510(k) Report

510(k) · Cleared

Cleared

Natural-Knee II System Cocr Tibial Baseplate

K021578510(k) TraditionalCleared Aug 9, 200287-day reviewClass II21 CFR 888.3560

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

Sulzer Orthopedics, Inc. · JWH Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/Metal/Polymer

Cleared on Aug 9, 2002 after an 87-day review. The FDA summary names its predicate without a number. 112 later devices descend from it.

Decided
Aug 9, 2002
Review
87 days
Class
Class II
Product code
JWH
Recalls
None
Predicates
0

112 later devices descend from it, 1 citing it directly.

Descendants, by year cleared 2006: 1 descendant cleared2021: 12 descendants cleared2011: 3 descendants cleared2012: 2 descendants cleared2008: 2 descendants cleared2010: 2 descendants cleared2026: 15 descendants cleared2013: 2 descendants cleared2015: 5 descendants cleared2016: 2 descendants cleared2023: 16 descendants cleared2019: 7 descendants cleared2025: 12 descendants cleared2018: 3 descendants cleared2014: 2 descendants cleared2024: 9 descendants cleared2020: 6 descendants cleared2017: 1 descendant cleared2022: 10 descendants cleared200020052010201520202025
  1. This deviceK021578 Natural-Knee II System Cocr Tibial BaseplateSulzer Orthopedics, Inc. · 2002
  2. Descendant · cites it directly · 111 of its ownK060192 Apex Knee SystemOmni Life Science, Inc. · 2006 · Recalled
  3. Descendant · 2 generations on · 72 of its ownK073602 Modification to: Apex Knee SystemOmnlife Science · 2008
  4. Descendant · 2 generations on · 61 of its ownK080842 Apex Knee System, Model KC-230XY, KC-240XY [ NO Holes, 2 Holes]Omni Life Science, Inc. · 2008
  5. Descendant · 3 generations on · 60 of its ownK131353 Comprehensive Reverse Shoulder - Titanium GlenosphereBiomet Manufacturing Corp · 2013
  6. Descendant · 2 generations on · 33 of its ownK112906 Klassic Knee SystemTotal Joint Orthopedics, Inc. · 2012

Showing 5 of 112 descendants. See all descendants

Descendants cleared per year

2006: 12008: 22010: 22011: 32012: 22013: 22014: 22015: 52016: 22017: 12018: 32019: 72020: 62021: 122022: 102023: 162024: 92025: 122026: 15
2006high 16 (2023) · low 0 (2007)2026

Most influential descendants

Showing 5 of 112 · See all
  • K060192Apex Knee SystemOmni Life Science, Inc. · 2006 · cites it directly111descendants
  • K073602Modification to: Apex Knee SystemOmnlife Science · 2008 · 2 generations on72descendants
  • K080842Apex Knee System, Model KC-230XY, KC-240XY [ NO Holes, 2 Holes]Omni Life Science, Inc. · 2008 · 2 generations on61descendants
  • K131353Comprehensive Reverse Shoulder - Titanium GlenosphereBiomet Manufacturing Corp · 2013 · 3 generations on60descendants
  • K112906Klassic Knee SystemTotal Joint Orthopedics, Inc. · 2012 · 2 generations on33descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K021578Natural-Knee II System Cocr Tibial BaseplateSulzer Orthopedics, Inc.2002—
+1K060192Apex Knee SystemOmni Life Science, Inc.20061
+2K073602Modification to: Apex Knee SystemOmnlife Science2008—
+2K080842Apex Knee System, Model KC-230XY, KC-240XY [ NO Holes, 2 Holes]Omni Life Science, Inc.2008—
+3K131353Comprehensive Reverse Shoulder - Titanium GlenosphereBiomet Manufacturing Corp2013—
+2K112906Klassic Knee SystemTotal Joint Orthopedics, Inc.2012—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200610
200820
201020
201130
201220
201320
201420
201550
201620
201710
201830
201970
202060
2021120
2022100
2023160
202490
2025120
2026150
FIG. 1 — Lineage of K021578, 2002–2026Source: 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 JWH? 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 JWH device

  1. #1 K221479 Persona Personalized Knee Systemscore 22.4 · 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
*—Natural Knee II System Non-porous Stemmed Tibial Baseplate
Named without a submission number
—

What descends from it? (112)

See all 112

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

NumberDeviceApplicantDecidedDescendants
K060192Apex Knee SystemOmni Life Science, Inc.2006111

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?

  • Of its descendants, K060192 (Omni Life Science, Inc., 2006) has gone furthest, with 111 descendants of its own.

How does its category compare?

All JWH devices

JWH Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/Metal/Polymer: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · JWH

20in 2025

2007: 182008: 172009: 112010: 192011: 252012: 332013: 312014: 332015: 272016: 182017: 252018: 252019: 282020: 222021: 242022: 172023: 202024: 192025: 202026 (partial year): 12
2007high 33 (2012) · low 11 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JWH

55in 2025

2007: 74 days median2008: 81 days median2009: 168 days median2010: 85 days median2011: 87 days median2012: 85 days median2013: 128 days median2014: 98 days median2015: 87 days median2016: 88 days median2017: 118 days median2018: 90 days median2019: 133 days median2020: 59 days median2021: 61 days median2022: 56 days median2023: 57 days median2024: 89 days median2025: 55 days median2026 (partial year): 63 days median
2007high 168 (2009) · low 55 (2025)2026

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

Recalls per year · JWH

2in 2025

2007: 142008: 102009: 1092010: 322011: 272012: 852013: 312014: 132015: 112016: 172017: 612018: 142019: 52020: 22021: 82022: 122023: 672024: 72025: 22026 (partial year): 4
2007high 109 (2009) · low 2 (2020)2026

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

Adverse event reports per year · JWH

9,306in 2025

2007: 1,3052008: 1,4832009: 1,8702010: 3,2862011: 5,1332012: 5,2032013: 6,1352014: 6,7222015: 6,8812016: 7,5862017: 12,2632018: 14,0712019: 14,9872020: 12,5922021: 9,4082022: 8,3642023: 8,9472024: 10,8282025: 9,306
2007high 14,987 (2019) · low 1,305 (2007)2025

MAUDE reports naming product code JWH, 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
20071874141,305
20081781101,483
2009111681091,870
20101985323,286
20112587275,133
20123385855,203
201331128316,135
20143398136,722
20152787116,881
20161888177,586
2017251186112,263
201825901414,071
201928133514,987
20202259212,592
2021246189,408
20221756128,364
20232057678,947
20241989710,828
2025205529,306
202612634—

What is it indicated for?

The Natural-Knee II CoCr Tibial Baseplate is a primary component intended for cemented use only in total knee arthroplasty in skeletally mature individuals for treatment of the following:

Patient conditions of Noninflammatory Degenerative Joint Disease (NIDJD); e. g., avascular necrosis, osteoarthritis and Inflammatory Joint Disease (IJD); e.g, rheumatoid arthritis.

Correctable valgus-varus deformity and moderate flexion contracture.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K021578: Natural-Knee II System Cocr Tibial Baseplate.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K021578

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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