510(k) Report

510(k) · Cleared

Recalled · Class I · 2016

Advance Total Knee System

K061223510(k) SpecialCleared Aug 18, 2006108-day reviewClass II21 CFR 888.3565Recalls 13 (11 Class I)

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

Wrightmedicaltechnologyinc · MBH Prosthesis, Knee, Patello/Femorotibial, Semi-Constrained, Uncemented, Porous, Coated, Polymer/Metal/Polymer

Cleared on Aug 18, 2006 after a 108-day review. The FDA summary names its predicate without a number. 1 of the 11 devices in its family, counting itself, has a Class I recall. 10 later devices descend from it. It has been recalled 13 times, including 11 Class I recalls.

Decided
Aug 18, 2006
Review
108 days
Class
Class II
Product code
MBH
Recalls
13 (11 Class I)
Predicates
0

10 later devices descend from it, 5 citing it directly. 1 of the 11 devices in this family, counting this one, has a Class I recall.

Descendants, by year cleared 2016: 2 descendants cleared2013: 1 descendant cleared2014: 1 descendant cleared2010: 1 descendant cleared2011: 1 descendant cleared2022: 1 descendant cleared2024: 1 descendant cleared2025: 1 descendant cleared2026: 1 descendant cleared20052010201520202025
  1. This deviceK061223 Advance Total Knee SystemWrightmedicaltechnologyinc · 2006
  2. Descendant · cites it directly · 5 of its ownK140735 Evolution MP CS/CR Porous Femur/Evolution Adaptive CS and PS InsertsMicroport Orthopedics, Inc. · 2014 · Recalled
  3. Descendant · cites it directly · 2 of its ownK122218 Advance Total Knee System-PatellaWrightmedicaltechnologyinc · 2013
  4. Descendant · cites it directly · 2 of its ownK093405 Prophecy Pre-Operative Navigation Alignment GuidesWrightmedicaltechnologyinc · 2010
  5. Descendant · 2 generations on · 1 of its ownK243574 Evolution® Total Knee Systems - Kinematic Alignment Instrumentation…Microport Orthopedics, Inc. · 2025
  6. Descendant · 2 generations on · 1 of its ownK103598 Prophecy Pre-Operative Navigation Alignment GuidesWrightmedicaltechnologyinc · 2011

Showing 5 of 10 descendants. See all descendants

Descendants cleared per year

2010: 12011: 12013: 12014: 12016: 22022: 12024: 12025: 12026: 1
2010high 2 (2016) · low 0 (2012)2026

Most influential descendants

Showing 5 of 10 · See all
  • K140735Evolution MP CS/CR Porous Femur/Evolution Adaptive CS and PS InsertsMicroport Orthopedics, Inc. · 2014 · cites it directly5descendants
  • K122218Advance Total Knee System-PatellaWrightmedicaltechnologyinc · 2013 · cites it directly2descendants
  • K093405Prophecy Pre-Operative Navigation Alignment GuidesWrightmedicaltechnologyinc · 2010 · cites it directly2descendants
  • K243574Evolution® Total Knee Systems - Kinematic Alignment Instrumentation and TechniqueMicroport Orthopedics, Inc. · 2025 · 2 generations on1descendant
  • K103598Prophecy Pre-Operative Navigation Alignment GuidesWrightmedicaltechnologyinc · 2011 · 2 generations on1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K061223Advance Total Knee SystemWrightmedicaltechnologyinc2006—
+1K140735Evolution MP CS/CR Porous Femur/Evolution Adaptive CS and PS InsertsMicroport Orthopedics, Inc.20141
+1K122218Advance Total Knee System-PatellaWrightmedicaltechnologyinc2013—
+1K093405Prophecy Pre-Operative Navigation Alignment GuidesWrightmedicaltechnologyinc2010—
+2K243574Evolution® Total Knee Systems - Kinematic Alignment Instrumentation and…Microport Orthopedics, Inc.2025—
+2K103598Prophecy Pre-Operative Navigation Alignment GuidesWrightmedicaltechnologyinc2011—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201010
201110
201310
201410
201620
202210
202410
202510
202610
FIG. 1 — Lineage of K061223, 2006–2026Source: 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.

1 device in this family has a Class I recall. 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 MBH device

  1. #1 K241597 Freedom® Total Knee System - Porous Tibial…score 19.9 · 8 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? (1)

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
*—ADVANCE Total Knee System
Named without a submission number
—

What descends from it? (10)

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

NumberDeviceApplicantDecidedDescendants
K140735Evolution MP CS/CR Porous Femur/Evolution Adaptive CS and PS InsertsMicroport Orthopedics, Inc.20145
K122218Advance Total Knee System-PatellaWrightmedicaltechnologyinc20132
K093405Prophecy Pre-Operative Navigation Alignment GuidesWrightmedicaltechnologyinc20102
K162256Klassic Femur, Porous, Klassic Tibial Baseplate, PorousTotal Joint Orthopedics, Inc.20160
K152631MPO Total Knee Systems MR LabelingMicroport Orthopedics, Inc.20160

Has anything in its family been recalled? (1 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Jun 21, 2016Class IZ-2701-2016Use errorADVANCE(R) HA Coated tibial bases are being recalled due to a higher than expected revision rate as a result of component loosening.
Jun 21, 2016Class IZ-2696-2016Use errorADVANCE(R) HA Coated tibial bases are being recalled due to a higher than expected revision rate as a result of component loosening.
Jun 21, 2016Class IZ-2703-2016Use errorADVANCE(R) HA Coated tibial bases are being recalled due to a higher than expected revision rate as a result of component loosening.
Jun 21, 2016Class IZ-2698-2016Use errorADVANCE(R) HA Coated tibial bases are being recalled due to a higher than expected revision rate as a result of component loosening.
Jun 21, 2016Class IZ-2702-2016Use errorADVANCE(R) HA Coated tibial bases are being recalled due to a higher than expected revision rate as a result of component loosening.
Jun 21, 2016Class IZ-2695-2016Use errorADVANCE(R) HA Coated tibial bases are being recalled due to a higher than expected revision rate as a result of component loosening.
Jun 21, 2016Class IZ-2697-2016Use errorADVANCE(R) HA Coated tibial bases are being recalled due to a higher than expected revision rate as a result of component loosening.
Jun 21, 2016Class IZ-2694-2016Use errorADVANCE(R) HA Coated tibial bases are being recalled due to a higher than expected revision rate as a result of component loosening.
Jun 21, 2016Class IZ-2699-2016Use errorADVANCE(R) HA Coated tibial bases are being recalled due to a higher than expected revision rate as a result of component loosening.
Jun 21, 2016Class IZ-2693-2016Use errorADVANCE(R) HA Coated tibial bases are being recalled due to a higher than expected revision rate as a result of component loosening.
Jun 21, 2016Class IZ-2700-2016Use errorADVANCE(R) HA Coated tibial bases are being recalled due to a higher than expected revision rate as a result of component loosening.
Sep 22, 2009Not classifiedZ-0493-2010Process controlTitanium used in the recalled devices was discovered to have internal microstructure conditions of alloy segregation, primary alpha and/or a transformed beta matrix in some of the heat lots. The absence of alloying elements results in an…
Sep 22, 2009Not classifiedZ-0492-2010Process controlTitanium used in the recalled devices was discovered to have internal microstructure conditions of alloy segregation, primary alpha and/or a transformed beta matrix in some of the heat lots. The absence of alloying elements results in an…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Of its descendants, K140735 (Microport Orthopedics, Inc., 2014) has gone furthest, with 5 descendants of its own.

How does its category compare?

All MBH devices

MBH Prosthesis, Knee, Patello/Femorotibial, Semi-Constrained, Uncemented, Porous, Coated, Polymer/Metal/Polymer: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · MBH

8in 2025

2007: 102008: 32009: 32010: 42011: 52012: 52013: 62014: 92015: 82016: 42017: 42018: 62019: 12020: 72021: 62022: 72023: 62024: 102025: 82026 (partial year): 7
2007high 10 (2007) · low 1 (2019)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MBH

98in 2025

2007: 59 days median2008: 70 days median2009: 209 days median2010: 84 days median2011: 84 days median2012: 90 days median2013: 138 days median2014: 114 days median2015: 100 days median2016: 74 days median2017: 115 days median2018: 89 days median2020: 112 days median2021: 48 days median2022: 57 days median2023: 94 days median2024: 84 days median2025: 98 days median2026 (partial year): 153 days median
2007high 209 (2009) · low 48 (2021)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · MBH

1in 2024

2009: 22011: 152012: 1, 1 Class I2013: 4, 4 Class I2016: 12017: 92018: 12019: 12020: 22023: 22024: 12026 (partial year): 4
2007high 15 (2011) · low 0 (2007)2026

Class I (5 since 2007) Class II/III not classified

Adverse event reports per year · MBH

1,561in 2025

2007: 272008: 212009: 892010: 1212011: 2472012: 3702013: 3082014: 3852015: 9552016: 1,0342017: 1,0072018: 1,1912019: 1,3942020: 1,0892021: 1,5392022: 1,2612023: 1,2632024: 1,4972025: 1,561
2007high 1,561 (2025) · low 21 (2008)2025

MAUDE reports naming product code MBH, 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
20071059027
2008370021
20093209289
20104840121
201158415247
20125901 (1)370
201361384 (4)308
201491140385
201581000955
201647411,034
2017411591,007
201868911,191
20191—11,394
2020711221,089
202164801,539
202275701,261
202369421,263
2024108411,497
202589801,561
202671534—

What is it indicated for?

The ADVANCE® Total Knee System is indicated for use in knee arthroplasty for reduction or relief of pain and/or improved knee function in skeletally mature patients with the following conditions:

1) noninflammatory degenerative joint disease including osteoarthritis, traumatic arthritis, or avascular necrosis;

2) inflammatory degenerative joint disease including rheumatoid arthritis;

3) correction of functional deformity;

4) revision procedures where other treatments or devices have failed; and

5) treatment of fractures that are unmanageable using other techniques.

The ADVANCE® Total Knee System components are for use without bone cement and are single use devices.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K061223: Advance Total Knee System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K061223

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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