510(k) · Cleared
ClearedInbone ( I and II) Total Ankle Systems
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
Wrightmedicaltechnologyinc · HSN Prosthesis, Ankle, Semi-Constrained, Cemented, Metal/Polymer
Cleared on Mar 4, 2013 as substantially equivalent to K051023 (Topez Orthopedics, Inc., 2005) and 2 other predicates after a 154-day review. Its family tree reaches back 4 generations to 1992. 21 later devices descend from it.
- Decided
- Mar 4, 2013
- Review
- 154 days
- Class
- Class II
- Product code
- HSN
- Recalls
- None
- Predicates
- 3
Its longest line of descent runs back 4 generations to K920802 (1992). 5 ancestors in all. 21 later devices descend from it, 3 citing it directly.
- Root · 4 generations backK920802 Alvine Total AnkleDepuy, Inc. · 1992
- 3 generations backK020541 Agility Ankle Revision ProsthesisDepuy, Inc. · 2002
- 2 generations backK051023 Topez Total Ankle ReplacementTopez Orthopedics, Inc. · 2005 · Recalled
- 1 generation backK100886 Inbone II Total Ankle ReplacementWrightmedicaltechnologyinc · 2010 · Recalled
- This deviceK123059 Inbone ( I and II) Total Ankle SystemsWrightmedicaltechnologyinc · 2013
- Descendant · cites it directly · 17 of its ownK141740 Infinity (TM) Total Ankle System; Inbone Total Ankle SystemWrightmedicaltechnologyinc · 2015
- Descendant · 2 generations on · 13 of its ownK171067 INVISION Total Ankle Revision SystemWrightmedicaltechnologyinc · 2017
- Descendant · 3 generations on · 8 of its ownK192994 Paragon 28 APEX 3D Total Ankle Replacement SystemParagon 28, Inc. · 2020
- Descendant · 3 generations on · 3 of its ownK180730 INVISION Total Ankle Revision SystemWrightmedicaltechnologyinc · 2018
- Descendant · 4 generations on · 2 of its ownK210390 Apex 3D Total Ankle Replacement SystemParagon 28, Inc. · 2021
Showing 5 of 21 descendants. See all descendants
Descendants cleared per year
Most influential descendants
Showing 5 of 21 · See all- K141740Infinity (TM) Total Ankle System; Inbone Total Ankle SystemWrightmedicaltechnologyinc · 2015 · cites it directly17descendants
- K171067INVISION Total Ankle Revision SystemWrightmedicaltechnologyinc · 2017 · 2 generations on13descendants
- K192994Paragon 28 APEX 3D Total Ankle Replacement SystemParagon 28, Inc. · 2020 · 3 generations on8descendants
- K180730INVISION Total Ankle Revision SystemWrightmedicaltechnologyinc · 2018 · 3 generations on3descendants
- K210390Apex 3D Total Ankle Replacement SystemParagon 28, Inc. · 2021 · 4 generations on2descendants
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −4 | K920802 | Alvine Total Ankle | Depuy, Inc. | 1992 | — |
| −3 | K020541 | Agility Ankle Revision Prosthesis | Depuy, Inc. | 2002 | — |
| −2 | K051023 | Topez Total Ankle Replacement | Topez Orthopedics, Inc. | 2005 | 4 |
| −1 | K100886 | Inbone II Total Ankle Replacement | Wrightmedicaltechnologyinc | 2010 | 2 |
| 0 (this device) | K123059 | Inbone ( I and II) Total Ankle Systems | Wrightmedicaltechnologyinc | 2013 | — |
| +1 | K141740 | Infinity (TM) Total Ankle System; Inbone Total Ankle System | Wrightmedicaltechnologyinc | 2015 | — |
| +2 | K171067 | INVISION Total Ankle Revision System | Wrightmedicaltechnologyinc | 2017 | — |
| +3 | K192994 | Paragon 28 APEX 3D Total Ankle Replacement System | Paragon 28, Inc. | 2020 | — |
| +3 | K180730 | INVISION Total Ankle Revision System | Wrightmedicaltechnologyinc | 2018 | — |
| +4 | K210390 | Apex 3D Total Ankle Replacement System | Paragon 28, Inc. | 2021 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2010 | 1 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2015 | 1 | 0 |
| 2017 | 2 | 0 |
| 2018 | 3 | 0 |
| 2019 | 1 | 0 |
| 2020 | 3 | 0 |
| 2021 | 2 | 0 |
| 2022 | 1 | 0 |
| 2023 | 2 | 0 |
| 2024 | 3 | 0 |
| 2025 | 2 | 0 |
| 2026 | 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 HSN? 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 HSN device
- #1 K192994 Paragon 28 APEX 3D Total Ankle Replacement…score 16.7 · 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? (3)
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 |
|---|---|---|---|
| * | K051023 | Topez Total Ankle ReplacementSummary page 1…me and Reference: 21 CFR 888.3110 - Class II Device Product Code, Device Panel: HSN: Orthopedic (a)(3). Predicate Device: K05 1023 INBONE® Total Ankle K 103374 INBONE® Total Ankle… | 2005 |
| * | K103374 | Inbone Total Ankle System Model 200347902Summary page 1…, Device Panel: HSN: Orthopedic (a)(3). Predicate Device: K05 1023 INBONE® Total Ankle K 103374 INBONE® Total Ankle K100886 INBONE® 11 Total Ankle (a)(4). Device Description… | 2010 |
| * | K100886 | Inbone II Total Ankle ReplacementSummary page 1…K05 1023 INBONE® Total Ankle K 103374 INBONE® Total Ankle K100886 INBONE® 11 Total Ankle (a)(4). Device Description The INBONE® implant is a total ankle replacement (TAR) that is made of… | 2010 |
What descends from it? (21)
See all 213 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)
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 21 years and passes through 3 companies; a new generation was cleared every 4.8 years on median.
- 2 of the 5 ancestors have a recall of any class.
- Of its descendants, K141740 (Wrightmedicaltechnologyinc, 2015) has gone furthest, with 17 descendants of its own.
- 8 other devices also cite its predicate K051023.
How does its category compare?
All HSN devicesHSN Prosthesis, Ankle, Semi-Constrained, Cemented, 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 · HSN
3in 2025
2026 to Oct 25, outlined.
Median 510(k) review, days · HSN
58in 2025
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · HSN
1in 2023
Class I (0 since 2007) Class II/III not classified
Adverse event reports per year · HSN
1,645in 2025
MAUDE reports naming product code HSN, 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 | 0 | — | 0 | 50 |
| 2008 | 0 | — | 0 | 66 |
| 2009 | 1 | — | 0 | 66 |
| 2010 | 2 | — | 0 | 120 |
| 2011 | 1 | — | 0 | 139 |
| 2012 | 2 | — | 0 | 100 |
| 2013 | 4 | 89 | 3 | 106 |
| 2014 | 2 | — | 0 | 65 |
| 2015 | 3 | 233 | 0 | 73 |
| 2016 | 3 | 216 | 1 | 111 |
| 2017 | 4 | 148 | 2 | 96 |
| 2018 | 4 | 89 | 0 | 187 |
| 2019 | 2 | — | 1 | 277 |
| 2020 | 6 | 234 | 0 | 281 |
| 2021 | 4 | 109 | 3 | 237 |
| 2022 | 1 | — | 2 | 453 |
| 2023 | 6 | 112 | 1 | 796 |
| 2024 | 7 | 115 | 0 | 1,095 |
| 2025 | 3 | 58 | 0 | 1,645 |
| 2026 | 2 | — | 0 | — |
What is it indicated for?
The INBONE® Total Ankle is indicated for patients with ankle joints damaged by severe
rheumatoid, post-traumatic, or degenerative arthritis.
The INBONE® Total Ankle is additionally indicated for patients with a failed previous ankle
surgery.
CAUTION: The ankle prosthesis is intended for cement use only.
Indications for use as stated in the FDA summary.
https://510kreport.com/device/K123059 · printed Nov 6, 2026
Cite this page
510(k) Report. “K123059: Inbone ( I and II) Total Ankle Systems.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K123059
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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