510(k) Report

510(k) · Cleared

Recalled · Class II · 2017

GMK Hinge

K130299510(k) TraditionalCleared Aug 15, 2013189-day reviewClass II21 CFR 888.3510Recalls 2

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

Medacta International · KRO Prosthesis, Knee, Femorotibial, Constrained, Cemented, Metal/Polymer

Cleared on Aug 15, 2013 as substantially equivalent to K003504 (Plus Orthopedics, 2001) and 4 other predicates after a 189-day review. Its family tree reaches back 6 generations to 1992. 4 later devices descend from it. It has been recalled 2 times.

Decided
Aug 15, 2013
Review
189 days
Class
Class II
Product code
KRO
Recalls
2
Predicates
5

Its longest line of descent runs back 6 generations to K915192 (1992). 20 ancestors in all, the oldest K896048 (1990). 4 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2002: 1 other ancestor2001: 2 other ancestors2000: 2 other ancestors1990: 1 other ancestor1996: 3 other ancestors2003: 1 other ancestor1998: 2 other ancestors1993: 1 other ancestor1992: 1 other ancestor2017: 1 descendant cleared2021: 2 descendants cleared2016: 1 descendant clearedK915192 · 7000 Series Modular Tibial Components · Osteonics Corp. · 1992K994128 · Scorpio Total Stablizer (TS) Total Knee System · Howmedica Osteonics Corp. · 2000 · recalled×2: 2 generations cleared close together, K021313 (2002), K022672 (2002) K083772 · Columbus Revision Knee System · Aesculap Implant System, Inc. · 2009 · recalledK101815 · Enduro Knee System · Aesculap Implant Systems · 20101990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 4 other ancestors2 generations back: 1 other ancestor3 generations back: 2 other ancestors4 generations back: 4 other ancestors5 generations back: 3 other ancestors 1 generation forward: 3 descendants2 generations forward: 1 descendant K101815 · Enduro Knee System · Aesculap Implant Systems · 2010K083772 · Columbus Revision Knee System · Aesculap Implant System, Inc. · 2009 · recalledK022672 · Columbus Total Knee System (CR) · Aesculap, Inc. · 2002 · recalledK021313 · Search Evolution Total Knee System · Aesculap, Inc. · 2002K994128 · Scorpio Total Stablizer (TS) Total Knee System · Howmedica Osteonics Corp. · 2000 · recalledK915192 · 7000 Series Modular Tibial Components · Osteonics Corp. · 1992−50
  1. Root · 6 generations backK915192 7000 Series Modular Tibial ComponentsOsteonics Corp. · 1992
  2. 5 generations backK994128 Scorpio Total Stablizer (TS) Total Knee SystemHowmedica Osteonics Corp. · 2000 · Recalled
  3. 4 generations backK021313 Search Evolution Total Knee SystemAesculap, Inc. · 2002
  4. 3 generations backK022672 Columbus Total Knee System (CR)Aesculap, Inc. · 2002 · Recalled
  5. 2 generations backK083772 Columbus Revision Knee SystemAesculap Implant System, Inc. · 2009 · Recalled
  6. 1 generation backK101815 Enduro Knee SystemAesculap Implant Systems · 2010
  7. This deviceK130299 GMK HingeMedacta International · 2013
  8. Descendant · cites it directly · 2 of its ownK172347 GMK Hinge, GMK RevisionMedacta International S.A. · 2017
  9. Descendant · cites it directly · 2 of its ownK163311 GMK Revision Femoral Distal AugmentationMedacta International S.A. · 2016
  10. Descendant · cites it directly · 1 of its ownK210010 GMK Revision & Hinge Extension - TiNbN CoatingMedacta International S.A. · 2021
  11. Descendant · 2 generations on · 0 of its ownK211664 GMK Sphere RevisionMedacta International S.A. · 2021

Most influential descendants

Showing 4 of 4 · See all
  • K172347GMK Hinge, GMK RevisionMedacta International S.A. · 2017 · cites it directly2descendants
  • K163311GMK Revision Femoral Distal AugmentationMedacta International S.A. · 2016 · cites it directly2descendants
  • K210010GMK Revision & Hinge Extension - TiNbN CoatingMedacta International S.A. · 2021 · cites it directly1descendant
  • K211664GMK Sphere RevisionMedacta International S.A. · 2021 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K9151927000 Series Modular Tibial ComponentsOsteonics Corp.1992—
−5K994128Scorpio Total Stablizer (TS) Total Knee SystemHowmedica Osteonics Corp.20008
−4K021313Search Evolution Total Knee SystemAesculap, Inc.2002—
−3K022672Columbus Total Knee System (CR)Aesculap, Inc.20021
−2K083772Columbus Revision Knee SystemAesculap Implant System, Inc.20094
−1K101815Enduro Knee SystemAesculap Implant Systems2010—
0 (this device)K130299GMK HingeMedacta International2013—
+1K172347GMK Hinge, GMK RevisionMedacta International S.A.2017—
+1K163311GMK Revision Femoral Distal AugmentationMedacta International S.A.2016—
+1K210010GMK Revision & Hinge Extension - TiNbN CoatingMedacta International S.A.2021—
+2K211664GMK Sphere RevisionMedacta International S.A.2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199010
199210
199310
199630
199820
200020
200120
200210
200310

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201610
201710
202120
FIG. 1 — Lineage of K130299, 1992–2021Source: 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 KRO? 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 KRO device

  1. #1 K251665 Triathlon® Hinge Knee Systemscore 19.0 · 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? (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
*K003504RT-Plus Modular Cemented Knee Components
Summary page 2
…________ _ _______ 510(k) Product 510(k) Holder Dlaae _K003504 RT-Plus Plus Orthopedics 5/11/2001 K01 3385 NexGen Rotating Hi…
Plus Orthopedics2001—
*K013385Nexgen Complete Knee Solution Rotatng Hinge Knee
Summary page 2
…Product 510(k) Holder Dlaae _K003504 RT-Plus Plus Orthopedics 5/11/2001 K01 3385 NexGen Rotating Hinge Knee Zimmer 1/9/2002 K002552 Modular Rotating Hi…
Zimmer, Inc.20022
*K002552Howmedica Osteonics Modular Rotating Hinge Knee
Summary page 2
…RT-Plus Plus Orthopedics 5/11/2001 K01 3385 NexGen Rotating Hinge Knee Zimmer 1/9/2002 K002552 Modular Rotating Hinge Knee Stryker/Howmedica 11/13/2000 _K101815 Enduro RH…
Howmedica Osteonics Corp.2000—
*K101815Enduro Knee System
Summary page 2
…Rotating Hinge Knee Zimmer 1/9/2002 K002552 Modular Rotating Hinge Knee Stryker/Howmedica 11/13/2000 _K101815 Enduro RHK Aesculap 12/20/2010 K896048 S-ROM/NOILE…
Aesculap Implant Systems2010—
*K896048S-Rom/Noiles Mark 3
Summary page 2
…Rotating Hinge Knee Stryker/Howmedica 11/13/2000 _K101815 Enduro RHK Aesculap 12/20/2010 K896048 S-ROM/NOILES Depuy 03/14/1990 Product Description The GMK Hinge Sys…
Joint Medical Products Corp.19906

Also cleared against K003504: 3 other devices →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K172347GMK Hinge, GMK RevisionMedacta International S.A.20172
K163311GMK Revision Femoral Distal AugmentationMedacta International S.A.20162
K210010GMK Revision & Hinge Extension - TiNbN CoatingMedacta International S.A.20211

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

Recalls of this device

DateClassRecallRoot causeReason
May 19, 2017Class IIZ-2661-2017Nonconforming Material/ComponentOne lot of product does not include a screw for attachment to the tibial base plate.
Apr 17, 2015Class IIZ-0275-2016Employee errorIncorrect parts: Packages of the GMK Hinge Tibial Augmentation size 4-10 mm have 5 mm screws instead of 10 mm screws.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 21 years and passes through 6 companies; a new generation was cleared every 2.7 years on median.
  • 10 of the 20 ancestors have a recall of any class.
  • Of its descendants, K172347 (Medacta International S.A., 2017) has gone furthest, with 2 descendants of its own.
  • 3 other devices also cite its predicate K003504.

How does its category compare?

All KRO devices

KRO Prosthesis, Knee, Femorotibial, 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 · KRO

3in 2025

2007: 12008: 32009: 32010: 12011: 22012: 22013: 32014: 22015: 62016: 32017: 12019: 32020: 12021: 32022: 12023: 42024: 32025: 32026 (partial year): 1
2007high 6 (2015) · low 0 (2018)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KRO

56in 2025

2008: 126 days median2009: 86 days median2013: 189 days median2015: 113 days median2016: 148 days median2019: 244 days median2021: 57 days median2023: 148 days median2024: 87 days median2025: 56 days median
2007high 244 (2019) · low 56 (2025)2026

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

Recalls per year · KRO

14so far in 2026, the most since 2007

2007: 12008: 32009: 82011: 12012: 12013: 22015: 12016: 52017: 42018: 12021: 12025: 12026 (partial year): 14
2007high 14 (2026) · low 0 (2010)2026

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

Adverse event reports per year · KRO

915in 2025

2007: 372008: 442009: 662010: 1102011: 1192012: 1732013: 1942014: 4062015: 3332016: 3692017: 5432018: 6142019: 7592020: 7492021: 7702022: 8922023: 7462024: 8552025: 915
2007high 915 (2025) · low 37 (2007)2025

MAUDE reports naming product code KRO, 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
20071—137
20083126344
2009386866
20101—0110
20112—1119
20122—1173
201331892194
20142—0406
201561131333
201631485369
20171—4543
20180—1614
201932440759
20201—0749
20213571770
20221—0892
202341480746
20243870855
20253561915
20261—14—

What is it indicated for?

The GMK HINGE® knee prosthesis is designed for cemented use in total knee arthroplasty when the preoperative diagnosis of the joint determines that the bone and stability situation require the implantation of a constrained prosthesis. The GMK HINGE® knee system is indicated in the following cases: * Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid arthritis or polyarthritis associated with bone loss and/or…

Read the full statement (163 words)

The GMK HINGE® knee prosthesis is designed for cemented use in total knee arthroplasty when the preoperative diagnosis of the joint determines that the bone and stability situation require the implantation of a constrained prosthesis.

The GMK HINGE® knee system is indicated in the following cases:

* Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid arthritis or polyarthritis associated with bone loss and/or severe joint instability

* Considerable loss of function of the knee joint

* High-grade joint destruction requiring additional stabilization with stems and reconstruction of bone defects with metal augmentation

* Failure of a primary prosthesis (e.g. infection, loosening)

* Former revision arthroplasty

* Post traumatic loss of joint configuration

* Avascular necrosis of femoral condyle

Tibial augmentations are to be screwed to the tibial baseplate with both of the two provided fixing screws.

When a GMK HINGE® implant is used it is mandatory to implant both the femoral and tibial components with an extension stem.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K130299: GMK Hinge.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K130299

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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