510(k) Report

510(k) · Cleared

Recalled · 2009

Modular Replacement System Cemented Stems

K040749510(k) TraditionalCleared Jun 17, 200486-day reviewClass II21 CFR 888.3510Recalls 1

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

Howmedica Osteonics Corp. · KRO Prosthesis, Knee, Femorotibial, Constrained, Cemented, Metal/Polymer

Cleared on Jun 17, 2004 as substantially equivalent to K952970 (Howmedica Corp., 1996) and 1 other predicate after an 86-day review. Its family tree reaches back 1 generation to 1996. 2 later devices descend from it. It has been recalled once.

Decided
Jun 17, 2004
Review
86 days
Class
Class II
Product code
KRO
Recalls
1
Predicates
3

Its longest line of descent runs back 1 generation to K952970 (1996). 2 ancestors in all. 2 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1997: 1 other ancestor2025: 1 descendant cleared2024: 1 descendant clearedK952970 · Howmedica Femoral & Proximal Tibial Modular Replacement Sytesm · Howmedica Corp. · 1996 · recalled1995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 2 descendants K952970 · Howmedica Femoral & Proximal Tibial Modular Replacement Sytesm · Howmedica Corp. · 1996 · recalled0
  1. Root · 1 generation backK952970 Howmedica Femoral & Proximal Tibial Modular Replacement SytesmHowmedica Corp. · 1996 · Recalled
  2. This deviceK040749 Modular Replacement System Cemented StemsHowmedica Osteonics Corp. · 2004
  3. Descendant · cites it directly · 0 of its ownK241059 Pantheon Proximal Femur Reconstruction (PFR) SystemAdler Ortho S.P.A · 2025
  4. Descendant · cites it directly · 0 of its ownK241716 Global Modular Replacement System, Modular Replacement System…Howmedica Osteonics Corp., Dba Stryker Orthopaedics · 2024

Most influential descendants

Showing 2 of 2 · See all
  • K241059Pantheon Proximal Femur Reconstruction (PFR) SystemAdler Ortho S.P.A · 2025 · cites it directly0descendants
  • K241716Global Modular Replacement System, Modular Replacement System, Modular Rotating Hinge…Howmedica Osteonics Corp., Dba Stryker Orthopaedics · 2024 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K952970Howmedica Femoral & Proximal Tibial Modular Replacement SytesmHowmedica Corp.199613
0 (this device)K040749Modular Replacement System Cemented StemsHowmedica Osteonics Corp.2004—
+1K241059Pantheon Proximal Femur Reconstruction (PFR) SystemAdler Ortho S.P.A2025—
+1K241716Global Modular Replacement System, Modular Replacement System, Modular…Howmedica Osteonics Corp., Dba Stryker Orthopaedics2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
202510
FIG. 1 — Lineage of K040749, 1996–2025Source: 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; numbers the summary cites that cannot be its predicate are marked – and kept off the family tree.

TypeNumberDeviceApplicantDecidedRecalls
*K952970Howmedica Femoral & Proximal Tibial Modular Replacement Sytesm
Summary page 1
…Class II Device Product Code: OR(87) LPH and KRO Intended Use The Modular Replacement System (MRS - found substantially equivalent in K952970, K965164 and K972&1) has been successfully used in clinical situations where there is extensive bone loss due to tumor resectio…
Howmedica Corp.199613
*K965164Howmedica Modular Replacement System-Proximal Femur
Summary page 1
…Class II Device Product Code: OR(87) LPH and KRO Intended Use The Modular Replacement System (MRS - found substantially equivalent in K952970, K965164 and K972&1) has been successfully used in clinical situations where there is extensive bone loss due to tumor resection, and/or…
Howmedica Corp.1997—
Kept off the family treeK972841Modular Replacement System (MRS)
Not matched in our reading of the summary (scans can blur digits), so it is kept off the family tree

Also cleared against K952970: 3 other devices →

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K241059Pantheon Proximal Femur Reconstruction (PFR) SystemAdler Ortho S.P.A20250
K241716Global Modular Replacement System, Modular Replacement System, Modular Rotating Hinge…Howmedica Osteonics Corp., Dba Stryker Orthopaedics20240

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

Recalls of this device

DateClassRecallRoot causeReason
Jan 30, 2009Not classifiedZ-1251-2009Labeling False and MisleadingInstruction for use incorrect: There are no statements or warning on labels or Instructions for Use that 8, 9 and 10 mm diameter MRS Cemented Stems are indicated only for use in the GMRS Proximal Tibial and Distal Femoral Components.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • 1 of the 2 ancestors has a recall of any class.
  • Of its descendants, K241059 (Adler Ortho S.P.A, 2025) has gone furthest, with 0 descendants of its own.
  • 3 other devices also cite its predicate K952970.

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?

Femoral and/or proximal tibial replacement due to

Trauma

Failed previous prosthesis

Tumor resection

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K040749: Modular Replacement System Cemented Stems.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K040749

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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