510(k) Report

510(k) · Cleared

Recalled · Class II · 2014

Zimmer Patient Specific Instruments System

K121640510(k) TraditionalCleared Dec 5, 2012184-day reviewClass II21 CFR 888.3560Recalls 1

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

Materialise NV · JWH Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/Metal/Polymer

Cleared on Dec 5, 2012 as substantially equivalent to K111492 (Materialise NV, 2011) and 1 other predicate after a 184-day review. Its family tree reaches back 5 generations to 1993. 60 later devices descend from it. It has been recalled once.

Decided
Dec 5, 2012
Review
184 days
Class
Class II
Product code
JWH
Recalls
1
Predicates
2

Its longest line of descent runs back 5 generations to K924630 (1993). 9 ancestors in all, the oldest K924810 (1993). 60 later devices descend from it, 4 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2011: 1 other ancestor2010: 1 other ancestor2008: 1 other ancestor1993: 1 other ancestor2013: 2 descendants cleared2014: 2 descendants cleared2015: 3 descendants cleared2017: 3 descendants cleared2018: 2 descendants cleared2020: 4 descendants cleared2016: 3 descendants cleared2019: 4 descendants cleared2023: 5 descendants cleared2022: 3 descendants cleared2024: 8 descendants cleared2021: 5 descendants cleared2025: 9 descendants cleared2026: 7 descendants clearedK924630 · Surgicad (TM) View (TM) · Surgicad Corp. · 1993K970617 · CT-Modeller System · Materialise NV · 1997K033849 · Simplant System · Materialise NV · 2004K073449 · Surgicase · Materialise NV · 2008K102795 · Signature Planner; Signature Guides · Materialise NV · 2011 · recalled1990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 1 other ancestor3 generations back: 1 other ancestor4 generations back: 1 other ancestor 1 generation forward: 4 descendants2 generations forward: 6 descendants3 generations forward: 9 descendants4 generations forward: 10 descendants5 generations forward: 7 descendants6 generations forward: 12 descendants7 generations forward: 8 descendants8 generations forward: 3 descendants9 generations forward: 1 descendant K102795 · Signature Planner; Signature Guides · Materialise NV · 2011 · recalledK073449 · Surgicase · Materialise NV · 2008K033849 · Simplant System · Materialise NV · 2004K970617 · CT-Modeller System · Materialise NV · 1997K924630 · Surgicad (TM) View (TM) · Surgicad Corp. · 1993−50+5
  1. Root · 5 generations backK924630 Surgicad (TM) View (TM)Surgicad Corp. · 1993
  2. 4 generations backK970617 CT-Modeller SystemMaterialise NV · 1997
  3. 3 generations backK033849 Simplant SystemMaterialise NV · 2004
  4. 2 generations backK073449 SurgicaseMaterialise NV · 2008
  5. 1 generation backK102795 Signature Planner; Signature GuidesMaterialise NV · 2011 · Recalled
  6. This deviceK121640 Zimmer Patient Specific Instruments SystemMaterialise NV · 2012
  7. Descendant · cites it directly · 39 of its ownK131129 Cas Psi ShoulderZimmer Cas · 2013
  8. Descendant · 2 generations on · 31 of its ownK143374 BLUEPRINT Patient Specific InstrumentationTornier S.A.S. · 2015
  9. Descendant · 3 generations on · 25 of its ownK160555 BLUEPRINT Patient Specific InstrumentationTornier S.A.S. · 2016
  10. Descendant · 4 generations on · 23 of its ownK162800 BLUEPRINT Patient Specific InstrumentationTornier S.A.S. · 2017
  11. Descendant · 5 generations on · 18 of its ownK203315 BLUEPRINT™ Patient Specific InstrumentationTornier S.A.S. · 2021

Showing 5 of 60 descendants. See all descendants

Descendants cleared per year

2013: 22014: 22015: 32016: 32017: 32018: 22019: 42020: 42021: 52022: 32023: 52024: 82025: 92026: 7
2013high 9 (2025) · low 2 (2013)2026

Most influential descendants

Showing 5 of 60 · See all
  • K131129Cas Psi ShoulderZimmer Cas · 2013 · cites it directly39descendants
  • K143374BLUEPRINT Patient Specific InstrumentationTornier S.A.S. · 2015 · 2 generations on31descendants
  • K160555BLUEPRINT Patient Specific InstrumentationTornier S.A.S. · 2016 · 3 generations on25descendants
  • K162800BLUEPRINT Patient Specific InstrumentationTornier S.A.S. · 2017 · 4 generations on23descendants
  • K203315BLUEPRINT™ Patient Specific InstrumentationTornier S.A.S. · 2021 · 5 generations on18descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K924630Surgicad (TM) View (TM)Surgicad Corp.1993—
−4K970617CT-Modeller SystemMaterialise NV1997—
−3K033849Simplant SystemMaterialise NV2004—
−2K073449SurgicaseMaterialise NV2008—
−1K102795Signature Planner; Signature GuidesMaterialise NV20114
0 (this device)K121640Zimmer Patient Specific Instruments SystemMaterialise NV2012—
+1K131129Cas Psi ShoulderZimmer Cas2013—
+2K143374BLUEPRINT Patient Specific InstrumentationTornier S.A.S.2015—
+3K160555BLUEPRINT Patient Specific InstrumentationTornier S.A.S.2016—
+4K162800BLUEPRINT Patient Specific InstrumentationTornier S.A.S.2017—
+5K203315BLUEPRINT™ Patient Specific InstrumentationTornier S.A.S.2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199310
200810
201010
201110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201320
201420
201530
201630
201730
201820
201940
202040
202150
202230
202350
202480
202590
202670
FIG. 1 — Lineage of K121640, 1993–2026Source: 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? (2)

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
*K111492Zimmer Patient Specific Instruments Planner Model 2.5, Zimmer Patient Specific Instruments
Summary page 2
…isclaimed to: Trade or property or model name Zimmer Patient Specific Instruments System 2.5 510(k) number K(111492 Decision date 10/13/2011 Product code JWH, OOG (21…
Materialise NV20112
*K102795Signature Planner; Signature Guides
Summary page 2
…USA, LLC Trade or property or model name Signature TMPersonalized Patient Care System 510(k) number K(102795 Decision date 02/02/2011 Product code JWH, CIY, MB…
Materialise NV20114

Also cleared against K111492: 6 other devices →

What descends from it? (60)

See all 60

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

NumberDeviceApplicantDecidedDescendants
K131129Cas Psi ShoulderZimmer Cas201339
K133162Zimmer Patient Specific Instruments System, Zimmer Patient Specific Instruments, Zimmer…Materialise NV201413
K140027Zimmer Patient Specific Instruments/ System/PlannerMaterialise NV201412
K131409Cas Psi Knee SystemOrthosoft, Inc.20132

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

Recalls of this device

DateClassRecallRoot causeReason
Oct 16, 2014Class IIZ-0418-2015Nonconforming Material/ComponentThe box of guides for a specific case arrived intact but contained two (2) femoral guides instead of one (1) femoral guide and one (1) tibial guide. The device did not meet specification: One tibia guide missing and one femur guide…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 19 years and passes through 2 companies; a new generation was cleared every 3.9 years on median.
  • 2 of the 9 ancestors have a recall of any class.
  • Of its descendants, K131129 (Zimmer Cas, 2013) has gone furthest, with 39 descendants of its own.
  • 6 other devices also cite its predicate K111492.

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. 2012, this device’s year, is highlighted.

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 Zimmer Patient Specific Instruments System is intended to be used as a surgical instrument to assist in the positioning of total knee replacement components intra-operatively and in guiding the marking of bone before cutting, provided that anatomic landmarks necessary for alignment and positioning of the implant are identifiable on patient imaging scans.

The Zimmer Patient Specific Instruments System is to be used with Zimmer Persona CR fixed bearing and Zimmer Persona PS fixed bearing prostheses families only.

The Zimmer Patient Specific Instruments are intended for single use only.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K121640: Zimmer Patient Specific Instruments System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K121640

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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