510(k) Report

510(k) · Cleared

Recalled · Class II · 2023

LINK Endo-Model Knee System with PorEx (TiNbN) coating, Link Sled Knee System with PorEx (TiNbN) coating

K152431510(k) TraditionalCleared May 9, 2016257-day reviewClass II21 CFR 888.3510Recalls 16

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

Waldemar Link GmbH & Co. KG · KRO Prosthesis, Knee, Femorotibial, Constrained, Cemented, Metal/Polymer

Cleared on May 9, 2016 as substantially equivalent to K143179 (Waldemar Link GmbH & Co. KG, 2015) and 2 other predicates after a 257-day review. Its family tree reaches back 5 generations to 1994. 9 later devices descend from it. It has been recalled 16 times.

Decided
May 9, 2016
Review
257 days
Class
Class II
Product code
KRO
Recalls
16
Predicates
3

Its longest line of descent runs back 5 generations to K936079 (1994). 24 ancestors in all, the oldest K810520 (1981). 9 later devices descend from it, 5 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2015: 1 other ancestor1996: 4 other ancestors2002: 2 other ancestors1994: 4 other ancestors1993: 1 other ancestor2000: 1 other ancestor1995: 3 other ancestors1991: 1 other ancestor1984: 1 other ancestor1981: 1 other ancestor2021: 6 descendants cleared2022: 1 descendant cleared2020: 1 descendant cleared2023: 1 descendant clearedK936079 · Ecactech Porous Coated Finned Tibial Tray Compnent · Exactech, Inc. · 1994K011976 · Optetrak Total Knee System Size 0/1 Delta (Line Extension) · Exactech, Inc. · 2001K030686 · Optetrak Total Knee System - Molded Metal-Back Tibial Component · Exactech, Inc. · 2003K100900 · Motivation Knee System · Encore Medical L.P. · 2010 · recalledK122239 · Foundation Knee System with Tinbn Coating Foundation PS Knee System with Tinbn Coating 3DKNEE System with Tinbn Coating · Encore Medical L.P. · 201319801990200020102020
  1. Root · 5 generations backK936079 Ecactech Porous Coated Finned Tibial Tray CompnentExactech, Inc. · 1994
  2. 4 generations backK011976 Optetrak Total Knee System Size 0/1 Delta (Line Extension)Exactech, Inc. · 2001
  3. 3 generations backK030686 Optetrak Total Knee System - Molded Metal-Back Tibial ComponentExactech, Inc. · 2003
  4. 2 generations backK100900 Motivation Knee SystemEncore Medical L.P. · 2010 · Recalled
  5. 1 generation backK122239 Foundation Knee System with Tinbn Coating Foundation PS Knee System…Encore Medical L.P. · 2013
  6. This deviceK152431 LINK Endo-Model Knee System with PorEx (TiNbN) coating, Link Sled…Waldemar Link GmbH & Co. KG · 2016
  7. Descendant · cites it directly · 3 of its ownK202684 GMK Total Knee System - TiNbN CoatingMedacta International S.A. · 2020
  8. Descendant · cites it directly · 2 of its ownK202924 LinkSymphoKnee SystemWaldemar Link GmbH & Co. KG · 2021 · Recalled
  9. Descendant · cites it directly · 1 of its ownK212742 GEMINI SL Total Knee System, Endo-Model Knee System, and Sled Knee…Waldemar Link GmbH & Co. KG · 2021 · Recalled
  10. Descendant · 2 generations on · 1 of its ownK210010 GMK Revision & Hinge Extension - TiNbN CoatingMedacta International S.A. · 2021
  11. Descendant · 2 generations on · 0 of its ownK230471 LinkSymphoKnee – Fixed Bearing Ultracongruent (FB UC) Articulating…Waldemar Link GmbH & Co. KG · 2023

Showing 5 of 9 descendants. See all descendants

Descendants cleared per year

2020: 12021: 62022: 12023: 1
2020high 6 (2021) · low 0 (2024)2026

Most influential descendants

Showing 5 of 9 · See all
  • K202684GMK Total Knee System - TiNbN CoatingMedacta International S.A. · 2020 · cites it directly3descendants
  • K202924LinkSymphoKnee SystemWaldemar Link GmbH & Co. KG · 2021 · cites it directly2descendants
  • K212742GEMINI SL Total Knee System, Endo-Model Knee System, and Sled Knee System with LINK…Waldemar Link GmbH & Co. KG · 2021 · cites it directly1descendant
  • K210010GMK Revision & Hinge Extension - TiNbN CoatingMedacta International S.A. · 2021 · 2 generations on1descendant
  • K230471LinkSymphoKnee – Fixed Bearing Ultracongruent (FB UC) Articulating SurfaceWaldemar Link GmbH & Co. KG · 2023 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K936079Ecactech Porous Coated Finned Tibial Tray CompnentExactech, Inc.1994—
−4K011976Optetrak Total Knee System Size 0/1 Delta (Line Extension)Exactech, Inc.2001—
−3K030686Optetrak Total Knee System - Molded Metal-Back Tibial ComponentExactech, Inc.2003—
−2K100900Motivation Knee SystemEncore Medical L.P.20104
−1K122239Foundation Knee System with Tinbn Coating Foundation PS Knee System with Tinbn…Encore Medical L.P.2013—
0 (this device)K152431LINK Endo-Model Knee System with PorEx (TiNbN) coating, Link Sled Knee System…Waldemar Link GmbH & Co. KG2016—
+1K202684GMK Total Knee System - TiNbN CoatingMedacta International S.A.2020—
+1K202924LinkSymphoKnee SystemWaldemar Link GmbH & Co. KG202111
+1K212742GEMINI SL Total Knee System, Endo-Model Knee System, and Sled Knee System with…Waldemar Link GmbH & Co. KG202122
+2K210010GMK Revision & Hinge Extension - TiNbN CoatingMedacta International S.A.2021—
+2K230471LinkSymphoKnee – Fixed Bearing Ultracongruent (FB UC) Articulating SurfaceWaldemar Link GmbH & Co. KG2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198110
198410
199110
199310
199440
199530
199640
200010
200220
201510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202010
202160
202210
202310
FIG. 1 — Lineage of K152431, 1994–2023Source: 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? (3)

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
*K143179The LINK® Endo-Model® Knee System
Summary page 4
…coating; Foundation PS Knee System with TiNbN coating; 3D Knee System with TiNbN coating by DJO Surgical, K122239, cleared April 11, 2013 LINK® Endo-Model® Knee System, K143179, cleared January 30, 2015 LINK® Sled Uni-Compartment Knee System, K954186, cleared January 26, 1996 The LINK® Endo-Model® Knee…
Waldemar Link GmbH & Co. KG20157
*K954186Sled Unicompartment Knee System
Summary page 4
…TiNbN coating by DJO Surgical, K122239, cleared April 11, 2013 LINK® Endo-Model® Knee System, K143179, cleared January 30, 2015 LINK® Sled Uni-Compartment Knee System, K954186, cleared January 26, 1996 The LINK® Endo-Model® Knee System is constrained anti- luxation total knee prosthesis. Retaining the…
Link America, Inc.199632
*K122239Foundation Knee System with Tinbn Coating Foundation PS Knee System with Tinbn Coating…
Summary page 4
…SX Class I, Orthopedic / 87 Foundation Knee System with TiNbN coating; Foundation PS Knee System with TiNbN coating; 3D Knee System with TiNbN coating by DJO Surgical, K122239, cleared April 11, 2013 LINK® Endo-Model® Knee System, K143179, cleared January 30, 2015 LINK® Sled Uni-Compartment Knee System…
Encore Medical L.P.2013—

Also cleared against K143179: 4 other devices →

What descends from it? (9)

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

NumberDeviceApplicantDecidedDescendants
K202684GMK Total Knee System - TiNbN CoatingMedacta International S.A.20203
K202924LinkSymphoKnee SystemWaldemar Link GmbH & Co. KG20212
K212742GEMINI SL Total Knee System, Endo-Model Knee System, and Sled Knee System with LINK…Waldemar Link GmbH & Co. KG20211
K220628LINK Endo-Model EVO Knee SystemWaldemar Link GmbH & Co. KG20220
K211768LINK Endo-Model Knee System, Femoral Segments (Augments), UHMWPEWaldemar Link GmbH & Co. KG20210

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

Recalls of this device

DateClassRecallRoot causeReason
Mar 21, 2023Class IIZ-1544-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1549-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1552-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1543-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1551-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1550-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1541-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1554-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1540-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1553-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1548-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1545-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1539-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1547-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1542-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…
Mar 21, 2023Class IIZ-1546-2023Labeling designAdditional Label Warnings: Amendment / reinforcement of the Surgical Technique and future product training on the updated technique, due to early aseptic loosening or increased wear of the implant caused by suboptimal positioning of the…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 22 years and passes through 3 companies; a new generation was cleared every 3.1 years on median.
  • 13 of the 24 ancestors have a recall of any class.
  • Of its descendants, K202684 (Medacta International S.A., 2020) has gone furthest, with 3 descendants of its own.
  • 4 other devices also cite its predicate K143179.

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. 2016, 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 LINK® Endo-Model® and Sled Knee Systems with PorEx® (TiNbN) coating are indicated for patients with severe joint diseases with limitation of mobility due to degenerative, rheumatoid or post-traumatic arthrosis or arthritis. Joint fractures which disallow an osteosynthetic reconstruction. These devices are intended for cemented use only. The LINK® Endo-Model® Rotating Hinge and Modular Rotating Hinge Knee System with PorEx® (TiNbN) coating are…

Read the full statement (151 words)

The LINK® Endo-Model® and Sled Knee Systems with PorEx® (TiNbN) coating are indicated for patients with severe

joint diseases with limitation of mobility due to degenerative, rheumatoid or post-traumatic arthrosis or arthritis. Joint

fractures which disallow an osteosynthetic reconstruction. These devices are intended for cemented use only.

The LINK® Endo-Model® Rotating Hinge and Modular Rotating Hinge Knee System with PorEx® (TiNbN) coating are

indicated for the following conditions:

1) Bone necroses

2) Bicondylar arthrosis by partly damaged collateral ligaments

3) Revision after primary total knee replacement

4) Revision surgery after hinge knee or rotational knee joint

5) Revision surgery by insufficient / inadequate bone mass

6) Arthrosis of patella flange

7) Valgus/Varus deformities <10°

8) Valgus/Varus deformities 10-15°

9) Valgus/Varus deformities 15-20°

The LINK® Sled Knee System with PorEx® (TiNbN) coating is indicated for the following conditions:

1) Unicondylar arthrosis by intact ligaments including both cruciate ligaments

2) Valgus/Varus deformities <10°

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. “K152431: LINK Endo-Model Knee System with PorEx (TiNbN) coating, Link Sled Knee System with PorEx (TiNbN) coating.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K152431

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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