510(k) Report

510(k) · Cleared

Cleared

Balanced Knee System TriMax CR Femoral Component and E-Vitalize CR and UC Tibial Inserts

K152169510(k) TraditionalCleared Oct 27, 201584-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

Ortho Development Corporation · JWH Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/Metal/Polymer

Cleared on Oct 27, 2015 as substantially equivalent to K994370 (Ortho Development Corp., 2000) and 3 other predicates after an 84-day review. Its family tree reaches back 8 generations to 1981. 1 later device descends from it.

Decided
Oct 27, 2015
Review
84 days
Class
Class II
Product code
JWH
Recalls
None
Predicates
4

Its longest line of descent runs back 8 generations to K810258 (1981). 42 ancestors in all. 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2013: 1 other ancestor2009: 1 other ancestor2000: 4 other ancestors2004: 2 other ancestors1999: 1 other ancestor1995: 7 other ancestors1993: 2 other ancestors1991: 1 other ancestor1987: 1 other ancestor1985: 1 other ancestor2002: 2 other ancestors1997: 2 other ancestors1996: 1 other ancestor1994: 3 other ancestors2005: 1 other ancestor2003: 1 other ancestor1992: 3 other ancestors2025: 1 descendant 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 · recalledK050327 · E-Poly (Vitamin E) Acetabular Liners · Biomet, Inc. · 2005K070364 · 100KGY E-Poly Maxrom Acetabular Liners · Biomet, Inc. · 2007K080528 · E-Poly Tibial Bearings · Biomet Orthopedics, Inc. · 2008K091956 · Highly Cross-Linked Vitamin E Uhmwpe Tibial Inserts, Model 391/392-09_19-702_712 · Encore Medical L.P. · 2010 · recalledK131337 · Balanced Knee System High Flex Vitamin E PS Tibial Insert and Patella · Ortho Development Corp. · 201319801990200020102020
  1. Root · 8 generations backK810258 Proximal Fermoral Hip ReplacementBiomet, Inc. · 1981
  2. 7 generations backK974558 Salvage/Onocology Hip and Total Femur SystemBiomet, Inc. · 1998
  3. 6 generations backK032396 Ringloc 36MM Line and Modular Femoral HeadsBiomet, Inc. · 2003 · Recalled
  4. 5 generations backK050327 E-Poly (Vitamin E) Acetabular LinersBiomet, Inc. · 2005
  5. 4 generations backK070364 100KGY E-Poly Maxrom Acetabular LinersBiomet, Inc. · 2007
  6. 3 generations backK080528 E-Poly Tibial BearingsBiomet Orthopedics, Inc. · 2008
  7. 2 generations backK091956 Highly Cross-Linked Vitamin E Uhmwpe Tibial Inserts, Model…Encore Medical L.P. · 2010 · Recalled
  8. 1 generation backK131337 Balanced Knee System High Flex Vitamin E PS Tibial Insert and PatellaOrtho Development Corp. · 2013
  9. This deviceK152169 Balanced Knee System TriMax CR Femoral Component and E-Vitalize CR…Ortho Development Corporation · 2015
  10. Descendant · cites it directly · 0 of its ownK253161 Balanced Knee System TriMax Porous Femoral ComponentsOrtho Development Corp. · 2025

Most influential descendants

Showing 1 of 1 · See all
  • K253161Balanced Knee System TriMax Porous Femoral ComponentsOrtho Development Corp. · 2025 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K810258Proximal Fermoral Hip ReplacementBiomet, Inc.1981—
−7K974558Salvage/Onocology Hip and Total Femur SystemBiomet, Inc.1998—
−6K032396Ringloc 36MM Line and Modular Femoral HeadsBiomet, Inc.20033
−5K050327E-Poly (Vitamin E) Acetabular LinersBiomet, Inc.2005—
−4K070364100KGY E-Poly Maxrom Acetabular LinersBiomet, Inc.2007—
−3K080528E-Poly Tibial BearingsBiomet Orthopedics, Inc.2008—
−2K091956Highly Cross-Linked Vitamin E Uhmwpe Tibial Inserts, Model 391/392-09_19-702_712Encore Medical L.P.20104
−1K131337Balanced Knee System High Flex Vitamin E PS Tibial Insert and PatellaOrtho Development Corp.2013—
0 (this device)K152169Balanced Knee System TriMax CR Femoral Component and E-Vitalize CR and UC…Ortho Development Corporation2015—
+1K253161Balanced Knee System TriMax Porous Femoral ComponentsOrtho Development Corp.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198510
198710
199110
199230
199320
199430
199570
199610
199720
199910
200040
200220
200310
200420
200510
200910
201310

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202510
FIG. 1 — Lineage of K152169, 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 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? (4)

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
*K994370Ortho Development Balanced Knee System
Summary page 4
…llofemorotibial polymer/metal/polymer semi-constrained cemented prosthesis (21 CFR 888.3560) AND NUMBER: PREDICATE Balanced Knee® System (K994370), DEVICES: Ortho Development Corporation Balanced Knee® System Ultracongruent Tibial Insert (K0…
Ortho Development Corp.20006
*K090705Balanced Knee System Ultracongruent Tibial Insert
Summary page 4
…Balanced Knee® System (K994370), DEVICES: Ortho Development Corporation Balanced Knee® System Ultracongruent Tibial Insert (K090705), Ortho Development Corporation Balanced Knee® System High Flex PS (K123457),…
Ortho Development Corp.20091
*K123457Balanced Knee System High Flex PS
Summary page 4
…alanced Knee® System Ultracongruent Tibial Insert (K090705), Ortho Development Corporation Balanced Knee® System High Flex PS (K123457), Ortho Development Corporation Balanced Knee® System High Flex Vitamin E PS Tibial In…
Ortho Development Corp.2013—
*K131337Balanced Knee System High Flex Vitamin E PS Tibial Insert and Patella
Summary page 4
…High Flex PS (K123457), Ortho Development Corporation Balanced Knee® System High Flex Vitamin E PS Tibial Insert and Patella (K131337), Ortho Development Corporation BKS TriMax™ CR Femoral Component and E-Vitalize® CR and UC Tibial Insert…
Ortho Development Corp.2013—

Also cleared against K994370: 5 other devices →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K253161Balanced Knee System TriMax Porous Femoral ComponentsOrtho Development Corp.20250

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 34 years and passes through 5 companies; a new generation was cleared every 2.3 years on median.
  • 22 of the 42 ancestors have a recall of any class.
  • Of its descendants, K253161 (Ortho Development Corp., 2025) has gone furthest, with 0 descendants of its own.
  • 5 other devices also cite its predicate K994370.

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. 2015, 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 Balanced Knee® System TriMax™ CR Femoral Component and E-Vitalize® CR and UC Tibial Inserts are intended

for single use cemented total knee arthroplasty procedures with the following indications:

1. Loss of knee joint configuration and joint function.

2. Osteoarthritis of the knee joint.

3. Rheumatoid arthritis of the knee joint.

4. Post-traumatic arthritis of the knee joint.

5. Valgus, varus, or flexion deformities of the knee joint.

6. Revision procedures where other treatments or devices have failed.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K152169: Balanced Knee System TriMax CR Femoral Component and E-Vitalize CR and UC Tibial Inserts.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K152169

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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