510(k) Report

510(k) · Cleared

Cleared

Modification to: Conformis Iuni Unicondylar Knee Repair System

K092441510(k) SpecialCleared Sep 9, 200930-day reviewClass II21 CFR 888.3520

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

Conformis, Inc. · HSX Prosthesis, Knee, Femorotibial, Non-Constrained, Cemented, Metal/Polymer

Cleared on Sep 9, 2009 as substantially equivalent to K043570 (Conformis, Inc., 2005) and 3 other predicates after a 30-day review. Its family tree reaches back 6 generations to 1992. 29 later devices descend from it.

Decided
Sep 9, 2009
Review
30 days
Class
Class II
Product code
HSX
Recalls
None
Predicates
4

Its longest line of descent runs back 6 generations to K911802 (1992). 29 ancestors in all, the oldest K880155 (1988). 29 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2007: 1 other ancestor2004: 3 other ancestors2002: 3 other ancestors1996: 3 other ancestors2005: 1 other ancestor2001: 4 other ancestors2000: 1 other ancestor1999: 1 other ancestor1998: 1 other ancestor1997: 2 other ancestors1993: 2 other ancestors1988: 1 other ancestor2011: 1 descendant cleared2012: 1 descendant cleared2013: 1 descendant cleared2014: 1 descendant cleared2017: 1 descendant cleared2020: 3 descendants cleared2019: 3 descendants cleared2021: 9 descendants cleared2026: 1 descendant cleared2023: 5 descendants cleared2022: 2 descendants cleared2025: 1 descendant clearedK911802 · Pmi (Patient Matched Implants) Hip Femoral Comp · Biomet, Inc. · 1992K033242 · Knee Interpositional Mini-Repair System (Kimrs) · Imaging Therapeutics, Inc. · 2003K043570 · Unicondylar Knee Repair System / Conformis Ucd · Conformis, Inc. · 2005 · recalledK053488 · Conformis Bicompartmental Knee Repair System · Conformis, Inc. · 2006K063432 · Conformis Metal Backed Tibial Component (MBT) · Conformis, Inc. · 2007 · recalledK072368 · Conformis Metal Backed Tibial Component · Conformis, Inc. · 2007 · recalled1990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 5 other ancestors3 generations back: 17 other ancestors 1 generation forward: 2 descendants2 generations forward: 2 descendants3 generations forward: 2 descendants4 generations forward: 5 descendants5 generations forward: 7 descendants6 generations forward: 3 descendants7 generations forward: 3 descendants8 generations forward: 3 descendants9 generations forward: 2 descendants K072368 · Conformis Metal Backed Tibial Component · Conformis, Inc. · 2007 · recalledK063432 · Conformis Metal Backed Tibial Component (MBT) · Conformis, Inc. · 2007 · recalledK053488 · Conformis Bicompartmental Knee Repair System · Conformis, Inc. · 2006K043570 · Unicondylar Knee Repair System / Conformis Ucd · Conformis, Inc. · 2005 · recalledK033242 · Knee Interpositional Mini-Repair System (Kimrs) · Imaging Therapeutics, Inc. · 2003K911802 · Pmi (Patient Matched Implants) Hip Femoral Comp · Biomet, Inc. · 1992−50+5
  1. Root · 6 generations backK911802 Pmi (Patient Matched Implants) Hip Femoral CompBiomet, Inc. · 1992
  2. 5 generations backK033242 Knee Interpositional Mini-Repair System (Kimrs)Imaging Therapeutics, Inc. · 2003
  3. 4 generations backK043570 Unicondylar Knee Repair System / Conformis UcdConformis, Inc. · 2005 · Recalled
  4. 3 generations backK053488 Conformis Bicompartmental Knee Repair SystemConformis, Inc. · 2006
  5. 2 generations backK063432 Conformis Metal Backed Tibial Component (MBT)Conformis, Inc. · 2007 · Recalled
  6. 1 generation backK072368 Conformis Metal Backed Tibial ComponentConformis, Inc. · 2007 · Recalled
  7. This deviceK092441 Modification to: Conformis Iuni Unicondylar Knee Repair SystemConformis, Inc. · 2009
  8. Descendant · cites it directly · 28 of its ownK111916 Conformis Iuni Unicondylar Knee Replacement SystemConformis, Inc. · 2011
  9. Descendant · cites it directly · 27 of its ownK121974 Conformis Iuni Unicondylar Knee Replacement SystemConformis, Inc. · 2012
  10. Descendant · 2 generations on · 25 of its ownK132640 Iuni Unicondylar Knee Replacement SystemConformis, Inc. · 2013 · Recalled
  11. Descendant · 2 generations on · 16 of its ownK133256 Itotal Cruciate Retaining, Iuni Unicondylar Knee Replacement…Conformis, Inc. · 2014 · Recalled
  12. Descendant · 3 generations on · 15 of its ownK193105 iUni Unicondylar Knee Replacement System, iDuo Bicompartmental Knee…Conformis, Inc. · 2020

Showing 5 of 29 descendants. See all descendants

Descendants cleared per year

2011: 12012: 12013: 12014: 12017: 12019: 32020: 32021: 92022: 22023: 52025: 12026: 1
2011high 9 (2021) · low 0 (2015)2026

Most influential descendants

Showing 5 of 29 · See all
  • K111916Conformis Iuni Unicondylar Knee Replacement SystemConformis, Inc. · 2011 · cites it directly28descendants
  • K121974Conformis Iuni Unicondylar Knee Replacement SystemConformis, Inc. · 2012 · cites it directly27descendants
  • K132640Iuni Unicondylar Knee Replacement SystemConformis, Inc. · 2013 · 2 generations on25descendants
  • K133256Itotal Cruciate Retaining, Iuni Unicondylar Knee Replacement Systems, Iduo…Conformis, Inc. · 2014 · 2 generations on16descendants
  • K193105iUni Unicondylar Knee Replacement System, iDuo Bicompartmental Knee Repair System…Conformis, Inc. · 2020 · 3 generations on15descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K911802Pmi (Patient Matched Implants) Hip Femoral CompBiomet, Inc.1992—
−5K033242Knee Interpositional Mini-Repair System (Kimrs)Imaging Therapeutics, Inc.2003—
−4K043570Unicondylar Knee Repair System / Conformis UcdConformis, Inc.20053
−3K053488Conformis Bicompartmental Knee Repair SystemConformis, Inc.2006—
−2K063432Conformis Metal Backed Tibial Component (MBT)Conformis, Inc.20073
−1K072368Conformis Metal Backed Tibial ComponentConformis, Inc.20073
0 (this device)K092441Modification to: Conformis Iuni Unicondylar Knee Repair SystemConformis, Inc.2009—
+1K111916Conformis Iuni Unicondylar Knee Replacement SystemConformis, Inc.2011—
+1K121974Conformis Iuni Unicondylar Knee Replacement SystemConformis, Inc.2012—
+2K132640Iuni Unicondylar Knee Replacement SystemConformis, Inc.20133
+2K133256Itotal Cruciate Retaining, Iuni Unicondylar Knee Replacement Systems, Iduo…Conformis, Inc.20146
+3K193105iUni Unicondylar Knee Replacement System, iDuo Bicompartmental Knee Repair…Conformis, Inc.2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198810
199320
199630
199720
199810
199910
200010
200140
200230
200430
200510
200710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201110
201210
201310
201410
201710
201930
202030
202190
202220
202350
202510
202610
FIG. 1 — Lineage of K092441, 1992–2026Source: 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 HSX? 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 HSX device

  1. #1 K261609 Freedom Partial Knee Systemscore 15.1 · 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? (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
*K043570Unicondylar Knee Repair System / Conformis Ucd
Summary page 2
…is substantially equivalent to the currently marketed iUni Unicondylar Knee Repair System (reference K043570, K063432, K072368 and K072586). Safety and Performance: The determination of substa…
Conformis, Inc.20053
*K063432Conformis Metal Backed Tibial Component (MBT)
Summary page 2
…antially equivalent to the currently marketed iUni Unicondylar Knee Repair System (reference K043570, K063432, K072368 and K072586). Safety and Performance: The determination of substantial equ…
Conformis, Inc.20073
*K072368Conformis Metal Backed Tibial Component
Summary page 2
…equivalent to the currently marketed iUni Unicondylar Knee Repair System (reference K043570, K063432, K072368 and K072586). Safety and Performance: The determination of substantial equivalence…
Conformis, Inc.20073
*K072586Conformis Uni-Condylar Knee System
Summary page 2
…o the currently marketed iUni Unicondylar Knee Repair System (reference K043570, K063432, K072368 and K072586). Safety and Performance: The determination of substantial equivalence for this device was…
Conformis, Inc.2007—

Also cleared against K043570: 8 other devices →

What descends from it? (29)

See all 29

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

NumberDeviceApplicantDecidedDescendants
K111916Conformis Iuni Unicondylar Knee Replacement SystemConformis, Inc.201128
K121974Conformis Iuni Unicondylar Knee Replacement SystemConformis, Inc.201227

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 17 years and passes through 3 companies; a new generation was cleared every 1.2 years on median.
  • 13 of the 29 ancestors have a recall of any class.
  • Of its descendants, K111916 (Conformis, Inc., 2011) has gone furthest, with 28 descendants of its own.
  • 8 other devices also cite its predicate K043570.

How does its category compare?

All HSX devices

HSX Prosthesis, Knee, Femorotibial, Non-Constrained, Cemented, Metal/Polymer: FDA decisions, review times, recalls and adverse event reports over 20 years. 2009, this device’s year, is highlighted.

FDA decisions per year · HSX

4in 2025

2007: 62008: 42009: 22010: 32011: 12012: 52013: 22015: 12016: 32017: 52018: 22019: 72020: 42021: 72022: 22023: 12024: 42025: 42026 (partial year): 2
2007high 7 (2019) · low 0 (2014)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HSX

59in 2025

2007: 33 days median2008: 102 days median2010: 74 days median2012: 88 days median2016: 147 days median2017: 160 days median2019: 90 days median2020: 40 days median2021: 81 days median2024: 133 days median2025: 59 days median
2007high 160 (2017) · low 33 (2007)2026

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

Recalls per year · HSX

2in 2020

2009: 492013: 12016: 12017: 42020: 2
2007high 49 (2009) · low 0 (2007)2026

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

Adverse event reports per year · HSX

175in 2025

2007: 62008: 42009: 212010: 582011: 1142012: 832013: 792014: 662015: 572016: 1072017: 1132018: 1592019: 1772020: 2732021: 2402022: 2572023: 2312024: 1722025: 175
2007high 273 (2020) · low 4 (2008)2025

MAUDE reports naming product code HSX, 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
200763306
2008410204
20092—4921
2010374058
20111—0114
2012588083
20132—179
20140—066
20151—057
201631471107
201751604113
20182—0159
20197900177
20204402273
20217810240
20222—0257
20231—0231
202441330172
20254590175
20262—0—

What is it indicated for?

The ConforMIS Unicondylar Knee Repair System (iUni KRS) with curved tibial insert is intended for use in one compartment of the osteoarthritic knee to replace the damaged area of the articular surface in patients with evidence of adequate healthy bone sufficient for support of the implanted components.

Candidates for unicondylar knee repair include those with:

* joint impairment due to osteoarthritis or traumatic arthritis of the knee

* previous femoral condyle or tibial plateau fracture, creating loss of function and

* valgus or varus deformity of the knee.

This implant is intended for cemented use only.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K092441: Modification to: Conformis Iuni Unicondylar Knee Repair System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K092441

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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