510(k) Report

510(k) · Cleared

Cleared

Arthrex iBalance BiCompartmental Arthroplasty System

K160461510(k) TraditionalCleared Apr 12, 201653-day reviewClass II21 CFR 888.3540

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

Arthrex, Inc. · KRR Prosthesis, Knee, Patello/Femoral, Semi-Constrained, Cemented, Metal/Polymer

Cleared on Apr 12, 2016 as substantially equivalent to K073120 (Accelerated Innovation, LLC, 2008) and 4 other predicates after a 53-day review. Its family tree reaches back 7 generations to 1994. 3 later devices descend from it.

Decided
Apr 12, 2016
Review
53 days
Class
Class II
Product code
KRR
Recalls
None
Predicates
5

Its longest line of descent runs back 7 generations to K943462 (1994). 35 ancestors in all, the oldest K880155 (1988). 3 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2008: 3 other ancestors2007: 2 other ancestors2006: 2 other ancestors2005: 1 other ancestor2004: 3 other ancestors1999: 1 other ancestor2001: 3 other ancestors1998: 1 other ancestor1996: 2 other ancestors1993: 1 other ancestor1988: 1 other ancestor2002: 3 other ancestors1997: 2 other ancestors1991: 1 other ancestor2003: 1 other ancestor1995: 1 other ancestor2017: 1 descendant cleared2020: 1 descendant cleared2025: 1 descendant clearedK943462 · Darwin Knee System · Johnson & Johnson Professionals, Inc. · 1994 · recalled×2: 2 generations cleared close together, K033272 (2004), K040166 (2004) K061648 · Depuy Graduated Compartmental Knee (GCK) · DePuy Orthopaedics, Inc. · 2006 · recalledK070849 · Depuy GCK Femoral and Tibial Components · DePuy Orthopaedics, Inc. · 2007K082172 · Mako Modular Knee Compartmental Implant System · Mako Surgical Corporation · 2008 · recalledK090763 · Restoris Multicompartmental Knee (MCK) System · Mako Surgical Corporation · 2009 · recalled1990200020102020
  1. Root · 7 generations backK943462 Darwin Knee SystemJohnson & Johnson Professionals, Inc. · 1994 · Recalled
  2. 6 generations backK033272 Depuy Sigma Tibial InsertsDePuy Orthopaedics, Inc. · 2004 · Recalled
  3. 5 generations backK040166 Depuy Sigma XLK Tibial InsertsDePuy Orthopaedics, Inc. · 2004
  4. 4 generations backK061648 Depuy Graduated Compartmental Knee (GCK)DePuy Orthopaedics, Inc. · 2006 · Recalled
  5. 3 generations backK070849 Depuy GCK Femoral and Tibial ComponentsDePuy Orthopaedics, Inc. · 2007
  6. 2 generations backK082172 Mako Modular Knee Compartmental Implant SystemMako Surgical Corporation · 2008 · Recalled
  7. 1 generation backK090763 Restoris Multicompartmental Knee (MCK) SystemMako Surgical Corporation · 2009 · Recalled
  8. This deviceK160461 Arthrex iBalance BiCompartmental Arthroplasty SystemArthrex, Inc. · 2016
  9. Descendant · cites it directly · 1 of its ownK200433 iBalance UKA Tibial Tray ImplantArthrex, Inc. · 2020
  10. Descendant · 2 generations on · 0 of its ownK251453 Arthrex iBalance Partial Knee SystemArthrex, Inc. · 2025
  11. Descendant · cites it directly · 0 of its ownK171365 Arthrex Knee SystemsArthrex, Inc. · 2017

Most influential descendants

Showing 3 of 3 · See all
  • K200433iBalance UKA Tibial Tray ImplantArthrex, Inc. · 2020 · cites it directly1descendant
  • K251453Arthrex iBalance Partial Knee SystemArthrex, Inc. · 2025 · 2 generations on0descendants
  • K171365Arthrex Knee SystemsArthrex, Inc. · 2017 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K943462Darwin Knee SystemJohnson & Johnson Professionals, Inc.19948
−6K033272Depuy Sigma Tibial InsertsDePuy Orthopaedics, Inc.200451
−5K040166Depuy Sigma XLK Tibial InsertsDePuy Orthopaedics, Inc.2004—
−4K061648Depuy Graduated Compartmental Knee (GCK)DePuy Orthopaedics, Inc.20061
−3K070849Depuy GCK Femoral and Tibial ComponentsDePuy Orthopaedics, Inc.2007—
−2K082172Mako Modular Knee Compartmental Implant SystemMako Surgical Corporation20082
−1K090763Restoris Multicompartmental Knee (MCK) SystemMako Surgical Corporation20095
0 (this device)K160461Arthrex iBalance BiCompartmental Arthroplasty SystemArthrex, Inc.2016—
+1K200433iBalance UKA Tibial Tray ImplantArthrex, Inc.2020—
+2K251453Arthrex iBalance Partial Knee SystemArthrex, Inc.2025—
+1K171365Arthrex Knee SystemsArthrex, Inc.2017—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198810
199110
199310
199510
199620
199720
199810
199910
200130
200230
200310
200430
200510
200620
200720
200830

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201710
202010
202510
FIG. 1 — Lineage of K160461, 1994–2025Source: 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 KRR? 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 KRR device

  1. #1 K231253 Overture Orthopaedics Patellofemoral Systemscore 5.6 · 1 generation · 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
*K073120Accin Patellofemoral System
Summary page 4
…HSX – Prosthesis, Knee, Femorotibial, Non-Constrained, Cemented, Metal Polymer CFR 888.3520 Predicate Device K073120: ACCIN Patellofemoral System K063782, K060670: ACCIN UNI-Knee System…
Accelerated Innovation, LLC2008—
*K063782Accin Uni-Knee System
Summary page 4
…Cemented, Metal Polymer CFR 888.3520 Predicate Device K073120: ACCIN Patellofemoral System K063782, K060670: ACCIN UNI-Knee System K090763: Mako Restoris MCK K0…
Accin Corporation2007—
*K060670Accin Uni-Knee System
Summary page 4
…Cemented, Metal Polymer CFR 888.3520 Predicate Device K073120: ACCIN Patellofemoral System K063782, K060670: ACCIN UNI-Knee System K090763: Mako Restoris MCK K052917: St…
Accin Corporation20061
*K090763Restoris Multicompartmental Knee (MCK) System
Summary page 4
…Predicate Device K073120: ACCIN Patellofemoral System K063782, K060670: ACCIN UNI-Knee System K090763: Mako Restoris MCK K052917: Stryker Compartmental Knee System Purpose of Submission…
Mako Surgical Corporation20095
*K052917Stryker Compartmental Knee System
Summary page 4
…K063782, K060670: ACCIN UNI-Knee System K090763: Mako Restoris MCK K052917: Stryker Compartmental Knee System Purpose of Submission This traditional 510(k) premarket notification is…
Howmedica Osteonics Corp.20058

Also cleared against K073120: 3 other devices →

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K200433iBalance UKA Tibial Tray ImplantArthrex, Inc.20201
K171365Arthrex Knee SystemsArthrex, Inc.20170

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 22 years and passes through 4 companies; a new generation was cleared every 1.4 years on median.
  • 18 of the 35 ancestors have a recall of any class.
  • Of its descendants, K200433 (Arthrex, Inc., 2020) has gone furthest, with 1 descendant of its own.
  • 3 other devices also cite its predicate K073120.

How does its category compare?

All KRR devices

KRR Prosthesis, Knee, Patello/Femoral, Semi-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 · KRR

1in 2023

2007: 22008: 32012: 12013: 12015: 12016: 12018: 12020: 12021: 12022: 12023: 1
2007high 3 (2008) · low 0 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KRR

116in 2008

2008: 116 days median
2007high 116 (2008)2026

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

Recalls per year · KRR

3in 2022

2013: 12016: 12017: 22022: 3
2007high 3 (2022) · low 0 (2007)2026

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

Adverse event reports per year · KRR

36in 2025

2009: 122010: 62011: 32012: 92013: 92014: 262015: 182016: 142017: 152018: 142019: 162020: 62021: 82022: 92023: 122024: 252025: 36
2007high 36 (2025) · low 0 (2007)2025

MAUDE reports naming product code KRR, 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
20072—00
2008311600
20090—012
20100—06
20110—03
20121—09
20131—19
20140—026
20151—018
20161—114
20170—215
20181—014
20190—016
20201—06
20211—08
20221—39
20231—012
20240—025
20250—036
20260—0—

What is it indicated for?

When used concurrently, the Arthrex iBalance UKA and PFJ systems create the Arthrex iBalance BiCompartmental Arthroplasty System. The Arthrex iBalance BiCompartmental Arthroplasty System is intended to be used as a multi-compartmental knee arthroplasty in patients with: Moderately disabling joint disease of the knee resulting from painful osteoarthritis or post traumatic arthritis; Correction of functional deformities; Revision of previous unsuccessful…

Read the full statement (95 words)

When used concurrently, the Arthrex iBalance UKA and PFJ systems create the Arthrex iBalance BiCompartmental Arthroplasty System. The Arthrex iBalance BiCompartmental Arthroplasty System is intended to be used as a multi-compartmental knee arthroplasty in patients with:

Moderately disabling joint disease of the knee resulting from painful osteoarthritis or post traumatic arthritis;

Correction of functional deformities;

Revision of previous unsuccessful partial knee replacement or other procedure;

The BiCompartmental Arthroplasty System is not intended to be used as a dual-condyle or tri-compartmental knee

These components are single use only and are intended for implantation with bone cement

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K160461: Arthrex iBalance BiCompartmental Arthroplasty System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K160461

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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