510(k) Report

510(k) · Cleared

Recalled · Class II · 2013

Genesis II Posterior Stabilized High Flexion Articular Insert

K032295510(k) SpecialCleared Aug 21, 200327-day reviewClass II21 CFR 888.3560Recalls 6

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

Smith & Nephew, Inc. · JWH Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/Metal/Polymer

Cleared on Aug 21, 2003 as substantially equivalent to K951987 (Smith & Nephew Richards, Inc., 1995) and 3 other predicates after a 27-day review. Its family tree reaches back 2 generations to 1995. 76 later devices descend from it. It has been recalled 6 times.

Decided
Aug 21, 2003
Review
27 days
Class
Class II
Product code
JWH
Recalls
6
Predicates
4

Its longest line of descent runs back 2 generations to K951987 (1995). 4 ancestors in all. 76 later devices descend from it, 5 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1999: 1 other ancestor1996: 1 other ancestor2007: 1 descendant cleared2012: 4 descendants cleared2013: 3 descendants cleared2005: 2 descendants cleared2011: 4 descendants cleared2017: 3 descendants cleared2010: 2 descendants cleared2014: 4 descendants cleared2023: 7 descendants cleared2022: 6 descendants cleared2020: 6 descendants cleared2021: 4 descendants cleared2015: 7 descendants cleared2026: 6 descendants cleared2025: 5 descendants cleared2024: 7 descendants cleared2019: 3 descendants cleared2018: 2 descendants clearedK951987 · Genesis II Total Knee System · Smith & Nephew Richards, Inc. · 1995 · recalledK030612 · Genesis II Total Knee System · Smith & Nephew, Inc. · 20031995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors 1 generation forward: 5 descendants2 generations forward: 17 descendants3 generations forward: 12 descendants4 generations forward: 10 descendants5 generations forward: 15 descendants6 generations forward: 11 descendants7 generations forward: 5 descendants8 generations forward: 1 descendant K030612 · Genesis II Total Knee System · Smith & Nephew, Inc. · 2003K951987 · Genesis II Total Knee System · Smith & Nephew Richards, Inc. · 1995 · recalled0+5
  1. Root · 2 generations backK951987 Genesis II Total Knee SystemSmith & Nephew Richards, Inc. · 1995 · Recalled
  2. 1 generation backK030612 Genesis II Total Knee SystemSmith & Nephew, Inc. · 2003
  3. This deviceK032295 Genesis II Posterior Stabilized High Flexion Articular InsertSmith & Nephew, Inc. · 2003
  4. Descendant · cites it directly · 75 of its ownK041825 Smith & Nephew Genesis II Deep Flexion Cruciate Retaining Articular…Smith & Nephew, Inc. · 2005
  5. Descendant · cites it directly · 66 of its ownK071071 Crosslinked Polyethylene Articular InsertsSmith & Nephew, Inc. · 2007 · Recalled
  6. Descendant · 2 generations on · 45 of its ownK101499 Journey CR Knee SystemSmith & Nephew, Inc. · 2010
  7. Descendant · cites it directly · 40 of its ownK111711 Journey II BCS Knee SystemSmith & Nephew, Inc. · 2011 · Recalled
  8. Descendant · 2 generations on · 37 of its ownK121443 Journey II CR Knee SystemSmith & Nephew, Inc. · 2012

Showing 5 of 76 descendants. See all descendants

Descendants cleared per year

2005: 22007: 12010: 22011: 42012: 42013: 32014: 42015: 72017: 32018: 22019: 32020: 62021: 42022: 62023: 72024: 72025: 52026: 6
2005high 7 (2015) · low 0 (2006)2026

Most influential descendants

Showing 5 of 76 · See all
  • K041825Smith & Nephew Genesis II Deep Flexion Cruciate Retaining Articular InsertSmith & Nephew, Inc. · 2005 · cites it directly75descendants
  • K071071Crosslinked Polyethylene Articular InsertsSmith & Nephew, Inc. · 2007 · cites it directly66descendants
  • K101499Journey CR Knee SystemSmith & Nephew, Inc. · 2010 · 2 generations on45descendants
  • K111711Journey II BCS Knee SystemSmith & Nephew, Inc. · 2011 · cites it directly40descendants
  • K121443Journey II CR Knee SystemSmith & Nephew, Inc. · 2012 · 2 generations on37descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K951987Genesis II Total Knee SystemSmith & Nephew Richards, Inc.19956
−1K030612Genesis II Total Knee SystemSmith & Nephew, Inc.2003—
0 (this device)K032295Genesis II Posterior Stabilized High Flexion Articular InsertSmith & Nephew, Inc.2003—
+1K041825Smith & Nephew Genesis II Deep Flexion Cruciate Retaining Articular InsertSmith & Nephew, Inc.2005—
+1K071071Crosslinked Polyethylene Articular InsertsSmith & Nephew, Inc.20075
+2K101499Journey CR Knee SystemSmith & Nephew, Inc.2010—
+1K111711Journey II BCS Knee SystemSmith & Nephew, Inc.20113
+2K121443Journey II CR Knee SystemSmith & Nephew, Inc.2012—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199610
199910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200520
200710
201020
201140
201240
201330
201440
201570
201730
201820
201930
202060
202140
202260
202370
202470
202550
202660
FIG. 1 — Lineage of K032295, 1995–2026Source: 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? (4)

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
*K951987Genesis II Total Knee System
Summary page 2
…Predicate 5XO(k) Device Genesis LI PS The Gencsis II Posterior StabiIized High Flexion Articular Insert K95 1987 High Flex Insm is indicared for: -53274 for use with Gencsis II Total…
Smith & Nephew Richards, Inc.19956
*K953274Genesis Porous Tibial Trays & Revision Knee System
Summary page 1
…hc inst;rt is used w ith existing cenxnted femoral, tibial tray, and patellar components of the Genesis I1 Total Knee System cleared via IC951987 and K953274 or with the system's porous, uncementcd femoral and tibial tray components cleared in K030612. Device CIassification…
Smith & Nephew Richards, Inc.1996—
*K030612Genesis II Total Knee System
Summary page 1
…lar components of the Genesis I1 Total Knee System cleared via IC951987 and K953274 or with the system's porous, uncementcd femoral and tibial tray components cleared in K030612. Device CIassification 1 I - Identification of…
Smith & Nephew, Inc.2003—
*K991581Nexgen Complete Knee Solution Legacy Posterior Stabilized (LPS); LPS-Flex Fixed Bearing…
Summary page 2
…n a l composition to the foIlowIng prcdicate dcviccs - Smith & Nephew's Genesis 11 Total Knee System (K951987, K953274, K030612) and %ixmer'sNexgen LPS Knee System (K991581). (4 %% DEPARTMENT OF HEALTH &HUMAN SERVICES Public Health Serv…
Zimmer, Inc.19997

Also cleared against K951987: 31 other devices →

What descends from it? (76)

See all 76

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

NumberDeviceApplicantDecidedDescendants
K041825Smith & Nephew Genesis II Deep Flexion Cruciate Retaining Articular InsertSmith & Nephew, Inc.200575
K071071Crosslinked Polyethylene Articular InsertsSmith & Nephew, Inc.200766
K111711Journey II BCS Knee SystemSmith & Nephew, Inc.201140
K121393Smith & Nephew, Inc. Total Knee System InstrumentationSmith & Nephew, Inc.20125
K123159Smith & Newphew, Inc. Disposable Knee InstrumentsSmith & Nephew, Inc.20132

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

Recalls of this device

DateClassRecallRoot causeReason
Aug 27, 2013Class IIZ-0446-2014Package design/selectionThe Tyvek(TM) lid on one, or both, of the two trays that form a double barrier around the insert may not have been adequately sealed.
Aug 27, 2013Class IIZ-0449-2014Package design/selectionThe Tyvek(TM) lid on one, or both, of the two trays that form a double barrier around the insert may not have been adequately sealed.
Aug 27, 2013Class IIZ-0445-2014Package design/selectionThe Tyvek(TM) lid on one, or both, of the two trays that form a double barrier around the insert may not have been adequately sealed.
Aug 27, 2013Class IIZ-0447-2014Package design/selectionThe Tyvek(TM) lid on one, or both, of the two trays that form a double barrier around the insert may not have been adequately sealed.
Aug 27, 2013Class IIZ-0448-2014Package design/selectionThe Tyvek(TM) lid on one, or both, of the two trays that form a double barrier around the insert may not have been adequately sealed.
Aug 27, 2013Class IIZ-0444-2014Package design/selectionThe Tyvek(TM) lid on one, or both, of the two trays that form a double barrier around the insert may not have been adequately sealed.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 8 years and passes through 2 companies; a new generation was cleared every 7.8 years on median.
  • 2 of the 4 ancestors have a recall of any class.
  • Of its descendants, K041825 (Smith & Nephew, Inc., 2005) has gone furthest, with 75 descendants of its own.
  • 31 other devices also cite its predicate K951987.

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 Genesis II Posterior Stabilized High Flexion Articular Insert is indicated for: 1. Rheumatoid arthritis. 2. Post-traumatic arthritis, osteoarthritis, or degenerative arthritis in older patients whose age, weight, and activity level are compatible with an adequate long-term result. 3. Failed osteotomies, unicompartmental replacement, or total knee replacement. 4. Posterior stabilized knee systems are designed for use in patients in primary and…

Read the full statement (253 words)

The Genesis II Posterior Stabilized High Flexion Articular Insert is indicated for:

1. Rheumatoid arthritis.

2. Post-traumatic arthritis, osteoarthritis, or degenerative arthritis in older patients whose age, weight, and activity level are compatible with an adequate long-term result.

3. Failed osteotomies, unicompartmental replacement, or total knee replacement.

4. Posterior stabilized knee systems are designed for use in patients in primary and revision surgery, where the anterior and posterior cruciate ligaments are absent or incompetent and the collateral ligaments remain intact.

The Genesis II Posterior Stabilized High Flexion Articular Insert is used with existing cemented femoral, tibial tray, and patellar components of the Genesis II Total Knee System cleared via K951987 and K953274. The Genesis II Posterior Stabilized High Flexion Articular Insert is for single use only.

The Genesis II Posterior Stabilized High Flexion Articular Insert is indicated for:

1. Rheumatoid arthritis.

2. Post-traumatic arthritis, osteoarthritis, or degenerative arthritis in older patients whose age, weight, and activity level are compatible with an adequate long-term result.

3. Failed osteotomies, unicompartmental replacement, or total knee replacement.

4. Posterior stabilized knee systems are designed for use in patients in primary and revision surgery, where the anterior and posterior cruciate ligaments are absent or incompetent and the collateral ligaments remain intact.

The Genesis II Posterior Stabilized High Flexion Articular Insert is used with existing cemented patellar and uncemented porous tibial trays and femoral components of the Genesis II Total Knee System cleared via K030612. The Genesis II Posterior Stabilized High Flexion Articular Insert is for single use only.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K032295: Genesis II Posterior Stabilized High Flexion Articular Insert.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K032295

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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