510(k) Report

510(k) · Cleared

Cleared

Smith & Nephew Genesis II Deep Flexion Cruciate Retaining Articular Insert

K041825510(k) SpecialCleared Mar 11, 2005247-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

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

Cleared on Mar 11, 2005 as substantially equivalent to K951987 (Smith & Nephew Richards, Inc., 1995) and 3 other predicates after a 247-day review. Its family tree reaches back 3 generations to 1995. 75 later devices descend from it.

Decided
Mar 11, 2005
Review
247 days
Class
Class II
Product code
JWH
Recalls
None
Predicates
4

Its longest line of descent runs back 3 generations to K951987 (1995). 5 ancestors in all. 75 later devices descend from it, 8 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1996: 1 other ancestor1999: 1 other ancestor2007: 1 descendant cleared2017: 3 descendants cleared2010: 2 descendants cleared2012: 4 descendants cleared2005: 1 descendant cleared2013: 3 descendants cleared2014: 4 descendants cleared2011: 4 descendants cleared2023: 7 descendants cleared2022: 6 descendants cleared2020: 6 descendants cleared2015: 7 descendants cleared2021: 4 descendants cleared2026: 6 descendants cleared2019: 3 descendants cleared2025: 5 descendants cleared2024: 7 descendants cleared2018: 2 descendants clearedK951987 · Genesis II Total Knee System · Smith & Nephew Richards, Inc. · 1995 · recalled×2: 2 generations cleared close together, K030612 (2003), K032295 (2003) 1995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 1 other ancestor 1 generation forward: 8 descendants2 generations forward: 14 descendants3 generations forward: 14 descendants4 generations forward: 10 descendants5 generations forward: 12 descendants6 generations forward: 11 descendants7 generations forward: 5 descendants8 generations forward: 1 descendant K032295 · Genesis II Posterior Stabilized High Flexion Articular Insert · Smith & Nephew, Inc. · 2003 · recalledK030612 · Genesis II Total Knee System · Smith & Nephew, Inc. · 2003K951987 · Genesis II Total Knee System · Smith & Nephew Richards, Inc. · 1995 · recalled0+5
  1. Root · 3 generations backK951987 Genesis II Total Knee SystemSmith & Nephew Richards, Inc. · 1995 · Recalled
  2. 2 generations backK030612 Genesis II Total Knee SystemSmith & Nephew, Inc. · 2003
  3. 1 generation backK032295 Genesis II Posterior Stabilized High Flexion Articular InsertSmith & Nephew, Inc. · 2003 · Recalled
  4. This deviceK041825 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 · cites it directly · 45 of its ownK101499 Journey CR Knee SystemSmith & Nephew, Inc. · 2010
  7. Descendant · 2 generations on · 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
  9. Descendant · 2 generations on · 29 of its ownK093746 Verilast Wear Claims for the Legion Primary Knee SystemSmith & Nephew, Inc. · 2010

Showing 5 of 75 descendants. See all descendants

Descendants cleared per year

2005: 12007: 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 75 · See all
  • K071071Crosslinked Polyethylene Articular InsertsSmith & Nephew, Inc. · 2007 · cites it directly66descendants
  • K101499Journey CR Knee SystemSmith & Nephew, Inc. · 2010 · cites it directly45descendants
  • K111711Journey II BCS Knee SystemSmith & Nephew, Inc. · 2011 · 2 generations on40descendants
  • K121443Journey II CR Knee SystemSmith & Nephew, Inc. · 2012 · 2 generations on37descendants
  • K093746Verilast Wear Claims for the Legion Primary Knee SystemSmith & Nephew, Inc. · 2010 · 2 generations on29descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K951987Genesis II Total Knee SystemSmith & Nephew Richards, Inc.19956
−2K030612Genesis II Total Knee SystemSmith & Nephew, Inc.2003—
−1K032295Genesis II Posterior Stabilized High Flexion Articular InsertSmith & Nephew, Inc.20036
0 (this device)K041825Smith & Nephew Genesis II Deep Flexion Cruciate Retaining Articular InsertSmith & Nephew, Inc.2005—
+1K071071Crosslinked Polyethylene Articular InsertsSmith & Nephew, Inc.20075
+1K101499Journey CR Knee SystemSmith & Nephew, Inc.2010—
+2K111711Journey II BCS Knee SystemSmith & Nephew, Inc.20113
+2K121443Journey II CR Knee SystemSmith & Nephew, Inc.2012—
+2K093746Verilast Wear Claims for the Legion Primary Knee SystemSmith & Nephew, Inc.2010—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199610
199910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200510
200710
201020
201140
201240
201330
201440
201570
201730
201820
201930
202060
202140
202260
202370
202470
202550
202660
FIG. 1 — Lineage of K041825, 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
Get a 510(k) Report

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 1
…to allow a greater flexion range. The insert is used with existing cemented femoral, tibial tray, and patellar components of the Genesis IITotal Knee System cleared via K951987 and K953274 or with the system's porous, uncemented femoral and tibia[ tray components cleared in K030612. Device Classification…
Smith & Nephew Richards, Inc.19956
*K953274Genesis Porous Tibial Trays & Revision Knee System
Summary page 1
…greater flexion range. The insert is used with existing cemented femoral, tibial tray, and patellar components of the Genesis IITotal Knee System cleared via K951987 and K953274 or with the system's porous, uncemented femoral and tibia[ tray components cleared in K030612. Device Classification…
Smith & Nephew Richards, Inc.1996—
*K030612Genesis II Total Knee System
Summary page 1
…ellar components of the Genesis IITotal Knee System cleared via K951987 and K953274 or with the system's porous, uncemented femoral and tibia[ tray components cleared in K030612. Device Classification Idt~f t t~ Product .fi tih Nam.…
Smith & Nephew, Inc.2003—
*K032295Genesis II Posterior Stabilized High Flexion Articular Insert
Summary page 2
…on to the following predicate devices - Smith & Nephew's Genesis IITotal Knee System (K951987, K953274, and K030612) and the Genesis IIP/S High Flexion Articular Insert (K032295). DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service…
Smith & Nephew, Inc.20036

Also cleared against K951987: 31 other devices →

What descends from it? (75)

See all 75

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

NumberDeviceApplicantDecidedDescendants
K071071Crosslinked Polyethylene Articular InsertsSmith & Nephew, Inc.200766
K101499Journey CR Knee SystemSmith & Nephew, Inc.201045
K051229Profix Flex Cruciate Retaining Articular InsertSmith & Nephew, Inc.200514
K141471Journey II XR Knee SystemSmith & Nephew, Inc.201412
K121393Smith & Nephew, Inc. Total Knee System InstrumentationSmith & Nephew, Inc.20125
K170648ANTHEM CR Total Knee SystemSmith & Nephew, Inc.20174
K123159Smith & Newphew, Inc. Disposable Knee InstrumentsSmith & Nephew, Inc.20132
K122975GKS Prime Flex CR Total Knee SystemPermedica20120

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 10 years and passes through 2 companies; a new generation was cleared every 1.6 years on median.
  • 3 of the 5 ancestors have a recall of any class.
  • Of its descendants, K071071 (Smith & Nephew, Inc., 2007) has gone furthest, with 66 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 Deep Flexion Cruciate Retaining Articular Insert is intended to be used in conjunction with the components of the Genesis II Total Knee System. The Genesis II Total Knee System is indicated for rheumatoid arthritis; post-traumatic arthritis, osteoarthritis, or degenerative arthritis in older patients whose age, weight, and activity level are compatible with an adequate long-term result; failed osteotomies, unicompartmental replacement, or…

Read the full statement (291 words)

The Genesis II Deep Flexion Cruciate Retaining Articular Insert is intended to be used in conjunction with the components of the Genesis II Total Knee System.

The Genesis II Total Knee System is indicated for rheumatoid arthritis; post-traumatic arthritis, osteoarthritis, or degenerative arthritis in older patients whose age, weight, and activity level are compatible with an adequate long-term result; failed osteotomies, unicompartmental replacement, or total knee replacement. 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 Deep Flexion Cruciate Retaining 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 Deep Flexion Cruciate Retaining Articular Insert is for single use only.

The Genesis II Deep Flexion Cruciate Retaining Articular Insert is intended to be used in conjunction with the components of the Genesis II Total Knee System.

The Genesis II Total Knee System is indicated for rheumatoid arthritis; post-traumatic arthritis, osteoarthritis, or degenerative arthritis in older patients whose age, weight, and activity level are compatible with an adequate long-term result; failed osteotomies, unicompartmental replacement, or total knee replacement. 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 Deep Flexion Cruciate Retaining 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 Deep Flexion Cruciate Retaining Articular Insert is for single use only.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K041825: Smith & Nephew Genesis II Deep Flexion Cruciate Retaining Articular Insert.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K041825

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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