510(k) Report

510(k) · Cleared

Cleared

RT-Plus Solution & RT-Plus Modular Solution Knee

K023667510(k) SpecialCleared Dec 24, 200254-day reviewClass II21 CFR 888.3510

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

Plus Orthopedics · KRO Prosthesis, Knee, Femorotibial, Constrained, Cemented, Metal/Polymer

Cleared on Dec 24, 2002 as substantially equivalent to K013340 (Plus Orthopedics, 2001) and 1 other predicate after a 54-day review. Its family tree reaches back 2 generations to 2001. 19 later devices descend from it.

Decided
Dec 24, 2002
Review
54 days
Class
Class II
Product code
KRO
Recalls
None
Predicates
2

Its longest line of descent runs back 2 generations to K003504 (2001). 19 later devices descend from it, 3 citing it directly.

Descendants, by year cleared 2008: 1 descendant cleared2006: 1 descendant cleared2003: 1 descendant cleared2012: 2 descendants cleared2015: 3 descendants cleared2023: 1 descendant cleared2019: 1 descendant cleared2017: 1 descendant cleared2013: 1 descendant cleared2014: 1 descendant cleared2024: 2 descendants cleared2026: 1 descendant cleared2020: 1 descendant cleared2021: 1 descendant cleared2025: 1 descendant clearedK003504 · RT-Plus Modular Cemented Knee Components · Plus Orthopedics · 2001K013340 · RT-Plus Knee Additional Components · Plus Orthopedics · 2001200020052010201520202025
Descendants, by generation 1 generation forward: 3 descendants2 generations forward: 5 descendants3 generations forward: 7 descendants4 generations forward: 4 descendants K013340 · RT-Plus Knee Additional Components · Plus Orthopedics · 2001K003504 · RT-Plus Modular Cemented Knee Components · Plus Orthopedics · 20010
  1. Root · 2 generations backK003504 RT-Plus Modular Cemented Knee ComponentsPlus Orthopedics · 2001
  2. 1 generation backK013340 RT-Plus Knee Additional ComponentsPlus Orthopedics · 2001
  3. This deviceK023667 RT-Plus Solution & RT-Plus Modular Solution KneePlus Orthopedics · 2002
  4. Descendant · cites it directly · 11 of its ownK081111 Legion Hinge Knee SystemSmith & Nephew, Inc. · 2008 · Recalled
  5. Descendant · cites it directly · 6 of its ownK032215 VKS/TC-Plus Revision KneePlus Orthopedics · 2003
  6. Descendant · 2 generations on · 5 of its ownK121393 Smith & Nephew, Inc. Total Knee System InstrumentationSmith & Nephew, Inc. · 2012 · Recalled
  7. Descendant · cites it directly · 5 of its ownK053390 Columbus (CR) Total Knee SystemAesculap, Inc. · 2006 · Recalled
  8. Descendant · 2 generations on · 4 of its ownK151118 Smith and Nephew Legion Hinge Knee SystemSmith & Nephew · 2015

Showing 5 of 19 descendants. See all descendants

Descendants cleared per year

2003: 12006: 12008: 12012: 22013: 12014: 12015: 32017: 12019: 12020: 12021: 12023: 12024: 22025: 12026: 1
2003high 3 (2015) · low 0 (2004)2026

Most influential descendants

Showing 5 of 19 · See all
  • K081111Legion Hinge Knee SystemSmith & Nephew, Inc. · 2008 · cites it directly11descendants
  • K032215VKS/TC-Plus Revision KneePlus Orthopedics · 2003 · cites it directly6descendants
  • K121393Smith & Nephew, Inc. Total Knee System InstrumentationSmith & Nephew, Inc. · 2012 · 2 generations on5descendants
  • K053390Columbus (CR) Total Knee SystemAesculap, Inc. · 2006 · cites it directly5descendants
  • K151118Smith and Nephew Legion Hinge Knee SystemSmith & Nephew · 2015 · 2 generations on4descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K003504RT-Plus Modular Cemented Knee ComponentsPlus Orthopedics2001—
−1K013340RT-Plus Knee Additional ComponentsPlus Orthopedics2001—
0 (this device)K023667RT-Plus Solution & RT-Plus Modular Solution KneePlus Orthopedics2002—
+1K081111Legion Hinge Knee SystemSmith & Nephew, Inc.20087
+1K032215VKS/TC-Plus Revision KneePlus Orthopedics2003—
+2K121393Smith & Nephew, Inc. Total Knee System InstrumentationSmith & Nephew, Inc.20124
+1K053390Columbus (CR) Total Knee SystemAesculap, Inc.20061
+2K151118Smith and Nephew Legion Hinge Knee SystemSmith & Nephew2015—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200310
200610
200810
201220
201310
201410
201530
201710
201910
202010
202110
202310
202420
202510
202610
FIG. 1 — Lineage of K023667, 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
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What was it cleared against? (2)

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
*K013340RT-Plus Knee Additional Components
Summary page 1
…morotibial, Constrained, Cemented, MetaVPolymer (per 21 CFR section 888.3510) Equivalent Device The RT-PLUS and RT-PLUS Knee systems are equivalent to the RT-PLUS Knee (K013340) and RT- PLUS Modular Knee (K003504). Device Description The RT-PLUS Knee and RT-PLUS Modular Knee are hinged tri-compartmental…
Plus Orthopedics2001—
*K003504RT-Plus Modular Cemented Knee Components
Summary page 1
…etaVPolymer (per 21 CFR section 888.3510) Equivalent Device The RT-PLUS and RT-PLUS Knee systems are equivalent to the RT-PLUS Knee (K013340) and RT- PLUS Modular Knee (K003504). Device Description The RT-PLUS Knee and RT-PLUS Modular Knee are hinged tri-compartmental prostheses with femoral, tibial, and…
Plus Orthopedics2001—

What descends from it? (19)

See all 19

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

NumberDeviceApplicantDecidedDescendants
K081111Legion Hinge Knee SystemSmith & Nephew, Inc.200811
K032215VKS/TC-Plus Revision KneePlus Orthopedics20036
K053390Columbus (CR) Total Knee SystemAesculap, Inc.20065

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 1 year and passes through 1 company; a new generation was cleared every 1.0 years on median.
  • None of the 2 ancestors has a recall.
  • Of its descendants, K081111 (Smith & Nephew, Inc., 2008) has gone furthest, with 11 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?

The RT-PLUS Knee System is a trkompartmental rotating hinged prosthesis of the total condylar type. The system consists of femoral, tibial and patellar components. It is indicated for use for replacement of the total knee joint in which significant bone loss and/or ligamentous deficiencies have occurred due to tumors, trauma, infections, revision or connective tissue disorders. RT-PLUS Modular Knee provides joint stability when any or all of the following structures are non-functional: MCL, LCL, PCL, ACL or the illiotibial band.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K023667: RT-Plus Solution & RT-Plus Modular Solution Knee.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K023667

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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