510(k) · Cleared
Recalled · Class II · 2019Vanguard XP Knee System
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Biomet Manufacturing Corp · MBH Prosthesis, Knee, Patello/Femorotibial, Semi-Constrained, Uncemented, Porous, Coated, Polymer/Metal/Polymer
Cleared on Mar 20, 2013 as substantially equivalent to K113550 (Biomet Manufacturing Corp, 2012) and 9 other predicates after a 243-day review. Its family tree reaches back 7 generations to 1981. 6 later devices descend from it. It has been recalled 12 times.
- Decided
- Mar 20, 2013
- Review
- 243 days
- Class
- Class II
- Product code
- MBH
- Recalls
- 12
- Predicates
- 10
Its longest line of descent runs back 7 generations to K810258 (1981). 54 ancestors in all. 6 later devices descend from it, 6 citing it directly.
- Root · 7 generations backK810258 Proximal Fermoral Hip ReplacementBiomet, Inc. · 1981
- 6 generations backK974558 Salvage/Onocology Hip and Total Femur SystemBiomet, Inc. · 1998
- 5 generations backK032396 Ringloc 36MM Line and Modular Femoral HeadsBiomet, Inc. · 2003 · Recalled
- 4 generations backK050327 E-Poly (Vitamin E) Acetabular LinersBiomet, Inc. · 2005
- 3 generations backK070364 100KGY E-Poly Maxrom Acetabular LinersBiomet, Inc. · 2007
- 2 generations backK080528 E-Poly Tibial BearingsBiomet Orthopedics, Inc. · 2008
- 1 generation backK113550 Vanguard Complete Knee SystemBiomet Manufacturing Corp · 2012 · Recalled
- This deviceK122160 Vanguard XP Knee SystemBiomet Manufacturing Corp · 2013
- Descendant · cites it directly · 3 of its ownK132873 Vanguard XP Knee SystemBiomet, Inc. · 2013 · Recalled
- Descendant · cites it directly · 2 of its ownK141407 Vanguard XP Femoral Component (Gen II)/Vanguard XP Femoral TrialBiomet, Inc. · 2014 · Recalled
- Descendant · cites it directly · 1 of its ownK153657 Vanguard XP Knee SystemBiomet, Inc. · 2016 · Recalled
- Descendant · cites it directly · 0 of its ownK190068 Vanguard XP Knee SystemZimmer, Inc. · 2019
- Descendant · cites it directly · 0 of its ownK143635 KINETIS Total Knee SystemMako Surgical · 2015
Showing 5 of 6 descendants. See all descendants
Descendants cleared per year
Most influential descendants
Showing 5 of 6 · See all- K132873Vanguard XP Knee SystemBiomet, Inc. · 2013 · cites it directly3descendants
- K141407Vanguard XP Femoral Component (Gen II)/Vanguard XP Femoral TrialBiomet, Inc. · 2014 · cites it directly2descendants
- K153657Vanguard XP Knee SystemBiomet, Inc. · 2016 · cites it directly1descendant
- K190068Vanguard XP Knee SystemZimmer, Inc. · 2019 · cites it directly0descendants
- K143635KINETIS Total Knee SystemMako Surgical · 2015 · cites it directly0descendants
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −7 | K810258 | Proximal Fermoral Hip Replacement | Biomet, Inc. | 1981 | — |
| −6 | K974558 | Salvage/Onocology Hip and Total Femur System | Biomet, Inc. | 1998 | — |
| −5 | K032396 | Ringloc 36MM Line and Modular Femoral Heads | Biomet, Inc. | 2003 | 3 |
| −4 | K050327 | E-Poly (Vitamin E) Acetabular Liners | Biomet, Inc. | 2005 | — |
| −3 | K070364 | 100KGY E-Poly Maxrom Acetabular Liners | Biomet, Inc. | 2007 | — |
| −2 | K080528 | E-Poly Tibial Bearings | Biomet Orthopedics, Inc. | 2008 | — |
| −1 | K113550 | Vanguard Complete Knee System | Biomet Manufacturing Corp | 2012 | 7 |
| 0 (this device) | K122160 | Vanguard XP Knee System | Biomet Manufacturing Corp | 2013 | — |
| +1 | K132873 | Vanguard XP Knee System | Biomet, Inc. | 2013 | 22 |
| +1 | K141407 | Vanguard XP Femoral Component (Gen II)/Vanguard XP Femoral Trial | Biomet, Inc. | 2014 | 1 |
| +1 | K153657 | Vanguard XP Knee System | Biomet, Inc. | 2016 | 1 |
| +1 | K190068 | Vanguard XP Knee System | Zimmer, Inc. | 2019 | — |
| +1 | K143635 | KINETIS Total Knee System | Mako Surgical | 2015 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 1984 | 2 | 0 |
| 1986 | 1 | 0 |
| 1989 | 1 | 0 |
| 1991 | 2 | 0 |
| 1992 | 3 | 0 |
| 1993 | 2 | 0 |
| 1994 | 2 | 0 |
| 1995 | 7 | 0 |
| 1996 | 3 | 0 |
| 1997 | 3 | 0 |
| 1998 | 1 | 0 |
| 1999 | 4 | 0 |
| 2000 | 1 | 0 |
| 2002 | 2 | 0 |
| 2003 | 5 | 0 |
| 2004 | 3 | 0 |
| 2005 | 1 | 0 |
| 2006 | 3 | 0 |
| 2011 | 1 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2013 | 1 | 0 |
| 2014 | 2 | 0 |
| 2015 | 1 | 0 |
| 2016 | 1 | 0 |
| 2019 | 1 | 0 |
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 MBH? 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 K241597 Freedom® Total Knee System - Porous Tibial…score 20.0 · 8 generations · no Class I recall
- #2 Held for the reportin the report
- #3 Held for the reportin the report
What was it cleared against? (10)
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.
| Type | Number | Device | Decided |
|---|---|---|---|
| * | K113550 | Vanguard Complete Knee SystemSummary page 1…sis (§888.3560) Classification panel Orthopedic equivalence is claimed Regulation 21CFR §888.3565 21CFR §888.3560 Product Code(s) JWH, MBH, MBV, OIY Legally marketed K113550 Vanguard"u Knee System (JWH, MBH, OIY) device(s) to which K102580 Vanguard~ Removable Molded Poly Tibia (JWH) K080528 E1™ Tibial… | 2012 |
| * | K102580 | Vanguard Removable Molded Poly TibiaSummary page 1…claimed Regulation 21CFR §888.3565 21CFR §888.3560 Product Code(s) JWH, MBH, MBV, OIY Legally marketed K113550 Vanguard"u Knee System (JWH, MBH, OIY) device(s) to which K102580 Vanguard~ Removable Molded Poly Tibia (JWH) K080528 E1™ Tibial Bearings (OIY, JWH, MBH, MBV) K904448 Townley Total Knee (JWH) K… | 2011 |
| * | K080528 | E-Poly Tibial BearingsSummary page 1…roduct Code(s) JWH, MBH, MBV, OIY Legally marketed K113550 Vanguard"u Knee System (JWH, MBH, OIY) device(s) to which K102580 Vanguard~ Removable Molded Poly Tibia (JWH) K080528 E1™ Tibial Bearings (OIY, JWH, MBH, MBV) K904448 Townley Total Knee (JWH) K833363 Cloutier II Fiber Metal Total Knee (JWH) K0310… | 2008 |
| * | K904448 | Townley Total Knee (TTK)Summary page 1…d K113550 Vanguard"u Knee System (JWH, MBH, OIY) device(s) to which K102580 Vanguard~ Removable Molded Poly Tibia (JWH) K080528 E1™ Tibial Bearings (OIY, JWH, MBH, MBV) K904448 Townley Total Knee (JWH) K833363 Cloutier II Fiber Metal Total Knee (JWH) K031061 NexGen® Total Knee System (MBH) K050222 Vangu… | 1991 |
| * | K833363 | Cloutier II Fiber Metal Total KneeSummary page 1…JWH, MBH, OIY) device(s) to which K102580 Vanguard~ Removable Molded Poly Tibia (JWH) K080528 E1™ Tibial Bearings (OIY, JWH, MBH, MBV) K904448 Townley Total Knee (JWH) K833363 Cloutier II Fiber Metal Total Knee (JWH) K031061 NexGen® Total Knee System (MBH) K050222 Vanguard™ Anterior Stabilized Tibial Be… | 1984 |
| * | K031061 | Nexgen Porous, Uncemented Femoral and Tibial Baseplate ComponentsSummary page 1…d~ Removable Molded Poly Tibia (JWH) K080528 E1™ Tibial Bearings (OIY, JWH, MBH, MBV) K904448 Townley Total Knee (JWH) K833363 Cloutier II Fiber Metal Total Knee (JWH) K031061 NexGen® Total Knee System (MBH) K050222 Vanguard™ Anterior Stabilized Tibial Bearings Mailing Address: P.0. Box 587 Warsaw, I… | 2003 |
| * | K050222 | Vanguard Anterior Stabilized Tibial BearingsSummary page 1…0528 E1™ Tibial Bearings (OIY, JWH, MBH, MBV) K904448 Townley Total Knee (JWH) K833363 Cloutier II Fiber Metal Total Knee (JWH) K031061 NexGen® Total Knee System (MBH) K050222 Vanguard™ Anterior Stabilized Tibial Bearings Mailing Address: P.0. Box 587 Warsaw, IN 46581-0587 Toll Free: 800.348.9500 Offi… | 2005 |
| * | K961021 | Kirschner Knee ModifiedSummary page 2…639 Main Fax: 574.267.8137 www.biomet.com Shipping Address: 56 East Bell Drive Warsaw, IN 46582 13 K122160 (page 2/4) MANUFACTURING CORP. (JWH, MBH) K961021 Kirschner Knee Mcdified (JWH) K921182 Ultra High Molecular Weight Polyethylene (JWH, HRY) K993159 Maxim Knee System (JWH) Reas… | 1997 |
| * | K921182 | Ultra High Molecular Weight Polyethylene ComponentSummary page 2…om Shipping Address: 56 East Bell Drive Warsaw, IN 46582 13 K122160 (page 2/4) MANUFACTURING CORP. (JWH, MBH) K961021 Kirschner Knee Mcdified (JWH) K921182 Ultra High Molecular Weight Polyethylene (JWH, HRY) K993159 Maxim Knee System (JWH) Reason for 510(k) submission Additional Va… | 1993 |
| * | K993159 | Maxim Knee SystemSummary page 2…K122160 (page 2/4) MANUFACTURING CORP. (JWH, MBH) K961021 Kirschner Knee Mcdified (JWH) K921182 Ultra High Molecular Weight Polyethylene (JWH, HRY) K993159 Maxim Knee System (JWH) Reason for 510(k) submission Additional Vanguard® product line to include an XP femoral, ACL/PCL and PC… | 1999 |
What descends from it? (6)
6 later devices cite it directly; ranked here by how many devices descend from each in turn.
Has anything in its family been recalled? (0 Class I)
Recalls of this device
| Date | Class | Recall | Root cause | Reason |
|---|---|---|---|---|
| Aug 15, 2019 | Class II | Z-2503-2019 | Manufacturing material removal | The locking bar not fully engaging |
| Aug 15, 2019 | Class II | Z-2528-2019 | Manufacturing material removal | The locking bar not fully engaging |
| Aug 15, 2019 | Class II | Z-2537-2019 | Manufacturing material removal | The locking bar not fully engaging |
| Aug 15, 2019 | Class II | Z-2533-2019 | Manufacturing material removal | The locking bar not fully engaging |
| Aug 15, 2019 | Class II | Z-2532-2019 | Manufacturing material removal | The locking bar not fully engaging |
| Aug 15, 2019 | Class II | Z-2535-2019 | Manufacturing material removal | The locking bar not fully engaging |
| Aug 15, 2019 | Class II | Z-2515-2019 | Manufacturing material removal | The locking bar not fully engaging |
| Aug 15, 2019 | Class II | Z-2530-2019 | Manufacturing material removal | The locking bar not fully engaging |
| Aug 15, 2019 | Class II | Z-2536-2019 | Manufacturing material removal | The locking bar not fully engaging |
| Aug 15, 2019 | Class II | Z-2531-2019 | Manufacturing material removal | The locking bar not fully engaging |
| Aug 15, 2019 | Class II | Z-2534-2019 | Manufacturing material removal | The locking bar not fully engaging |
| Aug 15, 2019 | Class II | Z-2529-2019 | Manufacturing material removal | The locking bar not fully engaging |
The 5 latest of 12 recalls; the web page lists all.
No ancestor or descendant has a Class I recall.
What does this lineage say?
- The line of descent spans 32 years and passes through 3 companies; a new generation was cleared every 2.1 years on median.
- 20 of the 54 ancestors have a recall of any class.
- Of its descendants, K132873 (Biomet, Inc., 2013) has gone furthest, with 3 descendants of its own.
- 17 other devices also cite its predicate K113550.
How does its category compare?
All MBH devicesMBH Prosthesis, Knee, Patello/Femorotibial, Semi-Constrained, Uncemented, Porous, Coated, Polymer/Metal/Polymer: FDA decisions, review times, recalls and adverse event reports over 20 years. 2013, this device’s year, is highlighted.
FDA decisions per year · MBH
8in 2025
2026 to Oct 25, outlined.
Median 510(k) review, days · MBH
98in 2025
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · MBH
1in 2024
Class I (5 since 2007) Class II/III not classified
Adverse event reports per year · MBH
1,561in 2025
MAUDE reports naming product code MBH, not matched to any one device; reports are not rates.
View these four charts as a table
| Year | Decisions | Median 510(k) review, days | Recalls (Class I) | MAUDE reports |
|---|---|---|---|---|
| 2007 | 10 | 59 | 0 | 27 |
| 2008 | 3 | 70 | 0 | 21 |
| 2009 | 3 | 209 | 2 | 89 |
| 2010 | 4 | 84 | 0 | 121 |
| 2011 | 5 | 84 | 15 | 247 |
| 2012 | 5 | 90 | 1 (1) | 370 |
| 2013 | 6 | 138 | 4 (4) | 308 |
| 2014 | 9 | 114 | 0 | 385 |
| 2015 | 8 | 100 | 0 | 955 |
| 2016 | 4 | 74 | 1 | 1,034 |
| 2017 | 4 | 115 | 9 | 1,007 |
| 2018 | 6 | 89 | 1 | 1,191 |
| 2019 | 1 | — | 1 | 1,394 |
| 2020 | 7 | 112 | 2 | 1,089 |
| 2021 | 6 | 48 | 0 | 1,539 |
| 2022 | 7 | 57 | 0 | 1,261 |
| 2023 | 6 | 94 | 2 | 1,263 |
| 2024 | 10 | 84 | 1 | 1,497 |
| 2025 | 8 | 98 | 0 | 1,561 |
| 2026 | 7 | 153 | 4 | — |
What is it indicated for?
1. Painful and disabled knee joint resulting from osteoarthritis, rheumatoid arthritis, or traumatic arthritis where one or more compartments are involved.
2. Correction of varus, valgus, or posttraumatic deformity.
3. Correction or revision of unsuccessful osteotomy, arthrodesis, or failure of previous total joint replacement procedure.
Femoral components and tibial tray components with porous coatings are indicated for cemented and uncemented biological fixation application. Non-coated (Interlok®) devices and all polyethylene patellar components are indicated for cemented application only. Regenerex components are intended only for uncemented biologic fixation application.
Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.
https://510kreport.com/device/K122160 · printed Nov 4, 2026
Cite this page
510(k) Report. “K122160: Vanguard XP Knee System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K122160
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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