc. · 2003K030198 · Hand Innovations, Inc. Distal Radius Fracture Repair System · Hand Innovations, Inc. · 2003K023007 · Distal Radius Fracture Repair System · Hand Innovations, Inc. · 2002K982732 · Synthes (Usa) Distal Radius Plate System (DRPS) · Synthes · 1998K962616 · Synthes Dorsal Distal Radius Plate (DDRP) System · Synthes (Usa) · 1996−10−50
  1. Root · 11 generations backK962616 Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa) · 1996
  2. 7 generations between
  3. 3 generations backK090675 Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSmith & Nephew, Inc. · 2009
  4. 2 generations backK093047 Smith & Nephew Circular Fixation SystemSmith & Nephew, Inc. · 2010 · Recalled
  5. 1 generation backK141078 Orthofix TL-Hex True Lok Hexalobe System (TL-Hex)Orthofix Srl · 2014
  6. This deviceK143125 Orthofix True Lok Hexapod System VI.3Orthofix Srl · 2014
  7. Descendant · cites it directly · 19 of its ownK152171 Orthofix TL-HEX True Lok Hexapod System (TL-HEX) V1.4Orthofix Srl · 2015
  8. Descendant · 2 generations on · 11 of its ownK170650 Orthofix TrueLok Hexapod System (TL-HEX) V2.0Orthofix Srl · 2017 · Recalled
  9. Descendant · cites it directly · 5 of its ownK170888 Renovis S141 Lumbar Interbody Fusion SystemRenovis Surgical Technologies · 2017
  10. Descendant · 2 generations on · 4 of its ownK181655 Renovis S180 Lateral Lumbar Interbody Fusion SystemRenovis Surgical Technologies · 2018
  11. Descendant · 2 generations on · 4 of its ownK180539 Deformity Analysis and Correction Software (DACS) and InstrumentationArrowhead Medical Device Technologies, LLC · 2018
Show all 11 generations
  1. Root · 11 generations backK962616 Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa) · 1996
  2. 10 generations backK982732 Synthes (Usa) Distal Radius Plate System (DRPS)Synthes · 1998
  3. 9 generations backK023007 Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2002
  4. 8 generations backK030198 Hand Innovations, Inc. Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2003
  5. 7 generations backK032705 Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2003
  6. 6 generations backK050932 Distal Volar Radius Anatomical Plate SystemHand Innovations, Inc. · 2005 · Recalled
  7. 5 generations backK051735 Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper…Smith & Nephew, Inc. · 2005
  8. 4 generations backK071563 Peri-Loc Periarticular Locked Plating SystemSmith & Nephew, Inc. · 2007
  9. 3 generations backK090675 Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSmith & Nephew, Inc. · 2009
  10. 2 generations backK093047 Smith & Nephew Circular Fixation SystemSmith & Nephew, Inc. · 2010 · Recalled
  11. 1 generation backK141078 Orthofix TL-Hex True Lok Hexalobe System (TL-Hex)Orthofix Srl · 2014
  12. This deviceK143125 Orthofix True Lok Hexapod System VI.3Orthofix Srl · 2014

Showing 5 of 26 descendants. See all descendants

Descendants cleared per year

2015: 12017: 22018: 42019: 22020: 22021: 22022: 12023: 12024: 22025: 42026: 5
2015high 5 (2026) · low 0 (2016)2026

Most influential descendants

Showing 5 of 26 · See all
  • K152171Orthofix TL-HEX True Lok Hexapod System (TL-HEX) V1.4Orthofix Srl · 2015 · cites it directly19descendants
  • K170650Orthofix TrueLok Hexapod System (TL-HEX) V2.0Orthofix Srl · 2017 · 2 generations on11descendants
  • K170888Renovis S141 Lumbar Interbody Fusion SystemRenovis Surgical Technologies · 2017 · cites it directly5descendants
  • K181655Renovis S180 Lateral Lumbar Interbody Fusion SystemRenovis Surgical Technologies · 2018 · 2 generations on4descendants
  • K180539Deformity Analysis and Correction Software (DACS) and InstrumentationArrowhead Medical Device Technologies, LLC · 2018 · 2 generations on4descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11K962616Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa)1996—
−10K982732Synthes (Usa) Distal Radius Plate System (DRPS)Synthes1998—
−9K023007Distal Radius Fracture Repair SystemHand Innovations, Inc.2002—
−8K030198Hand Innovations, Inc. Distal Radius Fracture Repair SystemHand Innovations, Inc.2003—
−7K032705Distal Radius Fracture Repair SystemHand Innovations, Inc.2003—
−6K050932Distal Volar Radius Anatomical Plate SystemHand Innovations, Inc.20051
−5K051735Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper ExtremitySmith & Nephew, Inc.2005—
−4K071563Peri-Loc Periarticular Locked Plating SystemSmith & Nephew, Inc.2007—
−3K090675Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSmith & Nephew, Inc.2009—
−2K093047Smith & Nephew Circular Fixation SystemSmith & Nephew, Inc.20101
−1K141078Orthofix TL-Hex True Lok Hexalobe System (TL-Hex)Orthofix Srl2014—
0 (this device)K143125Orthofix True Lok Hexapod System VI.3Orthofix Srl2014—
+1K152171Orthofix TL-HEX True Lok Hexapod System (TL-HEX) V1.4Orthofix Srl2015—
+2K170650Orthofix TrueLok Hexapod System (TL-HEX) V2.0Orthofix Srl20171
+1K170888Renovis S141 Lumbar Interbody Fusion SystemRenovis Surgical Technologies2017—
+2K181655Renovis S180 Lateral Lumbar Interbody Fusion SystemRenovis Surgical Technologies2018—
+2K180539Deformity Analysis and Correction Software (DACS) and InstrumentationArrowhead Medical Device Technologies, LLC2018—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198310
198710
198910
199010
199110
199320
199420
199510
199650
199710
199820
199920
200070
200160
200210
200310
200430
200520
200630
200810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201510
201720
201840
201920
202020
202120
202210
202310
202420
202540
202650
FIG. 1 — Lineage of K143125, 1996–2026Source: 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
Get a 510(k) Report

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
*K141078Orthofix TL-Hex True Lok Hexalobe System (TL-Hex)
Summary page 4
…ct Code KTT, OSN Name of Predicate Device 510(k) # Manufacturer Orthofix TL-HEX True Lok Hexapod System (TL-HEX) K141078 Orthofix Srl Description The Subject device is a multilateral external fixation system. The System…
Orthofix Srl2014—

Also cleared against K141078: 4 other devices →

What descends from it? (26)

See all 26

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

NumberDeviceApplicantDecidedDescendants
K152171Orthofix TL-HEX True Lok Hexapod System (TL-HEX) V1.4Orthofix Srl201519
K170888Renovis S141 Lumbar Interbody Fusion SystemRenovis Surgical Technologies20175
K193368Smart Correction SystemWishbone Medical, Inc.20203

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 18 years and passes through 5 companies; a new generation was cleared every 1.6 years on median.
  • 17 of the 56 ancestors have a recall of any class.
  • Of its descendants, K152171 (Orthofix Srl, 2015) has gone furthest, with 19 descendants of its own.
  • 4 other devices also cite its predicate K141078.

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. 2014, 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 TL-HEX System is intended for limb lengthening by metaphyseal or epiphyseal distractions, fixation of open and closed fractures, treatment of non-union or pseudoarthrosis of long bones and correction of bony or soft tissue defects or deformities. Within this range, indications include: * Post-traumatic joint contracture which has resulted in loss of range of motion * Fractures and disease which generally may result in joint contractures or loss of…

Read the full statement (119 words)

The TL-HEX System is intended for limb lengthening by metaphyseal or epiphyseal distractions, fixation of open and closed fractures, treatment of non-union or pseudoarthrosis of long bones and correction of bony or soft tissue defects or deformities. Within this range, indications include:

* Post-traumatic joint contracture which has resulted in loss of range of motion

* Fractures and disease which generally may result in joint contractures or loss of range of motion and fractures requiring distraction

* Open and closed fracture fixation

* Pseudoarthrosis of long bones

* Limb lengthening by epiphyseal or metaphyseal distraction

* Correction of bony or soft tissue deformities

* Correction of bony or soft tissue defects

* Joint arthrodesis

* Infected fractures or non-unions

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K143125: Orthofix True Lok Hexapod System VI.3.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K143125

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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