510(k) Report

510(k) · Cleared

Cleared

TrueLok Elevate

K242861510(k) TraditionalCleared Dec 3, 202474-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 3, 2024 as substantially equivalent to K170650 (Orthofix Srl, 2017) after a 74-day review. Its family tree reaches back 14 generations to 1996. 3 later devices descend from it.

Decided
Dec 3, 2024
Review
74 days
Class
Class II
Product code
KTT
Recalls
None
Predicates
1

Its longest line of descent runs back 14 generations to K962616 (1996). 59 ancestors in all, the oldest K792022 (1979). 3 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 ancestor2025: 1 descendant cleared2026: 2 descendants clearedReference device: K941048 · True/Lok Monolateral/Bilateral Fixator · Applied Osteo Systems, Inc. · 1994 · recalledReference device: K955848 · Orthofix Modulsystem · Orthofix, Inc. · 1996 · recalledReference device: K973944 · Orthofix Femoral Nailing Sytem · Orthofix Srl · 1997Reference device: K974186 · Orthofix External Fixation Screw (Pin) with Hydroxyapatite Coating · Orthofix Srl · 1998Reference device: K053261 · Orthofix Titanium Nailing Systems · Orthofix Srl · 2005Reference device: K113770 · Orthofix Galaxy Fixation System · Orthofix Srl · 2012 · recalledReference device: K141571 · Orthofix Ankle Hindfoot Nailing System · Orthofix Srl · 2014Reference device: K161466 · ORTHOFIX CHIMAERA Hip Fracture System - Trochanteric Nailing System · Orthofix Srl · 2017K962616 · 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 · recalled×2: 2 generations cleared close together, K141078 (2014), K143125 (2014) K152171 · Orthofix TL-HEX True Lok Hexapod System (TL-HEX) V1.4 · Orthofix Srl · 2015K170650 · Orthofix TrueLok Hexapod System (TL-HEX) V2.0 · Orthofix Srl · 2017 · recalled19801990200020102020
Other ancestors, by generationDescendants, by generation 5 generations back: 2 other ancestors6 generations back: 6 other ancestors7 generations back: 6 other ancestors8 generations back: 12 other ancestors9 generations back: 12 other ancestors10 generations back: 5 other ancestors13 generations back: 1 other ancestor14 generations back: 1 other ancestor 1 generation forward: 3 descendants K170650 · Orthofix TrueLok Hexapod System (TL-HEX) V2.0 · Orthofix Srl · 2017 · recalledK152171 · Orthofix TL-HEX True Lok Hexapod System (TL-HEX) V1.4 · Orthofix Srl · 2015K143125 · Orthofix True Lok Hexapod System VI.3 · Orthofix Srl · 2014K141078 · 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 · 14 generations backK962616 Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa) · 1996
  2. 10 generations between
  3. 3 generations backK143125 Orthofix True Lok Hexapod System VI.3Orthofix Srl · 2014
  4. 2 generations backK152171 Orthofix TL-HEX True Lok Hexapod System (TL-HEX) V1.4Orthofix Srl · 2015
  5. 1 generation backK170650 Orthofix TrueLok Hexapod System (TL-HEX) V2.0Orthofix Srl · 2017 · Recalled
  6. This deviceK242861 TrueLok ElevateOrthofix Srl · 2024
  7. Descendant · cites it directly · 0 of its ownK260900 DYNEX® External Fixation SystemsVilex, LLC · 2026
  8. Descendant · cites it directly · 0 of its ownK260073 XT3 System; XT3 System, Mini; XT3 System, 40mm; XT3 System, Mini, 40mmBiodynamik, Inc. · 2026
  9. Descendant · cites it directly · 0 of its ownK251862 External Fixation Bone DistractorParagon 28, Inc. · 2025
Show all 14 generations
  1. Root · 14 generations backK962616 Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa) · 1996
  2. 13 generations backK982732 Synthes (Usa) Distal Radius Plate System (DRPS)Synthes · 1998
  3. 12 generations backK023007 Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2002
  4. 11 generations backK030198 Hand Innovations, Inc. Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2003
  5. 10 generations backK032705 Distal Radius Fracture Repair SystemHand Innovations, Inc. · 2003
  6. 9 generations backK050932 Distal Volar Radius Anatomical Plate SystemHand Innovations, Inc. · 2005 · Recalled
  7. 8 generations backK051735 Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper…Smith & Nephew, Inc. · 2005
  8. 7 generations backK071563 Peri-Loc Periarticular Locked Plating SystemSmith & Nephew, Inc. · 2007
  9. 6 generations backK090675 Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSmith & Nephew, Inc. · 2009
  10. 5 generations backK093047 Smith & Nephew Circular Fixation SystemSmith & Nephew, Inc. · 2010 · Recalled
  11. 4 generations backK141078 Orthofix TL-Hex True Lok Hexalobe System (TL-Hex)Orthofix Srl · 2014
  12. 3 generations backK143125 Orthofix True Lok Hexapod System VI.3Orthofix Srl · 2014
  13. 2 generations backK152171 Orthofix TL-HEX True Lok Hexapod System (TL-HEX) V1.4Orthofix Srl · 2015
  14. 1 generation backK170650 Orthofix TrueLok Hexapod System (TL-HEX) V2.0Orthofix Srl · 2017 · Recalled
  15. This deviceK242861 TrueLok ElevateOrthofix Srl · 2024

Most influential descendants

Showing 3 of 3 · See all
  • K260900DYNEX® External Fixation SystemsVilex, LLC · 2026 · cites it directly0descendants
  • K260073XT3 System; XT3 System, Mini; XT3 System, 40mm; XT3 System, Mini, 40mmBiodynamik, Inc. · 2026 · cites it directly0descendants
  • K251862External Fixation Bone DistractorParagon 28, Inc. · 2025 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−14K962616Synthes Dorsal Distal Radius Plate (DDRP) SystemSynthes (Usa)1996—
−13K982732Synthes (Usa) Distal Radius Plate System (DRPS)Synthes1998—
−12K023007Distal Radius Fracture Repair SystemHand Innovations, Inc.2002—
−11K030198Hand Innovations, Inc. Distal Radius Fracture Repair SystemHand Innovations, Inc.2003—
−10K032705Distal Radius Fracture Repair SystemHand Innovations, Inc.2003—
−9K050932Distal Volar Radius Anatomical Plate SystemHand Innovations, Inc.20051
−8K051735Peri-Loc Locking Bone Plates and Locking Bone Screws for the Upper ExtremitySmith & Nephew, Inc.2005—
−7K071563Peri-Loc Periarticular Locked Plating SystemSmith & Nephew, Inc.2007—
−6K090675Smith & Nephew, Inc. VLP Foot Plating, Screw System and AccessoriesSmith & Nephew, Inc.2009—
−5K093047Smith & Nephew Circular Fixation SystemSmith & Nephew, Inc.20101
−4K141078Orthofix TL-Hex True Lok Hexalobe System (TL-Hex)Orthofix Srl2014—
−3K143125Orthofix True Lok Hexapod System VI.3Orthofix Srl2014—
−2K152171Orthofix TL-HEX True Lok Hexapod System (TL-HEX) V1.4Orthofix Srl2015—
−1K170650Orthofix TrueLok Hexapod System (TL-HEX) V2.0Orthofix Srl20171
0 (this device)K242861TrueLok ElevateOrthofix Srl2024—
+1K260900DYNEX® External Fixation SystemsVilex, LLC2026—
+1K260073XT3 System; XT3 System, Mini; XT3 System, 40mm; XT3 System, Mini, 40mmBiodynamik, Inc.2026—
+1K251862External Fixation Bone DistractorParagon 28, Inc.2025—

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
202510
202620
FIG. 1 — Lineage of K242861, 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 K201253 Modular Rail System, TAYLOR SPATIAL FRAME…score 18.5 · 11 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? (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
*K170650Orthofix TrueLok Hexapod System (TL-HEX) V2.0
Summary page 5
…redicate Device 510(k) Number Manufacturer Orthofix TrueLok Hexapod System (TL- K170650 Orthofix S.r.l. HEX) V.2.0 Reference Devices 510(k) Number Manufacturer…
Orthofix Srl20171
†K941048True/Lok Monolateral/Bilateral FixatorApplied Osteo Systems, Inc.19941
†K955848Orthofix ModulsystemOrthofix, Inc.199623
†K973944Orthofix Femoral Nailing SytemOrthofix Srl1997—
†K974186Orthofix External Fixation Screw (Pin) with Hydroxyapatite CoatingOrthofix Srl1998—
†K053261Orthofix Titanium Nailing SystemsOrthofix Srl2005—
†K113770Orthofix Galaxy Fixation SystemOrthofix Srl201213
†K141571Orthofix Ankle Hindfoot Nailing SystemOrthofix Srl2014—
†K161466ORTHOFIX CHIMAERA Hip Fracture System - Trochanteric Nailing SystemOrthofix Srl2017—

Also cleared against K170650: 3 other devices →

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K260900DYNEX® External Fixation SystemsVilex, LLC20260
K260073XT3 System; XT3 System, Mini; XT3 System, 40mm; XT3 System, Mini, 40mmBiodynamik, Inc.20260
K251862External Fixation Bone DistractorParagon 28, Inc.20250

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 28 years and passes through 5 companies; a new generation was cleared every 1.6 years on median.
  • 18 of the 59 ancestors have a recall of any class.
  • Of its descendants, K260900 (Vilex, LLC, 2026) has gone furthest, with 0 descendants of its own.
  • 3 other devices also cite its predicate K170650.

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. 2024, 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?

Truelok Elevate is intended for treatment of non-union or pseudoarthrosis of long bones and correction of bony or soft tissue defects or deformities.

The Truelok Elevate is indicated for adult and pediatric (greater than 2 through 21 years of age) patients.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K242861: TrueLok Elevate.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K242861

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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