510(k) Report

510(k) · Cleared

Cleared

Smith & Newphew, Inc. Disposable Knee Instruments

K123159510(k) TraditionalCleared May 3, 2013206-day reviewClass II21 CFR 888.3560

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

Smith & Nephew, Inc. · JWH Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/Metal/Polymer

Cleared on May 3, 2013 as substantially equivalent to K093746 (Smith & Nephew, Inc., 2010) and 4 other predicates after a 206-day review. Its family tree reaches back 6 generations to 1995. 2 later devices descend from it.

Decided
May 3, 2013
Review
206 days
Class
Class II
Product code
JWH
Recalls
None
Predicates
5

Its longest line of descent runs back 6 generations to K951987 (1995). 44 ancestors in all, the oldest K853730 (1986). 2 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2012: 1 other ancestor2010: 2 other ancestors2008: 1 other ancestor2007: 2 other ancestors2006: 2 other ancestors2005: 3 other ancestors2004: 2 other ancestors2003: 2 other ancestors1999: 1 other ancestor1997: 1 other ancestor1996: 6 other ancestors1995: 3 other ancestors2002: 4 other ancestors2000: 1 other ancestor1989: 1 other ancestor1986: 1 other ancestor2001: 2 other ancestors1998: 1 other ancestor1994: 2 other ancestors2015: 1 descendant cleared2014: 1 descendant clearedK951987 · Genesis II Total Knee System · Smith & Nephew Richards, Inc. · 1995 · recalled×2: 2 generations cleared close together, K030612 (2003), K032295 (2003) K041825 · Smith & Nephew Genesis II Deep Flexion Cruciate Retaining Articular Insert · Smith & Nephew, Inc. · 2005K071071 · Crosslinked Polyethylene Articular Inserts · Smith & Nephew, Inc. · 2007 · recalledK093746 · Verilast Wear Claims for the Legion Primary Knee System · Smith & Nephew, Inc. · 20101990200020102020
  1. Root · 6 generations backK951987 Genesis II Total Knee SystemSmith & Nephew Richards, Inc. · 1995 · Recalled
  2. 5 generations backK030612 Genesis II Total Knee SystemSmith & Nephew, Inc. · 2003
  3. 4 generations backK032295 Genesis II Posterior Stabilized High Flexion Articular InsertSmith & Nephew, Inc. · 2003 · Recalled
  4. 3 generations backK041825 Smith & Nephew Genesis II Deep Flexion Cruciate Retaining Articular…Smith & Nephew, Inc. · 2005
  5. 2 generations backK071071 Crosslinked Polyethylene Articular InsertsSmith & Nephew, Inc. · 2007 · Recalled
  6. 1 generation backK093746 Verilast Wear Claims for the Legion Primary Knee SystemSmith & Nephew, Inc. · 2010
  7. This deviceK123159 Smith & Newphew, Inc. Disposable Knee InstrumentsSmith & Nephew, Inc. · 2013
  8. Descendant · cites it directly · 0 of its ownK143226 Visionaire Disposable InstrumentsSmith & Nephew, Inc. · 2015
  9. Descendant · cites it directly · 0 of its ownK141585 Smith & Nephew Disposable Fin PunchSmith & Nephew, Inc. · 2014

Most influential descendants

Showing 2 of 2 · See all
  • K143226Visionaire Disposable InstrumentsSmith & Nephew, Inc. · 2015 · cites it directly0descendants
  • K141585Smith & Nephew Disposable Fin PunchSmith & Nephew, Inc. · 2014 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K951987Genesis II Total Knee SystemSmith & Nephew Richards, Inc.19956
−5K030612Genesis II Total Knee SystemSmith & Nephew, Inc.2003—
−4K032295Genesis II Posterior Stabilized High Flexion Articular InsertSmith & Nephew, Inc.20036
−3K041825Smith & Nephew Genesis II Deep Flexion Cruciate Retaining Articular InsertSmith & Nephew, Inc.2005—
−2K071071Crosslinked Polyethylene Articular InsertsSmith & Nephew, Inc.20075
−1K093746Verilast Wear Claims for the Legion Primary Knee SystemSmith & Nephew, Inc.2010—
0 (this device)K123159Smith & Newphew, Inc. Disposable Knee InstrumentsSmith & Nephew, Inc.2013—
+1K143226Visionaire Disposable InstrumentsSmith & Nephew, Inc.2015—
+1K141585Smith & Nephew Disposable Fin PunchSmith & Nephew, Inc.2014—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198610
198910
199420
199530
199660
199710
199810
199910
200010
200120
200240
200320
200420
200530
200620
200720
200810
201020
201210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201410
201510
FIG. 1 — Lineage of K123159, 1995–2015Source: 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? (5)

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
*K093746Verilast Wear Claims for the Legion Primary Knee System
Summary page 1
…Compatible Knee Systems Description 510(k) Clearance Date LEGION PRIMARY KNEE SYSTEM K093746 4/14/10 GENESIS 11TOTAL KNEE SYSTEM K951987 8/22/1995 GENESIS 11P/S HIGH FLE…
Smith & Nephew, Inc.2010—
*K951987Genesis II Total Knee System
Summary page 1
…10(k) Clearance Date LEGION PRIMARY KNEE SYSTEM K093746 4/14/10 GENESIS 11TOTAL KNEE SYSTEM K951987 8/22/1995 GENESIS 11P/S HIGH FLEXION KNEE INSERT K032295 8/21/03 GENESIS 11DEEP FLEXION…
Smith & Nephew Richards, Inc.19956
*K032295Genesis II Posterior Stabilized High Flexion Articular Insert
Summary page 1
…K093746 4/14/10 GENESIS 11TOTAL KNEE SYSTEM K951987 8/22/1995 GENESIS 11P/S HIGH FLEXION KNEE INSERT K032295 8/21/03 GENESIS 11DEEP FLEXION C/R ARTICULAR INSERT K041825 3/11/05 TOTAL KNEE SYSTEM I…
Smith & Nephew, Inc.20036
*K041825Smith & Nephew Genesis II Deep Flexion Cruciate Retaining Articular Insert
Summary page 1
…K951987 8/22/1995 GENESIS 11P/S HIGH FLEXION KNEE INSERT K032295 8/21/03 GENESIS 11DEEP FLEXION C/R ARTICULAR INSERT K041825 3/11/05 TOTAL KNEE SYSTEM INSTRUMENTATION K121393 8/7/12 Summary o…
Smith & Nephew, Inc.2005—
*K121393Smith & Nephew, Inc. Total Knee System Instrumentation
Summary page 1
…32295 8/21/03 GENESIS 11DEEP FLEXION C/R ARTICULAR INSERT K041825 3/11/05 TOTAL KNEE SYSTEM INSTRUMENTATION K121393 8/7/12 Summary of Safety and Effectiveness K123 159 (2/2) D…
Smith & Nephew, Inc.20124

Also cleared against K093746: 2 other devices →

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K143226Visionaire Disposable InstrumentsSmith & Nephew, Inc.20150
K141585Smith & Nephew Disposable Fin PunchSmith & Nephew, Inc.20140

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 18 years and passes through 2 companies; a new generation was cleared every 2.6 years on median.
  • 19 of the 44 ancestors have a recall of any class.
  • Of its descendants, K143226 (Smith & Nephew, Inc., 2015) has gone furthest, with 0 descendants of its own.
  • 2 other devices also cite its predicate K093746.

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. 2013, 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?

Smith & Nephew Disposable Knee Instruments are accessory devices and are intended to be used to assist in the implantation of Smith & Nephew, Inc. Genesis 11and Legions total knee systems and their cleared indications for use for Total Knee Replacement.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K123159: Smith & Newphew, Inc. Disposable Knee Instruments.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K123159

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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