510(k) Report

510(k) · Cleared

Cleared

GMK Sphere Extension

K140826510(k) TraditionalCleared Jul 15, 2014105-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

Medacta International · JWH Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/Metal/Polymer

Cleared on Jul 15, 2014 as substantially equivalent to K121416 (Medacta International, 2012) and 1 other predicate after a 105-day review. Its family tree reaches back 13 generations to 1994. 17 later devices descend from it.

Decided
Jul 15, 2014
Review
105 days
Class
Class II
Product code
JWH
Recalls
None
Predicates
2

Its longest line of descent runs back 13 generations to K941847 (1994). 94 ancestors in all, the oldest K840643 (1984). 17 later devices descend from it, 7 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2007: 3 other ancestors2005: 1 other ancestor2002: 8 other ancestors1999: 4 other ancestors1998: 6 other ancestors1997: 6 other ancestors2006: 2 other ancestors2003: 4 other ancestors2001: 7 other ancestors2000: 6 other ancestors1996: 8 other ancestors1995: 6 other ancestors2004: 3 other ancestors1993: 3 other ancestors1994: 5 other ancestors1992: 2 other ancestors1991: 1 other ancestor1990: 1 other ancestor1987: 2 other ancestors1984: 1 other ancestor1985: 1 other ancestor2023: 1 descendant cleared2017: 1 descendant cleared2020: 3 descendants cleared2014: 1 descendant cleared2018: 2 descendants cleared2025: 1 descendant cleared2026: 4 descendants cleared2021: 3 descendants cleared2022: 1 descendant clearedK941847 · 5/8 Porocoat Aml Hip Porocoat Porous Coating · Depuy, Inc. · 1994K964650 · TCP-Coated Porocoat Aml Femoral Hip Prosthesis · Depuy, Inc. · 1997K980711 · Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic Coating · Zimmer, Inc. · 1998 · recalledK001277 · Triflange Acetabular Cup System · DePuy Orthopaedics, Inc. · 2000K031495 · Pinnacle Duofix HA Acetabular Cup Prosthesis · DePuy Orthopaedics, Inc. · 2003K042344 · Excia Total Hip System · Aesculap, Inc. · 2005 · recalledK070981 · Search Evolution (LC) Total Knee System (Plasmapore) · Aesculap Implant Systems, Inc. · 2007K081023 · Evolis Total Knee System · Medacta International S.A. · 2008 · recalledK090988 · GMK Total Knee System · Medacta International S.A. · 2009 · recalledK102437 · GMK Revision Knee System · Medacta International S.A. · 2010K103170 · GMK Revision Knee SC Liners · Medacta International S.A. · 2011×2: 2 generations cleared close together, K113571 (2012), K121416 (2012) 19801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 7 other ancestors3 generations back: 13 other ancestors4 generations back: 7 other ancestors5 generations back: 15 other ancestors6 generations back: 17 other ancestors7 generations back: 13 other ancestors8 generations back: 8 other ancestors 1 generation forward: 7 descendants2 generations forward: 6 descendants3 generations forward: 3 descendants4 generations forward: 1 descendant K121416 · GMK Sphere · Medacta International · 2012K113571 · GMK Resufacing Patella Size 4 · Medacta International · 2012K103170 · GMK Revision Knee SC Liners · Medacta International S.A. · 2011K102437 · GMK Revision Knee System · Medacta International S.A. · 2010K090988 · GMK Total Knee System · Medacta International S.A. · 2009 · recalledK081023 · Evolis Total Knee System · Medacta International S.A. · 2008 · recalledK070981 · Search Evolution (LC) Total Knee System (Plasmapore) · Aesculap Implant Systems, Inc. · 2007K042344 · Excia Total Hip System · Aesculap, Inc. · 2005 · recalledK031495 · Pinnacle Duofix HA Acetabular Cup Prosthesis · DePuy Orthopaedics, Inc. · 2003K001277 · Triflange Acetabular Cup System · DePuy Orthopaedics, Inc. · 2000K980711 · Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic Coating · Zimmer, Inc. · 1998 · recalledK964650 · TCP-Coated Porocoat Aml Femoral Hip Prosthesis · Depuy, Inc. · 1997K941847 · 5/8 Porocoat Aml Hip Porocoat Porous Coating · Depuy, Inc. · 1994−10−50
  1. Root · 13 generations backK941847 5/8 Porocoat Aml Hip Porocoat Porous CoatingDepuy, Inc. · 1994
  2. 9 generations between
  3. 3 generations backK103170 GMK Revision Knee SC LinersMedacta International S.A. · 2011
  4. 2 generations backK113571 GMK Resufacing Patella Size 4Medacta International · 2012
  5. 1 generation backK121416 GMK SphereMedacta International · 2012
  6. This deviceK140826 GMK Sphere ExtensionMedacta International · 2014
  7. Descendant · cites it directly · 10 of its ownK162035 GMK SphereMedacta International S.A. · 2017
  8. Descendant · cites it directly · 6 of its ownK173890 GMK Sphere - Kinematic AlignmentMedacta International S.A. · 2018
  9. Descendant · cites it directly · 4 of its ownK142069 GMK ExtensionMedacta International · 2014
  10. Descendant · cites it directly · 3 of its ownK202684 GMK Total Knee System - TiNbN CoatingMedacta International S.A. · 2020
  11. Descendant · 2 generations on · 3 of its ownK201343 Triathlon Total KneeSystemHowmedica Osteonics Corp., Dba Stryker Orthopaedics · 2020
Show all 13 generations
  1. Root · 13 generations backK941847 5/8 Porocoat Aml Hip Porocoat Porous CoatingDepuy, Inc. · 1994
  2. 12 generations backK964650 TCP-Coated Porocoat Aml Femoral Hip ProsthesisDepuy, Inc. · 1997
  3. 11 generations backK980711 Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic…Zimmer, Inc. · 1998 · Recalled
  4. 10 generations backK001277 Triflange Acetabular Cup SystemDePuy Orthopaedics, Inc. · 2000
  5. 9 generations backK031495 Pinnacle Duofix HA Acetabular Cup ProsthesisDePuy Orthopaedics, Inc. · 2003
  6. 8 generations backK042344 Excia Total Hip SystemAesculap, Inc. · 2005 · Recalled
  7. 7 generations backK070981 Search Evolution (LC) Total Knee System (Plasmapore)Aesculap Implant Systems, Inc. · 2007
  8. 6 generations backK081023 Evolis Total Knee SystemMedacta International S.A. · 2008 · Recalled
  9. 5 generations backK090988 GMK Total Knee SystemMedacta International S.A. · 2009 · Recalled
  10. 4 generations backK102437 GMK Revision Knee SystemMedacta International S.A. · 2010
  11. 3 generations backK103170 GMK Revision Knee SC LinersMedacta International S.A. · 2011
  12. 2 generations backK113571 GMK Resufacing Patella Size 4Medacta International · 2012
  13. 1 generation backK121416 GMK SphereMedacta International · 2012
  14. This deviceK140826 GMK Sphere ExtensionMedacta International · 2014

Showing 5 of 17 descendants. See all descendants

Descendants cleared per year

2014: 12017: 12018: 22020: 32021: 32022: 12023: 12025: 12026: 4
2014high 4 (2026) · low 0 (2015)2026

Most influential descendants

Showing 5 of 17 · See all
  • K162035GMK SphereMedacta International S.A. · 2017 · cites it directly10descendants
  • K173890GMK Sphere - Kinematic AlignmentMedacta International S.A. · 2018 · cites it directly6descendants
  • K142069GMK ExtensionMedacta International · 2014 · cites it directly4descendants
  • K202684GMK Total Knee System - TiNbN CoatingMedacta International S.A. · 2020 · cites it directly3descendants
  • K201343Triathlon Total KneeSystemHowmedica Osteonics Corp., Dba Stryker Orthopaedics · 2020 · 2 generations on3descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K9418475/8 Porocoat Aml Hip Porocoat Porous CoatingDepuy, Inc.1994—
−12K964650TCP-Coated Porocoat Aml Femoral Hip ProsthesisDepuy, Inc.1997—
−11K980711Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic CoatingZimmer, Inc.19981
−10K001277Triflange Acetabular Cup SystemDePuy Orthopaedics, Inc.2000—
−9K031495Pinnacle Duofix HA Acetabular Cup ProsthesisDePuy Orthopaedics, Inc.2003—
−8K042344Excia Total Hip SystemAesculap, Inc.200510
−7K070981Search Evolution (LC) Total Knee System (Plasmapore)Aesculap Implant Systems, Inc.2007—
−6K081023Evolis Total Knee SystemMedacta International S.A.20081
−5K090988GMK Total Knee SystemMedacta International S.A.20091
−4K102437GMK Revision Knee SystemMedacta International S.A.2010—
−3K103170GMK Revision Knee SC LinersMedacta International S.A.2011—
−2K113571GMK Resufacing Patella Size 4Medacta International2012—
−1K121416GMK SphereMedacta International2012—
0 (this device)K140826GMK Sphere ExtensionMedacta International2014—
+1K162035GMK SphereMedacta International S.A.2017—
+1K173890GMK Sphere - Kinematic AlignmentMedacta International S.A.2018—
+1K142069GMK ExtensionMedacta International2014—
+1K202684GMK Total Knee System - TiNbN CoatingMedacta International S.A.2020—
+2K201343Triathlon Total KneeSystemHowmedica Osteonics Corp., Dba Stryker Orthopaedics2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198410
198510
198720
199010
199110
199220
199330
199450
199560
199680
199760
199860
199940
200060
200170
200280
200340
200430
200510
200620
200730

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201410
201710
201820
202030
202130
202210
202310
202510
202640
FIG. 1 — Lineage of K140826, 1994–2026Source: 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
*K121416GMK Sphere
Summary page 1
…nted prosthesis. 21 CFR 888.3560 Class 11 Product Code(s): JWH Predicate Devices: I51 0(k) IProduct : I 51 0(k) Holder Clearance Date K121416 GMK Sphere Medacta International 7/30/2012 K090988 GMK Total Knee System Medacta In…
Medacta International2012—
*K090988GMK Total Knee System
Summary page 1
…I51 0(k) IProduct : I 51 0(k) Holder Clearance Date K121416 GMK Sphere Medacta International 7/30/2012 K090988 GMK Total Knee System Medacta International 7/10/2009 GMK Sphere Extension 510(k)…
Medacta International S.A.20091

Also cleared against K121416: 11 other devices →

What descends from it? (17)

See all 17

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

NumberDeviceApplicantDecidedDescendants
K162035GMK SphereMedacta International S.A.201710
K173890GMK Sphere - Kinematic AlignmentMedacta International S.A.20186
K142069GMK ExtensionMedacta International20144
K202684GMK Total Knee System - TiNbN CoatingMedacta International S.A.20203
K181635GMK Sphere CR Tibial InsertsMedacta International S.A.20182
K223548GMK Sphere & GMK SpheriKA CementlessMedacta International S.A.20231
K202022GMK-SPHERE Tibial inserts FLEX Tibial Insert CR and Resurfacing Patella made of E-CROSS…Medacta International S.A.20201

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 20 years and passes through 7 companies; a new generation was cleared every 1.4 years on median.
  • 39 of the 93 ancestors have a recall of any class.
  • Of its descendants, K162035 (Medacta International S.A., 2017) has gone furthest, with 10 descendants of its own.
  • 11 other devices also cite its predicate K121416.

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. 2014, 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 GMK knee prosthesis is designed for cemented use in total knee arthroplasty, if there is evidence of sufficient sound bone to seat and support the components. This knee replacement system is indicated in the following cases: * Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid arthritis or polyarthritis. * Avascular necrosis of femoral condyle. * Post traumatic loss of joint configuration. * Primary…

Read the full statement (139 words)

The GMK knee prosthesis is designed for cemented use in total knee arthroplasty, if there is evidence of sufficient sound bone to seat and support the components.

This knee replacement system is indicated in the following cases:

* Severely painful and/or disabled joint as a result of arthritis, traumatic arthritis, rheumatoid arthritis or polyarthritis.

* Avascular necrosis of femoral condyle.

* Post traumatic loss of joint configuration.

* Primary implantation failure.

Tibial wedges cemented are to be attached to the tibial baseplate with both the fixing cylinders and bone cement.

The screwed tibial augments are for screwed fixation to the tibial baseplate.

In case a semi-constrained liner is used, an extension stem must be implanted both on the tibial and on the femoral components.

In case a GMK Revision tibial tray is used, an extension stem must be implanted.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K140826: GMK Sphere Extension.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K140826

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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