510(k) Report

510(k) · Cleared

Cleared

DEPUY SYNTHES MAXFRAME AUTOSTRUT System

K231922510(k) SpecialCleared Jul 26, 202327-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

DePuy Synthes · KTT Appliance, Fixation, Nail/Blade/Plate Combination, Multiple Component

Cleared on Jul 26, 2023 as substantially equivalent to K202810 (Orthospin, Ltd., 2021) after a 27-day review. Its family tree reaches back 13 generations to 1996. 1 later device descends from it.

Decided
Jul 26, 2023
Review
27 days
Class
Class II
Product code
KTT
Recalls
None
Predicates
1

Its longest line of descent runs back 13 generations to K962616 (1996). 56 ancestors in all, the oldest K792022 (1979). 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2010: 1 other ancestor2008: 1 other ancestor2000: 7 other ancestors1997: 1 other ancestor1996: 4 other ancestors1987: 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 ancestors1994: 1 other ancestor1993: 2 other ancestors1979: 1 other ancestor1995: 1 other ancestor1991: 1 other ancestor1989: 1 other ancestor2025: 1 descendant 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 · recalledK161417 · DePuy Synthes MAXFRAME Multi-Axial Correction System · Synthes USA, LLC · 2016K191241 · AutoStrut · Orthospin · 2019K202810 · AutoStrut G2 · Orthospin, Ltd. · 202119801990200020102020
Other ancestors, by generationDescendants, by generation 4 generations back: 1 other ancestor5 generations back: 5 other ancestors6 generations back: 6 other ancestors7 generations back: 12 other ancestors8 generations back: 12 other ancestors9 generations back: 5 other ancestors12 generations back: 1 other ancestor13 generations back: 1 other ancestor 1 generation forward: 1 descendant K202810 · AutoStrut G2 · Orthospin, Ltd. · 2021K191241 · AutoStrut · Orthospin · 2019K161417 · DePuy Synthes MAXFRAME Multi-Axial Correction System · Synthes USA, LLC · 2016K093047 · 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 · 13 generations backK962616 Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa) · 1996
  2. 9 generations between
  3. 3 generations backK161417 DePuy Synthes MAXFRAME Multi-Axial Correction SystemSynthes USA, LLC · 2016
  4. 2 generations backK191241 AutoStrutOrthospin · 2019
  5. 1 generation backK202810 AutoStrut G2Orthospin, Ltd. · 2021
  6. This deviceK231922 DEPUY SYNTHES MAXFRAME AUTOSTRUT SystemDePuy Synthes · 2023
  7. Descendant · cites it directly · 0 of its ownK253202 Hoffmann LRF SystemStryker GmbH · 2025
Show all 13 generations
  1. Root · 13 generations backK962616 Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa) · 1996
  2. 12 generations backK982732 Synthes (Usa) Distal Radius Plate System (DRPS)Synthes · 1998
  3. 11 generations backK023007 Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2002
  4. 10 generations backK030198 Hand Innovations, Inc. Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2003
  5. 9 generations backK032705 Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2003
  6. 8 generations backK050932 Distal Volar Radius Anatomical Plate SystemHand Innovations, Inc. · 2005 · Recalled
  7. 7 generations backK051735 Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper…Smith & Nephew, Inc. · 2005
  8. 6 generations backK071563 Peri-Loc Periarticular Locked Plating SystemSmith & Nephew, Inc. · 2007
  9. 5 generations backK090675 Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSmith & Nephew, Inc. · 2009
  10. 4 generations backK093047 Smith & Nephew Circular Fixation SystemSmith & Nephew, Inc. · 2010 · Recalled
  11. 3 generations backK161417 DePuy Synthes MAXFRAME Multi-Axial Correction SystemSynthes USA, LLC · 2016
  12. 2 generations backK191241 AutoStrutOrthospin · 2019
  13. 1 generation backK202810 AutoStrut G2Orthospin, Ltd. · 2021
  14. This deviceK231922 DEPUY SYNTHES MAXFRAME AUTOSTRUT SystemDePuy Synthes · 2023

Most influential descendants

Showing 1 of 1 · See all
  • K253202Hoffmann LRF SystemStryker GmbH · 2025 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K962616Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa)1996—
−12K982732Synthes (Usa) Distal Radius Plate System (DRPS)Synthes1998—
−11K023007Distal Radius Fracture Repair SystemHand Innovations, Inc.2002—
−10K030198Hand Innovations, Inc. Distal Radius Fracture Repair SystemHand Innovations, Inc.2003—
−9K032705Distal Radius Fracture Repair SystemHand Innovations, Inc.2003—
−8K050932Distal Volar Radius Anatomical Plate SystemHand Innovations, Inc.20051
−7K051735Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper ExtremitySmith & Nephew, Inc.2005—
−6K071563Peri-Loc Periarticular Locked Plating SystemSmith & Nephew, Inc.2007—
−5K090675Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSmith & Nephew, Inc.2009—
−4K093047Smith & Nephew Circular Fixation SystemSmith & Nephew, Inc.20101
−3K161417DePuy Synthes MAXFRAME Multi-Axial Correction SystemSynthes USA, LLC2016—
−2K191241AutoStrutOrthospin2019—
−1K202810AutoStrut G2Orthospin, Ltd.2021—
0 (this device)K231922DEPUY SYNTHES MAXFRAME AUTOSTRUT SystemDePuy Synthes2023—
+1K253202Hoffmann LRF SystemStryker GmbH2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198710
198910
199010
199110
199320
199410
199510
199640
199710
199820
199920
200070
200160
200210
200310
200430
200520
200630
200810
201010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202510
FIG. 1 — Lineage of K231922, 1996–2025Source: 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
*K202810AutoStrut G2
Summary page 4
…le components) Regulation Number 888.3030 : Single/multiple component metallic bone fixation appliances and accessories Predicate Device(s) K202810 – Autostrut G2 The MAXFRAME AUTOSTRUT System is comprised of a control system, softw…
Orthospin, Ltd.2021—

Also cleared against K202810: 1 other device →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K253202Hoffmann LRF SystemStryker GmbH20250

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 27 years and passes through 8 companies; a new generation was cleared every 1.8 years on median.
  • 16 of the 56 ancestors have a recall of any class.
  • Of its descendants, K253202 (Stryker GmbH, 2025) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K202810.

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. 2023, 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 MAXFRAME AUTOSTRUT System is indicated for the following treatments in adults, and in both children (3-12) and adolescents (12-21) in which growth plates have fused or will not be crossed with hardware:

• fracture fixation (open and closed)

• pseudoarthrosis of long bones

• limb lengthening (epiphyseal or metaphyseal distraction)

• joint arthrodesis

• infected fractures or nonunions

• correction of bony or soft tissue deformities

• correction of segmental defects.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K231922: DEPUY SYNTHES MAXFRAME AUTOSTRUT System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K231922

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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