510(k) Report

510(k) · Cleared

Recalled · 2006

Guardian Limb Salvage System

K013035510(k) TraditionalCleared Dec 7, 200188-day reviewClass II21 CFR 888.3510Recalls 2

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

Wrightmedicaltechnologyinc · KRO Prosthesis, Knee, Femorotibial, Constrained, Cemented, Metal/Polymer

Cleared on Dec 7, 2001 after an 88-day review. The FDA summary names its predicate without a number. 9 later devices descend from it. It has been recalled 2 times.

Decided
Dec 7, 2001
Review
88 days
Class
Class II
Product code
KRO
Recalls
2
Predicates
0

9 later devices descend from it, 3 citing it directly.

Descendants, by year cleared 2023: 1 descendant cleared2024: 1 descendant cleared2016: 1 descendant cleared2020: 1 descendant cleared2021: 3 descendants cleared2025: 1 descendant cleared2026: 1 descendant cleared200020052010201520202025
  1. This deviceK013035 Guardian Limb Salvage SystemWrightmedicaltechnologyinc · 2001
  2. Descendant · cites it directly · 6 of its ownK161520 ELEOS Limb Salvage SystemOnkos Surgical, Inc. · 2016 · Recalled
  3. Descendant · cites it directly · 1 of its ownK230563 EVOLUTION® Hinge Knee SystemMicroport Orthopedics, Inc. · 2023
  4. Descendant · 2 generations on · 1 of its ownK203090 ELEOS Limb Salvage System featuring BIOGRIPOnkos Surgical · 2020
  5. Descendant · 2 generations on · 0 of its ownK253066 ELEOS™ with NanoCept® Technology Limb Salvage SystemOnkos Surgical, Inc. · 2026
  6. Descendant · 2 generations on · 0 of its ownK252920 ELEOS™ Limb Salvage System with NanoCept® TechnologyOnkos Surgical, Inc. · 2025

Showing 5 of 9 descendants. See all descendants

Descendants cleared per year

2016: 12020: 12021: 32023: 12024: 12025: 12026: 1
2016high 3 (2021) · low 0 (2017)2026

Most influential descendants

Showing 5 of 9 · See all
  • K161520ELEOS Limb Salvage SystemOnkos Surgical, Inc. · 2016 · cites it directly6descendants
  • K230563EVOLUTION® Hinge Knee SystemMicroport Orthopedics, Inc. · 2023 · cites it directly1descendant
  • K203090ELEOS Limb Salvage System featuring BIOGRIPOnkos Surgical · 2020 · 2 generations on1descendant
  • K253066ELEOS™ with NanoCept® Technology Limb Salvage SystemOnkos Surgical, Inc. · 2026 · 2 generations on0descendants
  • K252920ELEOS™ Limb Salvage System with NanoCept® TechnologyOnkos Surgical, Inc. · 2025 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K013035Guardian Limb Salvage SystemWrightmedicaltechnologyinc2001—
+1K161520ELEOS Limb Salvage SystemOnkos Surgical, Inc.201611
+1K230563EVOLUTION® Hinge Knee SystemMicroport Orthopedics, Inc.2023—
+2K203090ELEOS Limb Salvage System featuring BIOGRIPOnkos Surgical2020—
+2K253066ELEOS™ with NanoCept® Technology Limb Salvage SystemOnkos Surgical, Inc.2026—
+2K252920ELEOS™ Limb Salvage System with NanoCept® TechnologyOnkos Surgical, Inc.2025—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201610
202010
202130
202310
202410
202510
202610
FIG. 1 — Lineage of K013035, 2001–2026Source: 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 KRO? 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 KRO device

  1. #1 K251665 Triathlon® Hinge Knee Systemscore 19.0 · 12 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? (3)

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
*—Lacey Rotating Hinge Knee
Named without a submission number
—
*—DCW Modular Distal Femoral System
Named without a submission number
—
*—S.O.S.™ Proximal Femur
Named without a submission number
—

What descends from it? (9)

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

NumberDeviceApplicantDecidedDescendants
K161520ELEOS Limb Salvage SystemOnkos Surgical, Inc.20166
K230563EVOLUTION® Hinge Knee SystemMicroport Orthopedics, Inc.20231
K240043EVOLUTION® Hinge Knee System;GUARDIAN™ limb Salvage System;DCW Modular Distal Femoral…Microport Orthopedics, Inc.20240

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

Recalls of this device

DateClassRecallRoot causeReason
Jan 3, 2006Not classifiedZ-0523-06OtherThe product was not fully assembled prior to packaging.
Jul 14, 2004Not classifiedZ-1405-04OtherPotential for self -locking axial pin to dislodge and 'back out'.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Of its descendants, K161520 (Onkos Surgical, Inc., 2016) has gone furthest, with 6 descendants of its own.

How does its category compare?

All KRO devices

KRO Prosthesis, Knee, Femorotibial, Constrained, Cemented, Metal/Polymer: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · KRO

3in 2025

2007: 12008: 32009: 32010: 12011: 22012: 22013: 32014: 22015: 62016: 32017: 12019: 32020: 12021: 32022: 12023: 42024: 32025: 32026 (partial year): 1
2007high 6 (2015) · low 0 (2018)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KRO

56in 2025

2008: 126 days median2009: 86 days median2013: 189 days median2015: 113 days median2016: 148 days median2019: 244 days median2021: 57 days median2023: 148 days median2024: 87 days median2025: 56 days median
2007high 244 (2019) · low 56 (2025)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · KRO

14so far in 2026, the most since 2007

2007: 12008: 32009: 82011: 12012: 12013: 22015: 12016: 52017: 42018: 12021: 12025: 12026 (partial year): 14
2007high 14 (2026) · low 0 (2010)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · KRO

915in 2025

2007: 372008: 442009: 662010: 1102011: 1192012: 1732013: 1942014: 4062015: 3332016: 3692017: 5432018: 6142019: 7592020: 7492021: 7702022: 8922023: 7462024: 8552025: 915
2007high 915 (2025) · low 37 (2007)2025

MAUDE reports naming product code KRO, 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
20071—137
20083126344
2009386866
20101—0110
20112—1119
20122—1173
201331892194
20142—0406
201561131333
201631485369
20171—4543
20180—1614
201932440759
20201—0749
20213571770
20221—0892
202341480746
20243870855
20253561915
20261—14—

What is it indicated for?

GUARDIANT™ Limb Salvage Hip Components: Indicated for use in total hip arthroplasty for reduction or relief of pain and/or improved hip function in skeletally mature patients with the following conditions: 1) non-inflammatory degenerative joint disease such as osteoarthritis, avascular necrosis, ankylosis, protrusio acetabuli, and painful hip dysplasia; 2) inflammatory degenerative joint disease such as rheumatoid arthritis; 3) correction of functional…

Read the full statement (298 words)

GUARDIANT™ Limb Salvage Hip Components:

Indicated for use in total hip arthroplasty for reduction or relief of pain and/or improved hip function in skeletally mature patients with the following conditions:

1) non-inflammatory degenerative joint disease such as osteoarthritis, avascular necrosis, ankylosis, protrusio acetabuli, and painful hip dysplasia;

2) inflammatory degenerative joint disease such as rheumatoid arthritis;

3) correction of functional deformity;

4) revision procedures where other treatments or devices have failed; and,

5) treatment of fractures that are unmanageable using other techniques.

Limb salvage system is also indicated for procedures where radical resection and replacement of the proximal, distal and/or total femur is required with the following conditions:

1) patients suffering from severe arthropathy of the hip that does not respond to any conservative therapy or better alternative surgical treatment;

2) surgical intervention for severe trauma, revision hip arthroplasties, and/or Oncology indications.

3) matastatic diseases (e.g., osteosarcomas, chondrosarcomas, gaint cell tumors, bone tumors)

The GUARDIAN™ Limb Salvage Knee Components:

Indicated for cemented use in knee arthroplasty for reduction or relief of pain and/or improved knee function in skeletally mature patients with the following conditions:

1) noninflammatory degenerative joint disease including osteoarthritis, traumatic arthritis, or avascular necrosis;

2) inflammatory degenerative joint disease including rheumatoid arthritis;

3) correction of functional deformity;

4) revision procedures where other treatments or devices have failed; and

5) treatment of fractures that are unmanageable using other techniques.

Limb salvage system is also indicated for procedures where radical resection and replacement of the proximal tibia is required with the following conditions:

1) patients suffering from severe arthropathy of the knee that does not respond to any conservative therapy or better alternative surgical treatment;

2) surgical intervention for severe trauma, revision knee arthroplasties, and/or Oncology indications.

3) matastatic diseases (e.g., osteosarcomas, chondrosarcomas, gaint cell tumors, bone tumors)

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. “K013035: Guardian Limb Salvage System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K013035

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 30, 2026 (extraction version 2d9447fa9ea4)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026