510(k) Report

510(k) · Cleared

Recalled · 2006

VKS Knee System

K022204510(k) TraditionalCleared Oct 18, 2002105-day reviewClass II21 CFR 888.3560Recalls 4

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

Plus Orthopedics · JWH Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/Metal/Polymer

Cleared on Oct 18, 2002 as substantially equivalent to K000666 (Plus Orthopedics, 2000) after a 105-day review. Its family tree reaches back 2 generations to 1993. 70 later devices descend from it. It has been recalled 4 times.

Decided
Oct 18, 2002
Review
105 days
Class
Class II
Product code
JWH
Recalls
4
Predicates
1

Its longest line of descent runs back 2 generations to K923277 (1993). 70 later devices descend from it, 5 citing it directly.

Descendants, by year cleared 2007: 1 descendant cleared2006: 2 descendants cleared2002: 1 descendant cleared2012: 6 descendants cleared2003: 1 descendant cleared2009: 1 descendant cleared2021: 9 descendants cleared2023: 5 descendants cleared2015: 1 descendant cleared2014: 2 descendants cleared2010: 2 descendants cleared2011: 2 descendants cleared2013: 4 descendants cleared2022: 3 descendants cleared2020: 5 descendants cleared2024: 4 descendants cleared2026: 7 descendants cleared2025: 7 descendants cleared2017: 3 descendants cleared2016: 1 descendant cleared2019: 1 descendant cleared2018: 2 descendants clearedK923277 · Foundation Knee System · Encore Orthopedics, Inc. · 1993 · recalledK000666 · TC-Plus Solution Knee · Plus Orthopedics · 2000 · recalled1990200020102020
Descendants, by generation 1 generation forward: 5 descendants2 generations forward: 4 descendants3 generations forward: 24 descendants4 generations forward: 18 descendants5 generations forward: 11 descendants6 generations forward: 6 descendants7 generations forward: 2 descendants K000666 · TC-Plus Solution Knee · Plus Orthopedics · 2000 · recalledK923277 · Foundation Knee System · Encore Orthopedics, Inc. · 1993 · recalled0+5
  1. Root · 2 generations backK923277 Foundation Knee SystemEncore Orthopedics, Inc. · 1993 · Recalled
  2. 1 generation backK000666 TC-Plus Solution KneePlus Orthopedics · 2000 · Recalled
  3. This deviceK022204 VKS Knee SystemPlus Orthopedics · 2002
  4. Descendant · cites it directly · 53 of its ownK072858 TC-Plus Primary Knee SystemSmith & Nephew, Inc. · 2007 · Recalled
  5. Descendant · 2 generations on · 52 of its ownK090988 GMK Total Knee SystemMedacta International S.A. · 2009 · Recalled
  6. Descendant · 3 generations on · 34 of its ownK102437 GMK Revision Knee SystemMedacta International S.A. · 2010
  7. Descendant · 3 generations on · 28 of its ownK103170 GMK Revision Knee SC LinersMedacta International S.A. · 2011
  8. Descendant · 3 generations on · 23 of its ownK113571 GMK Resufacing Patella Size 4Medacta International · 2012

Showing 5 of 70 descendants. See all descendants

Descendants cleared per year

2002: 12003: 12006: 22007: 12009: 12010: 22011: 22012: 62013: 42014: 22015: 12016: 12017: 32018: 22019: 12020: 52021: 92022: 32023: 52024: 42025: 72026: 7
2002high 9 (2021) · low 0 (2004)2026

Most influential descendants

Showing 5 of 70 · See all
  • K072858TC-Plus Primary Knee SystemSmith & Nephew, Inc. · 2007 · cites it directly53descendants
  • K090988GMK Total Knee SystemMedacta International S.A. · 2009 · 2 generations on52descendants
  • K102437GMK Revision Knee SystemMedacta International S.A. · 2010 · 3 generations on34descendants
  • K103170GMK Revision Knee SC LinersMedacta International S.A. · 2011 · 3 generations on28descendants
  • K113571GMK Resufacing Patella Size 4Medacta International · 2012 · 3 generations on23descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K923277Foundation Knee SystemEncore Orthopedics, Inc.19934
−1K000666TC-Plus Solution KneePlus Orthopedics20009
0 (this device)K022204VKS Knee SystemPlus Orthopedics2002—
+1K072858TC-Plus Primary Knee SystemSmith & Nephew, Inc.200715
+2K090988GMK Total Knee SystemMedacta International S.A.20091
+3K102437GMK Revision Knee SystemMedacta International S.A.2010—
+3K103170GMK Revision Knee SC LinersMedacta International S.A.2011—
+3K113571GMK Resufacing Patella Size 4Medacta International2012—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200210
200310
200620
200710
200910
201020
201120
201260
201340
201420
201510
201610
201730
201820
201910
202050
202190
202230
202350
202440
202570
202670
FIG. 1 — Lineage of K022204, 1993–2026Source: 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
*K000666TC-Plus Solution Knee
Summary page 1
…ented, PoIy me r/MetaI/Poly me r. 5 21 CFR 888.3560, Class II, 87 JWH Equivalence: TC-PLUSTMSolution Knee System (K000666, SE date 10/13/2000) Characteristics: The VKS Knee System is a tri-compartmental total knee prosthesis…
Plus Orthopedics20009

Also cleared against K000666: 4 other devices →

What descends from it? (70)

See all 70

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

NumberDeviceApplicantDecidedDescendants
K072858TC-Plus Primary Knee SystemSmith & Nephew, Inc.200753
K113482Journey II Deep Dished Articular InsertsSmith & Nephew, Inc.20126
K032215VKS/TC-Plus Revision KneePlus Orthopedics20036
K053579Columbus Ultra Congruent (UC) Tibial Insert/Gliding SurfaceAesculap, Inc.20060
K023416Modification to VKS Knee SystemPlus Orthopedics20020

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

Recalls of this device

DateClassRecallRoot causeReason
Nov 13, 2006Not classifiedZ-0361-2008Employee errorLabeling Error: The VKS PE Ultra-congruent insert package, may actually contain a Standard PE insert.
Dec 2, 2005Not classifiedZ-0397-06OtherThe adjustment knob tower on one device was found to have broken off from the body of the instrument. This did not happend during a surgery and is believed to have been caused by the instrument being dropped or otherwise mishandled during…
Jun 3, 2005Not classifiedZ-0924-05OtherScrew is mislabeled as a 50 mm screw when in fact it is 45 mm long.
Jan 4, 2005Not classifiedZ-0540-05OtherKnee tibial insert is mislabeled completely as different device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 9 years and passes through 2 companies; a new generation was cleared every 7.7 years on median.
  • 2 of the 2 ancestors have a recall of any class.
  • Of its descendants, K072858 (Smith & Nephew, Inc., 2007) has gone furthest, with 53 descendants of its own.
  • 4 other devices also cite its predicate K000666.

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 VKS Knee System is intended as a cemented surface replacement in treating patients who are candidates for primary total knee arthroplasty or revision arthroplasty where bone loss is minimal and the collateral ligaments are intact. It is not indicated when significant bone loss and/or ligamentous deficiencies have occurred due to tumors, trauma, infection, revision, or connective tissue disorders.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K022204: VKS Knee System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K022204

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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