510(k) Report

510(k) · Cleared

Cleared

Arthrex Ibalance Tka System

K141635510(k) TraditionalCleared Sep 3, 201476-day reviewClass II21 CFR 888.3565

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

Arthrex, Inc. · MBH Prosthesis, Knee, Patello/Femorotibial, Semi-Constrained, Uncemented, Porous, Coated, Polymer/Metal/Polymer

Cleared on Sep 3, 2014 as substantially equivalent to K081127 (Accelerated Innovation, LLC, 2008) and 1 other predicate after a 76-day review. Its family tree reaches back 10 generations to 1981. 15 later devices descend from it.

Decided
Sep 3, 2014
Review
76 days
Class
Class II
Product code
MBH
Recalls
None
Predicates
2

Its longest line of descent runs back 10 generations to K810258 (1981). 79 ancestors in all. 15 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2008: 4 other ancestors2012: 1 other ancestor2010: 3 other ancestors2007: 5 other ancestors1999: 2 other ancestors1998: 1 other ancestor1996: 4 other ancestors2011: 1 other ancestor2009: 2 other ancestors2006: 1 other ancestor2004: 3 other ancestors2003: 4 other ancestors2002: 4 other ancestors1995: 8 other ancestors1994: 6 other ancestors1992: 4 other ancestors2005: 4 other ancestors2001: 4 other ancestors2000: 3 other ancestors1997: 3 other ancestors1991: 1 other ancestor1993: 1 other ancestor2024: 4 descendants cleared2015: 1 descendant cleared2023: 2 descendants cleared2019: 1 descendant cleared2020: 2 descendants cleared2025: 3 descendants cleared2022: 2 descendants clearedK810258 · Proximal Fermoral Hip Replacement · Biomet, Inc. · 1981K974558 · Salvage/Onocology Hip and Total Femur System · Biomet, Inc. · 1998K032396 · Ringloc 36MM Line and Modular Femoral Heads · Biomet, Inc. · 2003 · recalled×2: 2 generations cleared close together, K042051 (2005), K051411 (2005) K061312 · 36MM Biolox Delta Ceramic Heads · Biomet, Inc. · 2006K073102 · Biolox Delta Ceramic Heads with 100KGY E-Poly Acetabular Liners · Biomet Manufacturing Corp · 2007K100048 · E1 Antioxidant Infused Technology · Biomet Manufacturing Corp · 2010×2: 2 generations cleared close together, K120370 (2012), K121771 (2012) 19801990200020102020
  1. Root · 10 generations backK810258 Proximal Fermoral Hip ReplacementBiomet, Inc. · 1981
  2. 6 generations between
  3. 3 generations backK100048 E1 Antioxidant Infused TechnologyBiomet Manufacturing Corp · 2010
  4. 2 generations backK120370 Vivacit-E Vitamin E Highly Crosslinked Polyethylene LinersZimmer, Inc. · 2012
  5. 1 generation backK121771 Zimmer Persona the Personalized Knee SystemZimmer, Inc. · 2012 · Recalled
  6. This deviceK141635 Arthrex Ibalance Tka SystemArthrex, Inc. · 2014
  7. Descendant · cites it directly · 10 of its ownK151256 Arthrex BioSync® Bone WedgeArthex, Inc. · 2015 · Recalled
  8. Descendant · 2 generations on · 7 of its ownK192645 Trigon™ Ti Stand-Alone Wedge Fixation SystemNvision Biomedical Technologies, Inc. · 2019
  9. Descendant · 2 generations on · 6 of its ownK193414 Trigon HA Stand-Alone Wedge Fixation SystemNvision Biomedical Technologies, Inc. · 2020
  10. Descendant · 3 generations on · 5 of its ownK203445 Trigon HA Stand-Alone Wedge Fixation SystemNvision Biomedical Technologies, Inc. · 2020
  11. Descendant · 3 generations on · 4 of its ownK220197 Trigon HA Wedge Fixation SystemNvision Biomedical Technologies, Inc. · 2022
Show all 10 generations
  1. Root · 10 generations backK810258 Proximal Fermoral Hip ReplacementBiomet, Inc. · 1981
  2. 9 generations backK974558 Salvage/Onocology Hip and Total Femur SystemBiomet, Inc. · 1998
  3. 8 generations backK032396 Ringloc 36MM Line and Modular Femoral HeadsBiomet, Inc. · 2003 · Recalled
  4. 7 generations backK042051 Arcomxl Polyethylene LinersBiomet, Inc. · 2005 · Recalled
  5. 6 generations backK051411 Arcomxl Polyethylene Liners and Biolox Delta HeadsBiomet, Inc. · 2005 · Recalled
  6. 5 generations backK061312 36MM Biolox Delta Ceramic HeadsBiomet, Inc. · 2006
  7. 4 generations backK073102 Biolox Delta Ceramic Heads with 100KGY E-Poly Acetabular LinersBiomet Manufacturing Corp · 2007
  8. 3 generations backK100048 E1 Antioxidant Infused TechnologyBiomet Manufacturing Corp · 2010
  9. 2 generations backK120370 Vivacit-E Vitamin E Highly Crosslinked Polyethylene LinersZimmer, Inc. · 2012
  10. 1 generation backK121771 Zimmer Persona the Personalized Knee SystemZimmer, Inc. · 2012 · Recalled
  11. This deviceK141635 Arthrex Ibalance Tka SystemArthrex, Inc. · 2014

Showing 5 of 15 descendants. See all descendants

Descendants cleared per year

2015: 12019: 12020: 22022: 22023: 22024: 42025: 3
2015high 4 (2024) · low 0 (2016)2026

Most influential descendants

Showing 5 of 15 · See all
  • K151256Arthrex BioSync® Bone WedgeArthex, Inc. · 2015 · cites it directly10descendants
  • K192645Trigon™ Ti Stand-Alone Wedge Fixation SystemNvision Biomedical Technologies, Inc. · 2019 · 2 generations on7descendants
  • K193414Trigon HA Stand-Alone Wedge Fixation SystemNvision Biomedical Technologies, Inc. · 2020 · 2 generations on6descendants
  • K203445Trigon HA Stand-Alone Wedge Fixation SystemNvision Biomedical Technologies, Inc. · 2020 · 3 generations on5descendants
  • K220197Trigon HA Wedge Fixation SystemNvision Biomedical Technologies, Inc. · 2022 · 3 generations on4descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K810258Proximal Fermoral Hip ReplacementBiomet, Inc.1981—
−9K974558Salvage/Onocology Hip and Total Femur SystemBiomet, Inc.1998—
−8K032396Ringloc 36MM Line and Modular Femoral HeadsBiomet, Inc.20033
−7K042051Arcomxl Polyethylene LinersBiomet, Inc.20051
−6K051411Arcomxl Polyethylene Liners and Biolox Delta HeadsBiomet, Inc.20051
−5K06131236MM Biolox Delta Ceramic HeadsBiomet, Inc.2006—
−4K073102Biolox Delta Ceramic Heads with 100KGY E-Poly Acetabular LinersBiomet Manufacturing Corp2007—
−3K100048E1 Antioxidant Infused TechnologyBiomet Manufacturing Corp2010—
−2K120370Vivacit-E Vitamin E Highly Crosslinked Polyethylene LinersZimmer, Inc.2012—
−1K121771Zimmer Persona the Personalized Knee SystemZimmer, Inc.20122
0 (this device)K141635Arthrex Ibalance Tka SystemArthrex, Inc.2014—
+1K151256Arthrex BioSync® Bone WedgeArthex, Inc.20156
+2K192645Trigon™ Ti Stand-Alone Wedge Fixation SystemNvision Biomedical Technologies, Inc.2019—
+2K193414Trigon HA Stand-Alone Wedge Fixation SystemNvision Biomedical Technologies, Inc.2020—
+3K203445Trigon HA Stand-Alone Wedge Fixation SystemNvision Biomedical Technologies, Inc.2020—
+3K220197Trigon HA Wedge Fixation SystemNvision Biomedical Technologies, Inc.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199110
199240
199310
199460
199580
199640
199730
199810
199920
200030
200140
200240
200340
200430
200540
200610
200750
200840
200920
201030
201110
201210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201510
201910
202020
202220
202320
202440
202530
FIG. 1 — Lineage of K141635, 1981–2025Source: 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 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. #1 K241597 Freedom® Total Knee System - Porous Tibial…score 19.9 · 8 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
*K081127Accin Total Knee System
Summary page 4
…888.3560: Prosthesis, Knee, Patellofemorotibial, Semi- Constrained, Cemented, Polymer/Metal/Polymer Predicate Device K081127: AccinŒ Total Knee System K121771: Zimmer® PersonaŒ Personalized Knee System Purpose o…
Accelerated Innovation, LLC20081
*K121771Zimmer Persona the Personalized Knee System
Summary page 4
…Constrained, Cemented, Polymer/Metal/Polymer Predicate Device K081127: AccinŒ Total Knee System K121771: Zimmer® PersonaŒ Personalized Knee System Purpose of Submission This traditional 510(k) premarket notification is…
Zimmer, Inc.20122

Also cleared against K081127: 8 other devices →

What descends from it? (15)

See all 15

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

NumberDeviceApplicantDecidedDescendants
K151256Arthrex BioSync® Bone WedgeArthex, Inc.201510
K223316Identity Imprint Porous Total Knee Replacement System, Identity Imprint Porous Cruciate…Conformis, Inc.20232
K242412Agility Symmetric™ Total Knee SystemMedisurge, LLC20240

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 33 years and passes through 4 companies; a new generation was cleared every 1.8 years on median.
  • 38 of the 79 ancestors have a recall of any class.
  • Of its descendants, K151256 (Arthex, Inc., 2015) has gone furthest, with 10 descendants of its own.
  • 8 other devices also cite its predicate K081127.

How does its category compare?

All MBH devices

MBH Prosthesis, Knee, Patello/Femorotibial, Semi-Constrained, Uncemented, Porous, Coated, 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 · MBH

8in 2025

2007: 102008: 32009: 32010: 42011: 52012: 52013: 62014: 92015: 82016: 42017: 42018: 62019: 12020: 72021: 62022: 72023: 62024: 102025: 82026 (partial year): 7
2007high 10 (2007) · low 1 (2019)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MBH

98in 2025

2007: 59 days median2008: 70 days median2009: 209 days median2010: 84 days median2011: 84 days median2012: 90 days median2013: 138 days median2014: 114 days median2015: 100 days median2016: 74 days median2017: 115 days median2018: 89 days median2020: 112 days median2021: 48 days median2022: 57 days median2023: 94 days median2024: 84 days median2025: 98 days median2026 (partial year): 153 days median
2007high 209 (2009) · low 48 (2021)2026

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

Recalls per year · MBH

1in 2024

2009: 22011: 152012: 1, 1 Class I2013: 4, 4 Class I2016: 12017: 92018: 12019: 12020: 22023: 22024: 12026 (partial year): 4
2007high 15 (2011) · low 0 (2007)2026

Class I (5 since 2007) Class II/III not classified

Adverse event reports per year · MBH

1,561in 2025

2007: 272008: 212009: 892010: 1212011: 2472012: 3702013: 3082014: 3852015: 9552016: 1,0342017: 1,0072018: 1,1912019: 1,3942020: 1,0892021: 1,5392022: 1,2612023: 1,2632024: 1,4972025: 1,561
2007high 1,561 (2025) · low 21 (2008)2025

MAUDE reports naming product code MBH, 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
20071059027
2008370021
20093209289
20104840121
201158415247
20125901 (1)370
201361384 (4)308
201491140385
201581000955
201647411,034
2017411591,007
201868911,191
20191—11,394
2020711221,089
202164801,539
202275701,261
202369421,263
2024108411,497
202589801,561
202671534—

What is it indicated for?

The Arthrex iBalance® TKA System is indicated for use in individuals undergoing surgery for: * Painful, disabling joint disease of the knee resulting from degenerative arthritis, rheumatoid arthritis or post-traumatic arthritis; * Post-traumatic loss of knee joint configuration and function; * Moderate varus, valgus, or flexion deformity in which the ligamentous structures can be returned to adequate function and stability; * Revisions of previous…

Read the full statement (124 words)

The Arthrex iBalance® TKA System is indicated for use in individuals undergoing surgery for:

* Painful, disabling joint disease of the knee resulting from degenerative arthritis, rheumatoid arthritis or post-traumatic arthritis;

* Post-traumatic loss of knee joint configuration and function;

* Moderate varus, valgus, or flexion deformity in which the ligamentous structures can be returned to adequate function and stability;

* Revisions of previous unsuccessful knee replacement or other procedure.

Additional indications for posteriorly stabilization components:

* Ligamentous instability requiring implant bearing surfaces with increased constraint;

* Absent or non-functioning posterior cruciate ligament.

These devices are single use only and are intended for implantation with bone cement, with the exception of porous coated femoral components which can be used cemented or uncemented (biological fixation).

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. “K141635: Arthrex Ibalance Tka System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K141635

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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