510(k) Report

510(k) · Cleared

Cleared

Smartmix Pre-Filled Mixing System

K042591510(k) SpecialCleared Oct 22, 200429-day reviewClass I21 CFR 888.4200

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

DePuy Orthopaedics, Inc. · KIH Dispenser, Cement

Cleared on Oct 22, 2004 as substantially equivalent to P960001 (Depuy, Inc., 1997) and 3 other predicates after a 29-day review. Its family tree reaches back 4 generations to 1984. 1 later device descends from it.

Decided
Oct 22, 2004
Review
29 days
Class
Class I
Product code
KIH
Recalls
None
Predicates
4

Its longest line of descent runs back 4 generations to P810020 (1984). 11 ancestors in all. 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2004: 1 other ancestor2002: 1 other ancestor1997: 1 other ancestor2003: 2 other ancestors2001: 2 other ancestors2006: 1 descendant clearedP810020 · Palacos R Bone Cement · Smith & Nephew Richards, Inc. · 1984 · recalledK023012 · Smartset HV Bone Cement · DePuy Orthopaedics, Inc. · 2003×2: 2 generations cleared close together, K033563 (2004), K041656 (2004) 19801990200020102020
  1. Root · 4 generations backP810020 Palacos R Bone CementSmith & Nephew Richards, Inc. · 1984 · Recalled
  2. 3 generations backK023012 Smartset HV Bone CementDePuy Orthopaedics, Inc. · 2003
  3. 2 generations backK033563 Smartset GHV Gentamicin Bone CementDePuy Orthopaedics, Inc. · 2004 · Recalled
  4. 1 generation backK041656 Modification to Depuy 1 Gentamicin Bone Cement and Smartset GMV…DePuy Orthopaedics, Inc. · 2004
  5. This deviceK042591 Smartmix Pre-Filled Mixing SystemDePuy Orthopaedics, Inc. · 2004
  6. Descendant · cites it directly · 0 of its ownK053445 Smartmix Cemvac Pre-Filled with Smartset HV Bone CementDePuy Orthopaedics, Inc. · 2006

Most influential descendants

Showing 1 of 1 · See all
  • K053445Smartmix Cemvac Pre-Filled with Smartset HV Bone CementDePuy Orthopaedics, Inc. · 2006 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4P810020Palacos R Bone CementSmith & Nephew Richards, Inc.19841
−3K023012Smartset HV Bone CementDePuy Orthopaedics, Inc.2003—
−2K033563Smartset GHV Gentamicin Bone CementDePuy Orthopaedics, Inc.20041
−1K041656Modification to Depuy 1 Gentamicin Bone Cement and Smartset GMV Endurance…DePuy Orthopaedics, Inc.2004—
0 (this device)K042591Smartmix Pre-Filled Mixing SystemDePuy Orthopaedics, Inc.2004—
+1K053445Smartmix Cemvac Pre-Filled with Smartset HV Bone CementDePuy Orthopaedics, Inc.2006—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199710
200120
200210
200320
200410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200610
FIG. 1 — Lineage of K042591, 1984–2006Source: 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 KIH? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin 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
*P960001Depuy 1 Bone Cement
Summary page 1
…CFR 888.3027 DEVICE CODE: KIH pre-filled with LOD JDZ pre-filled with LOD SUBSTANTIALLY EQUIVALENT DEVICES: Endurance Bone Cement: P960001 Supplement I SmartSet GMV Endurance Gentamicin Bone Cement: K033382 and K041656…
Depuy, Inc.1997—
*K033382Smartset GMV Endurance Gentamicin Bone Cement
Summary page 1
…JDZ pre-filled with LOD SUBSTANTIALLY EQUIVALENT DEVICES: Endurance Bone Cement: P960001 Supplement I SmartSet GMV Endurance Gentamicin Bone Cement: K033382 and K041656 Cemvac Ultra pre-packed with DePuy I Bone Cement: K021499…
DePuy Orthopaedics, Inc.2004—
*K041656Modification to Depuy 1 Gentamicin Bone Cement and Smartset GMV Endurance Gentamicin…
Summary page 1
…TIALLY EQUIVALENT DEVICES: Endurance Bone Cement: P960001 Supplement I SmartSet GMV Endurance Gentamicin Bone Cement: K033382 and K041656 Cemvac Ultra pre-packed with DePuy I Bone Cement: K021499 5 === Pa…
DePuy Orthopaedics, Inc.2004—
*K021499Cemvac Ultra Pre-Packed with Depuy 1 Bone Cement
Summary page 1
…SmartSet GMV Endurance Gentamicin Bone Cement: K033382 and K041656 Cemvac Ultra pre-packed with DePuy I Bone Cement: K021499 5 DEVICE DESCRIPTIONS AND INDICATIONS: SmartMix Cemvac SmartMix Cemva…
DePuy Orthopaedics, Inc.2002—

Also cleared against P960001: 5 other devices →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K053445Smartmix Cemvac Pre-Filled with Smartset HV Bone CementDePuy Orthopaedics, Inc.20060

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 20 years and passes through 2 companies; a new generation was cleared every 12 months on median.
  • 4 of the 11 ancestors have a recall of any class.
  • Of its descendants, K053445 (DePuy Orthopaedics, Inc., 2006) has gone furthest, with 0 descendants of its own.
  • 5 other devices also cite its predicate P960001.

How does its category compare?

All KIH devices

KIH Dispenser, Cement: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · KIH

FDA has decided no KIH device since 2007.

Median 510(k) review, days · KIH

Too few KIH 510(k)s in any year since 2007 to give a median.

Recalls per year · KIH

1in 2012

2011: 12012: 1
2007high 1 (2011) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · KIH

90in 2025

2007: 92008: 42009: 32010: 292011: 102012: 32013: 122014: 122015: 62016: 52017: 142018: 152019: 302020: 232021: 302022: 262023: 302024: 192025: 90
2007high 90 (2025) · low 3 (2009)2025

MAUDE reports naming product code KIH, 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
20070—09
20080—04
20090—03
20100—029
20110—110
20120—13
20130—012
20140—012
20150—06
20160—05
20170—014
20180—015
20190—030
20200—023
20210—030
20220—026
20230—030
20240—019
20250—090
20260—0—

What is it indicated for?

SmartSet MV Endurance Bone Cement is indicated for the fixation of prostheses to living bone in orthopaedic musculoskeletal surgical procedures for rheumatoid arthritis, osteoarthritis, traumatic arthritis, osteoporosis, avascular necrosis, collagen disease, severe joint destruction secondary to trauma or other conditions, and revision of previous arthroplasty.

SmartSet GMV Endurance Gentamicin Bone Cement is indicated for use in the second stage of a two-stage revision for total joint arthroplasty after the initial infection has been cleared.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K042591: Smartmix Pre-Filled Mixing System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K042591

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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